Internship in Clinical Psychology
Inpatient Hospital Rotation
Clinical Experiences and Other Training Opportunities
Tulane’s Department of Psychiatry and Behavioral Sciences has partnered with several psychiatric hospitals around the Greater New Orleans Metropolitan Area to provide psychiatric services to adults, and in turn, provide Tulane trainees an opportunity to learn and practice. These hospitals provide an array of psychiatric services for adults coming from around the entire state of Louisiana who are experiencing a psychiatric crisis and require compassionate care.
Tulane provides services on inpatient units at local area hospitals for patients who are acutely ill and require 24-hour supervised care for their safety. The units are typically staffed by an interdisciplinary team of dedicated professionals, including a Tulane board-certified psychiatrist, Tulane psychiatry residents, Tulane medical students, a Tulane licensed clinical psychologist, licensed social workers, 24-hour nursing staff, and psychiatric technicians.
The psychology intern will play a vital role in the planning, development and provision of clinical services, including assessment and treatment. The intern will work with a culturally diverse population of patients with psychiatric and/or substance use disorders. The rotation is fast-paced and fosters the development of strong general clinical skills.
The intern will be expected to provide the following services:
• Group therapy
• Individual therapy, when clinically indicated
• Psychological evaluations
• Psychological consultations
• Develop and implement behavioral plans
• Crisis intervention
• Enhance milieu treatment and management
• Participate in treatment teams
• Work as a member of a multidisciplinary team
Interns on the Adult Track will spend 2 days per week on a psychiatric inpatient hospital rotation throughout the year.
Primary Supervisor: Dr. Leah Crouch
The New Orleans Forensic Aftercare Clinic
The New Orleans Forensic Aftercare Clinic (FAC) is an outpatient forensic clinic located just outside the Central Business District of New Orleans and near the Criminal Courthouse. The clinic is a fully functioning multidisciplinary forensic clinic that functions under the administration of the Louisiana Department of Health and Hospitals (DHH). It is an independent and separately functioning clinic but shares administrative and support personnel with Eastern Louisiana Mental Health System (ELMHS) in Jackson, Louisiana. ELMHS is the only forensic hospital in the State of Louisiana, serving all mentally ill incarcerated individuals in need of inpatient mental health care and supervision. The clinic is staffed by a full-time psychiatrist who also serves as the Medical Director, a psychologist, who is a Tulane University School of Medicine faculty member board-certified in Forensic Psychology and director of Tulane’s Forensic Institute, a psychiatric nurse, two board-certified social workers, one of whom specializes in individual and group treatment of sex offenders, a substance abuse counselor, and two competency restoration specialists.
The FAC provides a comprehensive array of outpatient mental health services to justice-involved residents of the Greater New Orleans area. It is open Monday through Friday from 8:00 a.m. to 4:30 p.m. Clients have 24-hour access to a staff member who is on call 24 hours per day. Clients are over 18 years of age and have a primary diagnosis of a mental illness or substance abuse disorder or developmental disability. They have recently been arrested or recently released from the inpatient forensic hospital at ELMHS, a long-term psychiatric facility. Clients are either on supervised probation/conditional release or are under civil commitment for mandated outpatient mental health treatment and competency restoration. Individual and group treatments, including medication management, case management, substance abuse treatment, assistance with benefits and transportation, and linkages with community resources are provided to clients by a multidisciplinary treatment team.
The intern will be trained to perform psychological assessment and treatment in a forensic outpatient setting. Specifically, the intern will learn how to conduct violence risk assessments, administer forensic assessment instruments and forensically relevant instruments to clients under supervision. The intern's level of independence will be governed by his or her clinical background and forensic experience. The intern will observe many of the typical functions of the clinical psychologist initially and then progress to more independent clinical functions over the course of the rotation. It is expected that by the end of the rotation, the intern will be functioning relatively independently (i.e., participating in weekly treatment team meetings, performing independent risk assessments, carrying an individual case load of 2-3 clients, and conducting one group), all under the supervision of the psychologist.
