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BHC ALHAMBRA HOSPITAL 4619 N. Rosemead Blvd. Rosemead CA 91770 (626) 286-1191 # of Openings: 4 ADVANCED PRACTICUM LEVEL: Practicum CONTACT: Joseph Dadourian, Ed.D., Director of Psychology NATURE OF AGENCY/POPULATION SERVED BHC (Behavioral Healthcare Center) Alhambra Hospital is a private, for-profit psychiatric hospital offering both inpatient and partial hospital programs. The inpatient program includes: Pediatric, Adolescent, Adult, Eating Disorders, Assessment & Referral, and Case Management Services. The inpatient programs are locked and the hospital is a 51/50 designated facility in the County of Los Angeles. The partial hospital programs are all adult. The demographics of the hospital are reflective of the general Los Angeles County population. DIRECT AND INDIRECT SERVICES This training site is an excellent opportunity for graduate students in psychology to learn about severe psychiatric disorders and develop skills of rapid stabilization and brief focused treatment. The majority of treatment is group psychotherapy. Individual focused/ brief psychotherapy is assigned for patients in crisis who may benefit from this form of intervention. Family therapy may also be approved by the treatment team. Students participate in multi-disciplinary treatment planning and milieu therapy. Students are assigned to a specific program for the entire year based on their preference and the program directors’ judgment. Students can be assigned to one of the following programs: 1. INPATIENT PROGRAM A. Adult Acute Inpatient: The program focus of this unit is to curtail dysfunctional symptoms and establish a level of safety for the patient to be discharged to a less restrictive level of care, i.e. partial hospitalization, outpatient, etc. The age range is from 18 and up. Examples of training opportunities include: co-leading and leading groups, individual crisis intervention, family therapy, and treatment planning. B. Youth Services Acute Inpatient: The program focus of this unit is to curtail dysfunctional symptoms and establish a level of safety for the patient to be discharged to a less restrictive level of care, i.e. partial hospitalization, outpatient, residential care, etc. The unit is divided into two separate units, BHC ALHAMBRA HOSPITAL – PAGE 2 pediatrics (4 to 13 years of age) and adolescents (14 to 17 years of age). Examples of training opportunities include: co-leading and leading groups, individual crisis intervention, family therapy and treatment planning. 2. C. Assessment/ Referral Department: This department is the gateway into the BHC Hospital programs. Counselors in this department conduct triage evaluations (assessments); comprehensive psychosocial assessments; crisis intervention; and provide information on hospital and other community psychological services as well as referrals. The services are rendered via telephone or face-to-face evaluations at the hospital. This is a fast paced team providing crisis intervention and screening for involuntary and voluntary psychiatric hospitalization. This internship position is for an intern capable of fast past learning, problem solving and multi-tasking in the midst of crisis and chaos. It includes not only clinical learning but also insurance authorizations and levels of psychiatric care. D. Case Management: This department is comprised of a multi-disciplinary treatment team consisting of psychologists, social workers, and marriage and family therapists who provide the oversight of services to each patient treated at BHC Alhambra Hospital, a neutral point of access into the health care delivery system, and coordination of in-house and outpatient care and providers. Each case manager individually meets with patients daily to address treatment concerns, progress, clinical symptom presentation, and coordinate discharge and aftercare planning. The case manager is responsible for formulating clinical presentations of the patients’ data including: Axis I-V diagnoses, psychiatric history, current symptoms, interventions used, medication trials, and treatment plan. Case Managers conduct couple and family sessions, schedule follow up appointments prior to discharge in an effort to provide an adequate aftercare plan, and complete Psychosocial Assessments. Interns will gain thorough exposure to chronic mental illness, eating disorders, and chemical dependency and treatment. Partial Hospitalization: The program focus of this unit is to provide a transition period between inpatient and outpatient treatment to assist the patient in learning coping skills so as prevent regression and/or relapse. The age range is from 18 and up. Patients in this program are either persistently mental ill with a recent history of declining functioning and/or exacerbation of symptoms or in transition from acute hospitalization. Examples of training opportunities include: co-leading and leading groups, individual therapy, and treatment planning. BHC ALHAMBRA HOSPITAL – PAGE 3 3. Eating Disorders Program: Rapid stabilization and intensive preventive care include medical and professional nurses monitoring vital signs, laboratory test results, starvation effects and purging and non-purging behaviors with focus on the individual's emotional and nutritional goals. Eating Disorders Partial Hospitalization Program: Structured, 8 hour 6 day a week treatment program designed to ensure continued success in combating anorexia and/or bulimia with a focus on the individual's emotional and nutritional goals while attending therapeutic and educational groups PRACTICUM ASSIGNMENTS Trainees are assigned to a specific program for the entire year (Inpatient, Partial or Eating Disorders). Trainees can indicate their interest within the Inpatient Program. The dynamic nature of the hospital might require trainees to be assigned to the highest need areas within the three main programs. • • • Inpatient - Adult Inpatient - Youth Services - Assessment & Referral Service - Case Management Partial Hospitalization Program Reasons- Eating Disorders Program THEORETICAL ORIENTATION The theoretical orientation of the hospital is crisis intervention and stabilization oriented drawing from cognitive-behavioral, dialectical behavioral therapy and systems theories. Students will also learn a great deal about psycho-traumatology and addictions, as well about the use of psychotropic medications used by the attending psychiatrists in stabilizing patients in acute crisis. SUPERVISION AND TRAINING Students receive 2 hours of group supervision and one hour individual supervision per week by licensed psychologists. Once a month students attend a Clinical Educational Lecture series on various relevant topics. We also, are a CAPIC training site for full time doctoral students. BHC ALHAMBRA HOSPITAL – PAGE 4 We take great care to assure the student a gradual supportive introduction into the very challenging setting. The first week of training is devoted to orientation and preparation for patient care. Students begin through observation until deemed ready to conduct groups independently. Students receive ongoing training throughout the training based on their needs as well. LENGTH OF TRAINING Typically 4 half-time doctoral psychology practicum students are selected for each year with flexible start dates. Length of practicum is 24 hours per week over a three-day period for 52 weeks, with two weeks (48 hours total) off for vacation. Practicum students accepted into other internship programs toward the end of their practicum, which may conflict, with the end date of our program would be released from this requirement of 52 weeks at the discretion of the Director of Clinical Training. VACATION 2 weeks of vacation (must be pre-approved by the program manager). Since the hospital is open 24-7, 365 days a year there are no assumed holidays. All holidays must be pre-approved as with vacations. STIPEND None. PREFERRED AND REQUIRED DAYS Wednesday mornings are required for group supervision. Spread over three days. Weekends can be included. DISABILITY ACCESS The site is wheelchair accessible. ADDITIONAL INFORMATION The agency’s website can be visited at: http://www.bhcalhambra.com. APPLICATION INSTRUCTIONS After receiving approval from the Field Training office, please contact Dr Dadourian for by email for the application process. BHC ALHAMBRA HOSPITAL – PAGE 5 BHC Alhambra Hospital requires prospective students to attend one of the two group informational/ pre-interview sessions. The objective of this session is to learn more about the training in a group setting with other applicants as well as introducing yourself and your interests. BHC Alhambra does not use letters of recommendation, please don’t send any. BHC Alhambra Hospital tries to interview all applicants but at times is unable to do so due to time constraints. REVISED 10-12