The following are training competencies and activities of the Psychology Fellowship Program.
The fellow participates in a monthly psychology service meeting focusing on clinical and ethical issues and other professional matters regarding service delivery. (Required)
The fellow participates in a monthly psychology trainee meeting with the director of Psychology Service to discuss issues related to the Psychology Internship Training Program and Psychology Fellowship Program issues.
The fellow participates in biweekly meetings with other trainees and psychology faculty for peer support and consultation regarding work with difficult-to-treat and diverse populations. (Required)
The fellow participates in the Baylor Psychology Fellow Network, an organization of postdoctoral fellows in the Houston area. The Network meets three to four times per year to discuss professional topics including ethics, licensure and cultural diversity. (Required)
Consultation and Liaison (C&L) service: The fellow provides consultation and assessment services to the psychiatric C&L service, which consults to the entire hospital. Typical C&L evaluations are brief and focused and may center on issues of competence, need for guardianship, identification of underlying psychosis, and prognosis for rehabilitation. (Required)
Outpatient psychological assessment: The fellow is responsible for conducting psychological neuropsychological evaluations for psychiatric outpatients. These evaluations may be brief or extensive, depending on the referral question. Typical referrals include diagnostic, cognitive, and/or personality testing. (Required)
Acute Psychiatric Inpatient Unit: The fellow is responsible for conducting psychological evaluations for psychiatric inpatients. These evaluations are typically brief in nature, as the average length of stay is seven days on the psychiatric inpatient unit. Typical referrals include diagnostic, cognitive, and/or personality testing.
Outpatient group therapy: The fellow conducts a cognitive-behavioral group and/or interpersonal process group or a combination of several outpatient group therapy that serves patients with severe psychopathology.
Adult outpatient psychotherapy: The fellow treats a small number of patients in longer-term individual psychotherapy. (Required)
Acute psychiatric inpatient individual psychotherapy: The fellow will provide evidenced-based, time-limited psychotherapy to patients who have been admitted to the psychiatric inpatient unit through the Ben Taub Emergency Center. Due to the setting, therapy often involves crisis intervention/stabilization/management and motivational interviewing. Fellows will utilize different therapeutic approaches (e.g. CBT, DBT, insight-oriented, strength-based) depending on the patient’s psychiatric presentation. (Required)
Acute psychiatric inpatient group psychotherapy: The fellow will co-facilitate a daily DBT-based coping skills group. Group topics include self-care, anger management, problem-solving, assertiveness and distress tolerance. (Required)
The fellow receives specialized training in the supervision of clinical psychology graduate students, psychology trainees and/or psychiatry residents. The fellow supervises the treatment of one to two individual psychotherapy patients, under supervision of their primary clinical supervisor. In addition, the fellow may further contribute to the supervision and teaching of psychology and psychiatry trainees by demonstrating the use of assessment tools and participating in case consultation meetings. (Required)
As noted above, the fellow participates on several multidisciplinary treatment teams, which may include IOP, the C&L service, and the Acute Psychiatric Inpatient Unit. In each setting, the fellow provides consultation to other treatment professionals, such as by attending treatment team meetings, providing oral and written feedback to the team, and seeking out the services of other professionals when necessary (e.g., by making referrals to psychiatry, social work, occupational therapy, or substance abuse treatment). (Required)
The fellow also attends Grand Rounds in the Psychiatry department, which is a multidisciplinary forum for the latest research and practice updates. (Required)
The fellowship is evidence-based, insofar as an empirical stance towards assessment and treatment is endorsed and empirically-supported treatments are encouraged. In addition, the fellow is provided opportunities to pursue a research project during the fellowship year, and to produce a manuscript for presentation and/or publication. The fellow may elect to create a new research protocol or to develop a smaller research study within the context of an existing protocol. The vast majority of patients receiving assessment or psychotherapy services are enrolled in research studies as part of their treatment. The fellow may draw from this database for their research endeavors.