This track offers training at the following primary sites: Metropolitan Children and Youth Services Clinic, The Tulane Parenting Education Program, and Tulane/Lakeside Hospital for Women and Children, including Tulane Hospital Behavioral Health Clinic. These sites and the clinical training acquired at each are discussed in detail below.Read More
The Metropolitan Human Services District 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 and the surrounding areas. Individuals, ages 0 to 21 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. The Clinic serves clients who are Medicaid eligible.
Staff at the Clinic includes 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, including evidence-based approaches. The Clinic is comprised of a general clinic, which serves primarily youth with histories of trauma and/or diagnosis of ADHD, and two specialty clinics, one which offers Infant Mental Health services for children under 6 years of age, and one which offers intervention and assessment services to young adults ages 18-21 years in the Transitional Clinic. The interns can see clients with any presenting problem, including Infant Mental Health needs. The emphasis is on the provision of therapy services, although interns may conduct psychological assessments depending on availability and need.
As part of this clinical training experience, the interns will:
Interns on the Child Track with the Infant Mental Health major area of study spend two days a week here all year. Interns on the Child Track with the Pediatric Psychology major area of study spend one day a week here all year.
Primary Supervisor: Dr. Valerie Wajda-Johnston
The intern who matches with the Pediatric Psychology major area of study will spend three days per week providing services to children with medical and developmental problems. Inpatient pediatric medical services are located within Tulane/Lakeside Hospital for Women and Children and clinics. 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, as well as behavioral health services.
The intern who matches with the Pediatric Psychology major area of study will also provide services within the Tulane Center for Autism and Related Disabilities (TCARD). TCARD is an interdisciplinary clinic that provides diagnostic assessments, treatment planning, social skills groups, and Applied Behavior Analysis for individuals with a diagnosis of Autism Spectrum Disorder (ASD). Referrals come from pediatricians, neurologists, psychiatrists, counselors, geneticists, early interventionists, schools, and parents from across Louisiana and the Gulf South. TCARD provides diagnostic services for the lifespan, starting at 12 months through 50+ years. The TCARD patient population is diverse with regard to socioeconomic status, geographic representation, and race/ethnicity.
The intern will be responsible for the following:
The intern may have the opportunity to provide parent training sessions, social skills groups, or other psychoeducational groups for children and families affected by ASD.
Referrals to the Pediatric Psychology clinical training sites for child, adolescent and/or family assessment and treatment services may come directly through TCARD, the Tulane/Lakeside Behavioral Health Clinic, or through the Pediatric Psychiatry Inpatient Consultation-Liaison service. Most of the children and adolescents who are referred to the intern 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.
Lisa Settles, Psy.D. is the primary supervisor for the Pediatric Psychology major area of study. Dr. Settles is a clinical psychologist with expertise in diagnosis and treatment of children with Autism and other developmental delays. In addition, the intern will work under guidance from 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). Over the course of the internship, the intern is expected to become more independent in providing clinical and liaison services for medically ill children and for children with developmental delays.
As part of the Pediatric Psychology major area of study, the intern will:
General expectations of the psychology intern include:
The Pediatric Psychology intern receives weekly supervision by Dr. Lisa Settles, and on-site supervision by the Child Psychiatry faculty on the service.
On the Child Track (with Pediatric Psychology major area of study) two days per week of the intern’s time all year is spent at the Tulane/Lakeside Hospital for Women and Children and the Tulane Hospital Behavioral Health Clinic, and one day is spent at the Tulane Center for Autism and Related Disabilities.
Tulane Parent Education Program
The Tulane Parenting Education Program (T-PEP) provides intensive intervention for maltreated children, birth to age 17 years, 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. 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 1340 Poydras Street, near the Mercedes Benz Superdome, about one-half mile from Tulane University Medical Center.
The Tulane 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 knowledge of 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, often including video 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 child and his or her biological and/or foster parents. All children are referred for maltreatment and many display a range of behavioral, social-emotional, psychiatric, and relationship-based difficulties. 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 T-PEP faculty specializes in assessment and intervention with children under age 6 years and interns receive specialized Infant Mental Health training at this site. Interns may treat 1-2 selected cases of children older than age 6 years. In the last year, the traumatic effects demonstrated by the infants and young children referred for services ranged from clinical diagnosis of posttraumatic stress disorder to a variety of subclinical manifestations, including sleep disturbances, hypervigilance, concentration difficulties, distress at reminders, irritable behavior, and social withdrawal. Regarding ethnicity, the client population is 6% Hispanic/Latino and 94% non-Hispanic/Latino. Regarding race, the patient base is 45% African-American, 42% Caucasian, 6% Hispanic/Latino, 1% “Other,” and 6% multiethnic. Forty-nine percent are male. The majority of families are low-income and most parents have low levels of education.
The interns receive weekly individual supervision, in addition to weekly group supervision and consultation with the entire team. Hands-on-training in the procedures used by the team occurs on a daily basis.
As part of this clinical training experience, the interns will
Primary Supervisors: Dr. Angela Breidenstine and Dr. Julie Larrieu