CURRICULUM VITAE DANIEL JOSEPH BURBACH, Ph.D., ABPP Board Certified in Clinical Psychology American Board of Professional Psychology Midwest Consultants in Forensic Psychology, LLC 1020 Maritime Drive Manitowoc, WI 54220 Office: 920-769-0200 / Facsimile 920-769-0153 www.mwforensicpsych.com Lakeview Psychological Associates, SC 1020 Maritime Drive Manitowoc, WI 54220 Office: 920-769-0152 / Facsimile: 920-769-0153 www.lakeviewpsych.com EDUCATION: Ph.D., Clinical Psychology University of Missouri-Columbia December, 1986 August, 1988 (APA approved doctoral program in clinical psychology) M.A., Clinical Psychology University of Missouri-Columbia August, 1983 December, 1986 B.S., Psychology (Honor s Program) University of Illinois-Champaign/Urbana August, 1979 May, 1982 INTERNSHIP: Duke University Medical Center Department of Psychiatry, Division of Medical Psychology Durham, NC July, 1987 July, 1988 (APA approved internship program in clinical psychology) Dr. Daniel J Burbach
PRE-INTERNSHIP SPECIALTY TRAINING: Fellowship in Clinical Neuropsychology Department of Neurology University of Missouri School of Medicine Columbia, MO August, 1986 July, 1987 (training grant awarded by NIMH) Fellowship in Clinical Child Psychology Department of Child Psychiatry University of Missouri School of Medicine and Missouri Psychiatric Center Columbia, MO August, 1983 August, 1984 (training grant awarded by NIMH) Fellowship in Clinical Research Laboratory of Biological Psychiatry University of Chicago Pritzker School of Medicine and Illinois State Psychiatric Institute Chicago, IL May, 1982 August, 1983 LICENSES: Clinical Psychologist State of Illinois #071-008331 September 2012 present Clinical Psychologist State of Wisconsin #1529-057 March, 1990 present Clinical Psychologist State of North Carolina #101689 August, 1987 March, 1990 CERTIFICATIONS: Board Certified in Clinical Psychology #5484 American Board of Professional Psychology June, 2001 present Certificate of Professional Qualification in Psychology #1647 Association of State and Provincial Psychology Boards April, 2001 present 2
CERTIFICATIONS (CONTINUED): National Register of Health Service Providers in Psychology #40928 April, 1990 present CURRENT POSITIONS: Founder, owner, president, and practicing psychologist Midwest Consultants in Forensic Psychology, LLC an independent private practice specializing in forensic evaluation and consultation on matters pertaining to civil and criminal law; administrative proceedings; disability determinations; fitness for vocational duty and fitness to practice; and psychological IME s. January, 2010 present Founder, owner, president, and practicing psychologist Lakeview Psychological Associates, SC an independent private practice specializing in psychological, neuropsychological, and psychiatric evaluation, treatment, and consultation for children, adolescents, adults, couples and families January, 2003 present PREVIOUS POSITIONS: Shareholder, vice-president, and practicing psychologist Riverhill Psychological Associates, SC an independent private practice specializing in psychological and neuropsychological evaluation, treatment, and consultation for children, adolescents, adults, couples, families, and groups March, 1990 December, 2002 Assistant Professor (tenured) Department of Psychiatry Division of Medical Psychology Duke University Medical Center Durham, NC July, 1988 March, 1990 3
CURRENT HOSPITAL APPOINTMENTS: Holy Family Memorial Medical Center Manitowoc, WI March, 1990 - present PREVIOUS HOSPITAL APPOINTMENTS: Aurora Medical Center Two Rivers, WI March, 1990 December, 2011 Duke University Medical Center Durham, NC July, 1988 March, 1990 HONORS AND AWARDS: Admitted as Fellow #2069 American Academy of Clinical Psychology November, 2001 present Entered into Alumni Hall of Fame recognized for professional accomplishments within the fields of clinical and forensic psychology Bloom Trail High School Chicago Heights, IL November, 2005 Graduation Award - 1988 (awarded at graduation by faculty to top doctoral student in Department of Psychology) University of Missouri Columbia Superior Graduate Student Achievement Award - 1987 (university-wide competitive award based on presentation of original research) University of Missouri Columbia Superior Graduate Student Achievement Award 1986 (university-wide competitive award based on presentation of original research) University of Missouri Columbia 4
ORGANIZATIONS: American Psychological Association: Division of Clinical Psychology (Division 12) Division of Clinical Neuropsychology (Division 40) American Psychology Law Psychology (Division 41) Division of Independent Practice (Division 43) American Academy of Clinical Psychology SERVICE: Psychological Consultant provide pro bono services to multiple hospitals, human service departments, courts, school districts, churches, and civic organizations March, 1990 present Guest Reviewer invited guest reviewer for numerous professional journals in the fields of clinical psychology and psychiatry March, 1990 present Columnist and Radio Guest regularly contacted by various print and electronic media outlets to provide psychological commentary on contemporary issues March, 1990 -- present Board of Directors (elected position) Wisconsin Psychological Association January, 2001 January, 2002 5
