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INTRODUCTION
Clinical health psychology is concerned with the contributions that psychologists can make to understanding health and illness, frequently in collaboration with other health professionals, including physicians, nurses, and others. It involves the development of theory, research, and intervention directed toward prevention, treatment, and management of physical disease and disability, as well as the promotion of health. Because factors at the level of the individual, group, and larger social system influence health, issues pertinent to improving the health care system and health policy are relevant to clinical health psychology. Individuals who specialize in clinical health psychology typically obtain professional positions that involve some combination of conducting research, providing services, serving as administrators, and teaching. Clinical health psychologists work in a variety of settings, including medical schools and centers, universities, hospitals, medical clinics, private or group practice, and government.
The graduate specialty in clinical health psychology at the University of Kansas is designed to be completed in conjunction with the requirements for KU's APA-accredited clinical program. A number of faculty members, located within the Department of Psychology and other departments at the Lawrence campus and the University of Kansas Medical Center, provide the teaching and supervisory support for the specialty. A unique facet of the specialty is its practicum in clinical health psychology, conducted during the third program year at the University of Kansas Medical Center. Additional coursework is also available through the Department of Preventive Medicine and its Masters program in public health program at the University of Kansas Medical Center.
Although funding beyond the first year is not guaranteed, most students are funded for the duration of their tenure at the University of Kansas through research and teaching assistantships.
Financial assistance for students in the health / rehabilitation psychology specialty comes from the same funding sources available to students in the general clinical program (e.g., fellowships, research assistantships, teaching assistantships).
CURRICULUM
Students in the Clinical Health Specialization complete all requirements of KU’s general clinical program. However, the Clinical Health Specialization requires nine graduate credit hours over and above those required by the clinical program (i.e., PSYC 832, PSYC 833, PSYC 834) and twelve hours of health electives, whereas the general clinical program requires only
6 hours of electives. In addition to these differences, the Clinical Health Specialization requires that two semesters of advanced clinical practicum (PSYC 835 and PSYC 836) occur on health teams via the KU Medical Center (instead of at the KU Psychological Clinic); that students’ thesis and dissertation topics be relevant to the health area; and that students’ internships provide training in behavioral medicine or health/rehabilitation psychology. Students must meet all requirements in order to represent themselves as having completed the specialty in Clinical Health Psychology.
Three Required Courses (9 total hours at 3 semester hours for each course)
PSYC 832: Clinical Health Psychology I: Health Promotion and Disease Prevention
PSYC 833: Clinical Health Psychology II: Acute and Chronic Illness
PSYC 834: Clinical Health Psychology III: Physical Aspects of Health and Disease
Elective Courses (12 total hours achieved by taking four courses at
3 semester hours each).
Students take at least four elective courses.
Although it is not mandatory, it is often the case that the student
will build an area of expertise through these electives (e.g.,
health behavior change, biopsychosocial factors and health outcomes,
public health, women's health).
(ABS = Applied Behavioral Science; HP&M = Health Policy and Management; PRVM =
Preventive Medicine)
PSYC 838: Pain and Its Management
PSYC 839: Palliative Care in Health Psychology
PSYC 840: Psychology of Women's Health
PSYC 841: Stress and Coping
PSYC 842: Specialized Health Psychology Practicum
PSYC 843: Behavioral Pharmacology
PSYC 864: Clinical Neuropsychology
ABSC 705: Pediatric Psychology
ABSC 710: Community Health and Development
HP&M 810: The Health Care System
HP&M 835: Health and Social Behavior
PRVM 800: Principles of Epidemiology
PRVM 810: Clinical Trials
PRVM 815: Surveillance and Control of Infectious Diseases
PRVM 827: Public Health Administration
PRVM 830: Environmental Health
PRVM 869: Grant-Writing
Practica (PSYC
835 and 836; 6 total hrs. achieved by taking two courses at
3 credit hrs. each.
These practicum courses are taken in lieu of PSYC 969 and 970.)
