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Pre-doctoral and Post-doctoral Psychology Fellowship

The Psychology Training Placement in Early Childhood


The Psychology Training Placement in Early Childhood is a Track of the APA-accredited Psychology Training Program at the Child Study Center. The Placement provides strong, multi-faceted training in working with young children and their families. By the end of the two year placement, Fellows will have received intensive training in the following areas:

  • Evaluation of children 6 and under (both Comprehensive and Focal)
    Treatment of children under 6
  • Consultation to and treatment of parents of young children in both group and parent guidance modalities
  • Mental health consultation to early childhood settings for both normative and at-risk children
  • Teaching and supervision of the evaluation of young children

These training goals will be met with the following program components:

Pre-doctoral Year:

1. Evaluation of children 6 and under (both Comprehensive and Focal)

    Clinical Child Development: The purpose of this multidisiplinary seminar is to expose trainees to both conceptual material and clinical observations on the complexity of assessing the development of young children and their families. Meets on Thursdays from 10-12. Faculty: Nancy Close, Sherin Stahl, Janet Madigan, Jean Marachi, Christy Heise, Megan Lyons

    Mini-Team Participation: The Fellow will participate in an evaluation team devoted to the developmental assessment of young children referred for developmental delays.

2. Treatment of children under 6

    Play Therapy: It is recommended that fellows carry up to four treatment cases with young children at any point in time. During the pre-doctoral year, weekly individual supervision will be provided by Nancy Close, Ph.D.


3. Consultation to and treatment of parents of young children in both group and parent guidance modalities

    Parent Guidance: Fellows will carry at least one case in which they work only with parents around developmental crises with their children. This is an important area of clinical work which focuses on young children and requires an understanding of how adults transition to being parents. During the pre-doctoral year, weekly individual supervision will be provided by Nancy Close, Ph.D.

4. Mental health consultation to early childhood settings for both normative and at-risk children

    Ongoing consultation to early childhood education programs: As a part of the Yale Early Childhood Education Consortium, the section provides a mental health consultant to early childhood education programs in New Haven. Fellows participating in this experience will regular consultants to early care and education settings and learn about developing ongoing consultative relationships with childcare programs.

    Mental Health Consultation in Preschools Seminar: Co-led by Christy Heise, M.S.W. and the post-doctoral psychology Fellow, this seminar provides an opportunity for group supervision about mental health consultation.

5. Additional Experiences


    Administrative Mentor: Each fellow will work individually with a member of the section faculty who will provide individual mentorship through the fellowship year. This is not intended to serve as a clinical supervisor-fellows will receive supervision from clinicians among the faculty-but rather, the advisor will guide the fellow through the fellowship, assist in selection of electives, and in career planning. The administrative mentor for the pre-doctoral year will be Walter Gilliam. The administrative mentor for the post-doctoral year will be Michele Goyette-Ewing.

    Psychopharmacology referrals: Dr. Marachi will coordinate a weekly psychopharmacology clinical seminar to accommodate all psychopharmacology questions regarding young children seen through our clinical services. Dr. Marachi and his team will also provide follow-up as needed for families for whom medications are recommended. Fellows who request a psychopharmacology consultation for their patients should plan on attending this seminar at least on the occasion that their patient is being seen. It is recommended that fellows make an effort to attend regularly so that they gain an appreciation of the complexities of medication use with young children.


Summer training period:

Basics of Developmental Assessment: Fellows will learn the basics of four approaches to developmental assessment: The Bayley Scales of Infant Development; The Mullen; The Intermediate Developmental Assessment (IDA); and the Early Screening Procedure (ESP). Dr. Lynette Tay will provide a seminar during the summer for the Bayley; Dr. Walter Gilliam will provide instruction in the Mullen and ESP, and Dr. Nancy Close for the IDA. Additionally, fellows will attend a seminar on the administration and scoring of the Vineland Adaptive Behavior Scales.

Basic Psychopharmacology: Dr. Marachi will provide a seminar over the summer regarding the use of psychotropic medications for young children. This seminar will provide an excellent grounding for the psychopharmacology clinic for young children seen through the early childhood clinic (see below). This seminar is tentatively scheduled for the summer from 9:00 to 10:00AM (July and August) on Friday mornings. Adjustments to time/schedule may be discussed with Dr. Marachi.

Mental Health Consultation in Preschools Seminar: Co-led by Christy Heise, M.S.W. and a post-doctoral psychology Fellow, this seminar provides background to the practice of mental health consultation.


Post-doctoral Year:

1. Evaluation of children 6 and under (both Comprehensive and Focal)

    Mini-Team Participation: The Fellow will participate in an evaluation team devoted to the comprehensive developmental assessment of young children.

    Independent Assessments, including School Readiness Referrals: The Fellow will conduct developmental evaluations outside of mini-teams, when deemed appropriate. Some of these referrals will come from area early childhood settings who participate in Connecticut’s subsidized child care program, School Readiness.

2. Treatment of children under 6

    Play Therapy: It is recommended that fellows carry two to three individual treatment cases with young children at any point in time. During the post-doctoral year, weekly supervision will be provided by Nancy Close (for at least the coming year) for these cases.

3. Consultation to and treatment of parents of young children in both group and parent guidance modalities

    Parent Guidance: Fellows will carry at least one case in which they work only with parents around developmental crises with their children. This is an important area of clinical work which focuses on young children and requires an understanding of how adults transition to being parents. During the pre-doctoral year, weekly individual supervision will be provided by Nancy Close, Ph.D.

    Working with parents in groups: As part of the Parents First initiative, post doctoral fellows will have the opportunity to co-lead groups for parents that will take place in early childhood education settings. These groups bring parents together around normative child development concerns. Supervisor: Michele Goyette-Ewing, Ph.D.


