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Child
Psychology
Introduction
The child psychology
program provides interns with supervised assessment, treatment and consultative
experience with the broad range of children, adolescents, and families treated
at Duke University Medical Center. The child psychology program provides
training in both traditional child clinical and pediatric psychology
concentrations. The outpatient services of the Division of Child and Adolescent
Psychiatry are the primary training sites for clinical child psychology, while
the inpatient and outpatient clinics of the Department of Pediatrics and the
Pediatric Psychology Service of the Division of Medical Psychology are the
primary training sites for pediatric psychology. Child psychology interns also
participate with the adult psychology interns in core seminars designed to
expose them to both basic and advanced concepts in clinical practice. The
available concentrations and rotations are described below. The specific
combination of rotations for each intern will be determined by matching interns
with their specific clinical interests. Applicants should elect either the
Clinical Child Concentration or the Pediatrics Concentration. Child interns do
not rotate on adult rotations.
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I. Child Clinical Psychology
Concentration
Interns in this
concentration generally rotate across the placements described below. In
addition, one of the Child Clinical Interns (to be determined based on interest
and fit) will be able to spend 20% time in Pediatric Psychology.
A. Family Studies Program &
Clinic
The Family Studies
Program and Clinic is composed of a multi-disciplinary faculty of Psychologists,
Psychiatrists, and Social Workers who have expertise in family therapy, as well
as a multi-disciplinary trainee group (Psychology Interns, Psychiatry
Residents). The program provides interns with supervised training in family
assessment and family therapy, and couples therapy using a live,
behind-the-one-way-mirror supervision model. Supervisors and other team members
observe all therapy sessions, and supervisors provide immediate call-in
supervision via telephone link-up between the observation room and the therapy
room. All sessions are also audio taped for trainee review.
In
addition to couples therapy and general family therapy, interns also have the
opportunity to conduct Parent Management Training groups for parents of children
with various disruptive behavior disorders (primarily ADHD and ODD). Interns
receive training and supervision in contemporary models of cognitive-behavioral
Parent Management Training. Patients for the Families Studies Program and Clinic
are referred from the adult and child psychiatry programs and from specialty
services within the psychiatry department. Families are also referred from
other medical services and from the community.
Supervisor(s): Karen C. Wells, Ph.D., P. Susan Hazlett, Ph.D., Christian Mauro,
Ph.D, and Jill Compton, Ph.D.
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B. The Durham Child
Development and Behavioral Health Clinic (CDBH).
The Child
Development & Behavioral Health Clinic (CDBH) is a division within The
Department of Pediatrics and the faculty and interns are part of the Department
of Psychiatry & Behavioral Health (Medical Psychology). Faculty members teach
in the Department of Psychology and Behavioral Sciences as well. The Community
Guidance Clinic (reorganized as the CDBH in 2006) was one of the nine original
clinics accredited by the American Association of Psychiatric Services for
Children. The CGC/CDBH has a long history of providing training in Clinical
Psychology, Child Psychiatry, Social Work and Special Education. Currently, the
CDBH provides comprehensive outpatient services for children, adolescents and
their families as well as outreach community mental health services to other
healthcare facilities and to the Durham Public School System. We also provide
intensive substance abuse treatment for adolescents. Clinical services are
provided by a multidisciplinary team including child clinical psychologists,
licensed clinical social workers, a child psychiatrist, a physician assistant
and several developmental pediatricians.
The CDBH
provides training opportunities in the areas of cognitive-behavioral therapy and
behaviorally-oriented and structural family therapy. Interns principally work
with general individual and family outpatient therapy cases through this
rotation. Cases assigned to interns present from a wide array of diagnostic
categories including disruptive behavioral disorders, mood and anxiety
disorders, and autism-spectrum disorders. The clinic is also increasingly
serving clients with major health-related issues, such as a childhood chronic
illness. Interns with a particular interest in this area may have the
opportunity to work with these clients.
In
addition to typical outpatient therapy opportunities, interns may also be
involved in psychological testing. The psychology testing service at the CDBH
serves children ranging in age from 3 to 18 years and provides comprehensive
assessment of learning, developmental, and behavioral and emotional disorders.
Finally, interns working at the CDBH may also have an opportunity to provide
outpatient therapy services at Lincoln Community Health Center, a facility which
serves primarily African-Americans and Latinos.
