Clinics That Help Provide Education and Clinical Training to Our Trainees
The Autism Clinic in the Department of Psychiatry
The Autism Clinic in the Department of Psychiatry is an interdisciplinary team of specialists representing child and adolescent psychiatry, clinical psychology, developmental pediatrics, and social work. The Clinic sees a wide range of abilities among youth with ASD, with most experiencing psychiatric comorbidities (e.g. anxiety) and roughly 50 new cases monthly. The Clinic offers a variety of services including comprehensive assessment and treatment recommendations for youth and their families. The Clinic offers the only known multidisciplinary ASD evaluations in the region, providing comprehensive, autism diagnostic evaluations for children ages 12 months through 18 years (21 if still in high school) that utilize gold-standard measures, such as the Autism Diagnostic Observation Schedule – 2nd Edition (ADOS-2) and assessment of adaptive behavior. Developmental and cognitive assessment is completed using instruments such as the Bayley Scales of Infant and Toddler Development. Diagnostic evaluations for common co-occurring social-emotional and behavioral concerns in children and adolescents with ASD, such as ADHD, are also conducted, along with multidisciplinary feedback sessions provided to families.
The Early Childhood Clinic in Child and Adolescent Psychiatry
The Early Childhood Clinic is a multidisciplinary specialty clinic in the Department of Child and Adolescent Psychiatry extending the age of patients served down to 0-5 years. The disciplines providing service include clinical psychology, developmental pediatrics, and social work. LEND Core Faculty supervise trainees in evaluation, consisting of a comprehensive assessment including a detailed developmental and psychosocial history, measure of adaptive behavior, developmental assessment, parent-child observation and standardized behavioral measures. A comprehensive feedback session with the family follows to explain findings and make culturally responsive recommendations including referrals to early intervention, and community resources. Trainees are also supervised in intervention, including parent training, individual therapy, social skills groups and parent groups for newly diagnosed children.
Child and Adolescent Outpatient Psychiatry
The mission of Child and Adolescent Outpatient Psychiatry Services is to provide the most up-to-date, evidence-based clinical care to children and adolescents with psychiatric illness. The clinic caseload is >800 patients, with ~1/3 carrying an ASD diagnosis. Through an understanding of the multiple biological, psychological, and social factors related to a child's problems, comprehensive psychiatric evaluations and innovative treatment plans are delivered to help alleviate their symptoms. They offer pharmacologic evaluation and ongoing medication management, as well as individual therapy.
Adult Outpatient Psychiatry
Adult Outpatient Psychiatry offers a wide range of services and treatment modalities. Trainees work under the supervision of LEND faculty to perform complete psychiatric evaluations and consultations on individuals ages 18 and older and follow-up treatment in psychopharmacology, individual, group, couples and family psychotherapy using a wide variety of therapeutic approaches. These include psychodynamic psychotherapy, cognitive-behavioral psychotherapy, supportive and brief psychotherapy. Trainees in the clinic gain experience providing treatment for major psychiatric disorders, especially those comorbid with ASD/ND.
The Mind-Body Clinical Research Center (MB-CRC)
The Mind-Body Clinical Research Center (MB-CRC) is a division of Adult Outpatient Psychiatry. The MB-CRC is at the forefront of integrating physical and mental health care. Trainees work closely with primary care and other providers to help improve behavioral, mental and physical health in individuals and communities.
Child and Adolescent Inpatient Psychiatry Unit
The Stony Brook inpatient psychiatry unit is a 10-bed inpatient psychiatric service for children ages 5-12, staffed by a team of mental health professionals and special education teachers. Faculty supervise trainees in conducting comprehensive, multi-disciplinary evaluations and in addressing medical, psychiatric, psychological, psycho-educational, and family issues. There is an emphasis on psychological treatment addressing frustration tolerance and self-control. A Parent Educator works closely with the family to improve parent-child interactions, and a social worker helps coordinate discharge and continuing care services. This unit often has a high census (>50%) of youth with ASD/ND and is historically >95% full throughout the year.
Adult Inpatient Psychiatry Unit
SBM operates a self-contained 30-bed unit designed for adult patients, including geriatric patients, with a variety of psychiatric and behavioral problems, including depression, manic depressive illness, schizophrenia, ASD/ND, and others. Faculty supervise trainees in providing complete and accurate assessments, leading to an individualized treatment plan tailored to the individual’s specific needs throughout the lifespan. The program emphasizes family-centered approaches to psychoeducation to facilitate realistic expectations for the patient’s future, and a weekly family support group is conducted by a unit social worker.
Developmental Pediatrics Clinic
Trainees within Stony Brook Children's Division of Developmental and Behavioral Pediatrics assist families and primary care physicians in the diagnosis, monitoring, and treatment of a broad range of developmental, behavioral, learning, and genetic disorders. The team is also actively involved in research and education, contributing significantly to national and international conversations addressing children's medical status, emotional health, development and behavior. LEND Core Faculty supervise trainees in providing comprehensive care for ASD/ND, behavior problems, ADHD, school-related problems, disorders of sleep, and disorders of elimination. Trainees assess each child's needs and work with the family to develop a care plan leading to developmental, behavioral and learning success.