In addition to the required three semesters (including one summer) of clinical practicum within the KU Psychological Clinic, two semesters of advanced practicum are
currently taken on a health team led by faculty members at the
University of Kansas Medical Center. This team is the cornerstone
of practicum training for the specialty. Additional opportunities
in clinical health psychology are available (e.g., family practice).
For Health Specialty students, at least 125 of the program-required minimum of 275 face-to-face client contact hours must be garnered within the KU Psychological Clinic. The remaining 150 client contact hours may be accumulated within either the KU Medical Center practicum settings or other Health Specialty approved settings.
KU MEDICAL CENTER HEALTH PSYCHOLOGY PRACTICA
Pediatrics:
1. Behavioral Pediatrics Clinic: Student therapists work with a pediatric psychologist to deliver short-term, cognitive-behavioral treatment to children and adolescents (with or without chronic disease) who present with internalizing disorders (depression, anxiety, anger, etc.), externalizing disorders (attention deficit hyperactivity disorder, oppositional-defiant disorder, etc.), and chronic disease-related adjustment problems (nonadherence to medical regimens, pain, and coping difficulties). Physicians, other therapists, parents or teachers refer patients for treatment.
2. Inpatient Pediatric Consultation Service: Student therapists in conjunction with a pediatric psychologist respond to consults from the general pediatric or subspecialty inpatient services including the Pediatric Intensive and the Burn Unit. Student therapists assess and provide recommendations for children and adolescents who are having behavioral or adjustment and also provide, the patient’s family. In addition student therapists may be called upon to provide advice and support to the nursing or medical staff. Inpatient consultations are directly multidisciplinary in that we are part of the medical and nursing team that is treating the child and we have frequent interactions with the staff.
3. Outpatient Pediatric Subspecialty Clinics: The outpatient clinic also responds to consults by subspecialty clinics (rheumatology, oncology, endocrinology, etc.). Student therapists work with their supervisor to assess and make recommendations about needed psychological services. Patients who need more extensive services will usually be scheduled in our Pediatric Psychology clinic.
4. Telemedicine Outreach Clinic: The telemedicine clinic uses televideo technology to reach families in rural areas of Kansas. Student therapists deliver the same behavioral pediatrics evaluation and treatment services described above. Children present with internalizing and externalizing concerns as well as parents seeking child management strategies and assistance with coping with loss. In addition to working with the child and parent/guardian, therapists work closely with school faculty and other community resources to implement recommendations.
Rehabilitation Medicine:
1. Rehabilitation Psychology Outpatient Clinic: Student therapists work with a licensed neuropsychologist and psychometrist to conduct neuropsychological evaluations of adults and children with physical and cognitive disabilities (e.g., stroke, brain injury, other neurological diagnoses, and/or psychiatric diagnoses.
2. Rehabilitation
Psychology Inpatient Consult Service: Student therapists work with a rehabilitation psychologist to provide neuropsychology and rehabilitation psychology services (assessment, psychotherapy, individual and group therapy) to adults with diverse diagnoses, including traumatic and non-traumatic brain and spinal cord injury, and other medical conditions requiring rehabilitation services. In addition the student therapist and rehabilitation psychologist also respond to consultations from trauma, burn, medicine, and surgery services within the medical center.
One of the primary training sites is the inpatient rehabilitation unit, an acute and short-term rehabilitation unit for people with physical and cognitive difficulties resulting from trauma and/or disease. The unit is staffed by a multidisciplinary team including rehabilitation medicine physicians (physiatrists), rehabilitation nurses, occupational and physical therapists, speech language pathologists, social workers, nutrition specialists, a recreational therapist, and the rehabilitation psychologist. As a member of the team, the rehabilitation psychologist and trainees evaluate, monitor, and treat mood disorders and cognitive deficits, administer cognitive screens, and provides psychological treatment (e.g., CBT, relaxation training, supportive counseling).
KUMC Pain Management Service:
1. Inpatient Consults: Student therapists are supervised by a psychologist specializing in pain management to address the needs of inpatients who are experiencing problems with psychosocial adjustment and pain problems secondary to medical illnesses. Students work with their supervisor to devise and deliver brief interventions and opportunities for outpatient follow-up may be available.