Supervisor(s): Janet Whidby,
Ph.D., and Kelly Anthony, Ph.D.
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C. Center for Child and Family Health – North Carolina
The Center for
Child and Family Health (CCFH) is a collaborative endeavor of Duke University,
University of North Carolina – Chapel Hill, North Carolina Central University,
and Child and Parent Support Services. CCFH is a community-based,
multi-disciplinary setting which specializes in the assessment and treatment of
children and families who have experienced trauma. Many of the families who
receive services at CCFH have been referred by social services, schools, law
enforcement, or the court. Although CCFH serves an ethnically diverse
clientele, the majority of the children and families served are low income or
Medicaid eligible clients. Services offered at CCFH include early intervention
and prevention services, assessment of traumatic sequelae, trauma-focused
treatment, forensic evaluations, and family and legal support.
The rotation at CCFH involves working primarily with evidence based
treatments with a culturally diverse clientele of traumatized youth and their
families. Interns will have an opportunity to learn several trauma informed
interventions (e.g., Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and
Parent-Child Interaction Therapy (PCIT)). Interns will also utilize a range of
treatment modalities including: individual therapy with children and
adolescents, family therapy, parent education, intensive in-home treatment,
community- based interventions, as well as group interventions with children,
adolescents, and parents. The intern liaisons with multiple community agencies
including schools, social services, and the court system for each assigned case.
The intern also participates in initial evaluations and limited psychological
assessments.
Interns on this rotation participate in a year-long didactic series
on trauma and trauma-informed interventions and services. Live and video-based
supervision is available. Supervision is generally conducted through a
combination of individual and treatment specific group discussions as well as
multi-disciplinary team presentations.
On average, one to two interns are selected to participate on this
rotation for approximately 50% of their time for the entire year. For more
information about CCFH visit our website at
www.cffhnc.org
Supervisor(s): Ernestine Briggs-King, Ph.D., and George (Tripp) Ake, Ph.D.
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D.
ADHD Clinic
The ADHD
Clinic at the Duke University Medical Center is one of the nation's leading
programs for research and clinical services pertaining to ADHD and related
behavior problems. The program is staffed by
five licensed psychologists, one board-certified child psychiatrist, and a
number of study coordinators and research assistants. In the last three years
we have also provided support for 1-2 post-docs per year. The ADHD Clinic
participates actively in three primary activities: 1) Federally-funded (e.g.,
NIMH) research grants; 2) Industry-funded (e.g., pharmaceutical companies)
clinical trials; 3) Clinic services to the community. These activities
encompass patients from preschool age to adulthood.
The ADHD
Clinic offers a clinical rotation for the clinical psychology internship
program. Interns will be involved in evidence-based evaluation and treatment
for children, adolescents and adults, primarily through our outpatient fee for
service clinic. Our assessment procedures conform to the practice parameters
outlined by the American Academics of Pediatrics and Child and Adolescent
Psychiatry and include the use of rating scales from multiple informants,
interviews, and brief cognitive testing as indicated. These assessments also
include formulation of treatment plans and comprehensive written
reports. Interns also spend time in our LD clinic, conducting psycho-educational
testing for learning disorders. Other clinical services in which interns
participate include a parent-training group, child coping skills group, an adult
ADHD coping skills group, organizational skills summer programs for middle and
high school students, and individual treatment cases (typically focused on
parent training or academic support skills). We also provide presentations to
schools and the community upon request, and encourage intern participation in
these activities.
There are
a number of clinical research activities within the Duke ADHD Program to which
interns are exposed through regular didactic presentations. These include two
NIMH-funded, multi-site treatment outcome studies in the follow up phase: the
Multimodal Treatment Study of ADHD Children (MTA) and the Preschool ADHD
Treatment Study (PATS). With Dr. Wells, we are also participating in a current
trial of organizational skills treatment for ADHD children. We maintain a large
database for our clinic including several environmental variables. With regard
to individual faculty projects, Dr, Kollins has several grants evaluating the
relationship between ADHD and smoking. Dr. Hardy has NIH funded work evaluating
computerized attention training for cancer survivors and Drs. Hardy and
FitzGerald have funding to examine facial recognition and emotion regulation
skills in an ADHD sample. In addition, faculty of the ADHD Clinic are
continually active in the development of new research opportunities, including
those in the area of teacher training. Opportunities exist for interns to be
involved in preparation of papers based upon our extensive databases and
nationally recognized research activities.
