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Training Pediatric Psychologists for Perinatal Behavioral Health Services in a Pediatric Hospital

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Abstract

Although pediatric hospitals specialize in providing care to children and adolescents, at The Children’s Hospital of Philadelphia (CHOP), our team has been providing behavioral health services for two unique parent populations—parents with a child in the Newborn Infant Intensive Care Unit and pregnant women carrying fetuses with specific birth defects and receiving prenatal care in the Center for Fetal Diagnosis and Treatment. A new training program was developed to expand the scope of pediatric psychologists’ practice to include perinatal behavioral health services, specifically for these two unique parent populations served at CHOP. The program includes direct service provision for adult mental health concerns, as well as education and support to help families cope with the existing medical conditions. This article describes the training program and its implementation as a model of training for other pediatric hospitals. The roles of psychologists embedded in these units and hospital privileges are discussed.

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References

  • American Psychological Association. (2013). Guidelines for psychological practice in health care delivery systems. The American Psychologist, 68(1), 1–6.

    Article  Google Scholar 

  • American Psychological Association Practice Directorate. (1998). Practicing psychology in hospitals and other health care facilitates. Washington DC: American Psychological Association Practice Directorate.

    Google Scholar 

  • Barakat, L. P., Patterson, C. A., Tarazi, R. A., & Ely, E. (2007). Disease-related parenting stress in two sickle cell disease caregiver samples: Preschool and adolescent. Families, Systems, & Health, 25(2), 147–161. doi:10.1037/1091-7527.25.2.147.

    Article  Google Scholar 

  • Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004). Prevalence of depression during pregnancy: Systematic review. Obstetrics and Gynecology, 103, 698–709. doi:10.1097/01.AOG.0000116689.75396.5f.

    Article  PubMed  Google Scholar 

  • Bettegowda, V. R., Lackritz, E., & Petrini, J. R. (2010). Epidemiologic trends in perinatal data. Toward improving the outcome of pregnancy III (pp. 20–23). White Plains: March of Dimes.

    Google Scholar 

  • Brown, R. T., Freeman, W. S., Brown, R. A., Belar, C., Hersch, L., Hornyak, L. M., & Reed, G. (2002). The role of psychology in health care delivery. Professional Psychology: Research and Practice, 33(6), 536–545. doi:10.1037/0735-7028.33.6.536.

    Article  Google Scholar 

  • Butterfield, L. (2013). No “Typical” birth: NICU experiences and PTSD. Giving Birth with Confidence. Retrieved March 21, 2013, from http://givingbirthwithconfidence.org/2-2/traumatic-birth-prevention-resource-guide/no-typical-birth-nicuexperiences-and-ptsd/.

  • Centers for Disease Control and Prevention. Birth Defects Data & Statistics. Centers for Disease Control and Prevention. Updated March 16, 2013, Retrieved March 26, 2013 from http://www.cdc.gov/ncbddd/birthdefects/data.html.

  • Cole, J. C., Moldenhauer, J., Berger, K., Cary, M., Smith, H., Martino, V., … Howell, L. (2015). Identifying expectant parents at risk for psychological distress in response to a confirmed fetal abnormality. Archives of Women's Mental Health. doi:10.1007/s00737-015-0580-6.

    PubMed  Google Scholar 

  • Davis, D. L., & Stein, M. T. (2004). Parenting your premature baby and child: The emotional journey. Golden: Fulcrum Publishing.

    Google Scholar 

  • Drotar, D. (1997). Relating parent and family functioning to the psychological adjustment of children with chronic health conditions: What have we learned? What do we need to know? Journal of Pediatric Psychology, 22(2), 149–165. doi:10.1093/jpepsy/22.2.149.

    Article  CAS  PubMed  Google Scholar 

  • Drotar, D. (2012). Training in pediatric psychology-current perspectives and future opportunities: Introduction to the special section. Journal of Pediatric Psychology, 37(2), 121–126. doi:10.1093/jpepsy/jsr120.

    Article  PubMed  Google Scholar 

  • Eckleberry-Hunt, J., Van Dyke, A., Stucky, K., & Misch, P. (2009). Attaining medical staff membership and privileges for psychologists: A case study. Professional Psychology: Research and Practice, 40(6), 579–585. doi:10.1037/a0017775.

    Article  Google Scholar 

  • Field, T., Hernandez-Reif, M., Feijo, L., & Freedman, J. (2006). Prenatal, perinatal and neonatal stimulation: A survey of neonatal nurseries. Infant Behavior and Development, 29, 24–31. doi:10.1016/j.infbeh.2005.07.006.

    Article  PubMed  Google Scholar 

  • Furber, C. M., Garrod, D., Maloney, E., Lovell, K., & McGown, L. (2009). A qualitative study of mild to moderate psychological distress during pregnancy. International Journal of Nursing Studies, 46, 669–677. doi:10.1016/j.ijnurstu.2008.12.003.

