Department of Pediatric Behavioral Health
The interns in the Department of Pediatric Behavioral Health will be involved in two concurrent part-time rotations or two successive 6-month rotations (Consultation / Liaison and Pediatric Behavioral Health Clinic). The goal of this program is to graduate interns able to function independently as a consultant and care provider to pediatric inpatient and outpatient medical populations
On the Consultation / Liaison (C/L) service, the intern will provide psychiatric and psychological consultations and services to children hospitalized on medical-surgical services and ones being seen in the Emergency Department. Interns will learn to communicate effectively with patients, families, and the interdisciplinary team working with that child. When necessary, interns will provide ongoing consultation and therapy services to children and their families throughout their hospital stay.
As part of the Pediatric Behavioral Health Clinic, interns will provide a range of outpatient services to children with chronic medical illnesses. Services include psychological and neuropsychological evaluations, diagnostic assessments, and individual and family psychotherapy. Training opportunities also include consultation within specific medical clinics and educational consultation.
On both services, typical child/adolescent patients experience mental health difficulties as a consequence of -- or that influence -- a medical condition (e.g., adapting to acute and chronic medical conditions; complying with medical regimens; problems with separation from family, home, and friends; chronic pain management). Patients have a variety of conditions, including orthopedic anomalies and injuries, brain injuries and other neurological conditions, diabetes, asthma and other pulmonary conditions, cardiac problems, and feeding or other GI disorders.
Supervision is provided by pediatric psychology and psychiatry faculty. One intern will be placed at this site for the entire training year.
Adolescent Residential and Day Treatment Program
Located on Wasatch Canyons Campus, these programs provide psychiatric care to adolescents between 13 and 18 years of age who require a more structured and milieu-based treatment, and include two levels of care (residential and day treatment) and two program tracks (psychiatric and chemical dependency). Our residential unit includes 28 beds, while the day treatment program averages 20-30 additional patients. The Residential and Day Treatment Programs are positioned in the middle of a continuum-of-care model of mental health care delivery. Patients are typically referred into these programs from an outpatient provider or Primary Children's inpatient unit also located on Wasatch Canyons Campus.
Patients coming into the psychiatric program present with a wide range of concerns, including: severe depression, suicidal behavior, bipolar spectrum disorders, anxiety disorders, self-injurious behavior, PTSD, and autism spectrum disorders. Patients entering the chemical dependency program present with substance abuse or dependence disorders, although co-morbid psychiatric problems are frequent; we offer a dual-track treatment focus for such patients. Treatment provided in these programs is multifaceted and comprehensive, and includes psychotherapeutic, pharmacological, and milieu-based treatments. Although various therapeutic modalities are represented, the program's philosophical approach is grounded in cognitive-behavioral therapy.
Our staff includes masters-level therapists (primarily LCSWs), psychologists, advanced practice registered nurses, a psychiatrist, licensed substance abuse counselors, recreational therapists, teachers, psychiatric technicians, and others. The medical team (including a board-certified child psychiatrist) provides medication management.
Patients attend a fully-accredited (Northwest Association of Schools) classroom each morning, followed by a daily process group run by one of the therapists (including the psychology intern). Afternoons include recreational therapy, art therapy, or similar activities.
The psychology intern is viewed as a professional staff member, working primarily with psychiatric track patients, and is supervised by licensed psychologists. Depending on the intern's experience and interests, opportunities to work with chemical dependency patients are available. The psychology intern carries three patients on his/her caseload, providing individual and family therapy for these patients, as well as case management and consultation. The intern also conducts a daily process group, and can be involved in one of the specialty groups (e.g., Mood Group, Sexual Issues Group). As a member of the psychology team, the psychology intern's duties also include: completing one new patient assessment per week, attending rounds, participating in peer supervision, and consulting with other treatment team members.
One intern will be placed in this training site for six months, rotating with Union Park Psychiatry and Counseling (see below) for the remaining 6 months of the training year.
Primary Children's Center for Counseling
Primary Children's Center for Counseling is an outpatient psychiatric clinic located on Wasatch Canyons Campus, serving clients ages 3-18 with a wide range of developmental (e.g., autism spectrum disorder), mental health (anxiety, depression, ADHD, behavioral disturbance, eating disorders) and/or chemical dependency problems that do not require more intensive treatment. Available services at PCCC include: medication management; individual, family and group therapy; and didactic, skills-based groups (e.g., parenting). The medical director is a board-certified child psychiatrist, providing direct clinical care as well as direction for the multi-disciplinary team. A business manager and clinical director also share administrative duties. The treatment team consists of psychiatrists, psychologists, and social workers, for a total of approximately 20-25 staff and trainees at any one time.
Two psychology interns at PCCC will not only provide services at the outpatient clinic, but will be regularly performing evaluations along the behavioral health continuum (e.g., inpatient unit, adolescent residential/day treatment program, child residential/day treatment program).
The psychology intern will attend weekly staff meetings that include case presentation/consultation, and weekly individual supervision from licensed psychologists.
Union Park Psychiatry and Counseling (UPPC)
UPPC is an outpatient mental health clinic serving a primarily adult population. However, the intern and supervisor work exclusively with children and adolescents. UPPC staff includes psychologists, social workers, psychiatrists, and advanced practice registered nurses. Services include individual therapy, family therapy, parent training, psychological and psychoeducation assessment, and consultation with schools.
In addition to weekly supervision, the intern attends staff meetings and participates in multidisciplinary case consultations. The typical intern caseload ranges from 16 to 20 patient hours per week. Interns will gain experience with a wide range of psychological disorders, including: depression, anxiety, OCD, eating disorders, behavioral disorders, and learning problems.
One psychology intern will stay at this site for 6 months, then rotating to the adolescent residential and day treatment programs for the second 6 months of the training year.
Program Location Information
Interns are involved in activities or placements on three campuses, all located within a 15-mile radius of the Salt Lake City metro area:
5th South Offices -- Located in Salt Lake City, approximately three miles from the hospital, includes the Pediatric Behavioral Health and Center for Safe and Healthy Families programs.
Wasatch Canyons Campus -- Located in Taylorsville, 12 miles south and west of the main hospital. This campus houses Primary Children's Center for Counseling, acute (inpatient) unit, and the adolescent residential and day treatment programs. The latency age residential and day treatment programs, currently located closer to the main hospital, will be moving to Wasatch Canyons campus during early 2012, allowing the entire child/adolescent behavioral health continuum (excepting the Pediatric Behavioral Health and Center for Safe and Healthy Families clinics) to be at one location.
Union Park Psychiatry and Counseling -- Located in Cottonwood Heights, 15 miles south of the main hospital.