Psychology Education and Training Program

Assessment

Center for Management of ADHD

An interdisciplinary team accepts referrals for children 3 to 18 years of age. Children presenting with attentional dysfunctions, excessive motor activity, impulsivity and other comorbidities receive priority. The interdisciplinary team consists of a pediatric psychologist, developmental pediatrician, and child and adolescent psychiatrist. Modes of supervision include individual and small group supervision and direct observation of clinical practice.

Differential diagnosis is predicated upon review of previous medical records, structured interview with caregiver(s), direct observation of child behavior, curriculum-based assessment and interpretation of child, caregiver and teacher-derived measures.

Training objectives

Autism Spectrum Disorders (ASDs) School Age

This rotation provides the opportunity to evaluate school-age children for possible autism spectrum disorders (ASDs). Children are participants in a research projects, and receive a diagnostic and psychological evaluation as part of their participation. Most of the children are not intellectually impaired, and in many cases this is the child’s first comprehensive diagnostic evaluation. Approximately 20 percent of children referred for studies do not end up meeting research criteria for an ASD. The majority of participants (with or without ASD) have a comorbid diagnosis (most frequently an anxiety disorder, ADHD, or Intellectual Disability). Thus, the intern will receive experience with complex differential diagnosis. In addition, interns may have the occasion to evaluate a typically developing control, which provides a good opportunity to compare performance in children from clinical and nonclinical populations.

Training objectives

Paperwork expectations

The intern will take increasing responsibility for writing the comprehensive report, completed within one week of the evaluation. The Center for Autism Research (CAR) actively seeks opportunities to practice writing concise reports that are amenable to a sustainable clinical practice. The intern will also ensure data collected is reliable and valid for use in study analyses.

Autism Spectrum Disorders Young Child Rotation

This rotation provides the opportunity to evaluate young children (6 months – 6 years) for possible autism spectrum disorders (ASDs). Children are participants in a research projects, and receive developmental and/or diagnostic evaluations as part of their participation. In most cases this is the child’s first comprehensive diagnostic evaluation. Approximately 20 percent of children referred for studies do not end up meeting research criteria for an ASD. In addition, interns may have the occasion to evaluate a typically developing control, which provides a good opportunity to compare performance in children from clinical and nonclinical populations.

Training objectives

Paperwork expectations

The intern will take increasing responsibility for writing the comprehensive report, completed within one week of the evaluation. CAR actively seeks opportunities to practice writing concise reports that are amenable to a sustainable clinical practice. The intern will also ensure data collected is reliable and valid for use in study analyses.

KIDDS Study

Rotation description

The training goal of this rotation is to provide the intern with direct practice opportunities within the context of an exciting new research study. The goal of this project, which is funded by the Commonwealth of Pennsylvania, is to validate developmental, behavioral and autism public domain screening measures for children 9 months to 5 years of age in two immigrant populations; the first is a Spanish speaking and the second is African immigrants. You will receive training on specific measures including the ADOS, Mullen Early Learning scales and Preschool Age Psychiatric Assessment interview (PAPA), and then participate in assessments of both children with positive and negative findings on screening tools. Rotation includes ability to conduct assessment in Spanish and collaboration with the research team.

Paperwork expectations

Feedback letter and data sheets will be finalized within one week of patients' visits (including time for edits).

Training objectives/activities

Clinic population

Children 9 months to 5 years of age of Spanish-speaking families (primarily Mexican immigrants) and children of families who have immigrated from Africa who are identified by developmental screeners. This population will include children who were identified with concerns with the screeners and also children who were identified as having no concerns. Some children have developmental delays, behavioral challenges and autism spectrum disorders, and other developmental difficulties. It will also include children who ahve typical developmental outcomes.

Neonatal Follow-up Program

The training goal of this program is to provide direct practice opportunities with an interdisciplinary team in the assessment of medically high-risk infants and preschoolers. Team members include a pediatrician, nurse practitioner, social worker, physical therapist and program coordinator, in addition to a psychologist. Most children have repeated assessments from infancy to school age.

Training objectives

Children are typically referred at the time of discharge from the Newborn/Infant Center (N/IC) or at later ages from other neonatal intensive care units. Some children have disabilities including mental retardation, cerebral palsy, sensory deficits, learning disabilities, pervasive developmental disorder and other developmental difficulties. Our population also includes children who, despite high-risk histories, have normal developmental outcome.

Neuropsychology Service

This training module offers direct experience with the clinical provision of neuropsychological services to children and adolescents in a medical setting. Through core and elective rotations, the opportunity exists to obtain training consistent with Houston guidelines. During the course of this training you will gradually assume increasing responsibility for clinical services, with the support of individual weekly supervision. Your didactic opportunities will include a weekly multidisciplinary Clinical Neuroscience Seminar, weekly Clinical Case Conference, and opportunity to attend other relevant didactics including Neurology Grand Rounds, Neuroradiology Grand Rounds, and Brain Cuttings.

Training objectives

You will have opportunities to become familiar with:

Oncology

The Division of Oncology is a large children’s cancer treatment center, which sees over 300 new patients annually. The Perelman Pediatric Oncology Unit consists of 40 beds, including a wing dedicated to bone marrow/stem cell transplants. Approximately 40 attending physicians are housed in the Division of Oncology and the psychosocial services team consists of six licensed psychologists, several psychology post-doctoral fellows, six social workers and three child-life specialists. Interns participating in the Oncology Assessment rotation will complete cognitive assessments of patients across a broad age range (infant through early adulthood). These patients may be currently on treatment or cancer survivors. Assessments will include intake meetings with families; test selection, administration, interpretation and writing up of results; and feedback with parents and medical team.

Training objectives

Interns are expected to attend patient care meetings and didactics within the Division of Oncology, including Psychosocial Rounds, Journal Club and Tumor Board. Specific training objectives of the rotation will be tailored to each intern’s training needs, goals and objectives.

Psychological/Psycho-Educational Assessment

Designed as rotation to build skill and experience with psychological and psycho-educational assessment.

 

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