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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. 

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. 

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. 

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. 

Latino Clinic
This primary care clinic in south Oklahoma City provides services to children and adolescents from primarily Spanish-speaking families. Interns will have the opportunity to develop knowledge and skill for using screening and brief assessment and interventions in an integrated health care setting. Interns can provide ongoing therapy for select patients during evening clinic (at the Sooner Pediatrics Clinic). Common presentations include ADHD, oppositional behavior, internalizing symptoms, acute and chronic health conditions, school difficulties and family conflict. The OU Latino Clinic serves children from birth to 18 years old. Spanish proficiency is required for a rotation at this clinic.

Integrated Behavioral Health-HRSA Track
Three pre-doctoral interns are accepted each year from applicants who are Ph.D. or Psy.D. candidates currently enrolled in or just completing a doctoral program in clinical or counseling psychology to pursue a general internship program with an emphasis track in Integrated Behavioral Health-HRSA. These positions are funded through the Health Services and Resources Administration (HRSA) Graduate Psychology Education (GPE) Grant (D40HP33373). Fundamental training experiences will involve training in integrated behavioral health and substance abuse prevention and treatment within the University of Oklahoma Health Sciences Center, Department of Pediatrics and the Oklahoma City VA Medical Center (OKC VAMC). Interns within this track will complete one major rotation in pediatric primary care and two additional major rotations in pediatric psychology/behavioral medicine; as well as one minor rotation in integrated primary care at the OKC VAMC, one minor rotation in substance abuse prevention and treatment services at the OKC VAMC, and one minor rotation in one of the following areas pediatric psychology/behavioral medicine, clinical child assessment and therapy, or adult clinical rotations.

Specialty Care Clinics
Diabetes & Endocrinology Clinic

The Pediatric Diabetes & Endocrinology psychology service provides consultation and ongoing follow-up services for patients with diabetes and endocrine-related disorders. This service is predominately based in an outpatient specialty clinic, but opportunities to provide inpatient services are available based on trainee interest. Additionally, training opportunities are available within three subspecialty clinics that provide comprehensive, multidisciplinary care for youth with Type 2 diabetes, Turner Syndrome, and Differences/Disorders of Sexual Development. 

During the Diabetes & Endocrinology rotation, trainees can expect to frequently work with pediatric patients with Type 1 and Type 2 diabetes. Trainees are also likely to gain expose to pediatric patients with a wide range of endocrine disorders, including but not limited to hypothyroidism, Turner Syndrome, and disorders of sexual development. This rotation provides frequent opportunities to utilize motivational interviewing skills to address adherence concerns with both patients and family members. Trainees will obtain experience in implementing brief consultation and intervention with pediatric patients and their families. Intervention experience will be provided in numerous areas, including, but not limited to adherence, adjustment to diagnosis, procedural anxiety, behavior management, emotional problems, school accommodations, and sleep difficulties.

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- noon

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 pm NCSC,
4th Monday 1 -5 pm

School problems, neurocognitive deficits, behavior management

Taking on Life After Cancer (TLC) Survivorship Clinic

Infancy to age 32

Thursdays, 8:30 - 5

School problems, neurocognitive deficits, emotional concerns

Inpatient Hem/Onc

Birth – 21

Mon – Fri, 8 -5

Adjustment, emotional problems, disruptive behavior

JEC Outpatient Clinic

Birth – 21

Monday – Thursday 8-5
(Thursday hours have changed)
Friday 8-12.

Adjustment, disruptive behavior, sleep, emotional concerns

Multidisciplinary Tumor Board Imaging Conference

All

Wednesdays 4:00 pm

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

Cystic Fibrosis Clinic at The Children’s Hospital/CVI Infants/children/adults diagnosed with Cystic Fibrosis  Wednesdays 
12:30 - 4:00 pm (infant/Toddler)

Thursdays
 
8:30 am-​noon (Child/Adol.)

Thursdays 1:00 - 5 pm (Adult at CVI)
Multidisciplinary clinic, patient education, MH screening, coping with illness, medical adherence, anxiety, depression, end of life coping 

Transplant Psychological Services 

Clinic

Age Range

Schedule

Population

Hepatology Clinic at The Children’s Hospital

Infant to ~21 years of age

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

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

Oklahoma Transplant Center – Hepatology

Infant to ~21 years of age

1st and 3rd
Mondays
1 pm – 5 pm

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

Hepatology Transplant Listing Meeting


Fridays
10:30 – noon


Nephrology Clinic at The Children’s Hospital

Toddlers to ~21 year of age

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

Children diagnosed with chronic kidney disease and renal transplants

Pediatric Dialysis Unit (located inside Children’s Hospital)

Toddlers to ~21 year of age

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

Children diagnosed with kidney disease receiving dialysis

Pediatric Dialysis Multidisciplinary Team Meeting


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


Kidney Transplant Listing Meeting

Kidney/Pancreas Transplant Listing Meeting


1stand 3rd Thursdays noon – 1:30 pm
2nd Friday
1 – 2:30 pm

 


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.

Pediatric Assessment Clinic
This rotation will include training in assessment, report writing, and feedback for patients seeking a psychological evaluation regarding possible ADHD, LD, Intellectual Disability, developmental issues, or comorbid cognitive issues related to medical diagnoses.  There is also the opportunity to conduct Autism Spectrum Evaluations if the trainee has been previously trained and certified with the ADOS-2.  The General Pediatrics Clinic provides primary care services to children and adolescents. Common presentations include ADHD, ID, 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 neurodevelopmental issues. Interns on this rotation will provide services including diagnostic interviews, as well as conducting intelligence, achievement, developmental, learning and memory, 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. 

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. 

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

  • 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. 
  • 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. 
  • 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. 
  • 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.
  • 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.

Outpatient Services in Williams Pavilion
Child Outpatient 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 and psychotherapy skills 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. 

  • 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. 
  • 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.