    Article  PubMed  Google Scholar 

  • Howell, L. (2013). The Garbose family special delivery unit: A new paradigm for maternal-fetal and neonatal care. Journal of Pediatric Surgery, 22, 3–9. doi:10.1053/j.sempedsurg.2012.10.002.

    Google Scholar 

  • Hynan, M. T., Mounts, K. O., & Vanderbilt, D. L. (2013). Screening parents of high-risk infants for emotional distress: Rationale and recommendations. Journal of Perinatology, 33(10), 748–753.

    Article  CAS  PubMed  Google Scholar 

  • Jackson, Y., Wu, Y. P., Aylward, B. S., & Roberts, M. C. (2012). Application of the competency cube model to clinical child psychology. Professional Psychology: Research and Practice, 43(5), 432–441. doi:10.1037/a0030007.

    Article  Google Scholar 

  • Kaslow, N. J., Borden, K. A., Collins, F. L, Jr, Forrest, L., Illfelder-Kaye, J., Nelson, P. D., & Rallo, J. S. (2004). Competencies conference: Future directions in education and credentialing in professional psychology. Journal of Clinical Psychology, 60, 699–712. doi:10.1002/jclp.20016.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J., Dunn, S. E., & Smith, C. O. (2008). Competencies for psychologists in academic health centers (AHCs). Journal of Clinical Psychology in Medical Settings, 15, 18–27. doi:10.1007/s10880-008-9094-y.

    Article  PubMed  Google Scholar 

  • Kaugars, A. S., Klinnert, M. D., & Bender, B. G. (2004). Family influences on pediatric asthma. Journal of Pediatric Psychology, 29(7), 475–491. doi:10.1093/jpepsy/jsh051.

    Article  PubMed  Google Scholar 

  • Kersting, A., Kroker, K., Steinhard, J., Hoernig-Franz, I., Wesselmann, U., Luedorff, K., & Suslow, T. (2009). Psychological impact on women after second and third trimester termination of pregnancy due to fetal anomalies versus women after preterm birth-a 14-month follow up study. Archives of Women’s Mental Health, 12(4), 193–201. doi:10.1007/s00737-009-0063-8.

    Article  PubMed  Google Scholar 

  • Lefkowitz, D., Baxt, C., & Evans, J. (2010). Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU). Journal of Clinical Psychology in Medical Settings, 17, 230–237. doi:10.1007/s10880-010-9202-7.

    Article  PubMed  Google Scholar 

  • Levinson, W., & Roter, D. (1993). The effects of 2 continuing medical-education programs on communication-skills of practicing primary-care physicians. Journal of General Internal Medicine, 8(6), 318–324. doi:10.1007/BF02600146.

    Article  CAS  PubMed  Google Scholar 

  • Murray, L., & Cooper, P. J. (1997). Postpartum depression and child development. Psychological Medicine, 27, 253–260. doi:10.1017/S0033291796004564.

    Article  CAS  PubMed  Google Scholar 

  • Neimeyer, G. J., Taylor, J. M., & Rozensky, R. H. (2012). The diminishing durability of knowledge in professional psychology: A delphi poll of specialties and proficiencies. Professional Psychology: Research and Practice, 43(4), 364–371. doi:10.1037/a0028698.

    Article  Google Scholar 

  • Neimeyer, G. J., Taylor, J. M., & Wear, D. M. (2009). Continuing education in psychology: Outcomes, evaluations, and mandates. Professional Psychology: Research and Practice, 40(6), 617–624. doi:10.1037/a0016655.

    Article  Google Scholar 

  • 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. doi:10.1093/jpepsy/jsu015.

    Article  PubMed  PubMed Central  Google Scholar 

  • Palladino, C. L., Singh, V. F., Campbell, J. F., Flynn, H., & Gold, K. J. (2011). Homicide and suicide during the perinatal period: Findings from the national violent death reporting system. Obstetrics and Gynecology, 118(5), 1056–1063. doi:10.1097/AOG.0b013e31823294da.

    Article  PubMed  PubMed Central  Google Scholar 

  • Pidano, A. E., & Whitcomb, J. M. (2012). Training to work with children and families: Results from a survey of psychologists and doctoral students. Training and Education in Professional Psychology, 6(1), 8–17. doi:10.1037/a0026961.

    Article  Google Scholar 

  • Ramchandani, P. G., Stein, A., O’Connor, T. G., Heron, J. O. N., Murray, L., & Evans, J. (2008). Depression in men in the postnatal period and later child psychopathology: A population cohort study. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 390–398. doi:10.1097/CHI.0b013e31816429c2.

