Behavioral Medicine

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, Children’s 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-

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/

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

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

Childhood Chronic Conditions:Prevalence Estimates

Gortmaker & Sappenfield, 1984

0 2 4 6 8 10 12

Asthma (mod-severe)

Congen. heart dis.

Seizure disorder

Arthritis

Diabetes mellitus

Cleft lip/palate

Down syndrome

Spina bifida

Sickle cell anemia

Cystic fibrosis

Hemophilia

Leukemia

Chronic renal dis.

Muscular dystrophy

rates per 1,000

Growth of Child & Adolescent Health Conditions, 1980-1995

0%2%4%6%8%10%12%14%16%18%

Prevalence

Obese(>95%ile)

ExtremeObesity(>99%ile)

Asthma ADHD

early 1980smid 1990s

New cases of type 1 & 2 diabetes ( < 20 years; 2002–2003)

0

10

20

30

40

50

ALL NHW AA H API AI ALL NHW AA H API AI

Rat

e (p

er 1

00,0

00/y

ear

) Type 2 Type 1

< 10 years 10-19 years

Context of Pediatric Psychology

Families Caregivers Health care system (physicians, nurses, social

workers) Schools (teachers, counselors) Friends & peers Community

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

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

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

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

Clinical and Research Areas

Coping and adjustment Genetics Nutrition Adherence Quality of Life Social Support Anxiety and Depression Death and Dying

Journals Major Journals

Journal of Pediatric Psychology Pediatrics Children’s Health Care Journal of Developmental & Behavioral Pediatrics

Other Journals Health Psychology Journal of Clinical Psychology in Medical Settings Journal of Behavioral Medicine

Undergraduate Research Programs

www.aamc.org/members/great/summerlinks.htm Summer Undergraduate Research Fellowships (SURF) at

Cincinnati Children’s 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.c.

10 weeks; earn approximately $3200 for the summer http://www.training.nih.gov/student/

Bachelor & Master’s Level

University-based and/or Medical Centers Grant-funded Research Assistants (BA or BS)

crisp.cit.nih.gov/crisp/crisp_query.generate_screen Cincinnati Children’s Hospital Medical Center

Grant-funded project managers (usually MA or MS) Usually associated with large, multi-site NIH-funded grants

Master’s Level Only

Private practice

Grant funded biostatisticians

Clinical Social Workers Neonatal Intensive Care Units Endocrinology Cystic Fibrosis Hematology-Oncology Neurology

Doctoral Level – Hospital Based

Staff psychologists: generate salary by seeing patients (billable hours = 22-25 hours/week) Children’s Hospital & Clinics of Minnesota Nationwide Children’s Hospital, Columbus, Ohio

Neuropsychology Clinical Child Pediatric Consultation/Liaison

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

Doctoral Level – University Based

Assistant Professor Clinical psychology Clinical child psychology Social psychology Counseling psychology

Research Scientists or equivalent (Also in hospital settings)

Children’s Hospitals1. Children’s Hospital of Philadelphia (CHOP)2. Children’s Hospital Boston3. Cincinnati Children’s Hospital Medical Center (CCHMC)4. Johns Hopkins Children’s Center5. Rainbow Babies & Children’s Hospital, Cleveland6. Texas Children’s Hospital7. Children’s Hospital, Denver8. Children’s Hospital & Regional Medical Center, Seattle9. Children’s Hospital, Los Angeles10. Children’s Hospital of Pittsburgh

Arizona State University University of KentuckyAuburn University University of Maryland, College ParkBrigham Young University The University of MemphisCatholic University of America University of Miami Case Western Reserve University University of Missouri–ColumbiaColumbia University, Teachers College University of Nebraska-LincolnDePaul University University of North Carolina at Chapel HillDuke University University of North Carolina at GreensboroEmory University University of Texas at AustinGeorgia State University University of SaskatchewanHarvard University University of South FloridaKent State University University of Southern MississippiLoyola University Chicago University of UtahNorthwestern University Medical School University of VermontOhio State University University of WashingtonOklahoma State University University of Wisconsin-MilwaukeeSouthern Illinois University Carbondale Utah State University Temple University Vanderbilt University Texas A&M University; Department of Psychology Virginia Commonwealth UniversityUniversity of Arkansas Virginia Polytechnic Institute & State UniversityUniversity at Buffalo Wayne State UniversityUniversity of California Santa Barbara West Virginia University

University of Denver

University of Georgia

University of Hawai‘i at Mānoa

University of Kansas, Clinical Child Psychology Program

Graduate Programs

www.unc.edu/~mjp1970/Directory/Frame.htm