OVERVIEW OF HEALTH PSYCHOLOGY FELLOWSHIP PROGRAM INTRODUCTION The University of Wisconsin Hospital and Clinics (UWHC) in collaboration with Access Community Health Centers (ACHC) offer two (2) one-year post-doctoral fellowships in Health Psychology and Primary Care Behavioral Health (PCBH) and one (1) one-year post-doctoral fellowship in Pediatric Health Psychology. The program involves a twelve-month, full-time experience (2000 hours), providing the necessary post-doctoral hours required for licensure to practice psychology independently in the state of Wisconsin. The program is designed to provide didactic and clinical training in preparation for professional work in a variety of medical settings, including hospitals, primary care clinics, and secondary educational institutions. The program is based upon a practitioner-scholar model offering hands-on experience complemented by knowledge of relevant psychological science. Our intent is to prepare fellows to move competently across a variety of health psychology settings and to use a wide range of skills. Graduates of our program are competitively prepared to work in a variety of settings, including university-based teaching and private hospitals, private psychology practice with medical specialization, academic psychology departments, and primary care clinics. Based in a nationally-recognized academic medical center, the fellowship program allows for training with a wide variety of patients, problems, and treatment teams. Our philosophy is to provide a broad array of experiences rather than specialized training in one or two areas. For instance, fellows work with inpatients in the hospital setting and with outpatients through our ancillary clinics and a primary care center. They work across a variety of medical services and provide assessment and treatment to patients with acute and chronic needs. Patients span the full developmental spectrum, allowing for the opportunity to work with children, adolescents, adults, and elderly patients and their families. Fellows provide patient assessment, intervention, and consultation to a variety of multidisciplinary medical teams. Fellows also have the opportunity to engage in program development, research, supervision, and/or teaching during their training year. The fellowship program is a member of APPIC and administered by the Health Psychology faculty within the Department of Orthopedic Surgery and Rehabilitation Medicine in collaboration with Behavioral Health staff at Access Community Health Centers (ACHC) in Madison, Wisconsin. The department also is home to two APA-approved predoctoral internship positions in Clinical Health Psychology. Our fellowship program will adhere to a Uniform Notification Date required of APPIC members. 1
UW Health represents the academic health care entities of the University of Wisconsin Madison; UW Medical Foundation, UW Hospital and Clinics, UW School of Medicine and Public Health, American Family Children s Hospital and UW Carbone Cancer Center. Our expert staff are at the forefront of research, developing new treatments and training the next generation of health care professionals. UW HOSPITAL AND CLINICS (UWHC) UW Hospital and Clinics is a 471-bed facility that ranks among the finest academic medical centers in the United States. Frequently cited in publications listing the nation s best health care providers, UW Hospital and Clinics is recognized as a national leader in fields such as cancer treatment, pediatrics, ophthalmology, surgical specialties and organ transplantation. The UW Hospital and Clinics has more than 800 active medical staff who annually provide health care to more than 20,000 inpatients from throughout Wisconsin and many other states and countries. There are six intensive care units (Trauma and Life Support, Pediatric, Cardiac, Cardiothoracic, Burn, Neurosurgery) with 74 total beds. The Hospital is one of only two in Wisconsin with Level One Adult and Pediatric Trauma Centers. UW Hospital and Clinics also has more than 100 primary care and specialty clinics that serve over 400,000 outpatient visits yearly. These are housed both within the medical center and within satellite clinics in the greater Madison area. The American Family Children s Hospital is a complete children's medical and surgical center with a pediatric intensive care unit, an internationally recognized transplant surgery program, a children's cancer center and adolescent medicine. ACCESS COMMUNITY HEALTH CENTER (ACHC) Access Community Health Centers is a non-profit Federally Qualified Health Center which has served the uninsured and underinsured in Dane County, Wisconsin for over 28 years. It