Abstract
As interest in integrated behavioral health in pediatric primary care grows, there is emerging recognition of a training gap for working both within this population and setting. This chapter begins with a review of the American Psychological Association’s Competencies for Practice in Primary Care, with a focus on pediatric adaptations. Next, the authors review existing training programs in pediatric primary care as well as some examples of more generalized primary care training. Challenges associated with training models and future directions are discussed. The chapter concludes with practical recommendations for both clinicians and programs looking to establish pediatric primary care services.
This chapter was authored in part by the employees of the United States government. Any views expressed herein are those of the authors and do not necessarily represent the views of the United States government or the Department of Defense.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
American Academy of Pediatrics. (2018). Webinars. Retrieved from https://www.aap.org/en-us/professional-resources/webinars/Pages/Webinars.aspx
American Psychological Association. (2015). Competencies for psychology practice in primary care. Retrieved from http://www.apa.org/ed/resources/competencies-practice.pdf
Blount, F. A., & Miller, B. F. (2009). Addressing the workforce crisis in integrated primary care. Journal of Clinical Psychology in Medical Settings, 16(1), 113–119. https://doi.org/10.1007/s10880-008-9142-7.
Bray, J. (2004). Training primary care psychologists. Journal of Clinical Psychology in Medical Settings, 11(2), 101–107.
Briggs, R. D., German, M., Hershberg, R. S., Cirilli, C., Crawford, D. E., & Racine, A. D. (2016). Integrated pediatric behavioral health: Implications for training and intervention models. Professional Psychology: Research and Practice, 47(4), 312–319. https://doi.org/10.1037/pro0000093.
Bunik, M., Talmi, A., Stafford, B., Beaty, B., Kempe, A., Dhepyasuwan, N., & Serwint, J. R. (2013). Integrating mental health services in primary care continuity clinics: A national CORNET study. Academic Pediatrics, 13(6), 551–557. https://doi.org/10.1016/j.acap.2013.07.002.
Consortium for Science-Based Information on Children, Youth and Families (CSICYF). (2019, July). Retrieved from https://www.infoaboutkids.org
Colorado Housing and Finance Authority. (2018). Colorado Housing and Finance Authority. Retrieved from https://www.chfainfo.com
Dobmeyer, A. C., Rowan, A. B., Etherage, J. R., & Wilson, R. J. (2003). Training psychology interns in primary behavioral health care. Professional Psychology: Research and Practice, 34(6), 586–594. https://doi.org/10.1037/0735-7028.34.6.58.
Dobmeyer, A. C., Hunter, C. L., Corso, M. L., Nielsen, M. K., Corso, K. A., Polizzi, N. C., & Earles, J. E. (2016). Primary care behavioral health provider training: Systematic development and implementation in a large medical system. Journal of Clinical Psychology in Medical Settings, 23(3), 207–224. https://doi.org/10.1007/s10880-016-9464-9.
Dream Program. (n.d.). Dream Program. Retrieved from https://www.dreamprogram.org/
Fiscella, K., & McDaniel, S. H. (2018). The complexity, diversity, and science of primary care teams. American Psychologist, 73, 451–467.
Florida International University. (2018). Miami International Child & Adolescent Mental Health Conference. Retrieved from https://ccf.fiu.edu/training-and-education/professionals/continuing-education/micamh-conference/
Foley, K. P., Haggerty, T. S., & Harrison, N. (2015). Curriculum development: Preparing trainees to care for children and adolescents with psychiatric disorders. The International Journal of Psychiatry in Medicine, 50(1), 50–59. https://doi.org/10.1177/0091217415592360.
Garcia-Shelton, L., & Vogel, M. E. (2002). Primary care health psychology training: A collaborative model with family practice. Professional Psychology: Research and Practice, 33(6), 546–556. https://doi.org/10.1037//0735-7028.33.6.546.
Gardner, W., Murphy, M., Childs, G., Kelleher, K., Pagano, M., Jellinek, M., McInerny, T. K., Wasserman, R., Nutting, P., Chiappetta, L., & Sturner, R. (1999). The PSC-17: A brief pediatric symptom checklist with psychosocial problem subscales. A report from PROS and ASPN. Ambulatory Child Health, 5(3), 225–236.
