Clinical Placements and Internship Tracks

About Our Placements and Tracks


Interns' clinical placements include MMHC outpatient teams, and a specialty track clinical placement which may be one of the following: 1) the Rapid Access to Flexible Treatment (RAFT) program, also referred to as the General Track, 2) the Prevention and Recovery in Early Psychosis (PREP) program, and 3) the Neuropsychology Service.

Outpatient Service

The Outpatient Service is the Department of Mental Health outpatient service for approximately 1,000 patients. These individuals have been deemed eligible for DMH services, usually signifying a diagnosis of a major mental illness, considerable functional impairment, and no means to obtain treatment in the private sector. This service includes specialized DBT and problematic sexual behavior outpatient teams. There are also teams with Spanish speaking clients and Spanish speaking supervisors.

Interns work on multi-disciplinary teams and have full clinical responsibility for the patients they are assigned, and can expect this to account for approximately half of their clinical time.

Modifications due to COVID-19: In accordance with State guidance on increasing public safety measures to reduce the spread of COVID-19, teams are providing services to clients through telehealth, and regular team meetings and supervision is provided remotely. Each outpatient team is scheduled to work in person approximately one out of every six weeks, and only as needed, and PPE is provided.

Internship Tracks

Three tracks are available in the internship program: the General Track (at the RAFT program), the Early Psychosis Track (at the PREP program), and the Neuropsychology Track. Interns spend about half of their time in their specific track (RAFT program, PREP program, neuropsychology service respectively). Applicants may apply to one, two, or all three tracks.

The RAFT Program (General Track) offers intensive individual and group treatment to DMH eligible patients. It has two teams: 1) The Cognitive Behavioral Therapy team, treats primarily individuals with severe and persistent mental illness; 2) The Dialectical Behavior Therapy team, is an intensive DBT program, which serves mainly individuals with borderline personality disorder and other severe personality disorders. Interns participate for six months on each team.

PREP/Early Psychosis Track offers full year participation in the Prevention and Recovery in Early Psychosis program, which specializes in working with young people (ages 16-30) who have recently developed a psychotic disorder. PREP is an intensive outpatient program that includes specialized individual and family treatment of early psychosis as well as a 2-afternoon-per week group program.

Neuropsychology Track involves full year participation in the Neuropsychology Service at MMHC and at the BIDMC Outpatient Psychiatry Service. Intern performs evaluations of both psychiatric patients and the general population, including questions of dementia, ADHD, LD, and other neuropsychiatric disorders.

Modifications due to COVID-19: In accordance with State guidance on increasing public safety measures to reduce the spread of COVID-19, we have made several modifications. The General and Early Psychosis Tracks are now integrated into one program, which provides services to individuals with early psychosis, young adults, and adults with severe and persistent mental illness. We remain committed to providing experience in delivering CBT/ACT for psychosis, and DBT. Most services are provided through telehealth. Team members are on site approximately one week out of every six to provide in-person sessions. PPE is provided and therapy and meeting rooms can accommodate social distancing of six feet. The Neuropsychology Track rotation continues to operate in person, and PPE is also provided.

Electives

We will be providing trainees with three options for electives, which comprise a smaller part of their clinical experience:

  1. Our Southard clinic will provide groups to individuals who are receiving outpatient services at DMH. There is one longstanding group that has been running for many years. Other groups can be determined based on the interests of the trainees that select this option.
  2. Research electives are possible through collaborating with one of the many research faculty at BIDMC. Trainees who choose this elective will be matched with a mentor and work on a scholarly project.
  3. Assessment opportunities are available, though currently impacted by COVID-19 restrictions. Some remote assessment experience in providing structured diagnostic interviews (particularly those for psychotic spectrum disorders) is available through many of our research studies.