Psychiatry and Behavioral Sciences Logo
VA logo

Child Psychology 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).

3. 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.
 



3.  Pediatric Psychology/Behavioral Medicine
The Pediatric Psychology Training Program has a long and rich history in the context of the internship program at the University of Oklahoma Health Sciences Center. Starting in 1967, the Pediatric Psychology Program is one of the oldest such training programs in the United States. 

The pediatric psychology internship offers a variety of experiences in areas of primary care. Interns may provide both inpatient and outpatient services during their training and receive supervision in working with children with chronic or acute medical conditions and their families.

All rotations involve participation with multidisciplinary teams to provide comprehensive health services to families served by OU Children’s Physicians’ outpatient clinics and OU Children’s Hospital. Interns are encouraged to interact with all members of the team, including attending physicians, social workers, nurses, clinical research associates, administrative staff, and medical students, residents, and fellows. Liaison with other agencies, such as mental health providers, schools, and child care providers may be necessary at times. Interventions provided will be based on evidence-based practice parameters whenever feasible.  

a. Pediatric Primary Care: This rotation will include training in an integrated model of primary care psychology. Training will occur across three pediatric primary care clinics. 

1.  General Pediatrics Clinic
This clinic provides primary care services to children and adolescents. Interns will provide services including brief screening and assessment and ongoing treatment services.  Common presentations include ADHD, behavioral management/parenting issues, headaches, and elimination disorders. The General Pediatrics Clinic serves children from birth to age 18; the most common consultations are for toddler and school-aged children. 

2. Fostering Hope Clinic
This clinic provides primary care services to children and adolescents in state custody foster placements. Trainees in psychology are consulted and work closely with the providers associated with this clinic. Common referrals include behavior management strategies, evaluation of trauma history, and services for ADHD and internalizing disorders. Opportunities exist for participation in community presentations affiliated with this clinic. 

3. Latino Clinic
This is a primary care clinic in south Oklahoma City that provides services to children and adolescents from primarily  Spanish  speaking  families. This clinic offers a unique opportunity for working with Latino families and learning to  provide primary care services within a specific cultural context. Proficiency in Spanish language is not required; however, fellows who are fluent in Spanish would be able to consult without interpretive assistance. Services administered include brief screening, assessment, and ongoing treatment. Common presentations include ADHD, behavioral management/parenting issues, headaches, and elimination disorders. The Latino Clinic serves children from birth to age 18; the most common consultations are for toddler and school-aged children.  

b.   Specialty Care Clinics 

1. Pediatric Pain Management Clinic
The Pediatric Pain Management Clinic provides specialty services to children and adolescents who are experiencing chronic and acute pain disorders. Trainees may provide services including brief assessment and intervention or ongoing treatment services based on empirically-supported techniques for pain management. Trainees also address mood or other behavioral concerns as indicated. Trainees work closely with the other providers in this clinic to provide appropriate recommendations and referrals. Common presentations include headaches, abdominal pain, recovery from acute injury, and as well some additional mood and behavioral concerns. The Pediatric Pain Management clinic serves children from school age to 18; the most common consultations are for adolescents.  

2. Pediatric Hematology/Oncology Service
The hematology/oncology behavioral health service provides consultation and ongoing follow-up for the patient population of the Jimmy Everest Center for Pediatric Cancer and Blood Disorders in Children. This service includes inpatient and outpatient services, as well as several comprehensive multidisciplinary specialty clinics.
      a. Inpatient Consultation Service: This rotation involves representing  
psychology service during inpatient rounds with the medical team,   conducting inpatient consultations, and attendance during psychosocial rounds with the inpatient team.
    
b.   Comprehensive sub-specialty clinic information: 

            Clinic 

           




Age range 




           Schedule 




Common Consultations 




Sickle Cell Disease Clinic 




3-21 




Tuesdays, 8:30-5 




Medication adherence, pica, enuresis, school problems 




Hemophilia/Bleeding 

Disorders Clinic 



                     

Lifespan 




Wednesdays 8:30 -5 

2nd Wed of month: Tulsa 

3rd Wed of month: Adult, 8:30-12              
           


Behavior management, internalizing disorders, pain management, sleep problems 



           

Brain Tumor Clinic/ 

Neurocutaneous Syndromes Clinic 




Infancy to age 31 




1st, 3rd, and 5th Mondays, 1-5 NCSC, 4th Monday, 1-5 




School problems, neurocognitive deficits, behavior management 




Taking on Life After Cancer (TLC) Survivorship Clinic 




Infancy to age 32 




August – May, every other Wednesday, 1-5 

Summer: Every Wednesday, 1-5 




School problems, neurocognitive deficits, emotional concerns 




Inpatient Hem/Onc 




Birth – 21 




Mon-Wed and Friday, inpatient rounds start at 9; Thurs. varies 




Adjustment, emotional problems, disruptive behavior 




JEC Outpatient Clinic 




Birth – 21 




Mon-Wed, 8-5 

Thursday, 1-5 

Friday 8-12 




Adjustment, disruptive behavior, sleep, emotional concerns 




Multidisciplinary Tumor Board Imaging Conference 



 