Godoy, L., Long, M., Marschall, D., Hodgkinson, S., Bokor, B., Weisman, M., & Beers, L. (2017). Behavioral health integration in health care setting: Lessons learned from a pediatric hospital primary care system. Journal of Clinical Psychology in Medical Settings, 24, 245–258. https://doi.org/10.1007/s10880-017-9509-8.
Hall, J., Cohen, D. J., Davis, M., Gunn, R., Blount, A., Pollack, D. A., et al. (2015). Preparing the workforce for behavioral health and primary care integration. Journal of the American Board of Family Medicine, 28, S41–S51.
Hoffses, K., Ramirez, L., Berdan, L., Tunick, R., Honaker, S., Meadows, T., Shaffer, L., Robins, P., Sturm, L., & Stancin, T. (2016). Topical review: Building competency: Professional skills for pediatric psychologists in integrated primary care settings. Journal of Pediatric Psychology, 41(10), 1144–1160. https://doi.org/10.1093/jpepsy/jsw066.
Hoffses, K., Riley, A., Menousek, K., Schellinger, K., Grennan, A., Cammarata, C., & Steadman, J. (2017). Professional practices, training, and funding mechanisms: A survey of pediatric primary care psychologists. Clinical Practice in Pediatric Psychology, 5(1), 39–49. https://doi.org/10.1037/cpp0000173.
Hunter, C. L., & Goodie, J. L. (2010). Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home. Families, Systems, & Health, 28(4), 308–321. https://doi.org/10.1037/a0021761.
Kawamura, A., Mylopoulos, M., Orsino, A., Jimenez, E., & McNaughton, N. (2016). Promoting the development of adaptive expertise: Exploring a simulation model for sharing a diagnosis of autism with parents. Academic Medicine, 91(11), 1576–1581. https://doi.org/10.1097/ACM.0000000000001246.
Landoll, R. R., Nielsen, M. K., Waggoner, K. K., & Najera, E. (2019). Innovations in primary care behavioral health: A pilot study across the US Air Force. Translational Behavioral Medicine, 9(2), 266–273. https://doi.org/10.1093/tbm/iby046.
Maryland BHIPP. (2018). Maryland BHIPP. Retrieved from http://www.mdbhipp.org
McDaniel, S. H., Belar, C. D., Schroeder, C., Hargrove, D. S., & Freeman, E. L. (2002). A training curriculum for professional psychologists in primary care. Professional Psychology: Research and Practice, 33(1), 65–72. https://doi.org/10.1037/0735-7028.33.1.65.
MetroHealth Medical Center Psychology Internship Training Faculty. (n.d.). Resident handbook 2018-2019. Retrieved October 5, 2018, from https://www.metrohealth.org/upload/docs/gme/programs/psychology/2018psychologyinternshiphandbook.pdf
Montefiore: The University Hospital for Albert Einstein College of Medicine. (2018). 2018 Pediatric Behavioral Health Integrated Program (BHIP). Retrieved from https://www.acesconnection.com/fileSendAction/fcType/0/fcOid/473487835084039909/filePointer/473487835084039937/fodoid/473487835084039934/2018%20Training%20Institute%20Save%20the%20Date.pdf
National Association of Pediatric Nurse Practitioners. (n.d.). Conferences. Retrieved from https://www.napnap.org/national-conference
Njroge, W. F., Williamson, A. A., Mautone, J. A., Robins, P. M., & Benton, T. D. (2017). Competencies and training guidelines for behavioral health providers in pediatric primary care. Child and Adolescent Psychiatric Clinics of North America, 26(4), 717–731. https://doi.org/10.1016/j.chc.2017.06.002.
Palermo, T. M., Janicke, D. M., McQuaid, E. L., Mullins, L. L., Robins, P. M., & Wu, Y. P. (2014). Recommendations for training in pediatric psychology: Defining core competencies across training levels. Journal of Pediatric Psychology, 39(9), 965–984. https://doi.org/10.1093/jpepsy/jsu015.
Pisani, A. R., & Siegel, D. M. (2011). Educating residents in behavioral health care and collaboration: Integrated clinical training of pediatric residents and psychology fellows. Academic Medicine, 86(2), 166–173. https://doi.org/10.1097/ACM.0b013e318204fd94.
Ragunanthan, B., Frosch, E. J., & Solomon, B. S. (2017). On-site mental health professionals and pediatric residents in continuity clinic. Clinical Pediatrics, 56(13), 1219–1226. https://doi.org/10.1177/0009922816681136.
