Interns' clinical placements include MMHC outpatient teams, the Southard Clinic, and specialty track clinical placements which include one of the following: 1) the Rapid Access to Flexible Treatment (RAFT) program, at 20 Vining Street, 2) the Prevention and Recovery in Early Psychosis (PREP) program, and 3) the Neuropsychology Service.
The Outpatient Service is the Department of Mental Health outpatient service for approximately 1,000 patients. These patients 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.
The Southard Clinic is a small outpatient clinic, which is staffed entirely by trainees. It offers outpatient psychotherapy at a low cost to community members and students at local colleges and universities. Patients are referred from diverse sources including college counseling centers, community health centers, and practitioners in the community. Southard patients are expected to need no rehabilitation, nor other services beyond psychotherapy and psychopharmacology.
In all of these settings, interns work on multi-disciplinary teams and have full clinical responsibility for the patients they are assigned.
Three tracks are available in the internship program—the General Track (at the RAFT program), the PREP Track, and the Neuropsychology Track. Interns spend about half time in their specific track (RAFT program, PREP program, neuropsychology service respectively) and half time on one of the MMHC outpatient teams, described above. Applicants may apply to one, two, or all three tracks and will be considered for the track(s) for which they are well-prepared.
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 patients with severe and persistent mental illness; 2) The Dialectical Behavior Therapy team, is an intensive DBT program, which serves mainly patients 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.