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Clinical Child Rotations
The child psychology track offers experiences in child abuse and neglect, clinical child assessment and therapy, child neuropsychology, and pediatric psychology/behavioral medicine. All interns can participate in child psychology activities as part of a major or minor rotation. The training opportunities within each of the four areas are described below.  With the guidance of their primary supervisors, the interns will make choices about their experiences due to time and scheduling constraints.  We expect all child interns to have experience in clinical child assessment and therapy, behavioral medicine, and child abuse and neglect.  However, due to considerable flexibility, interns can easily meet these requirements through a variety of experiences.  Interns should be aware that some experiences require a longer time commitment than others.  Interns in the child psychology track will work closely with faculty to develop a plan which meets their individual needs and interests and fulfills the requirements for a broad training experience in child psychology.  Twenty licensed, doctoral level psychologists are available across these four areas to provide consultation and supervision to interns.  The child psychology faculty are recognized leaders at state, national, and international levels.  Interns may have the opportunity to co-author articles or chapters with members of the faculty and to co-present at state, regional, and national professional conferences. 

Child Abuse and Neglect
Clinical Child Assessment and Therapy
Pediatric Psychology/Behavioral Medicine
Child Community Mental Health

    1. Child Abuse and Neglect  

The mission for the Center of Child Abuse and Neglect is to provide national leadership in the prevention and treatment of child abuse and neglect through exemplary research, clinical care, interdisciplinary education and training of professionals, administrative services, and program development. CCAN includes eleven faculty members, eight of whom are licensed psychologists who provide direct supervision for the Center’s many clinical activities.  CCAN faculty conduct the Interdisciplinary Training Program in Child Abuse and Neglect (ITP), an advanced training program for graduate students from psychology, law, psychiatry, social work, dentistry, pediatrics, and related disciplines.  At CCAN, interns will train in assessment and therapy for maltreated and traumatized children and their caregivers.  Interns can also have training opportunities in general assessment and treatment of children without a history of maltreatment.  

Clinical training experiences available through CCAN include: 
a. Parent Child Interaction Therapy (PCIT)
Through CCAN, interns have the opportunity to conduct treatment for children with disruptive behavior. Our primary treatment model is Parent-Child Interaction Therapy (PCIT) which is an empirically based behavioral management program developed primarily for young children with externalizing behavior problems.  PCIT has been shown to be successful in improving positive behaviors and enhancing parental relationships.  Although PCIT has been effectively applied to various populations (e.g., children with ODD, ADHD, abuse/neglect), it is an individualized treatment approach.  Within CCAN are several faculty with specialized expertise in PCIT, including a Master Level trainer (Beverly Funderburk, Ph.D., who is vice president of PCIT International as well as the co-author of the PCIT protocol) and three Level 2 trainers (Drs. Elizabeth Bard, PhD., Carisa Wilsie, Ph.D, and Vicki Cook, LPC). Interns have the opportunity for participation in PCIT seminar, which is a co-therapy training model. Additional co-therapy training opportunities are available to interns who wish to pursue PCIT certification. Additionally, PCIT research is being conducted and interns are welcome to be a part of the research team. Training and supervision in PCIT are available to all interns and can be provided as part of major or minor child rotations.

b. Trauma-focused Treatment
Through CCAN, interns have the opportunity to conduct assessment and treatment of childhood trauma. Our primary treatment model is Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT). TF-CBT is a short-term, empirically supported treatment of PTSD in trauma-exposed children ages 3 to 18 and their caregivers. TF-CBT is designated as a Model Program by SAMHSA and the National Child Traumatic Stress Network and has received the highest scientific rating as a Well-Supported Effective Practice by the California Evidence-Based Clearinghouse for Child Welfare. Within CCAN are several faculty with specialized expertise in TF-CBT, including two national TF-CBT trainers (Dr. Susan Schmidt & Dr. Dolores Subia BigFoot). The Child Trauma Services program is responsible for implementation of the Oklahoma statewide TF-CBT training program (www.oklahomatfcbt.org). This provides interns with the opportunity for participation in Introductory and Advanced TF-CBT trainings and to gain experience in TF-CBT model dissemination activities, if interested. Training and supervision in TF-CBT are available to all interns and can be provided as part of major or minor child rotations. 

Clinical opportunities include:
Assessment and treatment of children affected by child maltreatment and other forms of trauma, with associated symptoms of depression, anxiety, and/or behavioral problems. Individual therapy cases actively involve parents/caregivers in treatment sessions. Cases are supervised during group supervision or with individual supervisors by arrangement. Session recordings are reviewed to enhance supervisory support. CCAN faculty members rotate through group supervision with the intern rotation schedule in order to provide interns with multiple clinical perspectives. Interns interested in working toward national TF-CBT certification will be supported with advanced supervision opportunities.

TF-CBT Group Treatment for children ages 5 to 12 and their caregivers (Faculty Directors: Dr. Susan Schmidt and Dr. Elizabeth Risch). This is a manualized 11-week group treatment program that offers interns the opportunity to provide co-therapy with faculty and clinicians with expertise in the TF-CBT model. Each session includes children’s groups, caregivers groups, and combined group time.

           
c. Children and Adolescents with Problematic Sexual Behavior  

  • These programs offer opportunities to:
    Develop an understanding of the needs of children and adolescents with problematic sexual behavior.
  • Increase skills in working with children, adolescents, and families in group therapy.
  • Conduct a cognitive-behavioral based therapy group with preschoolers, grade school children, or adolescents.
  • Conduct cognitive behavioral groups for caregivers.
  • Conduct intake evaluations of the children and adolescents, including interviewing the caregivers.
  • Participate in specialized group supervision for each age group.