SERVICE (CONTINUED): Treasurer (elected position) Wisconsin Psychological Association January, 2001 January, 2002 Contributing Author Wisconsin Psychologist -- a monthly newsletter of the Wisconsin Psychological Association January, 2001 January, 2002 OTHER ACTIVITIES: Created and hosted a weekly radio program, Lakeshore Family, for WOMT (1240 AM) - a CBS radio affiliate January 2005 January 2006 INTERESTS: developmentally- and systemically-based approaches to the evaluation, diagnosis, and treatment of psychopathology across the life-span neuropsychological manifestations of developmental and acquired brain dysfunction across the life-span empirically-based and ethically-informed approaches to forensic evaluation and consultation legal, ethical, political, and professional issues affecting the practice of clinical and forensic psychology PRESENTATIONS, SEMINARS, WORKSHOPS, AND OTHER CONTRIBUTIONS: (complete listing contains over 50 citations and is available upon request) 6
PUBLICATIONS: Thompson, R. J., Burbach, D. J., Gil, K. M., Keith, B. R., Kinney, T. R. (1993). The role of child and maternal processes in the psychological adjustment of children with sickle cell disease. Journal of Consulting and Clinical Psychology, 61, 468-474. Thompson, R. J. Gil, K. M., Burbach, D. J., Keith, B. R. & Kinney, T. R., (1993). Psychosocial adjustment of mothers of children and adolescents with sickle cell disease: The role of stress, coping methods, and family functioning. Pediatrics, 18, 549-559. Hodges, K. & Burbach, D. J. (1991). Recurrent abdominal pain. In J. P. Bush & S. W. Hawkins (Eds.), Pain in children: Clinical and research issues from a developmental perspective. London: Harwood Academic Publishers. Burbach, D. J., Kashani, J. & Rosenberg, T. (1990). Parental bonding and depressive disorder in adolescents. Journal of Child Psychology and Psychiatry, 30, 417-429. Peterson, L., Burbach, D. J., & Chaney, J. (1989). Developmental issues in the diagnosis of child psychopathology. Handbook of child psychiatric diagnosis. New York: Wiley. Burbach, D.J. (1988). Cognitive approaches to brief psychotherapy. In T. H. Peake, C. M. Borduin, & R. Archer. Brief psychotherapies. Beverly Hills, CA: Sage. Burbach, D. J., & Peterson L. (1988). Children s concepts of physical illness: A review and critique of the cognitive development literature. In B. G. Melamed, K.A. Matthews, D. K. Routh, B. Stabler, & N. Schniederman (Eds.), Child health psychology. Hillsdale, NJ: Erlbaum. Kashani, J., Burbach, D. J., & Rosenberg, T. (1988). Perceived family conflict resolution and depressive symptomatology in adolescents. Journal of American Academy of Child and Adolescent Psychiatry, 27 42-48. Peterson, L. & Burbach, D. J. (1988). History of the treatment of child psychopathology. In J. L. Matson (Ed.), Treating childhood and adolescent psychopathology: A handbook. New York: Plenum. 7
PUBLICATIONS (CONTINUED): Hodges, K., McKnew, D., Burbach, D. J., & Roebuck, L. (1987). Diagnostic concordance between CAS and Kiddie-SADS in an outpatient sample using lay interviewers. Journal of the American Academy of Child and Adolescent Psychiatry, 26 654-661. Burbach, D. J., & Borduin, C. M. (1986). Parent-child relations and the etiology of depression: A review of methods and findings. Clinical Psychology Review, 6, 133-153. Burbach, D. J., Farha, J. G., & Thorpe, J. S. (1986). Assessing depression in community samples of children using self-report inventories: Ethical considerations. Journal of Abnormal Child Psychology, 14, 579-589. Burbach, D. J. & Peterson, L. (1986). Children s concepts of physical illness: A review and critique of the cognitive-developmental literature. Health Psychology, 5, 307-325. Burbach, D. J., Lewine, R. & Meltzer, H. Y. (1984). Diagnostic concordance for schizophrenia as a function of sex. Journal of Consulting and Clinical Psychology, 52, 478-479. Lewine, R., Burbach, D. J., & Meltzer, H. Y. (1984). Effect of diagnostic criteria on the ratio of male to female schizophrenic patients. American Journal of Psychiatry, 141, 84-87. BOOK REVIEWS: Burbach, D. J., (1990). Children who don t want to live. Israel Orbach, San Francisco: Jossey-Bass. Clinical Psychology Review, 10, 605-606. 8
CONTINUING EDUCATION (SINCE 2005): 2011-2013 Licensing Biennium ABPP Written Board Examination in Forensic Psychology (4 credits) Relocation Issues in Child Custody Evaluations Domestic Violence Update for Child Custody Evaluators (4 credits) 2007 2009 Licensing Biennium Child Custody: Assessment of Family Custody Issues Using Mental Health Evaluations Ethical Boundaries and Custody Evaluations Focus on Child Sexual Abuse The Extent and Consequences of Child Maltreatment Domestic Violence Ethical and Legal Issues: Mandated Reporting of Child Abuse and Neglect Psychological Consultation in Child Protection Matters (4 credits) 9
CONTINUING EDUCATION (CONTINUED): 2007 2009 Licensing Biennium (continued) The Defendant: Impact of Mental Disability in the Criminal Law Process (7 credits) The Insanity Defense Risk Management: The Application of Law and Ethics to Risk Management Professional Liability Claims: Process and Outcomes Forensic Assessment and the Standard of Care (4 credits) Ethics in Forensic Psychology Practice (7 credits) Preparation for Board Certification in Forensic Psychology (7 credits) 2005 2007 Licensing Biennium Conducting and Writing Forensic Evaluations (3 credits) Sexual Offenders: Assessment, Typology, and Treatment (5 credits) Psychological Assessment of Individuals for Disability Insurers Assessing the Potentially Violent Employee (3 credits) Psychological Fitness for Duty Evaluations: Best Practices 10
11