The Behavior Management Clinic (BMC) provides intensive training in outpatient therapeutic interventions for children birth through the age of 12 years.
BMC offers 12 month postdoctoral fellowships, with the possibility to extend to 2 years. Clinicians trained within the BMC are equipped to work in a variety of settings following their postdoctoral fellowship year, including but not limited to hospitals/medical centers, specialized schools, outpatient therapy clinics, private practice, and academic settings.
Fellows who train in the BMC have an opportunity to acquire experience with a wide range of behavior concerns and disorders such as, attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), disruptive behavior disorders, anxiety disorders, habit disorders, tics, trichotillomania, depression/mood disorders, fetal alcohol spectrum disorders (FASD), noncompliance, aggression, tantrums, social skills deficits, toileting concerns, sleep difficulties, and school-related issues. Children served within the clinic are typically developing; however, patients within the BMC may also present with mild delays. Trainees are provided advanced training in empirically supported treatments such as, applied behavior analysis (ABA), family based behavioral therapy, behavioral parent training (e.g., Parent Child Interaction Therapy [PCIT]), cognitive-behavioral therapy (CBT), and habit-reversal therapy based on the needs of assigned cases. All of our supervising psychologists are certified in PCIT, and postdoctoral fellows within the BMC are offered clinical and training opportunities to work towards PCIT certification during their fellowship year. Trainees are also offered opportunities to participate in community outreach and clinic marketing efforts by providing presentations/trainings (e.g., daycares, schools, after-care programs, parent and professional groups, and medical staff) and attending local events/conferences.
The clinical supervisory staff includes licensed psychologists, nationally certified school psychologists, board certified behavior analysts (BCBAs), and certified PCIT therapists. In addition to two hours per week of individual supervision, fellows are actively involved in two hours per week of group supervision, clinical skills development seminars, or didactics. Fellows provide psychological services including direct client contact and consultation with school or daycare staff and/or other professionals within and outside of the Kennedy Krieger Institute. Fellows conduct initial assessments that include clinical interviews, parent questionnaires, and structured observations intended to determine the function of problem behaviors and baseline parenting skills and child behaviors. Information gathered through the ongoing assessment process is then used to collaboratively develop an individualized treatment plan designed to reduce problem behaviors and to increase adaptive skills. Given the age and developmental level of the population served, treatment typically focuses on parent education and behavioral treatment in addition to collaboration with a variety of community professionals. Children may also be treated individually with parent support based on need. Group therapy services are also provided intermittently throughout the training year.
Fellows in the BMC are provided with a structured orientation and didactic trainings covering clinical and administrative topics before they assume the role of primary therapist for assigned cases. To ensure continued clinical and professional development, fellows are provided with ongoing training throughout the year (e.g., didactics, speakers, seminars, etc.). Fellows work closely with designated supervisors and may be provided opportunities to co-treat cases. Experience with management of disruptive behaviors in treatment sessions is common and offers trainees the opportunity to acquire advanced skills in direct application of effective behavioral management strategies and techniques.
Leadership development is considered an important component of fellowship training within the BMC. Fellows are provided opportunities to develop their skills in this domain by assuming a principal position associated with a specific clinical and/or administrative task. For example, these responsibilities may include coordination of child and parent therapy groups, coordination of clinic speakers and community outreach/marketing events, involvement in specific administrative tasks that are pivotal to clinic operations, and development (i.e., recruitment, training, and mentorship) of undergraduate level students. Supervisory opportunities exist through involvement with undergraduate level students who rotate in and out of the clinic and in providing training and/or support to graduate level externs. Opportunities for participation in research may also exist and are encouraged.
Qualified candidates for the BMC fellowship program will have received their doctoral degrees in School or Clinical Psychology and have successfully completed an APA-accredited internship program. Candidates for BMC’s rotation typically have extensive experience and interest in areas such as the following:
- Serving preschool and school aged children and their families and providing early intervention/prevention services.
- Experience treating families that present with varied and complex psychosocial stressors in addition to child behavior difficulties.
- Experience with interdisciplinary and/or multidisciplinary teams, including school consultation.
- Experience treating and working with military-connected families.
- Emphasis on treatment grounded in evidence-based interventions, data collection across settings, experience with graphing and interpreting data, providing performance feedback to families, as well as ABA and CBT approaches.
- Delivering services across multiple locations, including a facility co-located with a primary care clinic and/or a facility set up to provide brief assessment and consultation with patients referred directly from their pediatrician.
- Trainees often utilize functional assessment in case conceptualization and should be familiar with principles and procedures of applied behavior analysis.
- Treatment services may be delivered via individual, family, and/or group formats dependent on referral concerns; therefore, candidates with experience in all of these treatment modalities are preferred.
- Experience with development and implementation of child and parent groups is highly desirable (e.g., social skills, emotion management, anxiety, etc.).