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Pediatric Behavioral Health Internship/Residency

Overview of the Internship/Residency

Pediatric Behavioral Health Residency

The twelve-month internship program in Pediatric Behavioral Health is designed to prepare advanced doctoral students for the practice of clinical psychology in integrated healthcare settings with child and adolescent populations. Particular attention is paid to training the intern to work with a variety of child clinical and pediatric populations and utilizing multiple treatment and assessment modalities.

The program is housed within the Center for Pediatric Behavioral Health with the Cleveland Clinic Children’s, although the physical location of training is spread out across multiple locations including Cleveland Clinic Children’s main campus, Cleveland Clinic Children’s Hospital for Rehabilitation, and several regional Cleveland Clinic campuses serving families in convenient outpatient facilities.

Specific rotations include training in inpatient consultation/liaison, outpatient treatment for behavioral medicine and child clinical populations, group treatment, and evaluation of common childhood disorders.

The internship program in pediatric behavioral health is designed to prepare advanced doctoral students for the practice of clinical psychology in integrated healthcare settings with child and adolescent populations. Below are the specific goals and objectives of the internship.

Goal #1: Prepare residents to demonstrate knowledge and professional behavior in an integrated healthcare setting.

  • Objective #1.1: Residents will be competent to provide services that include single discipline, multi-disciplinary, and interdisciplinary service delivery.
  • Objective #1.2: Residents will demonstrate knowledge of the roles of other disciplines on child and adolescent healthcare service delivery.
  • Objective #1.3: Residents will be proficient in interacting and collaborating with professionals in diverse disciplines in patient service delivery.

Goal #2: Prepare residents with the requisite knowledge and skills for entry into the practice of professional psychology with a child and adolescent populations.

  • Objective #2.1: Residents will demonstrate competence in evidence-based psychological intervention for a variety of child and adolescent problems, including both traditional mental health and behavioral health challenges.
  • Objective #2.2: Residents will demonstrate competence in psychological evaluation and psychological testing.
  • Objective #2.3: Residents will effectively use supervision to promote professional practice.

Goal #3: To prepare future psychologists that adhere to high standards of professional conduct, are sensitive and competent to interact with diverse populations, and continue the ongoing pursuit of knowledge and research-based practice.

  • Objective #3.1: Residents will understand the principles and standards of ethical and legal practice and will provide professional services in accord with these standards.
  • Objective #3.2: Residents will demonstrate understanding of the effects of cultural and individual differences on psychological functioning and clinical practice and will exhibit competence in relating effectively to patients and families of diverse background in the provision of services.
  • Objective #3.3: Residents will meet standards of competence in identifying appropriate professional literature, understanding the current research relevant to their practice, and integrating this research into their professional practice.

The Pediatric Behavioral Residency Program aims to train future health psychologists primarily through the provision of direct clinical experiences, associated clinical supervision, and supportive didactic and educational curriculum. The residency is a full-time, 12-month position and Residents can expect an average of 15-20 direct clinical contact per week. At the program completion, residents will have completed a minimum of 2,000 hours, including 800 hours of direct clinical work and 20 assessment batteries.

All residents rotate through each of the following rotations, with the exception of the Group Treatment Rotations. Residents will choose Group Treatment rotations to participate in throughout the year. The Outpatient Child Continuity Clinic is a year-long rotation where residents have the opportunity to establish longer-term therapeutic relationship. The remaining rotations are each 6 months in length.

Resident preference in which rotations they would prefer to begin with and with which primary Continuity Clinic supervisor they prefer to work with is taken into strong consideration but cannot be guaranteed.

Evaluation and Psychological Testing Rotations
Intensive and Interdisciplinary Treatment Modalities
Outpatient Behavioral Medicine
Outpatient Child Clinical
Group Treatment

Residents receive a minimum of two hours of individual supervision per week with an addition 1-2 hours of group supervision; however most weeks residents actually spend up to 4-5 hours in direct supervisory training.

In additional to direct clinical work, residents will engage in an average to 2-3 hours of didactic educational opportunities per week, designed to support the residents’ competencies in the practice of psychology within an integrated medical system. The following seminar series are scheduled throughout the year.

Evaluation and Evidence-Based Intervention

This seminar series is held jointly with the Child Psychiatry Fellowship program to promote integrated learning opportunities. A variety of specific presenting problems and evidence-based assessment techniques and treatment options will be highlighted throughout the year from respective specialists.

