Behavioral Strategies for Autism/Comorbid Concerns (Catherine Mancina-Smith, Ph.D., and Team)
Evidence-based strategies, primarily Applied Behavior Analysis (ABA) approaches for decreasing problem behaviors (e.g., noncompliance, tantrums, running away, self-injury, self-stimulation, and aggression) and improving daily functioning (e.g., communication, social skills, daily living skills, and motor skills)
Psychological Strategies for Behavioral Concerns (Jane Sosland, Ph.D., and Team) To expand telemedicine behavioral pediatrics clinics across topic areas, including behavioral approaches with disruptive behavioral disorder, depression, anxiety and other behavioral conditions; Building on previous projects, services will be piloted to the home in Yrs 2-3.
Parent-Child Interaction Therapy (PCIT) (Skylar Bellinger, Ph.D., and Team) PCIT is an evidenced-based treatment model with highly specified, step-by-step, live coached sessions with both the parent/caregiver and the child. Using a transmitter and receiver system, the parent/caregiver is coached in specific skills as he or she interacts in specific play with the child, with coaching provided over Bluetooth headsets.
OASIS Intensive Parent/Guardian Training (Linda Heitzman-Powell, Ph.D., MPH, and Team) OASIS consists of eight online modules that cover the following topics: (1) Autism and Treatment; (2) Defining and Observing Behaviors; (3) Principles of Behavior; (4) Stimulus Control; (5) Effective Teaching Strategies; (6) Decreasing Behaviors: Antecedent Control; (7) Decreasing Behaviors Using Consequences; and (8) Pulling it All Together. Parents also participate in live web-based coaching sessions with their child and a trained OASIS coach.
Medication Consultation Related to Developmental Concerns (Kathy Ellerbeck, M.D., MPH, FAAP, and Team) Following best practices, the developmental pediatrician will provide consultation with the primary care providers around medication management questions, including questions associated with autism, ADHD, and related concerns.
Behavioral Medication Management (Sharon Cain, M.D. & Susan Sharp, D.O., and Team) Evidence-based medication management, following all AACAP practice parameters (including disruptive behavior, ADHD, mood disorder, and telemedicine parameters) will be delivered over televideo. Direct service will be provided until the child is stabilized, with child psychiatry faculty and trainees also providing televideo consultation to primary care providers/medical homes.
Trauma-Focused Cognitive Behavioral/Family Therapy (TF-CBT) (Martye Barnard, Ph.D., and Team) The core TF-CBT components will be delivered over televideo, including establishing a therapeutic relationship with youth and parent and use of gradual exposure throughout treatment. Therapy components are tailored to the rural child and parent needs and include: Psychoeducation; Parenting skills; Relaxation skills; Affective modulation skills ; Cognitive coping; In vivo mastery of trauma reminders; and Enhancing safety.
Pediatric Obesity (Ann Davis, Ph.D., MPH, and Team ) The validated, rural tailored intervention has an 8-week intensive group intervention phase composed of weekly meetings, followed by a 6-month period of monthly intervention sessions. The intervention includes nutritional, exercise, and behavioral topics.
Feeding difficulties (Ann Davis, Ph.D., MPH, and Team ) The multidisciplinary feeding team intervention over televideo has been especially helpful for children with special healthcare needs to increase oral intake. It includes: Contingent Social Attention, Positive and Negative Tangible Consequences, Appetite Manipulation, and Stimulus Control Procedures.
Toileting (Susana Patton, Ph.D., CDE, and Team) The pediatric psychologist will deliver best practices in Functional Encopresis and Enuresis management over televideo, with close collaboration with the primary care/medical home personnel
Coping with Chronic Conditions (Behavioral Pediatrics Team) Pediatric psychologists will provide evidence-based intervention in areas such as diabetes, NICU-graduates, adherence, concussion, and palliative care.