APPIC Program Code: 141314
One intern will be selected for this concentration.
The goal of this concentration is to give the intern excellent clinical experiences within a developmental perspective from early childhood to emerging adults. The intern will have a variety of assessment and intervention experiences across four different clinical rotations.
Rotations
- 2 days in outpatient clinics at the Duke Child and Family Study Center, including the Family Studies Program and either:
- Psychosocial Treatment Clinic or
- ADHD program
- Duke Counseling and Psychological Services (2 days)
- Outpatient Pediatric Neuropsychology Clinic (1 day)
Rotation Descriptions
The Family Studies Program & Clinic is composed of a multi-disciplinary faculty, psychologists, psychiatrists and social workers who have expertise in family therapy, as well as a multi-disciplinary trainee group (psychology interns and psychiatry residents). The program provides interns with supervised training in family assessment and family therapy, parenting therapy and couples therapy using a live, behind-the-one-way-mirror supervision model.
Supervisors and other team members observe all therapy sessions, and supervisors provide immediate "bug in the eye" feedback using linked computer monitors between the observation room and the therapy room.
In addition to live and observed couples therapy, parenting therapy and general family therapy, interns also attend a weekly didactic seminar in general and specialty topics in the fields of family functioning and family and couples intervention. Patients for the Families Studies Program & Clinic are referred from the adult and child psychiatry programs and from specialty services within the Medical Center.
Supervisors
The Psychosocial Treatment Clinic (PTC) at the Duke Child and Family Study Center serves children, adolescents and families utilizing evidence-based practice. This rotation includes training in empirically supported treatments for children and adolescents primarily with anxiety and mood disorders, yet many patients have significant comorbidity. The rotation includes a weekly didactic seminar or case conference and all participants will receive live supervision and participate in the observation of their peers. Example didactics include:
- CBT case formulation
- Contextual functional analysis
- CBT for childhood anxiety
- CBT E/RP for OCD
- CBT for adolescent depression
- Assessment and treatment of school refusal
Psychology interns work closely with Child Psychiatry Fellows through this rotation at the Duke Child & Family Study Center. Seminars, case conferences and multidisciplinary treatment teams consist of psychology interns and child psychiatry fellows. Individual or group supervision is provided for all psychology interns and case conferences are utilized to provide maximize exposure to a diversity of ages, presenting problems and treatment approaches.
Supervisors
The ADHD Program at the Duke University Medical Center is one of the nation's leading programs for research and clinical services for ADHD and related behavior problems. The program is staffed by five licensed psychologists and one board-certified child psychiatrist.
The ADHD Program participates actively in three primary activities:
- Adult and child clinical services
- Federally-funded (e.g., NIMH) research grants
- Industry-funded clinical trials
Interns have the opportunity to participate in evidence-based treatment and evaluation services for children, adolescents and adults through our outpatient clinic. ADHD is the primary presenting concern for assessment and treatment cases, but comorbidity is common and thus interns experience a diverse variety of clinical presentations.
Treatment services in which interns may participate include:
- Parent behavior management group
- Adult ADHD cognitive behavioral therapy and mindfulness-based intervention groups
- Academic skills training group for middle and high school students
- Individual treatment cases (typically focused on parent behavior management training, academic support skills for adolescents, coping skills for children and cognitive behavioral therapy for adults).
Our assessment procedures conform to the practice parameters outlined by the American Academics of Pediatrics and Child and Adolescent Psychiatry and include the use of rating scales from multiple informants, interviews and brief cognitive testing, as indicated. These assessments also include formulation of treatment plans and written reports.
Program faculty provide presentations to schools and the community upon request, and we encourage intern participation in these activities. In addition, interns may be involved with consultation and teaching activities with other Duke specialists.
Interns are exposed to a number of clinical research activities within the Duke ADHD Program through didactic presentations and engagement with individual faculty members. Opportunities exist for interns to be involved in preparation of papers based upon our extensive databases and nationally recognized research activities.
Learn more about our current ADHD research.
Supervisors
Duke Counseling and Psychological Services (CAPS) provides a comprehensive range of psychological and psychiatric services to support students in managing psychological and social difficulties, with an immediate goal of strengthening their abilities to succeed in the University’s undergraduate, graduate, professional, and allied programs. Duke University is a privately supported institution with an enrollment of 17,499 students who come from 50 states and 124 foreign countries.
The University provides a stimulating learning environment in its ten colleges and schools: Trinity College of Arts and Sciences, School of Law, Divinity School, Graduate School, School of Medicine, School of Nursing, Nicholas School of the Environment and Earth Sciences, Pratt School of Engineering, Sanford School of Public Policy, and Fuqua School of Business.
Training emphasizes experiential clinical learning and incorporates evidence-based intervention approaches, including solution-focused brief therapy, CBT, DBT, and ACT. Training experiences include brief assessment, crisis intervention, individual and group psychotherapy, outreach, workshops, advocacy, and mental health consultation.
Service activities are balanced with individual and group supervision, seminars, clinical consultation teams, and professional development activities. Seminars will cover topics relevant to the clinical population, including identity and development, cultural considerations, mood and anxiety disorders, eating and body image concerns, executive functioning challenges, among others.
CAPS affirms and provides opportunities to increase awareness and knowledge of human diversity at the micro and macro levels of intervention. Training activities are designed to promote the acquisition of critical thinking skills related to individuals, environments, cultures, and systems and to develop culturally responsive psychological interventions.
Supervisors
- Leigh Spivey-Rita, PhD (CAPS Site Training Director)
- Chantal Gil, PsyD
- John Mitchell, PhD
In the Outpatient Pediatric Neuropsychology Clinic, interns assess patients’ neuropsychological and psychological changes secondary to disease processes and/or treatment regimen. The rotation may include evaluation of patients from the following clinics:
- Pediatric Blood and Marrow Transplant Program
- Pediatric Hematology/Oncology
- Pediatric Neuro-Oncology
- Pediatric Neurology and Neurosurgery (Epilepsy Monitoring Unit; Autoimmune Brain Disease Clinic)
- Pediatric Genetics
- Undiagnosed Disease Network Program