The Behavior Psychology Brief Treatment Clinic provides comprehensive training in functional behavior assessment and function-based treatment approaches with a focus on behavioral parent training. The services offered through Brief Treatment Clinic are determined based on the referral concern, age, and functioning level of the child but the approach in general is Applied Behavior Analytic in orientation.
Populations treated in this clinic include children referred for a wide range of behavior problems, including both internalizing and externalizing disorders. Clients served range from 2-18 years of age and include a variety of socioeconomic and cultural backgrounds. In addition, families with State insurance (Medicaid) are eligible to receive services. Patient admissions to this clinic are time limited, data-based, and goal-oriented. Treatment is always focused on behavior reduction through reinforcement of appropriate behavior. The Brief Treatment Clinic has a strong emphasis on caregivers’ active involvement and almost always involves behavioral parent training. Caregiver and family support is an important part of treatment and often critical to a positive treatment outcome. Participants may include parents and secondary caregivers, as well as daycare and school personnel. Along with reductions in problem behavior for the child, a secondary (though equally important) goal of treatment is for the therapist to teach caregivers specific skills to change and improve their child’s behavior. Referrals come from community physicians and mental health providers, as well as internally from other Kennedy Krieger Institute/Johns Hopkins Medicine clinics. Consultation and coordination of care with other providers is typical.
Trainees in the brief treatment program use a structured behavioral parent training treatment approach which focuses on the caregivers as the primary change agent for their child’s behavior. Fellows are provided with advanced training in applied behavior analysis and behavioral parent training to ensure effective and efficient outcomes. Specific skills targeted during the training year include functional interviewing, functional analysis, data tracking, and data analysis. Additional training is provided in the use and evaluation of systematic clinical protocols and engagement in applied research. Fellows in the Brief Treatment Clinic will be provided with monthly didactic training around treatment evaluation, program evaluation, and developing applied research projects as a core feature of their experience.
The Brief Treatment Clinic offers up to three 12-month postdoctoral fellowships, with opportunities to extend to a second year. The minimum number of hours required during each year of training is 2,000. In addition to two hours of individual clinical supervision each week provided by a licensed psychologist and board certified behavior analyst, fellows are actively involved in at least two hours per week of group professional development and research meetings. Fellows will attend interclinic group supervision along with their colleagues in the Behavior Management Clinic, and participate in additional group meetings within the Brief Treatment Program throughout the training year. Fellows will participate in the Leadership and Education in Neurodevelopmental Disability (LEND) interdisciplinary training program.
Qualified candidates for the Brief Treatment Clinic fellowship program will have received their doctoral degrees in school or clinical psychology and have successfully completed an APA-accredited internship program.
Candidates for the Brief Treatment Clinic’s Fellowship rotation should have extensive experience and interest in areas such as the following:
- Use of different functional analysis methodologies (i.e. brief FA, trial-based FA, IISCA)
- Providing applied behavior analytic services to populations with diagnoses including but not exclusively limited to NDD/ID
- Providing evidence-based treatment to underserved populations
- Prior experience with multidisciplinary collaboration and consultation, including with medical and school-based providers
- Use of clinical protocols using single case design as a means of evaluating treatment outcomes and effectiveness
- Interest in program evaluation and development
Candidates for the Brief Treatment Clinic will be provided opportunities to individualize their experience over the course of their fellowship year. Specific opportunities within this fellowship track include:
- Supervising psychologists are board-certified behavior analysts, and postdoctoral fellows in the Brief Treatment Clinic are offered clinical and training opportunities to obtain BCBA supervision during their fellowship year.
- Fellows are offered opportunities to participate in regional and national conferences throughout the year by providing presentations of posters and symposia of applied research that are conducted in the clinic.
- Fellows are able to participate in trainings provided to KKI/Johns Hopkins clinics and departments as well as community providers (i.e. schools, parent/professional groups, etc.).
- Fellows are offered opportunities to engage in research projects leading to possible co-authorship of manuscripts resulting from ongoing applied research conducted in the Brief Treatment Clinic.
- Opportunities may exist to provide supervision/mentorship through supervision of doctoral interns, externs, and research assistants.