Training Experiences

Post-Doctoral Fellow Announcement

The Boston Child Study Center (BCSC) is now accepting applications for two, one-year full-time post-doctoral fellows beginning September 2018. BCSC is an evidence-based treatment center providing cutting edge mental health services to children, adolescents, young adults, and families. Our faculty specialize in the assessment and treatment of anxiety, obsessive-compulsive disorder, somatic complaints, school avoidance, depression, mood disorders, self-harm, suicidal behaviors, trauma, learning disabilities, disruptive behavior disorders, and autism spectrum disorders.

BCSC provides specialized training in the following tracks: Parent-Child Interaction Therapy (PCIT)/Teacher-Child Interaction Therapy (TCIT), Dialectical Behavior Therapy (DBT), DBT-Prolonged Exposure (DBT-PE) for PTSD & high-risk behaviors, Neuropsychological Assessment, Dissemination and Effectiveness Research, and College Admissions Coaching. Trainees select a major rotation and one minor rotation for the duration of the fellowship year. These training tracks are in addition to core training in the delivery of other evidence-based treatments, including, but not limited to: Cognitive Behavior Therapy (CBT) for anxiety and depression, CBT/DBT Parent Coaching, Acceptance and Commitment Therapy (ACT), and Comprehensive Behavioral Intervention for Tics (CBIT)/behavioral treatment for impulse control disorders. These training experiences occur across both standard and intensive outpatient programs.

Working as part of a coordinated multidisciplinary treatment team, the post-doctoral fellows’ responsibilities include providing individual, family, and group therapy to youth between the ages of 3 and 25 and their families. Students will attend at least one week-long intensive training for their track (e.g., Behavior Tech training for DBT and/or DBT PE or a PCIT training from a Certified Master Trainer). Trainees who complete the PCIT or DBT training will receive the necessary training and supervision to become certified in DBT and/or PCIT upon licensure.
Consistent with BCSC’s commitment to training and didactics, fellows will spend at least 35-40% of their time receiving a minimum of 2 hours of individual supervision and one or more hours of group supervision, and they will also participate in BCSC’s multiple clinical rounds, consultation teams, research meetings, and peer supervisions. The fellow will also attend workshops, weekly seminars, grand rounds, and continuing education opportunities held throughout the year.

Salary is competitive at $47,485 and includes excellent benefits, such as health insurance, 20 vacation days, and sick leave. Funding is available for the fellow to attend at least one professional conference.

Application requirements: Interested candidates should forward a CV, letter of interest including preferred major and minor rotations, and two letters of reference to our Director of Training, Shilpee Sindwani, Ph.D., at  SSindwani@bostonchildstudycenter.com. Application review and interview offers will begin on January 1st. Applications will then be reviewed on a rolling basis until the positions are filled.

Practicum/Externship Placement Announcement

The Boston Child Study Center (BCSC) is now accepting applications for practicum placements for the 2018-2019 academic year. We will be accepting up to 2 students for two-day, 16-hour placements. Training opportunities are available in the following primary training experiences: Parent-Child Interaction Therapy (PCIT)/Teacher-Child Interaction Training (TCIT), Intensive Outpatient Program therapist, Dialectical Behavior Therapy (DBT), Cognitive Behavior Therapy (CBT)/Acceptance and Commitment Therapy (ACT), DBT for anxiety and mood disorders, and Neuropsychological Assessment. Trainees also have opportunities to receive training or see an individual case in the modalities of Prolonged Exposure, Dialectical Behavior Therapy Prolonged Exposure (DBT-PE) and Cognitive Processing Therapy (CPT), Exposure and Response Prevention for OCD, and the Comprehensive Behavioral Intervention for Tics.

Students will attend a week-long intensive training for their preferred treatment modality, e.g., Behavior Tech training for DBT/DBT-PE or an intensive training from a PCIT Master Trainer, prior to starting the practicum. Trainees who complete PCIT and DBT will receive the necessary training and supervision to become certified in those interventions upon licensure. Some practicum experiences meet Advanced Practicum criteria for MA licensure, and BCSC will discuss modifications to make others consistent with criteria upon request.

Application requirements: Only advanced doctoral students will be considered. Applicants may apply for both a primary and secondary experience, if desired. Interested candidates may forward a CV and letter of interest to our Director of Training, Shilpee Sindwani, Ph.D., at ssindwani@bostonchildstudycenter.com.

