Behavioral Medicine

My Academic Journey…   B.A., Psychology, Miami University (OH); 1994   UNC-Chapel Hill; Adult Autism Program   Florida Dept. of Juvenile Justice   Volunteer in research labs   M.S., FSU, Clinical Psychology; 2001   Pre-doctoral clinical internship, Children’s Hospitals and Clinics of Minnesota;   Ph.D., FSU, Clinical Psychology; 2005   2-yr NIH-funded postdoctoral fellowship in Child behavior, nutrition, & cystic fibrosis;   Assistant Scientist; FSU College of Medicine; 2007-

Behavioral Medicine   multidisciplinary approach in which clinicians, educators, and scientists are dedicated to promoting the study of the interactions of behavior with biology and the environment, and the application of that knowledge to improve the health and well being of individuals, families, communities and populations

Health Psychology   a discipline dedicated to the understanding of health and illness through basic and clinical research   understanding the etiology and promotion and maintenance of health the prevention, diagnosis, treatment and rehabilitation of physical and mental illness, the study of psychological, social, emotional, and behavioral factors in physical and mental illness, the improvement of the health care system, and formulation of health policy

Pediatric Psychology   A field of science and clinical practice that addresses the range of physical and psychological development, health, and illness issues affecting children, adolescents and their families   Explores the relations among psychological and physical health and the welfare of children and adolescents with a developmental perspective

Childhood Chronic Conditions: Prevalence Estimates Gortmaker & Sappenfield, 1984

Growth of Child & Adolescent Health Conditions,

New cases of type 1 & 2 diabetes ( < 20 years; 2002–2003) < 10 years10-19 years

Context of Pediatric Psychology   Families   Caregivers   Health care system (physicians, nurses, social workers)   Schools (teachers, counselors)   Friends & peers   Community

What Do Pediatric Psychologists Do?   Seek to promote a better understanding of developmental disorders, emotional and behavioral problems, and the concomitants of disease, illness, and injuries

Pediatric Psychology Settings   Inpatient medical center units for disease & illness   Consultation/liaison for acute units (e.g., neonatal, oncology, burns)   Medical outpatient clinics   Private pediatric practices   Consultation/liaison for chronic illnesses (e.g., CF, endo, etc.)   Outpatient & primary care clinics for emotional & behavioral problems   Specialty facilities, clinics, and centers (e.g., physical rehab centers)   Camps or groups

Range of Clinical Activities   Psychosocial services for problems related to pediatric health conditions   Adjustment, adherence   Psychological interventions for mental health problems/issues related to a medical condition   Negative behavior b/c of extended hospitalization, grief & bereavement, school reintroduction   General mental health services for behavior problems referred in pediatric settings but not related to chronic illness   Programs for promotion of health, prevention, and intervention   Assessment, training, & education for mental retardation & developmental disabilities   Education & consultation for pediatricians and family physicians in training   Public health and policy

Research in Pediatric Psychology   Integration of applied clinical activities and scientific research   Investigate development and manifestation of physical conditions & psychosocial problems   Biopsychosocial interventions to improve functioning and prevent problem development

Clinical and Research Areas   Coping and adjustment   Genetics   Nutrition   Adherence   Quality of Life   Social Support   Anxiety and Depression   Death and Dying

Journals   Major Journals   Journal of Pediatric Psychology   Pediatrics   Children’s Health Care   Journal of Developmental & Behavioral Pediatrics   Other Journals   Health Psychology   Journal of Clinical Psychology in Medical Settings   Journal of Behavioral Medicine

Undergraduate Research Programs     Summer Undergraduate Research Fellowships (SURF) at Cincinnati Children’s   goal of this program is to provide students with an excellent research foundation for making career choices in the biomedical sciences  c.  350+ faculty, many with active research programs in developmental biology, congenital disorders, inherited diseases, cancer, immunology, cystic fibrosis, etc.   10 weeks; earn approximately $3200 for the summer  

Bachelor & Master’s Level   University-based and/or Medical Centers   Grant-funded Research Assistants (BA or BS)   crisp.cit.nih.gov/crisp/crisp_query.generate_screen   Cincinnati Children’s Hospital Medical Center   Grant-funded project managers (usually MA or MS)   Usually associated with large, multi-site NIH-funded grants

Master’s Level Only   Private practice   Grant funded biostatisticians   Clinical Social Workers   Neonatal Intensive Care Units   Endocrinology   Cystic Fibrosis   Hematology-Oncology   Neurology

Doctoral Level – Hospital Based   Staff psychologists: generate salary by seeing patients (billable hours = hours/week)   Children’s Hospital & Clinics of Minnesota   Nationwide Children’s Hospital, Columbus, Ohio   Neuropsychology   Clinical Child   Pediatric   Consultation/Liaison

Doctoral Level – Hospital Based   Clinical-research psychologists   Generate % of salary by   obtaining grants OR   seeing patients OR   combination of both   Biostatisticians   Salary generated by grants

Doctoral Level – University Based   Assistant Professor   Clinical psychology   Clinical child psychology   Social psychology   Counseling psychology   Research Scientists or equivalent   (Also in hospital settings)

Children’s Hospitals 1. 1.Children’s Hospital of Philadelphia (CHOP) 2. 2.Children’s Hospital Boston 3. 3.Cincinnati Children’s Hospital Medical Center (CCHMC) 4. 4.Johns Hopkins Children’s Center 5. 5.Rainbow Babies & Children’s Hospital, Cleveland 6. 6.Texas Children’s Hospital 7. 7.Children’s Hospital, Denver 8. 8.Children’s Hospital & Regional Medical Center, Seattle 9. 9.Children’s Hospital, Los Angeles Children’s Hospital of Pittsburgh

Arizona State UniversityUniversity of Kentucky Auburn UniversityUniversity of Maryland, College Park, Brigham Young UniversityThe University of Memphis Catholic University of AmericaUniversity of Miami Case Western Reserve UniversityUniversity of Missouri–Columbia Columbia University, Teachers CollegeUniversity of Nebraska-Lincoln DePaul UniversityUniversity of North Carolina at Chapel Hill Duke UniversityUniversity of North Carolina at Greensboro Emory UniversityUniversity of Texas at Austin Georgia State UniversityUniversity of Saskatchewan Harvard UniversityUniversity of South Florida Kent State UniversityUniversity of Southern Mississippi Loyola University ChicagoUniversity of Utah Northwestern University Medical SchoolUniversity of Vermont Ohio State UniversityUniversity of Washington Oklahoma State UniversityUniversity of Wisconsin-Milwaukee Southern Illinois University CarbondaleUtah State University Temple UniversityVanderbilt University Texas A&M University; Department of PsychologyVirginia Commonwealth University University of ArkansasVirginia Polytechnic Institute & State University University at BuffaloWayne State University University of California Santa BarbaraWest Virginia University University of Denver University of Georgia University of Hawai‘i at Mānoa University of Kansas, Clinical Child Psychology Program Graduate Programs