Division of Psychology - Cincinnati Children's Hospital Medical Center

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					                               DIVISION OF PSYCHOLOGY


Lori J. Stark, Ph.D., Division Director, Professor of Pediatrics
Robert T. Ammerman, Ph.D., Professor of Pediatrics, Director, Evaluation and Outcomes
  of Every Child Succeeds
Dean Beebe, Ph.D., Assistant Professor of Pediatrics
Kathy A. Burklow, Ph.D., Assistant Professor of Pediatrics, Associate Director of
  O'Grady Residency
Kelly Byars, Psy.D., Assistant Professor of Pediatrics
Juliet Coscia, Ph.D., Assistant Professor of Pediatrics
Lori E. Crosby, Psy.D., Assistant Professor of Pediatrics
Susmita Kashikar-Zuck, Ph.D., Assistant Professor of Pediatrics
Lisa Mills (Lewis), Ph.D., Assistant Professor of Pediatrics
Monica Mitchell, Ph.D., Assistant Professor of Pediatrics
Scott W. Powers, Ph.D., Associate Professor of Pediatrics, Director, Psychology
  Postdoctoral Program
M. Douglas Ris, Ph.D., Professor of Pediatrics, Director, Postdoctoral Program in
  Pediatric Neuropsychology
Brian Saelens, Ph.D., Assistant Professor of Pediatrics
Janet Schultz, Ph.D., Associate Professor (Adjunct) of Pediatrics
Rena Sorensen-Burnworth, Ph.D., Assistant Professor of Pediatrics
Margaret Zeller, Ph.D., Assistant Professor of Pediatrics

Psychologists – Satellites/Staff
Beverly Smolyansky, Ph.D., Clinical Director
Sanford Chertock, Ph.D.
Rebecca Kniskern, Ph.D.
Jessica McClure, Ph.D.
Bonnie McIntosh, Ph.D.
Ann Moser, Ph.D.
James Myers, Ph.D.
Bob Nestheide, Ph.D.
Helmut Roehrig, Ph.D.
William Sirbu, Ph.D.
Susan Zarnowiecki, Ph.D.


The Division of Psychology is dedicated to improving the physical and psychological
well being of children. To achieve this goal, the division pursues excellence in clinical
service, teaching and research.

Clinical Service - The Division of Psychology provides comprehensive diagnostic
evaluations, formal psychological and neuropsychological assessment, individual
psychotherapy, parent management training, family therapy, group therapy,
consultations, and interventions for specific biobehavioral problems. Patients seen in the
division range from infants several months old to adults receiving their care at CHMC, or
who have particular presenting problems well suited to the expertise of the Division of
Psychology. Psychology is part of many interdisciplinary teams providing care to
children at CHMC, including the Cranial Facial Anomaly Team, the Interdisciplinary
Feeding Team (both outpatient and inpatient as part of the Aerodigestive and Sleep
Center), the Outpatient Sleep Team, the Headache Center, the Pain Team, the Sickle Cell
Center, Liver Transplant Team, Cystic Fibrosis Team, Healthworks!TM Weight Loss
Program, and the Kelly O'Leary Center for Pervasive Developmental Disorders.
Neuropsychologists within the division are involved in the Neuro-Oncology Clinic, the
Inpatient Rehabilitation Team, the Movement Disorders Clinic, and the Sleep Team as
part of the Aerodigestive and Sleep Center. Psychology also provides evaluations as part
of the Psychiatric Inpatient Services of the Child Psychiatric Unit and Adolescent
Medical Psychiatric Unit. The Division of Psychology provides services at the main
campus and four satellites in the Cincinnati area, Outpatient Eastgate, Fairfield, Harrison
and Mason.

                      Left to right: (1st row) L. Stark, M.D. Ris, R. Ammerman, J. Coscia, K. Byars
                   B. Hubbard, (2nd row) S. Powers, J. McClure, M. Zeller, S. Zarnowiecki, D. Beebe,
               (3rd row) B. McIntosh, K. Burklow, L. Crosby, R. Nestheide, (4th row) S. Kashikar-Zuck,
                      L. Lewis, M. Mitchell, S. Chertock, (5th row) H. Roehrig, A. Moser, W. Sirbu

Teaching - The Division of Psychology is dedicated to training the next generation of
clinicians and researchers in psychology and contributing to the education of pediatric
residents. The division currently coordinates the Postdoctoral Fellowship Training

Program in Psychology across various divisions at CHMC under the leadership of Dr.
Scott Powers. Over the past year, CHMC trained twelve clinical fellows. Of these
twelve fellows, nine were within the Division of Psychology: two fellows in
neuropsychology, five in pediatric psychology and one in risk and prevention. Among
the pediatric psychology fellows, Dr. Susana Patton received the National Research
Service Award from NIH to fund her research training on dietary adherence in children
with insulin dependent diabetes. In addition to fellowship training, the division also
coordinates the training of the O'Grady Residents in psychology under the leadership of
Dr. David Smith (of CCDD) and Dr. Kathleen Burklow. The Psychology Division also
participates in the training of pediatric primary care residents, PL 1 and 3. This program,
under the coordination of Dr. Helmut Roehrig, includes didactics and experiential
observation of ongoing therapy to help the pediatric residents understand aspects of child
and adolescent development and challenging family issues.

