Post Doc Residency                           

09/07/94 ‑ 09/12/95              Apogee/Affiliates for Evaluation and Therapy, Miami, FL

                                                              Supervisors: David Butler, Ph.D.; Sharon Julsonnet, Ph.D.

                                                              Hours: 40 hrs/wk. Total: 2000 hrs.

Description: Affiliates is a large private practice with the primary goal of providing short‑term, goal‑oriented therapy to a managed‑care population. The multi‑disciplinary treatment team provides an array of services, with a focus on outpatient care. Because of the large staff, patient's are given preference for geographic location as well as matching patient's with the therapist’s age group, sex, and cultural background. Brief, short‑term therapy is the norm since many of the referrals come from HMO's and EAP programs. The majority of referrals were from managed‑care resources, and patients varied in age, level of education, SES, and psychopathology. Psychological testing was conducted on a regular basis with the goal of providing quantified measures of improvement. Primary responsibility was to provide psychotherapy and testing for children and adults. Case load averaged from 25 to 40 patients per week.

 

Internship                        

Sept 93 to Aug 94               Locations: Bayview Center for Mental Health, Miami, (outpatient); Transit Company and START Program located on SFSH grounds (in-patient  rotation)

                                                      Supervisors: Jose Raffo, Ph.D., Sharon Julsonnet, Ph.D., Benjamin Algaze, Ph.D.  

                                                      Hours: Outpatient 16 hrs/wk; Inpatient 10 hrs/wk; Training and supervision 14 hrs/wk.

                                                      Total: 2000hrs.

DescriptionOutpatient ‑ Therapy provided for adults and children presenting with a of Axis I diagnoses including: Major Depression, Dysthymia, Adjustment disorder, ADHD, Organic Mood Disorder, Obsessive Compulsive disorder, SCPT, and Dual Diagnosis. Also worked with Borderline personality organization and Antisocial PD.

DUI group therapy conducted with patients referred through the court system. Population included males and females with varying SES levels and ethnic backgrounds.

Inpatient – Individual and group therapy provided for severely disturbed patients presenting with SCPT, Major Depression, and organic mental disorders.

Assessment Experience: Full Battery of tests including objective and projective instruments administered to inpatients and outpatients.

Administrative Rotation: Duties included attending organizational meetings; Evaluating and providing feedback via formal presentation on a managed care survey that the agency had recently completed; selecting an assessment instrument (SCL‑90) A to be used in a research study to evaluate patient's subjective opinion of improvement; developed a promotion letter that would be used to contact professionals in the local area to inform them of the variety of services provided by Bayview Center. Responsibility further included telephone follow-up. Supervisor: Lauren Kanter, COO.

 Practicum and Clinical Experience

Sept 89 to Dec 89         Clinical Practicum I: Children's Psychiatric Center (CPC), Hialeah, FL

                                                  Supervisors: Monica Mavec, Psy.D. (site), A. Eugene Shapiro, Ph.D. (faculty).

                                                  Practicum Hours: From 12‑18 hrs/wk. Estimated 220 hours.

Description: CPC is an outpatient treatment facility which provides services   primarily   for   children. Responsibilities included: training in formulating   DSM‑III‑R and ICD‑9 diagnosis and treatment plans via intake interview and report writing; conducting outpatient psychotherapy employing play therapy methods; limited family therapy, and behavioral interventions (e.g., crisis intervention to decrease suicidal risk, problem solving skills training, program to diminish enuresis). Presenting problems included: depression, anxiety, conduct disorder, and victims of sexual molestation and abuse. Participated in two weekly seminars in which theoretical and clinical case presentations were required. Family Therapy Seminars were conducted and supervised by Dr. Terry Levy.

 Jan 1990 to Jul 1990      Clinical Practicum II: CPC, Hialeah, FL

                                                      Supervisors: M. Mavec, Psy.D. (site), A. E. Shapiro, Ph.D. (faculty).

                                                      Hours: From 12‑18 hrs/wk. Estimated 240 hours.

Description: Duties included psychological assessment and interpretation of objective and projective tests. In Addition, attended Student and Family Therapy seminars, Individual Therapy caseload included: sexual molestation and abuse, depression, oppositional defiant disorder, learning disabilities, PICA and adjustment disorders.

 Sep 1990 to Dec 1990       Clinical Practicum III: 45th Street Mental Health Center, West Palm Beach, FL

                                                          Supervisors: Michael Shulman, Ph.D. (site), Bernard Eingold, Ph.D. (faculty), Antonio Virsida, Ph.D. (adjunct)

                                                                       for supervision in psychoanalytic technique.

                                                          Practicum Hours: From 18‑24 hrs/wk. Estimated 250 hours.

Description: 45th Street Mental Health Center provides inpatient, outpatient, and forensic services primarily for adult chronic psychiatric patients. Conducted psychological assessments using objective and pro ctive tests. Short‑Term psycho dynamically‑oriented psychotherapy was also provided for both male and female patients. Axis I Diagnoses included: Major Depression, Manic Depression, Bipolar Disorder, Dysthymic Disorder, Adjustment Disorder Dementia associated w/ alcoholism, Poly-substance Abuse, and Schizophrenia. Several patients were also followed on a long-term (2yr basis).  **A working relationship was established with psychiatry in a "team" fashion, with many of the patients who were also prescribed medication. In addition, attended weekly seminars for psychology Service for review of assigned readings, psychological testing seminars, and clinical case presentations.

 Jan 1991 to Aug 1991         Clinical Practicum IV: 45th Street MHC, WPB, FL

                                                           Supervisors: M. Shulman, Ph.D. (site), B. Eingold, Ph.D. (faculty), A. Virsida, Ph..D.

