Interns provide consultation to pediatric and adult patients presenting in the primary care setting who have psychological or behavioral barriers to health and well-being. The intern’s role is one of an integrated behavioral health consultant (BHC) and they are oriented to the primary care behavioral health consultation model. This model emphasizes a team-based approach where the BHC provides in-room consultation, assessment, follow up, and short-term therapy for patients as needed.
Center for Heart and Vascular Health
Inpatient consultations are provided throughout the hospital’s large cardiovascular service line. Interns respond to consult requests from attending physicians and perform proactive consults for particularly high-risk patient populations. They assess patients’ psychosocial needs and provide supportive, short-term therapy and education to patients and their families. Interns work as part of multidisciplinary teams to address behavioral and psychological factors affecting patients. Interns have opportunities to conduct pre-surgical evaluation of candidates for advanced heart failure treatment options, facilitate support groups, and see patients on an outpatient basis.
Interns complete clinical interviews, administer extensive neuropsychological test batteries to patients, score tests, write reports and provide feedback to patients. Outpatient referrals include questions related to concussion, traumatic brain injury, dementia, stroke, and other neurological and psychiatric diagnoses.
Neuro Critical Care Unit and Stroke Treatment and Recovery Unit/ Neurology Outpatient
Inpatient and outpatient consultations are provided to address behavioral and psychological factors affecting patient well-being. The interns work within multidisciplinary teams to promote the use of evidence-based interventions to address the interplay between medical conditions and psychological functioning. Psychological consultations may be requested based on pre-existing psychiatric issues, current distress/coping difficulties, behavioral management issues, or poor adherence to treatment. Interns assess patients and provide supportive, short-term therapy and education to patients and their families. Interns are also responsible for developing and presenting educational material to staff as needed. Interns write consultation reports and progress notes to aid the medical team in the treatment of patients. Additionally, interns are encouraged to help facilitate support groups. Current groups include the Brain Aneurysm Support Group and Multiple Sclerosis Self-Help Group.
Center for Women’s Emotional Wellness/Women’s Health OB/GYN
Interns provide inpatient and outpatient consultation for ante-partum and post-partum women. Interns provide consultation and education for multidisciplinary obstetrical teams on behavioral and psychological factors affecting patients. Interns provide assessment, short-term therapy, and referrals as needed. Interns have opportunities to facilitate support groups and provide consultation to other professionals, via a hotline.
Helen F. Graham Cancer Center & Research Institute
Interns participate in multidisciplinary teams across the cancer care continuum by providing outpatient therapy, multidisciplinary team assessment, education, intervention, and inpatient consultation for patients at times from diagnosis and treatment to recovery or end-of-life. They work closely with physicians, nurse navigators, social workers, financial assistants, registered dietitians, genetic counselors, and pain and rehabilitation specialists. Interns have the opportunity to observe, co-facilitate or provide psychoeducation, support and education groups, participate in the patient triage process, and complete psychosocial evaluations for bone marrow transplant. Interns may also have opportunities to engage in program development and implementation and research activities.