2018-2019 Training Tracks and Experiences

Parent-Child Interaction Therapy (PCIT) / Teacher Child Interaction Training (TCIT)

PCIT is an evidence-based treatment for young children with externalizing behavior difficulties and their families. This rotation includes comprehensive training that aligns with PCIT International certification standards. The rotation includes 40 hours of didactic training and supervision and consultation conducted in the context of a weekly PCIT training clinic. Each trainee will be the primary therapist with at least one PCIT training case within the clinic and serve as co-therapist on other clinic cases. In addition, the trainee will see PCIT clients outside the clinic, as well as other young children with disruptive behavior disorders and other childhood disorders requiring behavioral treatments. Each trainee will participate in weekly rounds with the PCIT team and clinical supervisors. The training and supervision is conducted by a PCIT Master Trainer and will culminate in PCIT certification. Trainees will also conduct TCIT in at least one local preschool.

Primary Supervisor: Joshua Masse Ph.D.

Dialectical Behavior Therapy (DBT)

The Dialectical Behavior Therapy (DBT) program offers specialized training in evidence-based DBT, including individual therapy with skills coaching, DBT skills training groups, parent guidance, and family therapy. Trainees will have the opportunity to work directly with an adolescent and young adult outpatient population with multiple problems, which may include suicidal behaviors, non-suicidal self-injury, anxiety, depression, disordered eating, substance abuse, PTSD, and borderline personality disorder. Trainees will also co-lead at least one DBT skill acquisition and/or advanced skill implementation group. In addition to weekly supervision by expert DBT clinicians, trainees will participate in a DBT consultation team with DBT trained therapists on the Boston Child Study Center faculty. Trainees will attend Behavioral Tech’s Intensive/Foundational trainings in DBT and become eligible to earn Behavioral Tech’s certification in DBT upon licensure. Trainees will focus on developing specialized skills as evidence-based dialectical behavior therapists, with the knowledge and ability to treat patients with a wide variety of clinical diagnoses and challenges.

Primary Supervisors: Ryan J. Madigan, Psy.D. (Individual Therapy), Jackie Shapiro, Ph.D. (Group Therapy)

Dialectical Behavior Therapy for Trauma & Exposure: (DBT ExRP & DBT PE)

Approximately 60% of patients diagnosed with Borderline Personality Disorder (BPD) also suffer from trauma/Post Traumatic Stress Disorder (PTSD). In addition, adolescents with BPD and/or emotion regulation difficulties frequently suffer from comorbid anxiety, depression, substance abuse, disordered eating, etc. The DBT Trauma and Exposure program at BCSC provides state of the art DBT and exposure therapies to address co-occurring anxiety, depression, PTSD and suicidal and self-harm behaviors. Trainees will receive intensive training and supervision in Stage II DBT informed Exposure Therapy and DBT Prolonged Exposure Therapy for PTSD. Trainees will attend Behavioral Tech’s intensive training in DBT PE and have the opportunity to carry individual cases in DBT PE and co-run emotional processing groups. In addition to weekly supervision by expert DBT and DBT PE clinicians, trainees will participate in DBT consultation teams with other trained experts on the Boston Child Study Center faculty.

Primary Supervisor: Ryan J. Madigan, Psy.D.

Neuropsychological Testing

BCSC’s testing program specializes in the neuropsychological assessment of youth with significant emotional and behavioral challenges. Trainees will become fluent in a testing protocol to differentiate skill and performance deficits and to differentiate neurocognitive and emotional outcomes of behavior for these youths. Each trainee will learn to administer, score, and interpret a wide range of neuropsychological instruments. Specialized training in autism diagnostic assessments, including the Autism Diagnostic Observation Schedule (ADOS 2), is available. They will participate in the administrations of approximately two neuropsychological batteries per month as well as intakes and feedback meetings. Trainees will also gain experience in tailoring feedback to children to motivate access to treatment and report writing.

Primary Supervisor: Nathan M. Lambright Psy.D., BCBA-D

Outpatient Evidence-Based Behavioral Treatment

Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) for Anxiety and Mood Disorders:

Cognitive Behavioral Therapy continues to be one of the most effective and highly sought-after therapies for the treatment of anxiety and depressive disorders in youth. Dialectical Behavior Therapy offers different and equally effective strategies for helping youth approach address these issues. The Anxiety and Mood Disorder program at BCSC affords trainees opportunities to conduct individual, family-based, and group treatment for a wide array of anxiety disorders, including social and generalized anxiety, panic disorder, specific phobias, obsessive compulsive disorder (OCD), and school refusal, as well as depressive and mood disorders. Individuals are assessed for a functional understanding of their emotional experience to identify how CBT or DBT may be used to help them cope with their emotional experience and approach challenging situations. Opportunities exist for individuals to engage in values-based exposure, community-based exposure coaching, intensive treatment for specific phobias, and intensive treatment for school avoidance.

Primary Supervisors: Shilpee Sindwani, Ph.D. (CBT) and Ryan J. Madigan Psy.D. (DBT)

Tic and Impulse Control Disorders:

Trainees in this rotation begin by receiving specialized training in the neurological underpinnings of tics and impulse control disorders as well as the Comprehensive Behavioral Intervention for Tics (CBIT) and treatments for common comorbidities including OCD and Trichotillomania. The trainee will conduct initial severity scale measures including the Yale Global Tic Severity Scale (YGTSS) and Child Yale Brown Obsessive Compulsive Scale (CY-BOCS) upon entrance into the program.

