Clinical & Other
This track offers training at the following primary sites: Metropolitan Children and Youth Services Clinic, The Tulane Infant Team/Parenting Education Program, and Tulane University Hospital and Clinic, including Tulane Hospital Behavioral Health Clinic. These sites and the clinical training acquired at each are discussed in detail below.
The Metropolitan Children and Youth Services Clinic, located at 719 Elysian Fields Avenue in New Orleans, is a community-based, outpatient mental health clinic. The clinic serves children, adolescents, and their families who reside on the East Bank of Orleans Parish in the city of New Orleans. Individuals ages 6 to 18 years are seen at the clinic for behavioral, emotional, psychological, and/or psychiatric difficulties. This licensed community mental health center provides an array of services: screening and assessment; emergency crisis care; individual evaluation and treatment; medication administration and management; clinical casework services; specialized services for children and adolescents; and individual, dyadic, family and group psychotherapy.
Staff at the Clinic include Tulane University School of Medicine faculty members from the Department of Psychiatry and Behavioral Sciences, Section of Child Psychiatry. The mental health disciplines represented at the clinic include social work, psychology and psychiatry. Trainees from psychology and psychiatry rotate through the clinic. The Clinic offers a continuum of care for various levels of acuity. Comprehensive evaluations are conducted once a patient is referred to one of the services offered by the Clinic. The clinic is open Monday through Friday. The interns conduct various interventions at the clinic. Depending upon the needs of the patient, these may include intake evaluations, psychological testing, consultation, and psychotherapy. The clinic is comprised of three specialty clinics: Infant Mental Health, Trauma and ADHD. The interns will see clients from the Trauma and ADHD clinics.
As part of this rotation, the interns will:
Interns on the Child Track with a focus on Infant Mental Health rotate here 2 days a week all year. Interns on the Child Track with a focus on Pediatrics rotate here 1 day a week all year.
Primary Supervisor: Dr. Valerie Wajda-Johnston
The intern who chooses to focus on Pediatric Psychology will spend three days per week providing services to children with medical and developmental problems. Inpatient pediatric medical services are located within Tulane Medical Center, essentially comprising a hospital within a hospital (also known as Tulane Hospital for Children). Children are referred for specialty as well as general pediatric medical problems from throughout Louisiana and the Gulf South. The pediatric psychology intern may provide services to children who are medically hospitalized on the general child/adolescent inpatient unit or the pediatric intensive care unit, or who are receiving outpatient medical or emergency services. Outpatient services are provided through the Tulane Behavioral Health Clinic, with priority given to children with medical or developmental problems. In addition, the intern will provide services to the Tulane Center for Autism and Related Disabilities (T-CARD). T-CARD is a new, multidisciplinary outpatient program, and accepts children for new diagnosis as well as targeted requests for assessment or treatment related to autism. Referrals for child, adolescent and/or family assessment and treatment services may come directly through T-CARD, the Tulane Behavioral Health Clinic, or through the Pediatric Psychiatry Inpatient Consultation-Liaison service. Most of the children and adolescents who are referred have some type of serious and/or chronic illness and/or also demonstrate significant developmental, social, emotional, or behavioral problems that warrant assessment and/or psychotherapeutic services. Psychopharmacological consultation is available to the intern’s inpatients and outpatients from child psychiatry residents.
Paula Zeanah, Ph.D. is the primary supervisor for the pediatric psychology internship rotation. In addition, the intern will work with the medical director of the inpatient Pediatric Psychiatry Inpatient Consultation-Liaison service. Because of the complex nature of the medical conditions of the children served, the intern must work closely and collaboratively with the pediatric and child psychiatric staff and trainees and within the multidisciplinary teams to provide coordinated patient care, staff support, and education (liaison activities). Supervision for T-CARD is provided by Lisa Settles, Psy.D., a clinical psychologist with expertise in diagnosis and treatment of children with autism. Over the course of the internship, the intern is expected to become more independent in providing clinical and liaison services.
As part of this rotation, the intern will:
General expectations of the psychology intern include:
The intern receives weekly supervision by Dr. Paula Zeanah, Dr. Lisa Settles, and on-site supervision by the Child Psychiatry faculty on the service.
On the Child Track (with Pediatric Psychology Focus) three days per week of the intern’s time all year is spent at the Tulane Hospital for Children and the Tulane Hospital Behavioral Health Clinic, and the Tulane Center for Autism and Related Disabilities.
Tulane Infant Team/Parent Education Program
The Tulane Infant Team/Parenting Education Program (T-PEP) provides intensive intervention for maltreated infants/young children and their caregivers in Jefferson, Orleans, and other parishes in Southeast Louisiana. The team works collaboratively with a variety of systems to provide assessment and treatment for a high-risk population. All referrals to the team come from the Department of Children and Family Services (DCFS, the state Child Protection Agency) and involve cases of suspected or validated abuse and neglect of children ages birth to 60 months. Children who are referred for T-PEP services may remain in their homes. For these families, intervention is provided to assist in preserving the placement with biological parents. Alternatively, when safety issues are of significant concern, DCFS places children in foster homes while the biological parents address the impediments to their safe, effective parenting. T-PEP is located at 1555 Poydras Street, across from the Mercedes Benz Superdome, about one mile from Tulane University Medical Center.
The Infant Team/Parenting Education Program is staffed by a multidisciplinary group of faculty and trainees from Tulane University School of Medicine, including child psychiatrists, clinical and developmental psychologists, clinical social workers, pediatricians, parent educators, and paraprofessionals, all of whom have expertise in infant and child development and developmental psychopathology. There is a weekly clinical case conference, which includes the entire T-PEP team and, at times, Department of Children and Family Services case workers and supervisors, Bureau of General Counsel attorneys, and senior administrators. Clinicians present a case to the group, including videotape excerpts selected for the illustration of individual, dyadic, and family characteristics. This conference is used to develop specific recommendations about what will be required to intervene with a young child and his or her biological and/or foster parents. Clinical decision-making skills are modeled at the weekly case conference. Interns are also exposed to the forensic process and, on rare occasions, may have the opportunity to testify in Juvenile Court.
The interns receive weekly individual supervision, in addition to weekly group consultation with the entire team. Didactic and hands-on-training in the procedures used by the team occurs on a daily basis.
As part of this rotation, the interns will:
The Child Track interns with the focus on Infant Mental Health work here 2 days a week all year.
Primary Supervisors: Dr. Angela Breidenstine and Dr. Julie Larrieu
Tulane University, New Orleans, LA 70118 504-865-5000 firstname.lastname@example.org