Clinics in our LEND program
| 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, child psychiatry and social work. LEND 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. LEND faculty supervise the provision of evidence-based programs such as Incredible Years and PCIT. Medication consultations are provided in person or via telehealth. |
| 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. |
| Krasner Psychological Center (KPC) |
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At the KPC, treatment bridges clinical training and research. Trainees are supervised by LEND faculty in the clinical psychology doctoral program who are actively involved in psychological research focused on understanding and treating clinical problems such as ASD/ND, anxiety, psychological and behavioral disorders in children, and risk factors that predict the development of psychological problems across the lifespan. The KPC serves a diverse population, including people of all gender identities, sexual identities, ages, races, ethnicities, cultures, and abilities. Trainees practice within four specialty clinics: 1) Anxiety Disorders Clinic: trainees provide CBT-based and Exposure and Response Prevention treatments, 2) Depressive Disorders Clinic: LEND Trainees will utilize Cognitive-Behavioral Analysis Systems of Psychotherapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy (ACT), and Mindfulness, 3) Couple/Marital Relationships Clinic: trainees utilize Integrative Couple Therapy (ICT), and ACT, and 4) Children and Teens Clinic: trainees treat behavioral, social, and internalizing problems in the school and home settings using CBT, Family Systems Therapy, Problem-Solving Therapy (PST), Parent Management Training, and Parent-Child Interaction Therapy (PCIT). LEND faculty also supervise trainees in providing group therapy, including social anxiety groups, ADHD/Organizational/ Executive Functioning groups, and Skills Training for Healthy Relationships, including a new romantic relationships program for adults with ASD/ND. Trainees conduct psychological evaluations including the assessment of ASD/ND, ADHD, pre-bariatric surgery assessments, and evaluations of individuals presenting with co-morbid medical conditions Psycho-educational evaluations for clients ages 3 – adult are also provided to assess cognitive abilities, intellectual functioning, proficiency and achievement skills related to learning problems, as well as psychological functions that may impact academic and work functioning. |
| 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. |
| Social Competence & Treatment Lab (SCTL) |
| The SCTL (under LEND Co-Director Lerner) offers ongoing clinical intervention and assessment services for individuals with ASD. The SCTL has the largest single-site quantity of research-reliable examiners utilizing gold-standard evidence-based assessment tools (e.g. ADOS-2) for ASD on Long Island. The SCTL provides a wide array of programs and federal- and foundation-funded research studies focusing on assessment and intervention for ASD, including electrophysiology, neuropsychological assessment, and integrative assessment of social cognition. In terms of intervention, the SCTL administers social competence groups for children and teens, romantic relationship interventions for teens and young adults, and is currently the sole site in the country offering evidence-based Single Session Interventions for teens with ASD. |
| 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 front lines 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 provide 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. |