provides primary care services, including dental, pharmacy, pediatric, family practice, and midwifery services for patients who are ethnically and economically diverse through five area clinics. Historically ACHC has collaborated closely with various departments at the University of Wisconsin including the Family Medicine, Internal Medicine, Psychiatry and technology departments. As a result ACHC was one of the first community adopters of the EPIC electronic medical record which the UW Hospital and other area clinics have adopted. ACHC behavioral health staff also have academic appointments in the UW Family Medicine program where they teach and work alongside residents at the ACHC Wingra clinic. ACHC is one of the largest community health centers in Wisconsin having served 72,000 patient visits in 2009. AMERICAN FAMILY CHILDREN S HOSPITAL (AFCH) Opened in 2007, American Family Children s Hospital is a comprehensive pediatric medical and surgical center with a pediatric intensive care unit, an internationally recognized transplant surgery program, a children s cancer center and adolescent medicine. In January 2013, we expect to add neonatal intensive care to our group of specialty services. AFCH features nationally recognized pediatric specialists in fields from Cardiology to Cancer, including faculty from the University of Wisconsin, School of Medicine and Public Health s 2
Department of Pediatrics. Our state-of-the-art facility continues to win widespread praise for the warm, soothing atmosphere that enhances a child s ability to heal. American Family Children s Hospital is ranked among the top 50 children s hospitals in U.S. News and World Reports 2011-2012 Best Children s Hospitals Guide. They are ranked in the top 50 in seven medical specialties including: Cancer Diabetes/Endocrinology Gastroenterology Nephrology Neurology/Neurosurgery Pulmonology Urology LIVING IN MADISON Lying on an isthmus between two large lakes, Madison, the state capital of Wisconsin, is home to approximately 235,000 people, including 42,000 university students. Madison is conveniently located off interstate highways I-90 and I-94 which provides easy access to Milwaukee (70 miles), Chicago (120 miles) and Minneapolis-St. Paul (250 miles). Madison is frequently rated among the best places to live in the United States, offering a strong economy with plentiful jobs, outstanding health care, and a wide range of recreational and cultural activities. 3
DESCRIPTION OF FELLOWSHIP ADULT TRACKS (Hospital-Based and Community-Based): The adult post-doctoral positions, while incorporating a framework of standardized training and service are also individualized and flexible, based upon the specific professional interests and needs of each trainee. Experiences are articulated within one of two tracks: Hospital-based (medical-surgical) and Community-based (primary care) tracks. The percent of time in each track varies such that: Hospital-based Track Fellow: Community-based Track Fellow: 80% UWHC 20% ACHC 60% ACHC 40% UWHC Within each track, there are a number of different training opportunities that are available. UWHC: Medical-Surgical Consultation-Liaison * Burn Service Palliative Care Service Organ Transplant Evaluation Decisional Capacity Evaluation Service Trauma protocol screening Outpatient Medical-Specialty Clinics *Includes assessment and intervention on adult services including Orthopedics, Neurology, Organ Transplant, Plastic Surgery, General Surgery, Oncology, Pulmonary, Cardiology, Family Practice, General Medicine, Renal, and Geriatrics. Also includes consultation with medical teams. ACHC: Behavioral Health Consultation (BHC Model)* Developmental screening and anticipatory guidance in pediatric well child visits Collaboration with consulting psychiatry Training of family practice residents Supervision of psychology intern/practicum students Population-based care management *The BHC model references the model described in the Robinson & Reiter (2008) text. PEDIATRIC TRACK (AFCH): The pediatrics track involves inpatient and outpatient assessment, intervention and consultation for pediatric patients and their families. Post-doctoral fellows will receive training in a range of different child medical disorders and will be involved in the following services: Hospital-wide consultation liaison Trauma 4