  • Specific Learning Disorders
  • Autism Spectrum Disorders
  • Attention Deficit Hyperactivity Disorder
  • Developmental Disabilities
  • Anxiety Disorders
  • Mood Disorders
  • Suicide Risk Assessment
  • Behavioral Disorders
  • Pain Associated Disability Syndrome

Special Topics

This series will cover a variety of topics specific to the field of integrated psychology care and working within a medical setting. Past topics have included:

  • Biofeedback
  • Social Skills of ADHD
  • CBT for Anxiety and OCD
  • Mindfulness CBT Practice
  • ASD Social Skill Training
  • Applied Behavior Analysis
  • Acceptance Commitment Therapy
  • Improving Medical Adherence
  • Treatment Plan for Headaches
  • Treatment of Selective Mutism
  • Multidisciplinary Obesity Treatment
  • Functional GI Disorders
  • Hypnosis Techniques
  • Coping with Chronic Illness
  • Elimination Disorders
  • Gender Identity
  • Dialectical Behavior Therapy
  • Management of Suicidal Concerns
  • Behavioral Sleep Management
  • Narrative Therapy
  • Working with Refugees

Professional Development Series

Covers a range of ethical, legal, professional, regulatory, career, and internship-related issues. This conference is intended to contribute to interns’ professional development and increased awareness of issues related to professional practice. This is an opportunity for interns to discuss process issues and other areas of interest to them.

Integrated Care Series

Allows residents to hear from specialists in a variety of medical and therapy areas that interact with psychologists on a regular basis. By increasing awareness and appreciation for what these disciplines do and how they collaborate with behavioral medicine, residents will be better prepared to work in an integrated medical setting. Some of the following disciplines will be represented:

  • Speech and Language Therapy
  • Occupational Therapy 
  • Physical Therapy
  • Mental Health in Primary Care
  • Social Work in Medical Settings
  • The role of Child-Life
  • Physiatry
  • Neurology
  • Gastroenterology
  • Developmental and Behavioral Pediatrics 
  • Endocrinology
  • Medical Ethics Department
  • Chaplaincy and Spiritual Care of the Medical Patient

Institute Grand Rounds and CCLA

In addition to specific seminars topics, residents will be able to participate in a variety of courses and Grand Rounds offered by the Cleveland Clinic including:

  • Cleveland Clinic Learning Academy (e.g. Medical Research Ethics and Standard, Examining Cultural Characteristics of Healthcare)
  • Pediatric Grand Rounds
  • Psychiatry Grand Rounds
  • BioEthics Grand Rounds
  • Wellness Grand Rounds

Journal Club, Case Conference, and Resident Research Presentations

Residents are encouraged to develop competency in professional presentation skills and the dissemination of research. Each primary Supervisor will host a Case Conference, in which residents will take turns presenting various challenging cases and discussing alternative strategies for managing these cases from an ethical and culturally competent perspective. These Conferences are conducted in a similar format to the medically equivalent M&M (Morbidity and Mortality) conferences.

Journal Club and Resident Research Presentation promote research competency by encouraging the resident to be both an active consumer of research as well as a clear disseminator of research. Each Primary Supervisor will rotate through hosting the Journal Club, in which recent and/or historical articles are reviewed by each of the residents. Twice per year, Residents will also present their own research topics. Typically this will include the presentation of their dissertation project and a review of literature on a topic of expertise; however residents may also choose present on original research data that they optionally participate in during the internship year.

In addition to access of premiere training at one of the top ranked hospitals in the US, the following benefits are offered to psychology residents:

  • Annual Salary of $26,000
  • Six Recognized Holidays (New Year’s Day, Memorial Day, Independence Day, Labor Day, and Christmas Day)
  • Additional 17 days of Paid Time Off, including vacation and sick days
  • Time for processional development, including meeting attendance and interviews approved with departmental permission
  • Medical, dental, and vision insurance can be selected with modest employee contribution.
  • Access to Cleveland Clinic Alumni Library, including extensive online databases
  • Access to on-campus Fitness Center with indoor pool, weight and cardio equipment, and variety of classes.

Cleveland, Ohio

The same vitality that charges Cleveland Clinic carries through nearly every aspect of life in Greater Cleveland. Cleveland offers a vibrant and versatile metropolitan lifestyle that enhances the educational opportunities here.

Cleveland: Things to Do, Restaurants, Hotels, and Events

Adjacent to the Foundation's campus is University Circle, the center of Cleveland's cultural life. Encompassing 525 acres, the University Circle area contains the greatest concentration of museums, cultural activities and churches in the United States.