4. Mental health consultation to early childhood settings for both normative and at-risk children

    School Readiness Quality Enhancement Multidisciplinary Team: This multidiscipinary team meets once a month on Mondays 9:30-11:30 to discuss referrals from School Readiness programs. There will be opportunities to attend or present lectures on a variety of topics related to mental health. Individual consultation is also an option. Contact: Nancy Close.

    Monthly Yale Early Childhood Education Consortium Consultants meeting: The Fellow can participate in this monthly meeting of the Yale Early Childhood consultants, who are members of the Center's clinical faculty. Led by Nancy Close. Mondays 1:00 once a month.

5. Teaching and supervision of the evaluation of young children

    Early Childhood Focal Question Clinic Participation: During the post-doctoral year, the Fellow will serve as a direct supervisor to an Evaluator learning to perform evaluations of young children. These Evaluators are graduate student in psychology training programs. The Post-doctoral Fellow is responsible for providing teaching around case presentation, planning the assessment protocol, administration of instruments, scoring of measures, interpretation of findings, and planning the parent feedback meeting. The Fellow is also expected to closely supervise the written report. The post-doctoral Fellows also help to facilitate referral of appropriate cases to the clinic and maintain the clinic schedule. The success of the clinical training experience is dependent upon appropriate and steady referrals.

    Mental Health Consultation in Preschools Seminar: During the Post-doctoral year, the Fellow may have an opportunity to co-lead this seminar with Christy Heise, M.S.W. which provides didactic background over the summer and group supervision to clinicians providing mental health consultation during the academic year.

6. Additional Experiences

    Administrative Mentor: Each fellow will work individually with a member of the section faculty who will provide individual mentorship through the fellowship year. This is not intended to serve as a clinical supervisor-fellows will receive supervision from clinicians among the faculty-but rather, the advisor will guide the fellow through the fellowship, assist in selection of electives, and in career planning.

    Psychopharmacology referrals: Dr. Marachi will coordinate a weekly psychopharmacology clinical seminar to accommodate all psychopharmacology questions regarding young children seen through our clinical services. Dr. Marachi and his team will also provide follow-up as needed for families for whom medications are recommended. Fellows who request a psychopharmacology consultation for their patients should plan on attending this seminar at least on the occasion that their patient is being seen. It is recommended that fellows make an effort to attend regularly so that they gain an appreciation of the complexities of medication use with young children. Currently Friday 9-10.


ELECTIVE OPPORTUNITIES

Inner Life of the Young Child: This seminar led by Kyle Pruett and Kirsten Dahl is a potential elective for Fellows doing individual psychotherapy with young children. Fridays 8-9:30.

Continuous case: Through the year, the faculty and fellows will participate in a continuous case seminar in which both faculty and fellows will present clinical material from their own practices. The seminar will accommodate either an ongoing case presentation over several weeks or the discussion of vignettes and clinical dilemmas. Led by Janet Madigan on Thursdays at 2.

Journal Club: Members of the faculty and the fellows will come together around the discussion of contemporary works from the peer-reviewed developmental and psychiatric literature. Fellows will learn not only the content of the contemporary literature but also how to review papers and organize discussions and reviews around thematic areas. Time to be arranged.

Group Faculty Meetings: On a schedule to be arranged (not more than once monthly), fellows will join with the section staff and faculty to discuss the ongoing activities of the section. This will provide fellows an opportunity to be involved in an overall review of the section's work and also to contribute to that continued review and planning.

Newborn Followup Clinic: Fellows may cover at least one session per month in the follow-up assessment of preterm infants returning for ongoing developmental assessments. Training is provided in the core seminar on developmental assessment and supervision is provided through the follow-up clinic faculty.

Cranio-Facial Clinic: This is an opportunity to do pediatric psychology with young children. This surgical clinic provides ongoing care to children with complex malformations and injuries to their face, head, and neck. Through our early childhood section, we provide ongoing developmental and psychiatric consultation to families and children pre- and post-operatively. Supervisor is Dr. Nancy Close. Clinic meeting are some Fridays from 12-1. There could also be research opportunities available in the second year.

ELECTIVE RESEARCH OPPORTUNITIES

Assessment of High-Risk Families in a Research Setting: This is an ongoing followup clinic for children born at high risk and/or exposed to cocaine. Research opportunities should be discussed with Dr. Mayes.

Perinatal Mental Health Interventions: Interventions for pregnant women is a new program in the early childhood section. These interventions will take place in a community health center (Fair Haven clinic) and also in a multidisciplinary team seeing pregnant women referred for depression. Because this is a new program, fellows may also have the opportunity to participate in the design of the intervention and in the refinement of clinical services. There is a program evaluation component to this work. Supervisors will include Drs. Mayes and Arietta Slade.

Parents First: This is a multi-dimensional parent support and information program for families delivered through child care centers and health clinics. Services include parent groups, mental health consultation to school personnel and parents, in-service presentations to childcare staff, and a website. There is a program evaluation component to this work. Coordinator: Michele Goyette-Ewing

National PreKindergarten Quality Survey: Opportunities may be available to be involved in the production of public policy briefs on issues of quality education programs for young children. Supervisor: Walter Gilliam

High Risk Pregnancy Intervention Study: This study examines the use of a psychodynamically informed, cognitive behavioral therapy intervention with high risk pregnant mothers. Supervisors will include Drs. Linda Mayes

Impulsive Child Study: This study examines the use of a cognitive behavioral therapy intervention with young children identified as having significant difficulties with impulsivity. Supervised by Dr. Linda Mayes

     



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