There are three programs:
1. Preschool Group Treatment Program (Silovsky) Manualized 12-week group treatment program with group treatment for preschoolers and concurrent groups for caregivers.
2.  School-Age Group Treatment Program (Bard, Silovsky) Manualized group treatment program with parallel groups for children and caregivers.  Group is open-ended format.
3.  Adolescents with Illegal Sexual Behavior Treatment Program (Bonner, Schmidt) This group treatment program is open-ended and designed for adolescent males who are adjudicated due to illegal sexual behavior. Separate groups for the adolescents and their caregivers are conducted.
See www.NCSBY.org for more information on this population. 

dInterdisciplinary Training Program in Child Abuse and Neglect (ITP)
Please see the full description of these programs later in the brochure under   “Emphasis Track Training Activities” and at http://www.oumedicine.com/itp. 

e. Additional Training Opportunities:
1.Training in issues related to child maltreatment
Periodically throughout the year, training on topics related to the assessment, treatment, and provision of services to children who have been maltreated is provided.  Typically these are held during the CCAN group supervision (Wednesdays 1:00 to 2:30) and will be announced to all interns. 

2.The Oklahoma Conference on Child Abuse and Neglect
This is an annual, three-day conference organized through CCAN in which state and national experts provide training in issues related to child maltreatment.  This is an interdisciplinary conference with workshops on psychological, medical, legal, social work, and advocacy issues.  Interns may attend the conference at no charge by volunteering to assist with the conference (e.g., introducing speakers and collecting evaluation forms).

CCAN has an active, productive clinical research program and interns can be involved in research, including involvement in treatment outcome studies. For example, the Research Team on the Sexual Behavior of Youth meets monthly with a journal club and other research activities.

Research Opportunities in Child Abuse and Neglect
Ongoing research projects in Child Abuse and Neglect
- Dissemination and implementation of evidence-based interventions and prevention programs.
- Cultural adaptations of evidence-based treatments
- Child abuse fatalities
- Prevention of child maltreatment in high risk families
- Children with problematic sexual behavior
- Prevention of Fetal Alcohol Spectrum Disorders (FASD) in Russia


2. Clinical Child Assessment and Therapy
The Child Study Center (CSC) provides broad clinical child psychology experiences in assessment and therapy with children of diverse cultural/racial backgrounds.  The CSC faculty and staff include a range of disciplines, including clinical and school psychology, developmental pediatrics, social work, occupational therapy, and speech/language pathology. The patient population ranges in age from birth through older adolescence. Common presenting problems include behavior disorders, learning disabilities, attention deficit/hyperactivity disorder, oppositional defiant or conduct disorders, anxiety and mood disorders, autism spectrum disorder and other pervasive developmental disorders, neurological disorders (including seizures, tumors, head injuries, etc.), developmental disabilities, and various medical and genetic disorders.

The CSC offers clinical child psychology experiences to the interns including: 1) empirically supported treatment (e.g., Parent-Child Interaction Therapy); 2) clinical child neuropsychological evaluations, treatment, and case conferences; 3) assessment and treatment of infants and young children with prenatal substance exposure and their families; and 4) exposure to culturally diverse populations (e.g., Native American, Hispanic, Vietnamese, African American).  

Theoretical orientations of the supervisors include a combination of behavioral, cognitive-behavioral, family systems, and developmental approaches. Training facilities include use of videotaping and/or one-way observation windows for teaching purposes. Supervision is an integral part of the program and involves direct or recorded observations of treatment, co-therapy with staff therapists, and frequent individual supervision sessions to facilitate the intern's growth and competence in working with children and families. CSC faculty members place special emphasis on understanding and integrating information regarding the effects of developmental disabilities on the therapy process with children. 

a. A Better Chance Clinic: A Better Chance (ABC) is a program for children prenatally exposed to drugs and/or alcohol. The program is based on the premise that early intervention can improve outcomes for children who have been prenatally exposed. Children in the program receive regular multidisciplinary developmental assessments every six months until the child reaches the age of 30 months and then yearly for the length of time that the family is enrolled in the program (up to age 6 years). The program gives the families educational information related to their child's growth and development, support, and a treatment plan that is developed and shared with the family. Following the assessment, assistance is provided to families in obtaining any related services their infant/child may need. To further assist with environmental problems, a behavior management group, based on the Parent-Child Interaction Therapy model is offered. Interns have the opportunity to accompany ABC personnel to community-based substance abuse treatment centers serving women and their children where they would be involved in developmental screenings with the children and case consultations with treatment center staff.

b. Multicultural Experiences
Through clinical programs, experiences are available with different ethno-cultural groups. Oklahoma has a large American Indian population and interns have the opportunity to interview, evaluate, and consult with families and children from several of the 39 tribes across the state. Additionally, interns can travel with an American Indian psychologist to one of the Indian Health Service Psychology Clinics to spend a day consulting with families and clinic personnel.