    Article  PubMed  PubMed Central  Google Scholar 

  • Robiner, W., Dixon, K., Miner, J., & Hong, B. (2010). Hospital privileges for psychologists in the era of competencies and increased accountability. Journal of Clinical Psychology in Medical Settings, 17, 301–314. doi:10.1007/s10880-010-9203-6.

    Article  PubMed  Google Scholar 

  • Rodolfa, E., Bent, R., Eisman, E., Nelson, P., Rehm, L., & Ritchie, P. (2005). A cube model for competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36(4), 347–354. doi:10.1037/0735-7028.36.4.347.

    Article  Google Scholar 

  • Rozensky, R. H. (2006). An introduction to psychologists treating medically ill patients: Competent practice and seeking credentials in organized health care settings for routine or incidental practice. Professional Psychology: Research and Practice, 37, 260–263. doi:10.1037/0735-7028.37.3.260.

    Article  Google Scholar 

  • 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, 359–368. doi:10.1093/jpepsy/jsr111.

    Article  PubMed  Google Scholar 

  • Rubin, N. J., Bebeau, M., Leigh, I. W., Lichtenberg, J. W., Nelson, P. D., Portnoy, S., … Kaslow, N. J. (2007). The competency movement within psychology: An historical perspective. Professional Psychology: Research and Practice, 38, 452–462. doi:10.1037/0735-7028.38.5.452.

  • Shaw, R. J., Bernard, R. S., Stofer-Isser, A., Rhine, W., & Horwitz, S. M. (2013). Parental coping in the neonatal intensive care unit. Journal of Clinical Psychologists in Medical Settings, 20, 135–142. doi:10.1007/s10880-012-9328-x.

    Article  Google Scholar 

  • Sit, D., Rothschild, A. J., & Wisner, K. L. (2006). A review of postpartum psychosis. Journal of Women’s Health, 15(4), 352–368.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sofronas, M., Feeley, N., Zelkowitz, P., & Sabbagh, M. (2011). Obstetric and neonatology nurses’ attitudes, beliefs, and practices related to the management of symptoms of maternal depression. Issues in Mental Health Nursing, 32(12), 735–744.

    Article  PubMed  Google Scholar 

  • Solberg, Ø., Grønning Dale, M. T., Holmstrøm, H., Eskedal, L. T., Landolt, M. A., & Vollrath, M. E. (2012). Trajectories of maternal mental health: A prospective study of mothers of infants with congenital heart defects from pregnancy to 36 months postpartum. Journal of Pediatric Psychology, 37, 687–696. doi:10.1093/jpepsy/jss044.

    Article  PubMed  PubMed Central  Google Scholar 

  • Spirito, A., Brown, R., 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. doi:10.1093/jpepsy/28.2.85.

    Article  PubMed  Google Scholar 

  • Tunick, R. A., Gavin, J. A., DeMaso, D. R., & Meyer, E. C. (2013). Pediatric psychology critical care consultation: An emerging subspecialty. Clinical Practice in Pediatric Psychology, 1(1), 42–54. doi:10.1037/cpp0000006.

    Article  Google Scholar 

  • Vesga-Lopez, O., Blanco, C., Keyes, K., Olfson, M., Grant, B. F., & Hasin, D. S. (2008). Psychiatric disorders in pregnant and postpartum women in the United States. Archives of General Psychiatry, 65, 805–815. doi:10.1001/archpsyc.65.7.805.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wen, S. W., Smith, G., Yang, Q., & Walker, M. (2004). Epidemiology of preterm birth and neonatal outcome. Seminars in Fetal and Neonatal Medicine, 9, 429–435. doi:10.1016/j.siny.2004.04.002.

    Article  PubMed  Google Scholar 

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Acknowledgments

We would like to thank Dr. Lydia Sit for her supervision, Dr. Deborah Kim and Dr. Sarah Mathews for observation opportunities in this training process and Shadiya Moss for assistance in manuscript preparation.

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Correspondence to Rhonda C. Boyd.

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Conflict of Interest

Rhonda Boyd, Alexander Scharko, Joanna Cole, Chavis Patterson, Tami Benton and Thomas Power declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

Appendix: Behavioral Health Training for Parents in CFDT and N/IICU at the Children’s Hospital of Philadelphia Skill Set Evaluation Form

Appendix: Behavioral Health Training for Parents in CFDT and N/IICU at the Children’s Hospital of Philadelphia Skill Set Evaluation Form

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Boyd, R.C., Scharko, A.M., Cole, J.C.M. et al. Training Pediatric Psychologists for Perinatal Behavioral Health Services in a Pediatric Hospital. J Clin Psychol Med Settings 23, 99–111 (2016). https://doi.org/10.1007/s10880-015-9439-2

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