Behavioral Medicine

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Behavioral Medicine
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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-

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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/
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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
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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

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Childhood Chronic ConditionsPrevalence Estimates
Gortmaker Sappenfield, 1984
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Growth of Child Adolescent Health Conditions,
1980-1995
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New cases of type 1 2 diabetes ( lt 20 years
20022003)
lt 10 years
10-19 years
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Context of Pediatric Psychology

• Families
• Caregivers
• Health care system (physicians, nurses, social
  workers)
• Schools (teachers, counselors)
• Friends peers
• Community

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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

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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

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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

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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

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Clinical and Research Areas

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

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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

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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/

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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

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Masters Level Only

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

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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

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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

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Doctoral Level University Based

• Assistant Professor
• Clinical psychology
• Clinical child psychology
• Social psychology
• Counseling psychology
• Research Scientists or equivalent
• (Also in hospital settings)

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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

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