Hematology/Oncology GI Endocrine Physical Rehabilitation Pulmonary Neurology and Neurosurgery Palliative Care NICU (anticipated 2013) Outpatient Pediatric Specialty Clinics (Diabetes Clinic; PCOS Clinic; Bleeding Disorders Clinic) The following is a SAMPLE schedule for a Hospital-based adult fellow: Monday Tuesday Wednesday Thursday Friday ACHC UWHC UWHC UWHC UWHC 8:00 am Organ Transplant Meeting Behavioral 9:00 am Health 10:00 am Consultation Consultation Organ Alongside Liaison Adult Transplant Supervisor 11:00 am Outpatient Evaluation Therapy 12:00 pm Individual Medical Supervision- Surgical UWHC Team 1:00 pm Meeting Consultation Case Burn RoundsProgram Supervision of Development or Research Burn Team Meeting Organ 2:00 pm Liaison Adult Presentation Transplant Behavioral Ethics, Evaluation Health Research Consultation, Forum Independent 3:00 pm Work Consultation Consultation Liaison Liaison Adult 4:00 pm Adult 5 Practicum Students Consultation Liaison Adult Brown Bag Health Psychology Seminar Program Development
The following is a SAMPLE schedule for a Community-based fellow: Monday Tuesday Wednesday Thursday Friday UWHC ACHC UWHC ACHC ACHC 8:00 am Consultation/ Behavioral Liaison Adult Health Consultation/ Behavioral Liaison Adult Health Behavioral Health Consultation Consultation Consultation with Supervisor With Supervisor with Supervisor 12:00 pm Supervision Medical Surgical Team Meeting 1:00 pm Organ Meeting with Case Behavioral Transplant Evaluation Consulting Psychiatrist Presentation, Ethics, Research Forum Health Consultation, Independent Work Meeting 3:00 pm Behavioral Organ Primary Care Primary Care Health Transplant Research Parenting Consultation Evaluation Administrati Group with on Supervisor 4:00 pm Consultation Monthly Liaison Adult Seminar Supervision of Practicum Student 6
The following is a SAMPLE schedule for a pediatric fellow in AFCH: Monday Tuesday Wednesday Thursday Friday 8:00 am Triage w/supervisor and Medical Record Triage w/supervisor and Medical Record Triage w/supervisor and Medical Record Peds Rehab Rounds and Medical Record Triage w/supervisor and Medical Record Review/Rounds Review/Rounds Review/ Rounds Reviews/ Rounds Review/ Rounds 9:00 am Pediatric Group Supervision 10:00 am 11:00 am Consultation Liaison Peds Consultation Liaison Peds Consultation Consultation Liaison Peds Liaison Peds Brown Bag Health 12:00 pm Hemonc Psychology Psych-Social Seminar Rounds 1:00 pm Peds Supervision (Individual or Group) Consultation Case Outpatient or Consultation Liaison Peds Presentation, Specialty Liaison Peds Ethics, Clinics Research Forum 2:00 pm Individual Supervision Supervision of Practicum Student Consultation 3:00 pm Liaison Peds Consultation Liaison Peds 4:00 pm Program Development 7
TRAINING METHODS CLINICAL ROTATION: UW Hospital and Clinics (Medical-Surgical Consultation Liaison Service): The UWHC hospital-based medical-surgical rotation involves the provision of psychological services to a range of medical-surgical services across this tertiary care center and its clinics. Staff and trainees on this service are responsible for providing psychological assessments, interventions, and consultations for patients with a variety of acute and chronic medical problems. Fellows provide bedside services to patients in the hospital setting and also provide outpatient evaluation and longer-term assessment services. Patients range in age from 17-100 on this service. Further, a wide range of patient diagnoses and referral questions are presented. As a large component of this experience, fellows provide psychological consultation to a variety of medical teams, and learn to work collaboratively and efficiently with a number of different medical staff (physicians; nurses; rehab therapists; nutritionists; pharmacists; social workers; pastoral care providers). Over 130 new referrals are received per month, and thus, fellows develop an appreciation for the important role of psychology in assisting in the treatment of a multitude of patient diagnoses. Fellows can also participate in program development or in research activities relevant to medical-surgical issues. For instance, recent fellows have been involved in research on quality of life of organ donors, assessing outcomes and consumer satisfaction, and have developed assessment and treatment protocols for various patient populations within the hospital and in the outpatient clinics. Primary supervisor: M. Denise Connelly, Ph.D. Adjunct supervisors: Heidi Beckman, Ph.D. Renata Okonkwo, Ph.D. Within this rotation, fellows have the opportunity to work in several specified training areas: Burn Service: The UW Burn Service houses an 8 bed- acute care service for burn patients. There is also an outpatient Burn clinic for those patients who have been discharged from the hospital and require continued medical care. Health Psychology provides protocol assessment and intervention services for all adult and pediatric Burn patients. Specific skills developed include trauma screening, pain management, and adaptation to loss and body image change. Consultation to the multidisciplinary Burn Team and attendance at weekly case rounds is also a large component of the experience. Palliative Care Service: The Health Psychology service provides consultation to the multidisciplinary palliative care treatment team, who works directly with inpatients at end-of-life or with symptom management needs. This includes providing consultation for ethical dilemmas and 8