Counseling and Psychological Services (CAPS)
The mission of CAPS is to provide psychological and psychiatric services in support of student’s health and well-being as they pursue their academic careers. An interdisciplinary team of mental health professionals provides psychotherapy and psychiatric treatment to the student population as well as immediate help in psychiatric emergencies, process groups, meditation groups, and groups for students from underrepresented populations. A substantial proportion of Stony Brook students identify as ASD, and CAPS offers them individual and group therapy. CAPS also offers a variety of skill-based groups appropriate for students with ASD such as those that address self-awareness, social anxiety, sleep, hygiene, and emotional distress.
Child and Adult Neuropsychology Clinic
The Child and Adult Neuropsychology Clinic specializes in the examination of the relationships between brain function and behavior in a wide variety of neurological and neurodevelopmental conditions in children and adults. On the basis of these assessments, clinicians provide support and recommendations to assist with medical, educational, and vocational interventions. LEND faculty supervise trainees in developing advanced assessment skills and provide them with diverse training experiences. Memory, movement disorders, epilepsy, brain injury, ASD/ND, multiple sclerosis, ADHD, and Learning Disorders, are common referrals.
Pediatric and Adult Neurology Departments
As Suffolk County's only Child Neurology program based in an academic medical institution, the Pediatric Neurology team works on the frontlines of medicine. Within Child Neurology, there are several specialty centers that provide comprehensive, multidisciplinary evaluation, treatment and long-term management of multiple sclerosis and epilepsy. The Lourie Center for Pediatric Multiple Sclerosis is a designated Center of Excellence by the National Multiple Sclerosis Society. LEND faculty supervise trainees in evaluating and treating patients ranging from newborns to young adults. They address a range of neurological problems, including ASD, brain tumors, cerebral palsy, ND, seizure disorders, genetic disorders, Guillain Barré syndrome, hydrocephalus, infectious diseases, intellectual disabilities metabolic disorders, migraine headaches, motor development, tic disorders, and vascular abnormalities. Research and education are key components of the program, with current studies focused on ASD/ND and epilepsy comorbidity. The Department operates a range of neurology and neurology sub-specialty outpatient clinics with about 18,000 patient visits per year.
Pediatric Pulmonology
The Pediatric Pulmonary team provides comprehensive, individualized care for patients starting with the initial assessment and diagnosis through setting a plan of treatment and performing interventions and follow-up care. Stony Brook has a dedicated Cystic Fibrosis Center with both pediatric and adult programs. Follow-up care can last the course of the lifespan. The team works closely with other departments throughout the hospital including pediatric hematology/oncology, pediatric gastroenterology, pediatric endocrinology, the neonatal intensive care unit and the pediatric intensive care unit. A significant number of these patients have comorbid ASD/ND, and so this provides an excellent venue for training.
Medicine-Pediatrics Continuity Clinic
The Stony Brook Internal Medicine-Pediatrics Practice is a combined faculty-resident practice providing care to adults and children. Faculty supervise trainees in a balance of inpatient and outpatient experiences so that graduates excel at providing care to people of all ages in multiple settings. The practice includes three clinician-educator faculty members who see patients and precept residents in the med-peds clinic. The med-peds clinic is a level III patient-centered medical home, providing coordinated care for patients, and an ideal setting for LEND Trainees. The practice also provides care to two homes for children and young adults with special health care needs. Many of these patients have ASD/NDs, and require intense care.
Rheumatology, Allergy and Immunology
The Division of Rheumatology, Allergy, and Immunology’s tripartite missions are patient care, education, and research. The goal is to take advantage of clinicians’ expertise to provide high quality care for patients. The educational programs and services encompass topics relevant to ASD/ND individuals, with a high proportion of the population being referred here. The fellows participate in outpatient care and inpatient service in both SBUH and VA Hospital at Northport. Trainees are provided opportunities to partake in performing clinical, translational, or basic research projects.
Center of Excellence for Alzheimer's Disease (CEAD)
The Stony Brook Center of Excellence for Alzheimer’s Disease program is one of ten programs funded by the New York State Department of Health to enhance the quality of life for individuals living with Alzheimer’s disease. The Center provides access to high-quality, compassionate care, support, and resources to these individuals and their families in both Suffolk and Nassau Counties. Its mission is to work collaboratively, through an interdisciplinary team of psychiatrists, social workers, and a neuropsychologist, to provide technical assistance and educational support to physicians and other medical service professionals in the diagnosis, and treatment of individuals with Alzheimer’s and dementia-related disorders. The center provides the following services: comprehensive neurological and psychiatric evaluations, neuropsychological testing, referrals to community support and caregiver support, access to care, access to clinical trials, and free cognitive screening.