2. Outpatient Consults: Student therapists also see outpatients referred for assistance with pain management, gastrointestinal disorders, and adjustment to cancer. Student therapists often follow these patients for a series of sessions, acting as their primary therapist.
Team Leader/Supervisor
Michael A. Rapoff, Ph.D.: Dr. Rapoff is the Ralph L. Smith Professor of Pediatrics and Section Chief of Behavioral Pediatrics in the Department of Pediatrics at KU Medical Center. He is also a Co-Team Leader and Adjunct Professor in the Clinical Psychology Program at KU. Dr. Rapoff is a licensed psychologist in Missouri and Kansas and is listed in the National Registry of Health Service Providers in Psychology. He is also a Fellow of Division 54 (Society of Pediatric Psychology) of the American Psychological Association. Dr. Rapoff received his PhD in Developmental and Child Psychology from the University of Kansas in 1980. He completed a two-year postdoctoral Fellowship in Behavioral Pediatrics at KU Medical Center in 1982 and joined the staff of the Pediatrics Department as an Assistant Professor in 1982. Dr. Rapoff clinical and research focus is on psychosocial issues in chronic pediatric diseases, including pain, adherence, and coping/adjustment.
Co-Team Leaders/Supervisors
Martha U. Barnard, R.N., M.N., Ph.D.: Dr. Barnard is an Associate Professor in the Department of Pediatrics at KU Medical Center. She is also an Assistant professor in the School of Nursing at KU Medical Center and an Adjunct Assistant Professor in the Department of Human Development and Family Life at the University of Kansas. Dr. Barnard is a licensed nurse and a licensed psychologist in the state of Kansas. She received her master’s degree in Nursing in 1968 from the University of Florida and her PhD in Developmental and Child Psychology in 1985 from the University of Kansas. She completed a two-year postdoctoral fellowship in Behavioral Pediatrics at KU Medical Center in 1987. Dr. Barnard has specialized in the care of children and their families with chronic or life limiting illnesses. In addition to several other issues, her practice includes children and adolescents with depression, anxiety disorders, oppositional defiant disorder, ADHD, posttraumatic stress disorders and factitious disorders.
Monica Kurylo, Ph.D., is a Clinical Assistant Professor in the Departments of Physical Medicine and Rehabilitation, and Psychiatry and Behavioral Sciences at KUMC. She received her master’s and doctorate degrees in clinical psychology (health/rehabilitation emphasis) at the University of Kansas in 1994 and 1997, respectively. She interned at the University of Oklahoma Health Sciences Center and received postdoctoral training at the University of Alabama at Birmingham and at Emory University, in rehabilitation psychology and neuropsychology. Dr. Kurylo is a licensed psychologist in the state of Kansas. Dr. Kurylo’s professional and research interests include advocacy, practice issues, disability, women’s health, and outcome measurement. She serves as a Member-at-Large on the Executive Board of Division 22, Rehabilitation Psychology, within the American Psychological Association and is liaison for Division 22 to the Committee on Disability Issues in Psychology in the Public Interest Directorate of the American Psychological Association.
Eve-Lynn Nelson, PhD: Dr. Nelson is a Clinical Assistant Professor in the Department of Pediatrics. Dr. Nelson is a licensed psychologist in the state of Kansas. She earned her BA from the University of Missouri-Kansas City and her PhD in clinical psychology from the University of Kansas. She completed additional training through the University of Miami Center for Child Development and through a KUMC rural outreach post-doctoral fellowship. She is the Assistant Director of research through KU Center for TeleMedicine and leads a number of projects evaluating technology in patient care. As a telepsychologist, Dr. Nelson sees patients over interactive televideo through schools participating in the TeleKidcare program and through rural sites across Kansas. Her primary clinical and research interest is increasing access to psychology services through telemedicine.
