Child and Adolescent Track Overview and Distinct Training Goals The Child and Adolescent Psychology track provides specialized clinical training with children, adolescents, and families. The fundamental goals of the program are to enhance fellows' knowledge base and clinical skills in developmental psychopathology, assessment, treatment planning and implementation, consultation. In addition, the fellowship aims to enhance fellows' supervision, teaching and/or scholarship competencies. These goals are achieved by supervised care of children and adolescents who are experiencing a broad range of psychological disturbances -- from adjustment disorders to psychotic disturbances. Fellows receive a minimum of 2 hours of weekly individual supervision from licensed clinical psychologists plus group supervision as appropriate. This 1 year program aims to train people for leadership roles in the delivery of mental health services to this population. Toward this end, fellows take on increasing responsibility in a) patient care, b) training of doctoral interns and other mental health professionals, and c) program development and evaluation. The training program emphasizes understanding children, adolescents and families from a developmental and systems perspective. Diagnostic evaluations are followed by patient-specific treatment planning. The fellow receives intensive clinical training in a wide range of diagnostic and treatment skills. The program enables fellows to achieve competence in multiple treatment modalities such as individual, group, family, sibling, parent, and parent group interventions. Depending on the individualized training goals of the fellow, he or she may participate in research projects consistent with their interests. All fellows have the opportunity to integrate both clinical and scholarly dimensions of the field. The track offers didactic and clinical seminars in order to provide the in-depth biopsychosocial knowledge necessary to understand and treat child and adolescent psychopathology in terms of Internal (cognitive, affective, dynamic and biologic) and external (familial, school, peers, community) factors. Intensive supervision is provided for the fellow's clinical work. An individualized learning plan is developed early in the fellowship to address the special interests and professional career plans of the fellow. Each fellow is involved with one or more projects based on these goals. Fellows may also move into a teaching/supervisory role with predoctoral interns during the latter half of the program. These experiences are supervised by the Child and Adolescent training faculty. The supervised teaching experiences may include: diagnostic evaluations, psychological testing, individual and group psychotherapy, and parent consultation. Fellows may receive specialized training in pediatric psychology. This is achieved by supervised experiences in primary care and specialty care pediatric settings, with outpatient and inpatient populations, and in collaboration and consultations with other health care providers. Training includes attention to: quality of life and adjustment to illness; medical adherence; pain and discomfort; death and dying; and addressing psychological disorders within pediatric settings. Select Core Clinical Experiences of the Child and Adolescent Track Strong Behavioral Health: Child and Adolescent Psychiatry Outpatient Services All Child and Adolescent track fellows participate in Child and Adolescent Psychiatry Outpatient Services of Strong Behavioral Health. Outpatient services serves children from infancy through age 18 with a wide range of psychopathology. Outpatient Services accepts a wide range of insurance including Medicaid and private insurance. A sliding fee schedule exits to enable families with no insurance, or limited financial resources with insurance to access our services. All therapy rooms are equipped with audio-visual equipment to allow trainees to videotape all of their patient contacts for intensive supervision. Department of Pediatrics, Ambulatory Services of Golisano's Children's Hospital, University of Rochester Medical Center Fellows receive training within several components of the Department of Pediatrics. Fellows are supervised on-site and in a pediatric group supervision format by a faculty member. Fellows work collaboratively with faculty and trainees within the Department of Pediatrics to provide integrated health and mental health care to both primary care and specialty care populations of children and adolescents and their families. Specialty clinics include: pulmonary, endocrine, adolescent medicine, gastroenterology, infectious diseases (HIV), hematology-oncology, gastroenterology, cranio-facial.