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Clinical Child/Adolescent Psychology Track

Joanna Katsanis, Ph.D., Primary Supervisor

 

Description of Rotations

Child/Adolescent Clinic

Child and Adolescent Anxiety Clinic

Medical Psychology

Outpatient Psychotherapy

Psychological Assessment

The Clinical Child/Adolescent Psychology Training Track has been designed to offer the intern a well-balanced and comprehensive clinical experience, a formal curriculum covering major areas in child and adolescent psychology, supervision in various clinical settings resulting in hands-on and graduated learning experience over the year. Upon completing this program, the intern will have a comprehensive knowledge of normal child and adolescent development and will be able to differentiate normal from abnormal development. The intern will conduct comprehensive evaluations of children, adolescents and families with a broad spectrum of psychopathology and varying socio-cultural and ethnic backgrounds. The intern will also gain competence in the major treatment modalities and learn the knowledge and skills to practice within a variety of child and adolescent settings. The intern will have the opportunity to teach professionals in other disciplines (psychiatry, school, pediatrics), parents, and members of other agencies. The intern will become familiar with research methodology and professional/scientific literature on child and adolescent psychology and clinical intervention. The intern will learn to participate effectively in multidisciplinary team meetings.

Below is the rotation schedule for the current year followed by a brief description of the clinics.

CLINICAL CHILD/ADOLESCENT PSYCHOLOGY TRACK

Rotation Schedule – Internship Year 2008-2009

Child and Adolescent Anxiety Disorder Clinic
Wednesdays 9:00 am – 12:00 pm

Infant and Preschool Clinic
Mondays 1:00 – 5:00 pm

Preadolescent Clinic
Thursdays 1:00 – 5:00 pm

Adolescent and Young Adult Clinic
Wednesdays 1:00 – 5:00 pm
Transplant Evaluation Clinic
Tuesdays
July 1 – October 26

Inpatient Psychology
(Cottonwood)
Insomnia Clinic
Fridays 12:30 – 3:30 pm
March - June
Child and Adult Outpatient Psychotherapy
(Variable Times)

 

I. Child/Adolescent Clinic: Attendance and participation in the following clinics is required: 1) Child and Adolescent Anxiety Clinic 2) Infant and Preschool Clinic 3) Preadolescent Clinic and 4) Adolescent and Young Adult Clinic.

Description: Evaluations take place in two sessions (intake and follow-up assessment). During the intake session, family, medical, developmental, school, physical/sexual abuse, substance abuse and legal history is obtained from parents and the child. The follow-up session is largely focused on addressing additional issues not covered during the intake session, finalizing diagnosis and treatment planning, evaluating the medication regimen of the patient, and providing feedback to the family.

Objectives:
  1. Conduct diagnostic interviews with children, adolescents, young adults and their parents/guardians.
  2. Use standardized questionnaires and external records effectively.
  3. Develop a differential diagnosis and initial treatment plan.
  4. Become comfortable interacting with children and adolescents in a developmentally appropriate manner.
  5. Learn to develop a trusting, empathic relationship with parents/guardians.
  6. Understand biological, psychological and social dynamics which impact children and youth in relation to their diagnosis and treatment.

Location: Clinics are conducted in the Child/Adolescent Psychiatry Playroom (7304C) in the Department of Psychiatry.

Child/Adolescent Clinic Rotations:

A. Infant and Preschool Clinic (ages birth through 6)

Objectives: The Infant and Preschool clinic (on 3rd and 4th Mondays) provides evaluation and treatment services for children from birth to 6 years of age. Evaluation and treatment services are also provided for children with autistic disorder or other developmental disorders regardless of their age.

Tucson Alliance for Autism (TAFA), 1002 Country Club Road (Telephone 319-5857). Clinic evaluations are interdisciplinary and include child psychiatry, psychology, and speech and communication sciences. There is usually one new evaluation and one follow-up appointment to provide feedback for a previously completed evaluation. The intern will have an opportunity to observe and learn how to administer the Autism Diagnostic Interview-Revised (ADI-R) to parents, and the Autism Diagnostic Observation Schedule (ADOS) to children. In addition to the ADI-R and ADOS, the intern will have an opportunity to observe speech evaluations as well as take the initiative to make arrangements to observe psychological testing, behavioral analysis evaluations, occupational therapy evaluations, and nutritional consultations.

Time: Mondays (1st and 2nd ), 1:00 pm to 5:00 pm

B. Preadolescent Clinic (Ages 7-12)

Objectives: The Preadolescent Clinic specializes in behavior disorders and serves families with children who are experiencing problems with hyperactivity, inattention, aggression, depression, mood swings and suicidal thoughts.

Time: Wednesdays, 1:00 pm to 5:00 pm.

C. Adolescent and Young Adult Clinic (Ages 13-21)

Objectives: The adolescent and young adult clinic specializes in mood and anxiety disorders and serves families with adolescents and young adults with mood problems such as depression, mood swings and suicidal thoughts, sleep and appetite disturbances, problems related to severe physical or emotional trauma, aggression, and problems with attention and concentration leading to academic difficulties in school, college and at work.