The Cleveland Museum of Art houses one of the most highly acclaimed art collections in the world.
The internationally renowned Cleveland Orchestra plays at Severance Hall during the fall, winter and spring and at Blossom Music Center, an outdoor amphitheater, during the summer.

The Cleveland Playhouse, a premier repertory stage company, has a multi-theater complex within 3 blocks of the Foundation. Big name entertainers regularly perform at Blossom Music Center, the downtown Cleveland Music Hall, and Quicken Loans Arena at Gateway. The Cleveland Ballet and Cleveland Opera have found permanent homes at Playhouse Square, a complex of 3 theaters restored to their original 1920's elegance in downtown Cleveland.

The latest addition to Cleveland's cultural scene is the Rock'n'Roll Hall of Fame, a lakefront museum which honors the greats of Rock'n'Roll through memorabilia and multi-media exhibits.

Admission Criteria

All successful candidates for admission to the program should meet the following criteria:

  • Current enrollment in an APA or CPA accredited doctoral program in Clinical, Counseling, or School Psychology
  • Have earned a Master’s degree in psychology or related field, likely as part of their doctoral training
  • Have completed at least 500 hours of formal, supervised practicum training in assessment and treatment
  • Satisfactory completion of comprehension examinations and adequate preparation for internship as indicated by the applicants graduate program director
  • Reliable transportation to participate in rotations across the Cleveland Clinic Health System (greater Cleveland area)

Individuals who do not meet the above admissions requirements will be considered on a case-by-case basis.

In addition to the above, successful applicants will likely demonstrate the following characteristics:

  • Extensive experience in the evaluation and treatment of children and adolescents
  • Research, clinical, and/or academic course experience within the field of pediatric psychology
  • Familiarity in the execution of evidence-based treatments
  • Experience administering, scoring, and interpreting standardized measures of intelligence and academic achievement as demonstrated by the completion of comprehensive psychological assessment reports
  • Evidence for passion and dedication to the field or pediatric and/or child-clinical psychology

Selection Process

Cleveland Clinic Children’s will be participating in the APPIC Match supported by the National Matching Service. The internship is designed to meet all requirements set forth by APA and abides by all Association of Psychology Postdoctoral and Internship Centers (APPIC) guidelines and requirements. Click here to review APPIC's match policies.

You may contact APPIC at:
APPIC Central Office
17225 El Camino Real
Onyx One – Suite #170
Houston, TX 77058-2748
appic@appic.org
http://www.appic.org

Our program utilizes the APPIC Application for Psychology Internships (AAPI) online. AAPI required materials include a cover letter/statement of interest, curriculum vitae, official graduate transcript(s), 3 reference letters, and Summary of Doctoral Training to be verified by your program's Director of Clinical Training/Training Director. We do not require any supplemental materials. We are listed in the NMS directory as Cleveland Clinic, with a program code of 237511.

The application deadline for the 2017-2018 internship year is November 15, 2016. After this date, applications may be accepted on a rolling basis until all interview positions are filled, but this not guaranteed. On-site interviews are preferred and will be conducted on Thursday, January 12, 2017 and Tuesday, January 17, 2017. Invitations to interview will be given after a careful review of all application materials. Interviews will consist of an overview with the Training Director, meetings with the current Residents and a tour of the primary facility where residents are located, and individual interviews with 3-4 of the Primary Supervisors.

Accreditation Status

The Pediatric Behavioral Health Residency Program at Cleveland Clinic is not currently accredited by the American Psychological Association (APA) given that the inaugural intern class is currently in the midst of the program.  The program is seeking accreditation as soon as possible after the first resident class has successfully completed the program. The program is currently in the process of applying for membership into the Association of Psychology Postdoctoral and Internship Centers (APPIC) and is hopeful to become members in the fall of 2016. The program is designed based on APA Accreditation Standards and is following all rules and guidelines set forth by APPIC.

Questions about the training may be emailed to the Training Director, Dr. Katherine Lamparyk (lamparK@ccf.org); however questions specifically related to the program’s accreditation status should be directed to the Commission on Accreditation: Office of Program Consultation and Accreditation American Psychological Association 750 1st Street, NE, Washington, DC 20002 Phone: (202) 336-5979 Email: apaaccred@apa.org

Additional enquiries about the Residency Program can be made to Katherine Lamparyk, PsyD at LamparK@ccf.org.