Child Track - Juvenile Justice/Behavioral Health 

Juvenile Justice/Behavioral Health 

One clinical psychology resident will specialize in a combination of adolescent substance use and forensic mental health with the Juvenile Justice/Behavioral Health. Each clinical psychology resident completes two 12-month primary rotations and two 4-month minor rotations within clinical programs affiliated with Rhode Island and Bradley Hospitals. Specifically, the clinical psychology resident will complete a combination of rotations at the Rhode Island Family Court Mental Health Clinic, Adolescent Substance Use Program, and Rhode Island Training School. Training emphasis is on the necessary integration of substance use and mental health assessment and treatment for youth who are justice-involved or at-risk for justice involvement and thereby exponentially at-risk for poor long-term behavioral health outcomes.  All experiences will emphasize interdisciplinary collaborations in providing integrated behavioral health assessment and treatment and inter professional learning across multiple disciplines, including, but not limited to, psychology, medicine, nursing, juvenile justice and social work. The clinical psychology resident participates in the following primary rotations: Rhode Island Family Court Mental Health Clinic and Adolescent Substance Use Program Rotations as well as minor rotations at the Rhode Island Training School and Bradley Hospital Inpatient Rotations.

All Juvenile Justice/Behavioral Health rotations serve a diverse population. A majority of youth are racial/ethnic minorities, with a large representation of Latino families. Trainees will have exposure to working with interpreters. In addition, the range of diagnostic presentations are also diverse including trauma-related disorders, substance use, anxiety, depression, developmental disorders, and behavioral disorders.

Primary Rotations

The clinical psychology resident will complete two primary rotations for 12-months. 

Adolescent Substance Use Rotation (12-months: 3 half days)
Faculty Supervisor(s): Robert Miranda, Jr., PhD, Elisabeth Frazier, PhD

This rotation provides training in empirically supported assessment and treatment of adolescent substance use disorders in an intensive outpatient setting and a step-down outpatient level of care.   Youth may be court-involved, school-referred, or privately referred.  This rotation provides training and exposure to individual, group, and family-based substance abuse treatment.  The multidisciplinary team is comprised of psychologists, psychiatrists, social workers, licensed mental health clinicians, and milieu staff. Clinical psychology residents will have opportunities to assess adolescents with recent substance use who present with a range of co-occurring issues (including suicidality, non-suicidal self-injury, and behavior problems). Residents are responsible for conducting an initial diagnostic assessment and conducting evidence-based (motivational enhancement, cognitive-behavioral) individual, group, and family-based treatment in an intensive outpatient setting and step-down level of care. Co-therapy may also occur. Clinical psychology residents will participate in and receive supervision (individual and group) in all aspects of the substance use treatment services.

RIFC Mental Health Clinic Rotation (12-months; 3 half days)
Faculty Supervisor(s): Kathleen Kemp, PhD

In the Mental Health Clinic rotation, the clinical psychology resident will develop competency in forensic mental health and substance use assessment of children and adolescents with open status or delinquency petitions, including some proportion of juvenile drug court offenders. The court clinic population includes juveniles court-ordered by Rhode Island Family Court (RIFC) judges to receive a comprehensive mental health, trauma-focused, and/or dual diagnosis evaluation as well as forensic evaluations specific to competency to stand trial, risk assessments, and sexual risk assessments.  In addition to conducting comprehensive mental health evaluations (that include both juvenile and caregiver), trainees may also have the experience of performing emergency (acute risk) assessments, as well as participating in consultations to the bench.   The emphasis of training is on learning procedures of evidence-based forensic mental health and dual diagnosis assessment and writing forensic behavioral health reports, as well as providing testimony related to submitted forensic reports and clinical consultations. Clinical psychology residents will participate in and receive supervision in all aspects of the juvenile mental health clinic services.  Clinical psychology residents gain experience working collaboratively with a multidisciplinary treatment team that includes case managers, social workers, psychologists, judges, probation, and child welfare workers.  

Minor Rotations

The clinical psychology resident will complete two minor rotations for 12-months. 

Rhode Island Training School (Juvenile Detention) Rotation (12-months 1 half day)
Faculty Supervisor(s): Elisabeth Frazier, PhD, Katie Affleck, PhD, and Elizabeth Lowenhaupt, MD

In the Juvenile Detention rotation, the clinical psychology resident has the opportunity to develop competency in assessment, treatment, and consultation with detained (pre-adjudicated) and incarcerated (post-adjudicated) youth who have serious emotional, behavioral, and developmental challenges. The youth (ranging in age from 12-19 years old) reside in the Rhode Island Training School, the state’s sole juvenile detention facility, in two separate facilities (one for detention and one for post-adjudicated youth).  The emphasis of training is on learning and implementing evidence-based substance use and dual diagnosis individual, group, and family-based treatment, as well as learning and conducting evidence-based forensic substance abuse and dual diagnosis assessment for juvenile detainees.  

Clinical psychology residents may also serve as consultants to the RI Training School staff as assessments are submitted and interventions are implemented. Clinical psychology residents will participate in and receive supervision (individual and group) in all aspects of the juvenile detention services. Clinical psychology residents gain experience working collaboratively with multidisciplinary treatment teams that include psychologists, psychiatrists, nurses, social workers, juvenile program workers, probation officers, child welfare case workers, judges, correctional administrators, and special education teachers.

Adolescent Inpatient Unit Rotation (12-months 1 half day)
Faculty Supervisor(s): Katie Affleck, PhD

The clinical psychology resident spends one morning each week on the adolescent inpatient unit which serves youth ages 11-18 who are hospitalized for severe mental health presentations. The resident conducts diagnostic assessments and provides DBT/CBT groups.

Location