All 




Thursdays, 10:30-11:30 




N/A. Meeting to review imaging patient imaging scans and treatment discussion 






3. Transplant Psychological Services 

Clinic




Age Range




Schedule




Population


Common Psychology Involvement


Hepatology Clinic at The Children’s Hospital




Infant to ~21 years of age




Tuesday 8am – 12noon; Wed 1pm – 5pm; off campus 2nd Thursday 8am – 5pm




Children diagnosed with genetic, congenital, or lifestyle-related liver disease




Patient education, coping with illness, medical adherence, transition to adult functioning




Oklahoma Transplant  Center – Hepatology


            
    


Infant to ~21 years of age



           

1st and 3rd Mondays 1pm – 5pm



           

Children diagnosed with liver disease and listed for liver transplant or already transplanted

                  
           


Patient education,  coping with illness, pre-transplant evaluation; post-transplant living, adherence, transition to adult functioning  

Hepatology Transplant Listing Meeting









Fridays ~10:30am – 12noon









This is a multidisciplinary meeting discussing pediatric patients undergoing the listing process to receive a transplant 


Nephrology Clinic at The Children’s Hospital

       

Toddlers to ~21 year of age


            

Monday 8am – 12noon; Wednesday 8am – 12nooon; occasionally Thursdays 8am – 12noon

             
           


Children diagnosed with chronic kidney disease and renal transplants

            

Patient education, coping with illness, medical adherence, pre-transplant evaluation, transition to adult functioning
         

Pediatric Dialysis Unit (located inside Children’s Hospital)




Toddlers to ~21 year of age




Monday, Wednesday, and Friday 8am – 5pm as needed




Children diagnosed with kidney disease receiving dialysis




Patient education, coping with illness,  medical adherence, transition to adult functioning


Pediatric Dialysis Multidisciplinary Team Meeting









First Tuesday of every month; 1-2:30pm









This is a multidisciplinary meeting discussing pediatric patients undergoing  dialysis


Kidney Transplant Listing Meeting

Kidney/Pancreas Transplant Listing Meeting









1st and 3rd Thursdays 12noon – 1:30pm

2nd Friday 1pm – 2:30pm









This is a multidisciplinary meeting discussing pediatric patients undergoing the listing process to receive a transplant


GI Clinic / IBD at The Children’s Hospital









2nd and 4th Monday 8am - 5pm




Children diagnosed with Inflammatory Bowel Disease (ulcerative colitis or Crohn’s disease)




Patient education, coping with illness, medical adherence, transition to adult functioning



4. Pediatric Obesity                                                                                             
Pediatric psychology interns will participate in the multidisciplinary obesity clinic, which focuses on families making health lifestyle choices to improve the overall health of the pediatric patient. This rotation involves providing direct clinical care to pediatric patients/families in a multidisciplinary pediatric obesity clinic. When patients initially present to clinic, psychology conducts a diagnostic interview as well as self and parent report BASC and PedsQL. If there are co-morbid mental health issues, patient/families are referred for traditional mental health services. During all follow-up visits within the context of the obesity clinic, psychology focuses on assisting the patient and family in meeting their dietary and physical activity goals. Interns have frequent opportunities to utilize motivational interviewing skills during this rotation with both patients and family members. Communication with the multidisciplinary team and timely intervention and documentation are required from all interns.

5. Pediatric Assessment Clinic
This rotation will include training in assessment, report writing, feedback, and behavioral therapy for patients seeking a psychological evaluation regarding possible ADHD.  The General Pediatrics Clinic provides primary care services to children and adolescents. Common presentations include ADHD, behavioral management/parenting issues, and learning difficulties. Trainees in psychology are often consulted and work very closely with the providers associated with the primary care clinic in the ongoing treatment of children with ADHD. Interns on this rotation will provide services including diagnostic interviews, as well as conducting intelligence, achievement, and behavioral assessments. Behavioral Assessments will consist primarily of the use of self and parent report measures with patients and their families.  Additionally, the assessment experience will include the integration of information obtained from other healthcare providers (physicians, nursing, social work, physical & occupational therapy, dieticians, etc.) and collateral reporters (teachers, school personnel) for case conceptualization and the development of treatment recommendations. 

c. Inpatient Services
Inpatient Consultation & Liaison
Pediatric psychology trainees participate in consultation and liaison services throughout OU Children’s Hospital. This rotation involves weekly attendance at inpatient rounds to discuss current patients and any potential contributions by psychology to their medical care. When consulted, interns provide an assessment and treatment plan to address presenting concerns and coordinate follow-up care in preparation for discharge as necessary. Interventions on this service are often brief, highly structured, and targeted to specific problems. Communication with the medical and nursing staff and timely intervention and documentation are required from all trainees. Common consultations include pain management, procedural distress, internalizing disorders, and adherence to medical regimens. 