Research - The Division of Psychology has research expertise in pediatric psychology,
risk and prevention, and neuropsychology. Our research mission is to be the leader in
pediatric biobehavioral research, including the development and implementation of
sophisticated methodology for assessment and intervention that improves children's
behavioral, mental and physical health. Toward that end, psychology faculty have
achieved a 90% funding rate for grants submitted over the past three years. In addition,
psychology faculty have maintained collaborative studies with pediatric colleagues
within the Department of Pediatrics.


Research - This year one of the highlights for the division was the tremendous success of
the junior faculty in obtaining Career Development Grants from the National Institutes of
Health. This success was a direct result of the substantial time and resources placed in
recruitment of promising investigators and building an infrastructure to promote their
success in clinical research. This infrastructure included developing a challenging
internal review process for grants and manuscripts as well as a strong mentorship
program that paired junior and senior faculty based on their research interests. These
career awards provide 90 to 100% protected time for young investigators to further
develop their research skills and provide support for the conduct of a pilot study in their
chosen area of research. This year Drs. Margaret Zeller and Brian Saelens were awarded
Mentored Patient-Oriented Research Career Development Award grants from NIDDK to
examine correlates of obesity in order to develop more efficacious treatments. Dr.
Monica Mitchell received a Mentored Research Scientist Development Award from
NIMH to examine the co-morbidities of depression and nutritional status in children with
Sickle Cell Disease, and Dr. Lisa Mills received a Mentored Research Scientist
Development Award from NICHD to investigate factors that contribute to teen mothers
having a second pregnancy within two years of their first child. On each of these grants,
the investigators put together a strong team of mentors from across several divisions at
CCHMC with a senior psychology sponsor and strong support from the GCRC.

In addition to the early career development awards, two faculty, Drs. Powers and Stark,
received Mid-Career Investigator Awards in Patient-Oriented Research from NIDDK.
Mid-career awards provide 50% support to senior faculty to expand their own research
and to mentor junior faculty in the development of careers in clinical research. These
awards will be instrumental in supporting continued mentorship of junior faculty and
postdoctoral fellows.

Clinical - The division remains committed to excellence in patient care and behavioral
health continues to play a prominent role within CCHMC and the greater Cincinnati area
in the healthcare of children. Faculty and community pediatricians cited behavioral
healthcare as four of the top five most needed services in a recent survey. The division
has continued its efforts to explore innovative ways to expand services to children.
Under the direction of the clinical director, Dr. Beverly Smolyansky, the division has
networked with psychologists, psychiatrists, and social workers in the community to
create a referral database. This database will allow the division to assist families and
pediatricians to find a behavioral health provider in their geographical area or with an
expertise outside the scope of services provided at CCHMC. The division is currently
seeking to partner with E-Health to allow distribution of this referral data directly to
pediatricians. In addition to partnering with the community, the division continues to
expand services within the medical center and community. This year we expanded
treatment services for our most common referral, ADHD, by offering ongoing group
therapy for children ages 8 - 12 and behavioral parenting groups for preschool children
under 6 years and a second group for children ages 6 to 8. We have also expanded
consultation and evaluation to a number of specialty clinics, including the Bariatrics
Comprehensive Weight Management Program.


Patient Encounters:
        Inpatient        641
        Outpatient    17,614


Clinical Fellows:
Nicole Falvo, Psy.D.                Xavier University
Kathleen Ferguson, Ph.D.            University of Kansas
David Janicke, Ph.D.                Virginia Polytechnic Institute & State University
Benjamin Jones, Psy.D.              Georgia School of Professional Psychology
Marsha Nortz, Ph.D.                 Washington University
Susana Patton, Ph.D.                MCP Hahnemann University
Patricia Ryan, Ph.D.                University of Cincinnati
Jack Stevens, Ph.D.                 Indiana University
Nicolay Walz, Ph.D.                 University of Illinois at Chicago

O’Grady Residents in Pediatric Psychology:
Mariah Coe                          University of Vermont
Kevin Hommel                        Oklahoma State University
Jessica Roberts                     University of Kansas


Grant and Contract Awards
Ammerman, R.
       Neuropsychological Functioning and Psychosocial Adjustment in
       Adolescents with Spina Difida and NLD
       U.S. Department of Education
       H133G000134                     09/01/00 – 08/31/03          $103,419/$308,676
Ammerman, R.
       Treatment of Childhood Social Phobia
       National Institutes of Health (University of Maryland subcontract)
       R01 MH53703                     04/01/01 – 03/31/05          $149,632/$707,451
Burklow, K.
       Mentored Patient-Oriented Research Career Development Award
       National Institutes of Health
       K23 RR16081                     08/01/00 – 07/31/05           $78,550/$319,342
Mills, L.
       Teen Mothers, Sexual Trauma, and Rapid Repeat Pregnancies
       National Institutes of Health
       R01 HD42281                     06/01/02 – 05/31/07           $92,427/$598,992
Mitchell, M.
       Depression and Nutrition in Pediatric Sickle Cell Disease
       National Institutes of Health
       K01 MH64078                     03/10/02 – 02/28/07          $109,351/$560,827