clinical decision-making that occurs when working with patients at end-of-life. Intervention with dying patients and their families is also a part of this experience. Organ Transplant Evaluation Service: The Health Psychology service provides pre-surgical evaluation for potential organ recipients and donors on the cardio-pulmonary, kidney, and liver transplant services. These include clinical interviews with potential recipients and donors, and objective psychological testing. The psychologist also serves as a member of the pre-surgical multidisciplinary evaluation team. Consultation-Liaison: The Health Psychology service provides bedside assessment and intervention to patients referred by the medical-surgical services within the hospital. These include patients on the following services: Neurology, Cardiology, Family Practice, General Surgery, Oncology, Trauma Life Center, Trauma Surgery, Orthopedics, Geriatrics, Renal, Organ Transplant, Gastroenterology, and Pulmonary. Typically, psychological services are requested when patients are struggling to adjust to a particular medical situation, or have experienced a significant physical loss, or are noncompliant with treatment recommendations. All trauma patients are referred for a Health Psychology assessment, as part of the hospital protocol as well. Referrals are made with the expectation that we will provide timely recommendations and treat as appropriate. Fellows will learn to provide prompt and efficient assessments relevant to the referral question and will become skilled in a variety of assessment techniques and modalities. Also on this rotation, and somewhat unusual for many other consultation-liaison services, the fellow will have the opportunity to provide ongoing interventions. They will learn to provide brief, solution-focused and supportive psychotherapy with patients and families while they are in the hospital. Consultation with nursing and medical staff is also a very large component of this experience. There is also opportunity to see patients for any long-term interventions to assist with issues such as coping or compliance as outpatients through the various medical and surgical clinics. Decisional Capacity Evaluation: Fellows will have the opportunity to develop competence in the assessment of patients capacity to meaningfully participate in health care decisions. As a function of this training, fellows will receive didactic background into the forensic issues underlying capacity evaluations, Power of Attorney, and guardianship. Fellows also develop skill in assessing capacity of patients across the medical center, and rendering recommendations to the treatment provider. 9
CLINICAL ROTATION: Access Community Health Centers: The Primary Care Behavioral Health Service provides integrated mental and behavioral health care service to patients of the Access Community Health Centers. The behavioral health trainee works alongside the medical team of family practice physicians and physician assistants to provide both curbside consultation and direct patient care in the behavioral health consultant model. This model of care uses a functional assessment of the patients needs and efforts to cope and provides behavioral change strategies to improve those coping efforts. The model also seeks to increase the level of care provided by the primary care provider through curbside consultation. As such, fellows are challenged to raise their competencies in the full range of mental disorders, medically-related behavioral health issues, and psychopharmacology. Fellows will receive exposure to a wide variety of patient issues and concerns. The supervision model at ACHC is central to the growth of the fellow. The model is based on the medical student/resident style of training typical to medical environments. This means that the fellow will spend most of their time working right alongside a staff psychologist, learning how to present cases in a brief and efficient manner, obtaining real-time feedback on patient consultations and practice habits and quickly developing a functional knowledge base in the areas of psychopharmacology and evidence-based practices in primary care. One of the central