Child Clinical Experiences

Clinical Child and Pediatric Psychology

The Clinical Child and Pediatric Psychology area has two separate internship tracks. Three slots are available in the Combined Clinical Child and Pediatric Psychology Track and one slot is available in the Pediatric Psychology Intensive Track (New This Year). Please see below for more information on each of these tracks.

Combined Clinical Child Pediatric Psychology Track

On this track the intern will be exposed to a variety of clinical child and pediatric psychology experiences through rotations: (1) General Child Psychoeducational Assessment, (2) Child and Adolescent Psychiatry, (3) Child Health, and (4) Autism and Neurodevelopment. Interns will also provide outpatient therapy across the year to children, adolescents and families addressing internalizing, externalizing and child health issues.  To achieve training breadth, the Intern will also spend one day per week for each of 2 quarters completing minor rotations in neuropsychology and adult medical psychology.

For more details, see descriptions of the main child rotations below.

General Child Psychoeducational/Psychological Assessment Rotation

Supervisors: Brenda Wiens, Ph.D.

This rotation involves conducting 1) comprehensive full-day assessment protocols for diagnostic and intervention planning purposes, 2) one-hour pre-authorization interviews to gain approval for assessment (required by some insurance plans), and 3) therapy intakes for children and adolescents seeking treatment through the Psychology Clinic. While Dr. Wiens specializes in conducting comprehensive diagnostic assessments for children and adolescents with diagnosed/suspected Attention Deficit Hyperactivity Disorder and learning disorders, during this clinic rotation children with a wide variety of neurodevelopmental (including children and adolescents with suspected Autism Spectrum Disorder), behavioral, and internalizing presenting problems are seen. In a typical rotation, approximately ¾ of the rotation will be spent conducting full-day assessments, and ¼ of the rotation will be spent conducting therapy intakes.  As part of comprehensive full-day assessments  Interns learn to administer a semi-structured diagnostic and assessment interview, administer and interpret a comprehensive battery of tests (e.g., IQ, academic achievement, attention, executive functioning, language, parent and child questionnaire measures), and provide feedback to families. As part of therapy intakes and one-hour pre-authorization interviews, interns administer a semi-structured diagnostic and assessment interview, as well as parent and/or child questionnaire measures.

Child and Adolescent Psychiatry Rotation

Supervisors: Joe McNamara, Ph.D., Cindi Flores, Ph.D., NCSP

During this rotation, interns will conduct outpatient psychoeducational evaluations, primarily focused on diagnoses of Attention Deficit Hyperactivity Disorder, learning disabilities, and comorbid conditions such as mood and anxiety disorders. Generally, these evaluations include intellectual, academic, and emotional and behavioral assessment, but can also include developmental disability and personality assessment. Interns have the opportunity to conduct assessment interviews, administer and interpret a battery of tests, and provide feedback to families.

During this rotation, interns will also have the opportunity to work with the UF OCD program, which focuses on training and treatment of refractory Obsessive–Compulsive Disorder.  Interns learn cognitive behavioral therapy with exposure and response prevention (CBT-E/RP), an empirically supported treatment for OCD and other anxiety disorders. The OCD program includes intensive outpatient (daily) and weekly outpatient services. Interns also treat co-morbid conditions such as Autism Spectrum Disorder, depression, eating disorders, and tic disorders.

Child Health Rotation

Supervisors: David Janicke, Ph.D., ABPP, David Fedele, Ph.D.

Interns on Child Health Rotation work in a variety of interdisciplinary clinic settings including Pediatric Pulmonology, Pediatric Inflammatory Bowel Disease, and Pediatric Sleep Medicine. As an example of this experience, interns on the Pediatric Pulmonary Rotation (under the supervision David Fedele, Ph.D.) work with patients diagnosed with Cystic Fibrosis. Psychology is part of a large interdisciplinary team that includes pulmonologists, nurses, social workers, and respiratory therapists. Interns consult with patients and their families during their routine outpatient visits to the Cystic Fibrosis Center or during inpatient hospitalizations to evaluate psychosocial adjustment, medical regimen adherence and disease management, family functioning, and coping. Interns will have the opportunity to pick up individual therapy patients from the patients they assess in the Cystic Fibrosis Center pending appropriate insurance.   Finally, interns will work with David Janicke, Ph.D., in his Thursday afternoon Behavioral Pediatric Clinic conducting brief, targeted assessments and interventions of children with acute and chronic health conditions, most notably pediatric GI conditions (encopresis/toileting issues, feeding aversion, belly pain). Interns will also work with Drs. Janicke and Fedele conducting inpatient consultation and liaison visits at the UF Health Shands Children’s Hospital

Autism and Neurodevelopment

Supervisor:  Cynthia Johnson, Ph.D.

This clinic specializes in the assessment of young children suspected of autism spectrum disorder or other neurodevelopmental disorders.  Interns will gain experience in assessment protocols, including the Autism Diagnostic Observation Schedule – 2 (ADOS -2), Autism Diagnostic Interview – Revised (ADI-R), Mullen Scales of Early Learning, Vineland Adaptive Behavior Scales, Preschool Language Scale, among others.  Young children seen in this clinic often have been seen through the early intervention system or in the Department of Pediatrics at UF.  This clinical experience provides an opportunity for differential diagnoses in young children with developmental and behavioral differences where presentations may be different than in older, school-aged children.  The intern will also have work to coordinate other referrals as well as provide psychoeducation to the parents / caregivers of young children and make initial recommendations.

Pediatric Psychology Intensive Track

In this track the Intern will be exposed to a wide variety of hospital based work environments and settings, as well as a variety of patient populations, some of which are described below.

Primary Supervisors on this track are David Fedele, Ph.D., and David Janicke, Ph.D., ABPP

Interdisciplinary Training.  The intern will gain extensive training in the targeted assessment and treatment of children & their families in a variety of interdisciplinary pediatric clinics each lasting for 1– 2 quarters.  These include rotations with the Cystic Fibrosis Center, Type 1 Diabetes Clinic, Inflammatory Bowel Disease Clinic, and Pediatric Sleep Disorder Clinic in which interns will collaborate with interdisciplinary medical teams to address difficulties with adherence, coping, and quality of life.

Outpatient Behavioral Pediatric Consultation/Clinic.  The intern will gain experience for 1– 2 quarters in Dr. Janicke’s outpatient Behavioral Pediatric Clinic to address pediatric feeding disorders, elimination disorders, habit disorders, disease self-management and pain/stress related to irritable bowel syndrome and IBD. Experiences include conducting targeted intakes and brief, problem-focused therapy.

Outpatient Therapy.   The intern will receive year-long training in CBT and other intervention strategies to address coping and disease self-management related to child health conditions, as well as general clinical child issues such as disruptive behavior disorders, anxiety and depression.

Inpatient Consultation.   Throughout the year the intern will receive training in inpatient consultation. Referrals come from the UF Health Children’s Hospital and originate from a variety of medical disciplines. Interns typically receive consultation requests from the following services: pulmonary, gastroenterology, hematology/oncology, and organ transplantation.

*Research Opportunities.  Active participation in research related to child health is encouraged. There are ample    opportunities to engage in research with one or more faculty on NIH funded trials or other research studies. Opportunities for manuscript preparation are often available.  For more information on our ongoing research in this area please go to our research website at http://pedspsych.phhp.ufl.edu/.

**Breadth Rotations.  In both tracks Interns will also participate in minor clinical rotations focusing on neuropsychology and adult medical psychology.