Robert Twillman, Ph.D.: Dr. Twillman is a Clinical Associate Professor in the Department of Psychiatry and Behavioral Sciences at KU Medical Center and is Pain Management Program Director for the KU Medical Center. Dr. Twillman is a licensed psychologist in the state of Kansas. He obtained his PhD in Clinical Psychology from UCLA in 1989 and completed a one-year postdoctoral fellowship in Behavioral Medicine and Anxiety Disorders at the Neuropsychiatric Institute at UCLA. Dr. Twillman’s clinical and research focus is on assessment and treatment of pain.
Other Supervisors
Ann McGrath Davis, Ph.D.: Dr. Davis is an Assistant Professor in the Department of Pediatrics at KU Medical Center. Dr. Davis is a licensed psychologist in the state of Kansas. She received her Ph.D. in Clinical Psychology in 1999 from Western Michigan University and completed a Pediatric Psychology Fellowship at Children’s Hospital Medical Center, Cincinnati, OH, in 2001. Dr. Davis is the psychologist for the Feeding Team and the psychologist and Co-Director of the Healthy Hawks program to treat pediatric obesity. Her research focuses on childhood obesity.
Maura W. Wendland, Ph.D.: Dr. Wendland is a Clinical Assistant Professor in the Department of Pediatrics at KU Medical Center. Dr. Wendland is a licensed psychologist in the state of Kansas. She received her Ph.D. in Clinical Child Psychology from the University of Kansas and completed her internship at Shands Hospital at the University of Florida. Dr. Wendland also completed a one-year postdoctoral fellowship at the University of Kansas Medical Center in Developmental Disabilities and Behavioral Pediatrics. Her clinical interests include caring for hospitalized children and families with chronic illness or trauma-related events. Her practice also includes working with children with oppositional defiant disorder, developmental disabilities, ADHD, anxiety, depression, and medical adherence issues.
Supervision
Students receive extensive supervision by licensed clinical psychologists at the med center. In addition to weekly group and individual supervision sessions, student therapists are often receive “real-time” supervision as they shadow supervisors on rounds or on consults from one of the inpatient units or subspecialty clinics and later act as “co-therapists” with their experienced supervisors before seeing patients independently.
TIMING
OF COURSES, THESIS, DISSERTATION, AND INTERNSHIP
Participation in the specialty should not
extend the time students spend in the graduate program in clinical psychology if they plan their curriculum with care.
The expectations concerning practicum (taken during the students'
second and third years), thesis (completed by the end of the
students' second year), dissertation (initiated and often completed
during the students' fourth year), and internship (typically
taken during the students' fifth year) fulfill requirements for
the general clinical program; hence they require no additional
time.
FINANCIAL ASSISTANCE
Financial assistance for students in the health psychology specialty comes from the same funding sources available to students in the general clinical program (namely, research and teaching assistantships, etc.). See
admissions.
FACULTY
Students in the specialty may conduct their
research with any of the psychology department faculty, although
they usually work with those faculty who are associated with
the specialty. Students should obtain the approval of the coordinator
of the specialty concerning the relevance of their thesis or
dissertation research to health psychology. The following are
participating faculty in the specialty (KUMC faculty are located
at the University of Kansas Medical Center.):
PRINCIPAL FACULTY
MARTHA BARNARD, PH.D. (KUMC) Clinical Associate Professor, Behavioral Pediatrics (psychological & biological bases of coping, rehabilitation
and pediatrics)
LISA SANDERSON COX, PH.D. (KUMC) Research Assistant Professor, Preventive Medicine & Public Health (Preventive Medicine)
ANN McGRATH DAVIS, PH.D. PH.D. (KUMC) Assistant Professor, Behavioral Pediatrics. (pediatric obesity, treatment & prevention; feeding issues in young children)
DOUGLAS R. DENNEY, PH.D. Professor, KU Clinical Psychology Program (cognitive and psychological impact of neurological disorders)
NANCY HAMILTON, PH.D. Assistant Professor, KU Clinical Psychology Program. Beatrice A. Wright Assistant Professor of Psychology. Coordinator, Clinical Health Specialty (sleep and emotion regulation as related to chronic pain and stress reactivity)
MONICA KURYLO, PH.D. (KUMC)
Clinical Assistant Professor, Rehabilitation Psychology and Neuropsychology.
