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Behavioral Medicine

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... doctoral clinical internship, Children's Hospitals and Clinics of Minnesota; 2004-2005 ... Graduate Programs. www.unc.edu/~mjp1970/Directory/Frame.htm ... – PowerPoint PPT presentation

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Title: Behavioral Medicine


1
Behavioral Medicine
2
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, Childrens
    Hospitals and Clinics of Minnesota 2004-2005
  • Ph.D., FSU, Clinical Psychology 2005
  • 2-yr NIH-funded postdoctoral fellowship in Child
    behavior, nutrition, cystic fibrosis 2005-2007
  • Assistant Scientist FSU College of Medicine
    2007-

3
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

http//www.sbm.org/
4
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

www.health-psych.org/mission.php
5
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

6
Childhood Chronic ConditionsPrevalence Estimates
Gortmaker Sappenfield, 1984
7
Growth of Child Adolescent Health Conditions,
1980-1995
8
New cases of type 1 2 diabetes ( lt 20 years
20022003)
lt 10 years
10-19 years
9
(No Transcript)
10
Context of Pediatric Psychology
  • Families
  • Caregivers
  • Health care system (physicians, nurses, social
    workers)
  • Schools (teachers, counselors)
  • Friends peers
  • Community

11
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

12
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

13
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

14
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

15
Clinical and Research Areas
  • Coping and adjustment
  • Genetics
  • Nutrition
  • Adherence
  • Quality of Life
  • Social Support
  • Anxiety and Depression
  • Death and Dying

16
Journals
  • Major Journals
  • Journal of Pediatric Psychology
  • Pediatrics
  • Childrens Health Care
  • Journal of Developmental Behavioral Pediatrics
  • Other Journals
  • Health Psychology
  • Journal of Clinical Psychology in Medical
    Settings
  • Journal of Behavioral Medicine

17
Undergraduate Research Programs
  • www.aamc.org/members/great/summerlinks.htm
  • Summer Undergraduate Research Fellowships (SURF)
    at Cincinnati Childrens
  • goal of this program is to provide students with
    an excellent research foundation for making
    career choices in the biomedical sciences
  • 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
  • http//www.training.nih.gov/student/

18
Bachelor Masters Level
  • University-based and/or Medical Centers
  • Grant-funded Research Assistants (BA or BS)
  • crisp.cit.nih.gov/crisp/crisp_query.generate_scree
    n
  • Cincinnati Childrens Hospital Medical Center
  • Grant-funded project managers (usually MA or MS)
  • Usually associated with large, multi-site
    NIH-funded grants

19
Masters Level Only
  • Private practice
  • Grant funded biostatisticians
  • Clinical Social Workers
  • Neonatal Intensive Care Units
  • Endocrinology
  • Cystic Fibrosis
  • Hematology-Oncology
  • Neurology

20
Doctoral Level Hospital Based
  • Staff psychologists generate salary by seeing
    patients (billable hours 22-25 hours/week)
  • Childrens Hospital Clinics of Minnesota
  • Nationwide Childrens Hospital, Columbus, Ohio
  • Neuropsychology
  • Clinical Child
  • Pediatric
  • Consultation/Liaison

21
Doctoral Level Hospital Based
  • Clinical-research psychologists
  • Generate 80-100 of salary by
  • obtaining grants OR
  • seeing patients OR
  • combination of both
  • Biostatisticians
  • Salary generated by grants

22
Doctoral Level University Based
  • Assistant Professor
  • Clinical psychology
  • Clinical child psychology
  • Social psychology
  • Counseling psychology
  • Research Scientists or equivalent
  • (Also in hospital settings)

23
Childrens Hospitals
  • Childrens Hospital of Philadelphia (CHOP)
  • Childrens Hospital Boston
  • Cincinnati Childrens Hospital Medical Center
    (CCHMC)
  • Johns Hopkins Childrens Center
  • Rainbow Babies Childrens Hospital, Cleveland
  • Texas Childrens Hospital
  • Childrens Hospital, Denver
  • Childrens Hospital Regional Medical Center,
    Seattle
  • Childrens Hospital, Los Angeles
  • Childrens Hospital of Pittsburgh

24
Graduate Programs
25
www.unc.edu/mjp1970/Directory/Frame.htm
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