Clinicians will carry individual cases implementing psychoeducation for youth and families as well as CBIT, ERP, and parent management training as appropriate for the specific presentation.

Primary Supervisor: Nathan M. Lambright Psy.D., BCBA-D

Acceptance and Commitment-Based Therapy:

This training experience will focus on the development and cultivation of trainees’ skills in conceptualization, treatment planning, and intervention from an acceptance and mindfulness-based framework. Drawing largely from Acceptance and Commitment Therapy, and including elements of other empirically supported behavioral and mindfulness based therapies (e.g. CBT, Mindfulness based CBT, Mindfulness Based Stress Reduction, Self-Compassion interventions), trainees and their supervisor(s) collaboratively outline a training plan to include these increasingly prominent, highly sought after, and flexible treatments in their clinical repertoire. ACT is adaptable to a wide range of clinical presentations – anxiety disorders, mood disorders, substance use, psychosis – and is easily woven in with other empirically-supported treatments, which makes the process of learning and using this framework very engaging as a clinician. Additionally, ACT and these other interventions ask for a real commitment on the part of the clinician to acknowledge, attend to, and utilize his/her own experiences both in and outside the therapy room in service of clinical care and personal development as a therapist. This track affords trainees the opportunity to establish foundational knowledge in ACT and mindfulness-based therapies or enhancing and fine-tuning their developing expertise. Flexibility is the key!

Primary Supervisor: Daniel P. Johnson, Ph.D.

CBT/DBT Parent Coaching/Family Therapy:

Interactions between parents and children combine with emotional vulnerabilities to shape behaviors seen in an array of youth emotional and behavioral problems. Research indicates that addressing children’s struggles alone is insufficient to affect pervasive change in many cases. Engaging, educating, and shaping parents, caregivers, and family systems however, comes with a unique set of challenges. Trainees in the Parent Coaching/Family Therapy track will learn about the roles parent coaching and family therapy play in shaping effective interactions in the home to reduce emotional vulnerabilities and extinguish ineffective internalizing and externalizing behaviors. Through structured trainings and weekly supervision by clinicians who specialize in parent coaching within the context of DBT/CBT treatment, trainees in this track will learn strategies for maximizing their effectiveness in parent coaching. In addition, trainees will have the opportunity to observe and/or co-lead a skills-training group for parents of adolescents and young adults who are in DBT or CBT treatment.

Primary Supervisor: Ryan J. Madigan, Psy.D.

Dissemination and Effectiveness Research

The Dissemination and Effectiveness Research Program allows applicants the opportunity to be involved with active ongoing research collaborations as well as research being conducted within the different tracks of training (e.g., PCIT). Trainees can be involved in various stages of research and will be exposed to different aspects of clinical research. This is achieved through participation in the following activities: review of relevant literature on empirically-supported treatments, development of independent research projects, manuscript preparation and/or poster submissions to national and international conferences, and participation in monthly research meetings conducted at BCSC. Trainees will have access to BCSC REDCap projects with the goal of conducting research that is informative to treatment-based outcomes.

Primary Supervisor: Beth Jerskey, Ph.D.

College Admissions Coaching Program

The goal of this training program is to increase the number of clinicians who can provide specialized consultation and coaching services to help college applicants become successful students by addressing their academic interests and goals, personal values, and mental health needs. The College Admissions Coaching Program offers applicants to college and graduate school individualized guidance throughout the school search and application process. Trainees who seek this experience will be trained in coaching and consultation for students with mental health considerations and the general population. Trainees will gain knowledge and experience providing coaching on academic and extracurricular planning in high school, exploring and identifying academic interests, putting together a college list, organizing the application process (time management), application preparation, including essay feedback, identifying learning disability and mental health support services, and creating a “cope ahead” plan to enhance self-care and self-advocacy skills. Trainees will gain experience coaching students on advocating for services from their college/university, and balancing personal, social, and academic demands.

Primary Supervisor: Jackie Shapiro, Ph.D.

Intensive Outpatient Program Therapist (Practicum only)

The Intensive Outpatient Program for Complex Care offers individualized intensive treatment for a variety of presenting problems. The program meets an array of needs by having individualized treatment plans that identify appropriate therapeutic components and dosage for each individual. Trainee’s in the IOP program will receive training in a variety of treatment modalities including exposure therapy, DBT skills training, and executive function coaching. They provide individual treatment of these services under the supervision of each patients lead therapist. Trainee’s in this track will also have the opportunity to co-lead one of BCSC numerous therapy groups.

Primary Supervisor: Nathan M. Lambright, Psy.D., BCBA-D