BRUCE S. LIESE, PH.D. (KUMC)
Professor, Family Medicine (addictive behaviors and other drug dependence, hospital-based health psychology, cognitive-behavioral treatment)
EVE-LYNN NELSON, PH.D. (KUMC)
Assistant Director of Research, Center for TeleMedicine & TeleHealth (behavioral pediatrics & telemedicine)
MICHAEL RAPOFF, PH.D. (KUMC)
Ralph Smith Professor of Pediatrics and Division Chief, Behavioral Pediatrics (pediatric and rehabilitation psychology, adherence to medical regimens)
ROBERT K. TWILLMAN, PH.D. (KUMC)
Clinical Associate Professor and Program Director, Pain Management (psychosocial factors and cancer, pain, organ transplant)
ASSOCIATED FACULTY
RUTH ANN ATCHLEY, PH.D. Associate Professor, KU Psychology Department, Cognitive and Clinical Programs (language processing in individuals with ongoing or remitted Clinical Depression)
CHRIS CRANDALL, PH.D. Professor, KU Psychology Department, Social Psychology (stigma of illness, prejudice toward handicapped people, measurement of life stress)
STEVEN FAWCETT, PH.D. Professor, KU Department of Applied Behavioral Science, Kansas Health Foundation University Distinguished Professor (community health development)
LISA HALE, PH.D. (KUMC)
Research Assistant Professor, Hoglund Brain Imaging Center; Director, Anxiety Research Program (research and treatment of anxiety disorders)
RAYMOND L. HIGGINS, PH.D. Professor and Director, KU Clinical Psychology Program (anxiety disorders, attributional coping strategies)
DAVID K. JOHNSON, PH.D. Assistant Professor, KU Clinical Psychology Program (Geriatric Neuropsychology)
DENNIS H. KARPOWITZ, PH.D. Associate Professor, KU Clinical Psychology Program (dysfunctional families)
SARAH KIRK, PH.D. Director, KU Psychological Clinic (resilience and coping)
KATHLEEN MCCLUSKEY-FAWCETT, PH.D. Professor, KU Clinical Child Psychology Program (adolescent pregnancy, parenting)
CHARLENE MUEHLENHARD, PH.D. Professor, KU Clinical Psychology Program (violence against women, the social construction of gender and sexuality)
NICOLE NOLLEN, PH.D. (KUMC) (Preventive Medicine & Public Health)
MICHAEL C. ROBERTS, PH.D. Professor & Director, KU Clinical Child Psychology Program (health care and children)
CARY SAVAGE, PH.D. (KUMC)
Director, Functional MRI, Hoglund Brain Imaging Center; Associate Professior, Department of Psychiatry and Behavioral Sciences (neuroimaging)
RIC STEELE, PH.D. Associate Professor, KU Clinical Child Psychology Program (pediatric health issues)
MAURA WENDLAND, PH.D. (KUMC) Clinical Assistant Professor, Dept. of Pediatrics.
MARY K. ZIMMERMAN, PH.D. (KUMC)
Professor, Health Policy & Management; Professor, KU Sociology Department (women’s health)
DIRECTIONS
FOR INQUIRING ABOUT THE SPECIALTY
For further information, contact Dr. Nancy Hamilton, Coordinator of Clinical Health Psychology Specialty, Department of Psychology, 1415 Jayhawk Blvd., 426 Fraser Hall, The University of Kansas, Lawrence, KS 66045-7556; Telephone: 785-864-9827. E-mail: nancyh@ku.edu
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For additional information or questions on the accreditation of the KU
Clinical Psychology Program, contact the Office of Program Consultation and
Accreditation, American Psychological Association, 750 First Street NE,
Washington, DC 20002-4242. Web:
http://www.apa.org/ed/accreditation/ Phone: 202-336-5979. E-Mail:
apaaccred@apa.org . |
