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Introduction to Behavioral Pediatrics

Introduction to Behavioral Pediatrics. Jodi Polaha, Ph.D. and Rachel J. Valleley, Ph.D. Assistant Professors, Pediatrics Department of Psychology Munroe-Meyer Institute. What is Behavioral Pediatrics?.

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Introduction to Behavioral Pediatrics

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  1. Introduction to Behavioral Pediatrics Jodi Polaha, Ph.D. and Rachel J. Valleley, Ph.D. Assistant Professors, Pediatrics Department of Psychology Munroe-Meyer Institute

  2. What is Behavioral Pediatrics? • Field of psychology representing interface between behavioral health care and pediatric primary care Pediatric Psychology Behavioral Health Medical Health Behavioral Pediatrics

  3. Behavioral Health Concerns in Primary Care • Behavior problems ranked #1 by pediatricians (Arnorfer et al., 1999) • Established link between medical and behavioral concerns (Wertleib et al., 1988) • ADHD evaluations increased three-fold in 1990s (Hoagwood et al.,2000)

  4. What Kinds of Problems Are Seen? • Traditional Psychological Concerns • ADHD, Conduct Problems, Anxiety Disorders/Depression, Learning Problems, Developmental Delay

  5. What Kinds of Problems Are Seen? • Traditional Psychological Concerns • ADHD, Conduct Problems, Anxiety Disorders/Depression, Learning Problems, Developmental Delay • Medical Problems with Behavioral Component • Diabetes, Asthma, Feeding Tubes, Encopresis

  6. What Kinds of Problems Are Seen? • Traditional Psychological Concerns • ADHD, Conduct Problems, Anxiety Disorders/Depression, Learning Problems, Developmental Delay • Medical Problems with Behavioral Component • Diabetes, Asthma, Feeding Tubes, Encopresis • “Common” Pediatric Concerns • Bedwetting, Temper Tantrums, Thumb Sucking, Sleep Problems

  7. Newest Application: Behavioral Health In Primary Care • Physicians as “de facto” mental health providers.

  8. Newest Application: Behavioral Health In Primary Care • Physicians as “de facto” mental health providers. • Better continuity of care.

  9. Newest Application: Behavioral Health In Primary Care • Physicians as “de facto” mental health providers. • Better continuity of care. • De-stigmatization of behavioral health services.

  10. Newest Application: Behavioral Health In Primary Care • Physicians as “de facto” mental health providers. • Better continuity of care. • De-stigmatization of behavioral health services. • Potential for better early intervention/maximized services.

  11. Newest Application: Behavioral Health In Primary Care • Physicians as “de facto” mental health providers. • Better continuity of care. • De-stigmatization of behavioral health services. • Potential for better early intervention/maximized services. • Improved physician practice.

  12. Behavioral Health Clinics Chadron Behavioral Health Clinic Est. 2004 at Chadron Health Gordon Behavioral Health Clinic Est. 2004 at Gordon Clinic Kearney Behavioral Health Clinic Est. 2004 at Kearney Clinic, P.C. Nebraska City Behavioral Health Clinic Est. 2004 at Physicians Clinic

  13. Our Experiences • See patients

  14. Our Experiences • See patients • Provide training to variety of students

  15. Our Experiences • See patients • Provide training to variety of students • Hallway consultations with physicians/staff

  16. Our Experiences • See patients • Provide training to variety of students • Hallway consultations with physicians/staff • Continuing education talks to physicians/staff (and community providers)

  17. Our Experiences • See patients • Provide training to variety of students • Hallway consultations with physicians/staff • Continuing education talks to physicians/staff (and community providers) • Systems change within the primary care setting

  18. Physicians Use of Empirically Supported ADHD Assessment

  19. Our Experiences • See patients • Provide training to variety of students • Hallway consultations with physicians/staff • Continuing education talks to physicians/staff (and community providers) • Systems change within the primary care setting • Community involvement

  20. What Do I Need to Have a Job like that? • Ph.D. vs. M.S.

  21. What Do I Need to Have a Job like that? • Ph.D. vs. M.S. • At least some experience in a primary care setting

  22. What Do I Need to Have a Job like that? • Ph.D. vs. M.S. • At least some experience in a primary care setting • Licensed or supervised by a licensed psychologist

  23. What Do I Need to Have a Job like that? • Ph.D. vs. M.S. • At least some experience in a primary care setting • Licensed or supervised by a licensed psychologist • Paneled with insurance companies that serve the PC where you work

  24. What Do I Need to Have a Job like that? • Ph.D. vs. M.S. • At least some experience in a primary care setting • Licensed or supervised by a licensed psychologist • Paneled with insurance companies that serve the PC where you work • Mechanism for administrative support and getting paid

  25. Time Table • Ph.D. – 6-8 yrs. vs. M.S. – 2-3 yrs. • At least some experience in a primary care setting • Licensed or supervised by a licensed psychologist Ph.D. 1 yr, M.S. 1.5 yrs. • Paneled with insurance companies that serve the PC where you work min. 6 mos. • Mechanism for administrative support and getting paid Total time Ph.D. = 7.5 yrs min. M.S. = 4 yrs.

  26. Preparation Caveats • Where can you get experience working in primary care?

  27. Preparation Caveats • Where can you get experience working in primary care? • What PC will be interested in your services?

  28. Preparation Caveats • Where can you get experience working in primary care? • What PC will be interested in your services? • How will you get supervision until licensed?

  29. Preparation Caveats • Where can you get experience working in primary care? • What PC will be interested in your services? • How will you get supervision until licensed? • How will you get paid until paneled?

  30. Training at MMI in the BHC • For-credit practicum/externship • Some paid practicum experiences • Pre-doctoral internship (APA approved) • Post-doctoral fellowships

  31. UNL Trainees • School • Stacey Kosse • Jody Lieske • Emily Warnes • Ann Galloway • Clinical • Cate Jones-Hazledine • Corrie Davies

  32. Other Resources • Merilee McCurdy, Ph.D. • Assistant Professor, School Psych • (402)472-5191 • Rachel Valleley, Ph.D. • Assistant Professor, Pediatrics, MMI • (402) 559-2401 • Jodi Polaha, Ph.D. • Assistant Professor, Pediatrics, MMI • (402) 59-4362

  33. Visit a Clinic • Hastings • Stephanie Cooper, Ph.D. • 402-463-6828 • Columbus • Tawnya Meadows, Ph.D. • 402-552-4444

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