As part of this rotation, the intern will:
- Gain experience working with an adult forensic outpatient population.
- Understand relevant theory and research regarding forensic risk assessment.
- Become familiar with and operate as a member of a multidisciplinary treatment team.
- Develop group therapy modules and conduct group therapy with appropriate supervision.
- Perform risk assessments to determine violence risk in the community and develop risk management strategies.
- Conduct supervised individual therapy.
- Receive training and perform supervised intellectual and psychological assessments, including personality assessment and the administration of forensic instruments.
- Participate in research in forensic psychology and have the opportunity to develop independent research opportunities, as desired and feasible.
- Understand and appreciate the role of professional ethics, particularly the Specialty Guidelines in Forensic Psychology as they relate to the intern’s professional duties.
The intern on the Adult Track – Forensic Psychology Focus rotates here 2 days per week all year.
Primary Supervisor: Dr. Gina Manguno-Mire
The Tulane Comprehensive Cancer Center is a 20,000-square-foot, state-of-the art facility serving patients from throughout the Gulf Coast and around the world. The clinic offers radiation oncology services, an infusion suite, a bone marrow clinic, a general oncology clinic serving patients with a wide array of cancer diagnoses, a patient resource library, and a psychosocial services program. The Tulane Cancer Center is home to several expert cancer physicians from a multitude of oncologic specialties, including surgery, radiation oncology, gynecology, urology, pediatrics, dermatology, otolaryngology, and bone marrow transplant. The intern can expect to provide services to a diverse patient population encompassing all of these diagnostic groups.
Tulane University Medical Center
The intern whose focus of concentration is on the Tulane University School of Medicine's behavioral medicine rotation will receive the majority of their clinical training at the Tulane Comprehensive Cancer Center and the Tulane Abdominal Transplant Institute. Tulane University Medical Center is an active tertiary clinical care and academic medical training facility that presents interns with numerous opportunities to work with a variety of medical populations. Clinical activities include provision of psychological services (evaluation/assessment and psychotherapy) as well as consultation across a wide array of clinical situations. The model of treatment is comprehensive, and includes ongoing work with patients and their families.
The intern will be a member of the Psychosocial Oncology Team at the Tulane Cancer Center, which consists of Psychology, Social Work, Dietary, and Arts in Medicine. The intern will provide outpatient psychotherapy on an individual basis and will co-facilitate a bi-monthly support group for patients and caregivers. The intern will conduct pre-transplant psychosocial evaluations for bone marrow patients, and will have opportunities to follow each patient throughout the transplant process. This includes providing inpatient services to bone marrow patients on the transplant unit.
At the Tulane Abdominal Transplant Program, the psychology intern will work within a highly specialized interdisciplinary team of surgeons, hepatologists, nephrologists, nurses, social workers, and patient coordinators to evaluate and prepare individuals for solid organ transplantation, including liver, kidney, and pancreas. The intern will conduct pre-surgical psychological and, when indicated, cognitive assessments and will take an active role in team decision-making regarding the suitability of patients for transplant.
In addition to an inpatient clinic, the intern will provide services to inpatients on the Tulane Abdominal Transplant Unit, a 22-bed inpatient unit dedicated solely to the pre and post-surgical care of solid organ transplant patients.
As part of the rotation at Tulane University Hospital and Clinic, the intern will:
§ Develop expertise regarding specialized psychological needs of patients with severe medical illness and their families.§ Develop expertise in broad areas of health psychology, with specialized training in transplant psychology.
§ Work as a member of transdisciplinary patient treatment teams.
§ Engage in supervised psychotherapy with patients and caregivers.
§ Conduct specialized evaluations of medically ill patients.
§ Write timely, professional reports suitable for a fast-paced medical setting.
§ If desired and as time permits, develop and initiate independent research activities.
§ Perform all these activities in a highly diverse and dynamic environment.
The Behavioral Medicine intern spends two days per week at Tulane Medical Center for the duration of the internship year.
Primary Supervisors: Dr. Maryellen Romero and Dr. Lisa Solursh