goals of the ACHC postdoctoral Fellowship is to develop future leaders in the growing primary care behavioral health movement. As such there are also opportunities for professional growth including collaborating with staff psychologists on research projects related to primary care, learning how to provide supervision in the medical model approach and gaining exposure to the principles and practices of care management. By the end of the fellowship year it is expected that the fellow will be proficient in consulting within any primary care environment and will also have a solid foundation to be able to develop new primary care behavioral health programs from the ground up. Primary supervisor: Neftali Serrano, PsyD Adjunct supervisors: Meghan Fondow, Ph.D. Armando Hernandez, Ph.D. Elizabeth Schreiter, PsyD Chantelle Thomas, Ph.D. CLINICAL ROTATION: American Family Children s Hospital (Pediatrics): The pediatric hospital-based rotation involves the provision of psychological services to a range of medical-surgical services across the whole of inpatient pediatrics. Staff and trainees on this service are responsible for providing psychological assessments, interventions, and consultations for patients with a variety of acute and chronic medical problems. Fellows provide bedside services to patients and families in the hospital setting. Patients range in age from 0-18 (and sometimes up to 21) and referral questions are diverse and wide ranging including assessment of coping, adjustment, adherence, mood, anxiety, pain, intelligence and cognitive status. The 10
service provides mental health support, consultation and education to parents and siblings of patients. An integral aspect of this experience includes provision of psychological consultation to a variety of medical teams across a host of disciplines, and learning to work collaboratively and efficiently with a number of different medical staff (physicians, nurses, rehab therapists, nutritionists, pharmacists, social workers, and pastoral care providers). Approximately 1/3 to 1/2 of the pediatric inpatient population is seen by a Health Psychologist and thus, fellows develop an appreciation for the important role of pediatric health psychology across ages and populations served by the children s hospital. There is also opportunity for maintaining an outpatient caseload and providing psychological assessment and intervention within specialty clinics such as the PICOS, Bleeding Disorders, and Diabetic Clinics. Fellows can also participate in program development or in research activities relevant o pediatric health psychology issues. Primary supervisors: Stephanie Farrell, Ph.D. Joel Wish, Ph.D. Adjunct supervisors: Kelli- Lee Harford, Ph.D. SUPERVISION: Each fellow is supervised by one or more senior faculty members. Every primary rotation supervisor is a psychologist with license to practice in the State of Wisconsin who also has a minimum of three years post-licensure experience. Fellows receive a minimum of two hours of supervision with this supervisor per week, although there is ample opportunity for informal supervision as well. Fellows are evaluated by these primary supervisors on a quarterly basis utilizing the Minnesota Supervisory Inventory from the QAI Systems. In addition to supervision by their primary supervisors, fellows can receive additional supervision and guidance from adjunct supervisors in particular training sites. The fellowship program is overseen by the Director of Postdoctoral Training at UWHC, a fulltime staff psychologist whose responsibility it is to ensure that training needs are being met. The Director of Postdoctoral Training is responsible for the recruitment and selection of fellows, and provides direction to and oversees the training faculty with regard to their involvement in the fellowship. Fellows have regular informal interaction with the Director of Postdoctoral Training, but also meet individually on a scheduled quarterly basis for monitoring and evaluation. Fellows are required to maintain records of their clinical activities, and these records are reviewed and held by the Director of Training to ensure a breadth of experience during the fellowship year. These records include the number of patient contact hours, the settings in which clinical services are provided, the type of psychological assessments and interventions provided and the fellows exposure to diversity in patient cultures. Fellows are asked to provide feedback and to evaluate their supervisors, training experiences, and the overall fellowship program throughout the year. An exit interview is performed by the Director of Postdoctoral training with each fellow at the end of the year. Fellows also provide written evaluations of the program at the end of the year. Fellows also have the opportunity to provide supervision (under supervision) to practicum students who rotate through the UWCH, ACHC, or AFCH. 11