Time: Thursdays, 1:00 pm to 5:00 pm

 

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II. Child and Adolescent Anxiety Clinic (Ages birth - 18)

Objectives:
  1. Provide comprehensive assessment and treatment of anxiety disorders in children and adolescents (ages 0 to 18 years).
  2. Provide education on assessment of childhood anxiety disorders and the delivery of psychotherapy and pharmacotherapy to psychology interns, psychiatry residents, and child psychiatry fellows in the Department of Psychiatry at the University of Arizona College of Medicine.

Time: Wednesdays, 9:00 a.m. to 12:00 p.m.

Pre-evaluation: Prior to seeing patients, background information is collected on psychiatric/psychological history, psychological/neurological testing, and medical history. This is accomplished by using some or all of the following rating scales:

Conners-March Developmental Questionnaire (CMDQ)
Conners’ Parent Rating Scale – Revised (L)
Conners’ Teacher Rating Scale – Revised (L)
Child Behavior Checklist for Ages 6-18 (CBCL)
Teacher’s Report Form for Ages 6-18 (TRF)
Youth Self-Report for Ages 11-18 (YSR)
The Multidimensional Anxiety Scale for Children (MASC)
The Children’s Depression Inventory (CDI)

Parents are mailed the aforementioned behavioral rating scales prior to the intake appointment.

Psychological Testing: In some cases, more extensive psychological evaluation will be requested of the intern.

Faculty:

Kacey Chandler, Ph.D.
Harinder Ghuman, M.D.
Jaswinder Ghuman, M.D.
Joanna Katsanis, Ph.D.
Thomas Reichenbacher, M.D.

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III. Medical Psychology Rotation

The intern will also participate in this four-month rotation which consists of two primary activities: evaluation of organ transplant candidates or donors and the Insomnia Clinic. Description of this rotation can be found under the Clinical Neuropsychology Track.

http://www.psychiatry.arizona.edu/html/programs/internship/neuropsychologytrack.htm

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IV. Outpatient Psychotherapy

In addition to fulfilling responsibilities of their primary rotations throughout the year, the intern serves as the primary therapist for two to three adult outpatient psychotherapy cases and six to eight child/adolescent/family therapy cases. The cases will be assigned by the director of the Psychiatry Outpatient Clinic in consultation with the Coordinator of Child Psychology Training. Medication coverage, if necessary, will be provided by a psychiatry resident assigned to the case. Although some of the cases may be seen for the entire year, brief psychotherapy is also encouraged; therefore, the intern will be exposed to a variable number of cases during the year. The trainee will be encouraged to develop therapeutic skills in various modalities including cognitive behavior therapy, dialectical behavior therapy, play therapy, group therapy, parent management training and family therapy.

Supervision by a clinical psychologist will occur on a weekly basis. The following faculty members may supervise outpatient therapy cases:

Patricia Haynes, Ph.D.
Joanna Katsanis, Ph.D.
Daniel E. Shapiro, Ph.D.

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V. Psychological Assessment

The trainee will have the opportunity to develop skills in psychological assessment and interpretation throughout their training. Trainees will use these measures in various settings and to address interdisciplinary issues including diagnostic (autism, depression, sleep disorders), academic (learning disability), medical (presurgical evaluations, organ transplant candidacy) and legal (competency to stand trial, psychosexual evaluations). Some assessment instruments used include:

  • Cognitive Functioning
    • General functioning
      • Mental Status Examination
      • Mini-Mental Status Examination (MMSE)
    • Intellectual Functioning
      • Wechsler Adult Intelligence Scale
      • Wechsler Intelligence Scale for Children
      • Woodcock-Johnson Psychoeducational Battery
    • Memory Functioning
      • Wechsler Memory Scale
      • California Verbal Learning Test
  • Emotional Functioning and Level of Psychopathology
    • Minnesota Multiphasic Personality Inventory (adult and adolescent)
    • Beck Depression Inventory
    • State-Trait Anxiety Inventory
    • Conners-March Developmental Questionnaire (CMDQ)
    • Conners’ Parent Rating Scale – Revised (L)
    • Conners’ Teacher Rating Scale – Revised (L)
    • Child Behavior Checklist for Ages 6-18 (CBCL)
    • Teacher’s Report Form for Ages 6-18 (TRF)
    • Youth Self-Report for Ages 11-18 (YSR)
    • The Multidimensional Anxiety Scale for Children (MASC)
    • The Children’s Depression Inventory (CDI)
    • Autism Diagnostic Interview-Revised (ADI-R)
    • Autism Diagnostic Observation Schedule (ADOS)
Faculty:

Richard R. Bootzin, Ph.D.
Kacey Chandler, Ph.D.
Anne M. Herring, Ph.D.
Joanna Katsanis, Ph.D.

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