Reeves, S., Fletcher, S., Barr, H., Birch, I., Boet, S., Davies, N., McFayden, A., Rivera, J., & Kitto, S. (2016). A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Medical Teacher, 38(7), 656–668. https://doi.org/10.3109/0142159X.2016.1173663.
Rozensky, R. H., & Janicke, D. M. (2012). Commentary: Healthcare reform and psychology’s workforce: Preparing for the future of pediatric psychology. Journal of Pediatric Psychology, 37(4), 359–368. https://doi.org/10.1093/jpepsy/jsr111.
Society of Clinical Child and Adolescent Psychology. (2018). SCCAP Sponsored Conferences. Retrieved from https://sccap53.org/sccap-sponsored-conferences/
Society of Pediatric Psychology. (2016). 2019 SPPAC. Retrieved from https://www.societyofpediatricpsychology.org/node/726
Spirito, A., Brown, R. T., D’Angelo, E., Delamater, A., Rodrigue, J., & Siegel, L. (2003). Society of pediatric psychology task force report: Recommendations for the training of pediatric psychologists. Journal of Pediatric Psychology, 28(2), 85–98. https://doi.org/10.1093/jpepsy/28.2.85.
Stancin, T. (2016). Commentary: Integrated pediatric primary care: Moving from why to how. Journal of Pediatric Psychology, 41(10), 1161–1164. https://doi.org/10.1093/jpepsy/jsw074.
Stancin, T. (2018, May 6). Preparing pediatricians and psychologists to work in teams: The MetroHealth Model. In Pediatric Academic Societies Meeting. Toronto.
Stancin, T., & Perrin, E. C. (2014). Psychologists and pediatricians opportunities for collaboration in primary care. American Psychologist, 69(4), 332–343. https://doi.org/10.1037/a0036046.
Talmi, A., Muther, E. F., Margolis, K., Buchholz, M., Asherin, R., & Bunik, M. (2016). The scope of behavioral health integration in a pediatric primary care setting. Journal of Pediatric Psychology, 41(10), 1120–1132. https://doi.org/10.1093/jpepsy/jsw065.
The Regents of the University of Michigan. (2018). Integrated health pediatric track. Retrieved from https://ssw.umich.edu/offices/continuing-education/certificate-courses/integrated-behavioral-health-and-primary-care/pediatric-track
The University of Kansas. (n.d.). National Conference in Clinical Child and Adolescent Psychology. Retrieved from https://ccpp.ku.edu/2018-national-conference-clinical-child-and-adolescent-psychology
Thomas, P. A., Kern, D. E., Hughes, M. T., & Chen, B. Y. (2015). Curriculum development for medical education: A six-step approach. Baltimore: Johns Hopkins University Press.
United States Air Force, Air Force Medical Operations. (2014). Primary Care Behavioral Health Services: Behavioral Health Optimization Program (BHOP) Practice Manual.
Virginia Commonwealth University Health CME. (2017). 40th Annual Pediatric Primary Care Conference. Retrieved from https://vcu.cloud-cme.com/aph.aspx?EID=6342&P=5
Vogel, M. E., Kanzler, K., Aikens, J., & Goodie, J. L. (2017). Integration of behavioral health and primary care: Current knowledge and future directions. Journal of Behavioral Medicine, 40, 69–84. https://doi.org/10.1007/s10865-016-9798-7.
Washington Chapter of the American Academy of Pediatrics. (2018). Washington Chapter of the American Academy of Pediatrics. Retrieved from https://wcaap.org
Zuckerman, B., Parker, S., Kaplan-Sanoff, M., Augustyn, M., & Barth, M. C. (2004). Healthy Steps: A case study of innovation in pediatric practice. Pediatrics, 114(3), 820–826. https://doi.org/10.1542/peds.2003-0999-L.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Landoll, R.R., Elmore, C.A., Weiss, A.F., Garza, J.A. (2019). Training Issues in Pediatric Psychology. In: Friedberg, R.D., Paternostro, J.K. (eds) Handbook of Cognitive Behavioral Therapy for Pediatric Medical Conditions. Autism and Child Psychopathology Series. Springer, Cham. https://doi.org/10.1007/978-3-030-21683-2_26
Download citation
DOI: https://doi.org/10.1007/978-3-030-21683-2_26
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-21682-5
Online ISBN: 978-3-030-21683-2
eBook Packages: Behavioral Science and PsychologyBehavioral Science and Psychology (R0)