                                                           Hours: From 18 to 28 hrs/wk. Estimated 490 hours (with a total of 54 patient assignments during practicums III and IV).

Description: Conducted primarily short‑term psychodynamically‑oriented psychotherapy with outpatients (diagnoses listed above), and followed the long‑term cases (Major Depression; Dysthymia). The opportunity was also afforded to work with the inpatient population and conduct more intensive therapy on a tri‑weekly basis. Some of the diagnoses included: Manic Depression, Somatization Disorder, Cocaine Abuse, Schizophrenia, and both inpatients and outpatients. Attended the same seminars listed above. Gave a GRAND ROUNDS case presentation for the Inpatient service.

 Sep 1991 to Jul 1992        Clinical Practicum: 45th Street MHC, WPB, FL.

(Elective)                                    Supervisors: M. Shulman, Ph.D. (site), B. Eingold, Ph.D. (faculty),Virsida, Ph.D. (adjunct).

                                                         Hours: From 8 to 10 hrs/wk. Approx 290hours.

Description: Same as above. Primary focus was to work with long‑term patients.

 

 Relevant Work Experience

 Sep 1984 ‑ Jun 1985         Mental Health Trainee: Veterans Administration Hospital (VAMC) Miami, FL ‑ (Work Study Program)

                                                           Supervisor: Cary Mack, Ph.D.

Description: Observed intake process of incoming mental hygiene patients and conducted intakes under supervision. Observed many phases of hospital interaction including staff meetings, diagnostic evaluation and patient supervision.

 Jun ‑ Nov 1987                 Practicum in General Psychology (B.S.): VAMC, Miami, FL

                                                   Supervisors: Barbara Simmonds, Ph.D. Candidate, Stephen Fitzgerald, Ph.D.

                                                   Hours: Approx 16 hrs/wk.

Description: Study involved sexual dysfunction and the assessment of men seeking penile prosthesis. Biological and psychological factors were evaluated. Duties included administration and scoring of questionnaires to patients & their partners. Observed the intake process and attended inpatient urology rounds. Observed surgical procedure of penile implant in VAMC operating room.

 

Jun 1985 to May 1988        Biofeedback Technician: VAMC, Miami, FL (Work Study)

                                                           Supervisor: Stephen Fitzgerald, Ph.D.

Description:   Psychophysiological and behavioral assessment for biofeedback, cognitive‑behavioral therapy, systematic desensitization, stress management, passive/progressive relaxation techniques, and guided imagery training. Cases included: Low back pain, Tinnitus, Generalized Anxiety Disorder, Speech Disorder (S/P cancer surgery), Headaches, Nonspecific pain disorder, and facial tic. Also, provided biofeedback training for pain management, headaches, individual relaxation training, relaxation group therapy, and Stress Management Group Therapy for patients on the inpatient addictions unit. Also observed brain biopsies, and attended inpatient neurology rounds and grand rounds at Jackson Memorial Hospital (Miami, FL).  

Related Research Experience

 Sep 1984 ‑ Jun 1985         Research Assistant: VAMC, Miami, FL (Work Study).

                                                       Supervisor: Cary Mack, Ph.D.

Description: The Outpatient Satisfaction Study was an in‑house project which involved gathering data from questionnaires given to patients in the mental hygiene clinic. This survey was designed to measure compliance with medication, and satisfaction with overall care from the clinic. Duties included: organizing and scoring data, and assisting in the composition of the Results & Discussion section.

                                        Research Assistant: VAMC, Miami, FL (Work Study)

                                        Supervisor: Cary Mack, Ph.D.

                                       Description: Assisted in gathering journal articles for use in an annotative bibliography of PTSD of Viet Nam vets.

                                       Research Assistant: VAMC, Miami, FL (Work Study)

                                       Supervisor: Cary Mack, Ph.D.

Description: Assisted in gathering articles and relevant research materials to compose a seminar for Professional Burnout Syndrome. Project involved organizing materials and designing the seminar.

                                       Research Assistant: VAMC, Miami, FL (Work Study)

                                       Supervisor: Jean Del Campo, R.N., M.S.N.

Description: This study was conducted by the psychology nursing staff of the VA to measure the rate of compliance for those patients who received a nursing interview prior to discharge and those who did not. A parallel demographic study was designed to measure overall compliance with medication and keeping follow‑up appointments. Duties included organizing data and coding the results.

                                        Research Assistant: VAMC, Miami, FL (Work Study)

                                        Supervisor: Timothy Starky, Ph.D.

Description: Entered DSM‑III codes, demographics, medications, and all related diagnostic information of current mental hygiene patients for use in on‑going studies for the clinic. Data was recorded on an Apple II E. 

Clinical Experience (Medical)

 1977‑78                 Medical Assistant

                                    Description: Assisted pediatrician in medical procedures, administered medication, in‑depth medical histories and maintained charts.

                                    Medical Technician, Sergeant USAF

                                    Description: Duties included work with general medical, oncology, pediatric, and obstetric patients, Labor/Delivery, and Newborn Nursery.

                                    Certified Emergency Medical Technician ‑ ER

                                    General Nursing ‑ Oncology and Pediatric wards

                                    Counselor ‑ Patient Education. Conducted support groups for new mothers on infant care and feeding, pre/post op expectations of surgical procedures. Also responsible for In‑service presentations/education for hospital staff and base personnel.

                                    Assistant Non-commissioned Officer In Charge (NCOIC) of Labor/Delivery and Neonatal Units. Duties included general nursing skills, delivery assistance, care of newborns, as well as administrative responsibilities