HEALTH PSYCHOLOGY DIDACTICS In addition to the clinical training experiences, fellows are required to participate in various seminars, discussions, and case presentations with other trainees and Health Psychology faculty throughout the year. These scheduled didactics include: Health Psychology Brown Bag Seminar This is a weekly seminar series which covers a variety of topics relevant to work in health psychology. Fellows and interns attend this seminar which is facilitated by psychologists and other health care staff. Topics in the past have included: Working with Physical Disability and Chronic Illness Performing Bedside Mental Status Evaluations Working with Families in a Medical Setting The Health Psychologist s Role on a Multidisciplinary Team Pediatric Hematology-Oncology Psychological Evaluation of Organ Donors and Recipients Working with Patients at End-of-Life Evaluating Decisional Capacity Cardiac Rehabilitation Strategies to Treat Chronic Pain Multicultural Issues in Health Care The Job Market in Health Psychology Community-based primary care psychology ACHC Primary Care Seminars ACHC has monthly seminars on the practice of primary care behavioral health and the development of the competent BHC. In addition there is an annual week-long seminar series that also serves as a team retreat. Topics include: Basic Primary Care Psychopharmacology Care Management Techniques Working With Severe & Persistent Mental Illness Effectively Screening For Developmental Disorders Enhancing Spirituality In Primary Care Consults Parenting Techniques BHC Practice Habits Marital Consults In Primary Care Supervision In The BHC Model 12
Health Psychology Ethics Forum Ethical issues in Health Psychology are presented and discussed as they pertain to the APA ethics code. The Ethics Forum includes Health Psychology faculty and trainees and occurs foursix times per year. Case Presentation Each fellow provides a case presentation per year to the department faculty and other trainees. Fellows are evaluated and provided with feedback on their presentation by department faculty. OTHER DIDACTICS Fellows are encouraged to attend any Grand Rounds of interest presented by various departments at UWHC or at ACHC. Fellows are also invited and have the opportunity to attend other relevant lectures or presentations provided across the university campus. As university staff, fellows have access to all libraries across the medical center and university, and are encouraged to utilize outside reading sources to augment their clinical experiences. Fellows are provided with computers and internet access. DUE PROCESS AND GRIEVANCE PROCEDURES It is the philosophy of the department to encourage professionally responsible and respectful relationships among our staff and trainees. Trainees and staff are encouraged to discuss any professional differences directly with each other, in an effort to promote a constructive training environment. If at any time a fellow feels unable to rectify any conflicts directly with his/her supervisor or other staff member, he/she will advise the Director of Training, who will attempt to resolve the issue with all involved. 13
BENEFITS AND ELIGIBILITY OF FELLOWSHIP PROGRAM STIPEND AND BENEFITS The postdoctoral stipend is $40,000 for a twelve-month period, including fifteen days of vacation, five days of sick leave, and three professional days for continuing education. The starting date is flexible, between July 1 and August 30. Benefits are available including health insurance plans for fellows and their families. There are fees for parking in any university parking lots, but public and university transportation systems are available for convenient transport to and from UWHC. Fellows park free of charge at ACHC. Fellows have shared offices with individual computers, telephones, pagers, and voicemail. They also have access to fax and photocopy machines, and clerical support. Educational resources available to fellows include the University of Wisconsin library and computer systems and audiovisual equipment for viewing and recording clinical work. ELIGIBILITY Qualified applicants will have completed all Ph.D. or PsyD. doctoral requirements from an APAaccredited Clinical or Counseling Psychology program, including the successful completion of an APA or APPIC -approved pre-doctoral internship program. Previous experience and/or strong interest in the field of Health