d. Other Pediatric Psychology Activities
Research Opportunities in Pediatric Psychology
Pediatric second hand smoke reduction Injury prevention in children and adolescents with hemophilia Psychoeducational concerns among children and adolescents with sickle cell disease Post-partum depression in mothers of infants in the NICU Intervention for parental smoking cessation. Early screening in children with sickle cell disease Pharmaceutical clinical trials

Didactics in Pediatrics and Behavioral Health Psychology
a.
Primary Care Seminar
Primary Care Seminar meets twice monthly and is a forum for discussion and presentation of issues that commonly arise in providing behavioral health services in primary care settings. This seminar is not exclusive to pediatric psychology, but focuses on behavioral health issues for those working in a primary care setting. 

b. Pediatric Grand Rounds
Trainees in pediatric psychology are encouraged, and depending upon their rotation, may be required to attend these seminars. Presentations are provided by the faculty at OUHSC, as well as invited lectures by outside speakers. Topics vary throughout the year. 

c. Pediatric Psychology Professional Issues
This meeting is a forum for discussion of topics related to pediatric psychology. The format includes didactic presentations, group discussions, and journal club discussions.  

d. Pediatric Hematology/Oncology Imaging Conference
This multidisciplinary seminar is attended by many specialists, including numerous medical specialty areas in pediatrics, (hematology/oncology, radiology, radiation oncology, surgery), medical students and residents, and child life. Scans from imaging techniques, such as MRI and CT scans, are reviewed and discussed in a multidisciplinary format.  

e.  Pediatric Hematology/Oncology Psychosocial Rounds
This weekly meeting includes individuals from nursing, social work, physical therapy, child life, and nutrition. Discussions focus on patient and family functioning, staff members’ concerns regarding patients and their families, coordination of services, and updates regarding ongoing interventions.

 


4. Child Community Mental Health
The Child Community Mental Health Rotation is located on the third floor of the Williams Pavilion at the University of Oklahoma Health Sciences Center in the Child Section of the Department of Psychiatry and Behavioral Sciences.  The Child Section serves children with a wide range of emotional and behavioral disabilities and their families.  The mission of the Child Section is to provide education, assessment services, and individual and family psychotherapy to address the emotional, social, and behavioral needs of children and their families in a multidisciplinary setting.  The Child Section provides training in assessment, psychotherapy skills, and consultation and liaison services to psychology interns and fellows, to medical students, and to psychiatry residents and fellows.  Social workers, psychiatrists and psychologists provide supervision to trainees.  Descriptions of training opportunities are listed below. 

a. Pediatric Assessment Clinic in Psychiatry & Behavioral Sciences
Pediatric Assessment Training Clinic in Psychiatry & Behavioral Sciences, the intern will learn how to complete a diagnostic evaluation, how to select, administer, score, and interpret various assessment instruments (e.g., WISC-V, WIAT-III, WJ-IV, WMS-IV, MMPI-A, BASC-3) that specifically address the patient’s referral question(s), and how to provide comprehensive feedback to the patient and his/her family. Specifically, the intern will have the opportunity to complete comprehensive psychological evaluations for ADHD, learning problems, behavior problems, and other psychological disorders, among children and adolescents, ages 4-21 years.
Assessment services are provided by interns supervised by Erin Hawks, Ph.D. 

b.  Pediatric Outpatient Treatment Clinic
Pediatric Outpatient Treatment Training Clinic in Psychiatry & Behavioral Sciences, the intern will learn how to complete a diagnostic evaluation, conceptualize each case using a biopsychosocial model (e.g., genetic, temperament, medical, and/or developmental factors contributing to the presenting problems), implement several types of evidence-based psychological interventions from a cognitive-behavioral perspective, monitor progress and change through quantitative and qualitative methods, and maintain a treatment relationship that facilitates effective treatment outcomes.
Treatment services are provided by interns supervised by Erin Hawks, Ph.D.

c. Child Psychiatry Consultation and Liaison Service
The Child Psychiatry Consultation and Liaison Service is located in various inpatient settings which provide medical services for children at OU Medical Center.  The intern signs up for at least one 4-hour time slot per week to be available to provide consultation to pediatric attending physicians, fellows, and residents at OU Medical Center.  In addition, one scheduled group supervision meeting is held weekly.  The Consultation and Liaison Service offers opportunities for trainees to participate in pediatric psychological/psychiatric consultations located in the OU Medical Center; be educated in a consultation/liaison model which strives to provide education to the medical team, parents of the patient, and the patient regarding strategies for coping with psychological problems associated with a medical illness; and be a participant in a multi-disciplinary team with psychiatry fellows as these services are provided.