Supervisor(s): Scott Kollins, Ph.D., Desiree
Murray, Ph.D., David Fitzgerald, Ph.D., and Kristi Hardy, Ph.D., and Lisa Ahern,
PhD
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E.
Psychosocial Treatment Clinic
The Psychosocial
Treatment Clinic at the Duke Child and Family Study Center serves children,
adolescents, and families utilizing evidence-based practice. This rotation
includes training in empirically supported treatments for children and
adolescents primarily with anxiety and mood disorders. The rotation includes a
weekly didactic seminar or case conference and all participants will experience
live supervision and participate in the observation of their peers. Example
didactics include: Functional Analysis, CBT for childhood anxiety, CBT E/RP for
OCD, CBT for Adolescent Depression, Habit Reversal Training for Tourette
Syndrome and Tic Disorders, and Addressing Comorbidity.
The Psychosocial
Treatment Clinic works in conjunction with the Psychopharmacology Clinic at the
Duke Child and Family Study Center. Seminars, case conferences and
multidisciplinary treatment teams consist of psychology interns, clinical
psychology graduate students, psychiatry residents and child psychiatry
fellows. Individual supervision is guaranteed for all psychology interns and
case conferences are utilized to provide maximize exposure to a diversity of
presenting problems and treatment approaches.
Supervisor(s): Chris Mauro, Ph.D., David Goldston, Ph.D.,
and Rebecca Dingfelder, PhD
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I.1 – FOCI WITHIN THE CHILD CLINICAL CONCENTRATION
(I.1.a) Child Trauma Focus.
One intern is accepted into the Child Trauma focus. This intern spends 50% in
the CCFH-NC rotation (described above in C.) all year. The other 50% time is
divided among 3-4 of the other rotations.
(I.1.b) ADHD Focus. One intern is accepted into the ADHD
focus. This intern will spend approximately 30-40% time in the ADHD rotation
(described above in D.) all year. The remainder of the time will be divided
among the Family Studies, CBDH, and PTC rotations (described in A, B, and E
above).
(I.1.c) Community Psychology Focus. One intern is accepted
into the Community Psychology focus. This intern will spend 30-40% time in the
CDBH rotation all year (described in rotation B). The remainder of time will be
divided among the Family Studies, ADHD, and PTC rotations (described in
rotations A, D, and E).
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II. Pediatric Psychology
Primary interns in
this concentration generally spend 70% time here for the year and the remaining
time on at least two of the rotations under the Child Clinical concentration.
The Pediatric
Psychology Service is composed of medical psychology faculty, interns, clinical
psychology graduate students, psychodiagnostic technicians, and support staff.
The Service provides assessment, consultation and treatment services to infants,
children, adolescents, and families under the care of the Pediatric specialty
divisions. The primary foci of assessment referrals are the cognitive,
emotional and psychosocial functioning of children with medical, neurological,
and developmental problems. Many referrals involve children with such chronic
medical illnesses as cancer, seizures, and sickle cell anemia.
Pediatric
psychology faculty and interns also participate on other multidisciplinary teams
including 1) Pediatric Neuro-Oncology, 2) Pediatric Hematology-Oncology, 3)
Pediatric Bone Marrow Transplant, 4) Pediatric Neonatology (Special Infant Care
Clinic) and 5) Pediatric Pain Clinic. The role of Pediatric Psychology is to
assess neuropsychological and behavioral changes secondary to disease processes,
treatment regimen, as well as to assess the child and parent coping and
adjustment.
Current research by
pediatric psychology faculty focuses on coping with chronic childhood illness
and on the cognitive and behavioral changes associated with disease processes
and treatment. Interns have the opportunity to participate in these projects.
Supervisor(s):
Melanie J. Bonner. Ph.D. (Pediatric Psychology Clinic, Pediatric Neuro-Oncology),
Kathryn Gustafson (Special Infant Care Clinic (SICC)), Kristina K. Hardy (Bone
Marrow Transplant Program) and Kelly Anthony (Pain Clinic)
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