psychology and/or primary care is required. Members of diverse populations (gender, race, age, ethnicity, sexual orientation, religion, socioeconomic status, geographical origin, and bilingual status) are encouraged to apply. To apply to the UWHC or AFCH (Adult Hospital Based or Pediatrics track), send a letter of interest (including choice of specific track), CV, transcripts of all graduate work, and three letters of recommendation under separate cover to: UW Hospital and Clinics (UWHC) Amy Langenohl, Recruiter 800 University Bay Drive Madison, Wisconsin 53705 alangenohl@uwhealth.org 608.265.8897 608.231.0031 (fax) To apply to ACHC (community based track), send a letter of interest (including choice of specific track), CV, transcripts of all graduate work, and three letters of recommendation under separate cover to: Access Community Health Centers (ACHC) Neftali Serrano PsyD 2202 South Park Street Madison, WI 53713 608.443.5534 (fax) 14
Applicants interested in applying to multiple tracks should send their application materials to UW Hospital and Clinics with specification to be considered for multiple tracks. For other specific questions about the UWHC or AFCH track or overall training program, please contact: M. Denise Connelly, PhD Postdoctoral Training Coordinator Department of Health Psychology UW Hospital and Clinics 600 Highland Avenue, E3/256 Madison, Wisconsin 53792-2424 mconnelly@uwhealth.org mdconnel@facstaff.wisc.edu 608-263-9372 For other specific questions about the ACHC track, please contact: Neftali Serrano, PsyD Director, Primary Care Behavioral Health Access Community Health Centers 2202 S. Park St. Madison, WI 53713 neftali.serrano@uwmf.wisc.edu 608-556-1027 or go to: http://primarycareshrink.com (Internships link) APPLICATION DEADLINE: JANUARY 23, 2012 UNIFORM NOTIFICATION DATE: MARCH 14, 2012 15
HEALTH PSYCHOLOGY FACULTY AND INTERESTS Heidi Beckman, Ph.D. (Marquette University, 2000) Senior Psychologist Interests: Psychological predictors of surgery outcome; laughter and positive psychology; obesity; psychotherapy with medical patients; endocrine disorders. Dennis Christoffersen, Psy.D., MBA (The Illinois School of Professional Psychology, 1994) Manager, Health Psychology M. Denise Connelly, Ph.D. (Nova Southeastern University, 1990) Director, Fellowship Training in Health Psychology; Senior Psychologist Interests: Organ donation and transplantation; consultation with health care teams; personality disorders in medical settings; physician training; adjustment to trauma and loss; clinical supervision and training. Juliette Cutts, Psy.D (John F. Kennedy University, 2010) Associate Clinical Psychologist Interests: Reducing barriers to care; incorporating diversity and multicultural factors; behavioral intervention traumatic stress. Stephanie Farrell, Ph.D. (University of Wisconsin-Milwaukee, 1999) Director, Internship Training in Health Psychology; Senior Psychologist Interests: Pediatric psychology; chronic illness; oncology; play therapy; trauma; training of psychologists. Meghan Fondow, Ph.D. (Ohio State University, 2007) Associate Psychologist Interests: Behavioral health consultation in primary care; developmental lifespan; behavioral health outcomes Kelli Lee-Harford, Ph.D. (University of South Florida, 2007) Clinical Psychologist Interests: Pediatric psychology; coping with chronic illness, adherence to medical regimens, consultation to medical teams, feeding and sleep disorders. Armando Hernandez, Ph.D. (University of Wisconsin - Madison, 2004) Associate Psychologist Interests: Multicultural practice; adolescent development; primary care psychology; communitybased prevention Renata Okonkwo, Ph.D. (University of Alabama at Birmingham, 2009) Associate Clinical Psychologist Interests: Sleep disorders, consultation with health care teams, ethnic group disparities in healthcare, trauma loss. 16
Elizabeth Schreiter, Psy.D (Forest Institute of Professional Psychology, 2008) Associate Psychologist Interests: Multicultural practice; primary care psychology; community-based prevention Neftali Serrano, Psy.D. (Wheaton College, 2001) Director, Primary Care Psychology, Access Community Health Center Interests: Primary care psychology; psychological consultation to medical teams; cross-cultural issues; spirituality; community psychology. Chantelle Thomas, PhD (Alliant International University, 2010) Primary Care Psychologist Interests: Multicultural practice; biofeedback; dual-diagnosis; primary care psychology Joel Wish, Ph.D. (Ohio State University, 1976) Senior Psychologist Interests: Pediatric psychology; working with families; the use of virtual-reality for pain control; clinical hypnosis. 17