Patton, S.
          Dietary Adherence in Preschoolers with Type I Diabetes
          National Institutes of Health
          F32 DK61121                     06/01/02 – 05/31/04             $38,320/$82,532
Powers, S.
          Behavioral Treatment of Eating Problems in CF Toddlers
          National Institutes of Health
          R01 DK54915                     06/25/98 – 05/31/03          $100,000/$500,000
Powers, S.
          Behavioral Treatment for Dietary Adherence in Children
          National Institutes of Health
          K24 DK59973                     08/15/01 – 06/30/06           $80,963/$422,115
Powers, S.
          Parenting Practices and Obesity in Low-Income African American
          U. S. Department of Agriculture
          43-3AEM-0-80078                 10/01/01 – 09/30/03           $47,741/$111,839
Ris, M.
          Study of Prevalent Neurotoxicants in Children – Neuro Core
          National Institutes of Health (Subproject)
          P01 ES11261                     09/30/01 – 09/29/06             $30,329/189,613
Ris, M.
          Study of Prevalent Neurotoxicants in Children - Project 4
          Environmental Protection Agency (Subproject)
          R82938901-0                     11/01/01 – 10/31/06            $123,205/644,235
Saelens, B.
          Ecological Analysis of Physical Activity
          National Institutes of Health (San Diego State University Foundation subcontract)
          R01 HL67350                     09/01/01 – 08/31/05           $58,138/$207,618

Saelens, B.
       Bodyfat and Hormones in Adolescent Obesity Treatment
       National Institutes of Health
       K23 DK60476                     04/01/02 – 03/31/07     $96,995/$507,232
Stark, L.
       Behavior Treatment and Nutrition in Pediatric Chronic DIS
       National Institutes of Health
       K23 DK59492                     07/01/01 – 06/30/06    $120,590/$610,694
Stark, L.
       Increasing Dietary Calcium Through Behavioral Intervention in Children
       with JRA
       Arthritis Foundation
                                       07/01/00 – 06/30/05     $83,222/$225,000

Zeller, M.
       Exploring Barriers to Treatment: Pediatric Obesity
       National Institutes of Health
       K23 DK60031                     09/01/01 – 08/31/06     $95,180/$416,018

Zeller, M.
       Contextual Variations in Peer Relationships
                                       07/01/01 – 06/30/02             $25,594
                      Current Year Direct                           $ 1,433,656

Industry Contracts
                      Current Year Direct Receipts                          $0

TOTAL                                                                 $1,433,656


1.    Beebe DW, Gozal D. Obstructive sleep apnea and the prefrontal cortex: towards a
      comprehensive model linking nocturnal upper airway obstruction to daytime
      cognitive and behavioral deficits. J Sleep Res 2002;11(1):1-16.

2.    Burklow KA, McGrath AM, Kaul A. Management and prevention of feeding
      problems in young children with prematurity and very low birth weight. Infants
      Young Child 2002;14(4):19-30.

3.    Coscia JM, Christensen BK, Henry RR, Wallston K, Radcliffe J, Rutstein R.
      Effects of home environment, socioeconomic status, and health status on
      cognitive functioning in children with HIV-1 infection. J Pediatr Psychol

4.    Friedberg RD, McClure JM, Wilding L, Velting O, Rambaldo L, Price D,
      Mullican R, Gillen P, Monford T, Swain J, Crosby LE. Self-reported changes in
      children's anxious and depressive symptoms: pilot results from a school-based
      cognitive-behavioral intervention. Cognitive Therapy (newlsetter of the
      International Association for Cognitive Psychotherapy) 2001;3(4):3.

5.    Kashikar-Zuck S, Goldschneider KR, Powers SW, Vaught MH, Hershey AD.
      Depression and functional disability in chronic pediatric pain. Clin J Pain

6.    Kashikar-Zuck S, Goldschneider KR. Factors related to functional disability in
      children with chronic pain. Midwest Pain Society Update (newsletter of the
      Midwest Regional Section of the American Pain Society) 2001(July):1-3.

7.    Rosenthal SL, Von Ranson KM, Cotton S, Biro FM, Mills L, Succop PA. Sexual
      initiation: predictors and developmental trends. Sex Transm Dis 2001;28(9):527-

8.    Fende JM, Boehner CW, Biro FM, Mills L, Rosenthal SL. A preliminary
      examination of adolescent girls' perceptions of the parental knowledge of their
      boyfriends. J Pediatr Adolesc Gynecol 2001;14(3):113-7.

9.    Hershey AD, Powers SW, Vockell AL, LeCates S, Kabbouche MA, Maynard
      MK. PedMIDAS: development of a questionnaire to assess disability of migraines
      in children. Neurology 2001;57(11):2034-9.

10.   Baughcum AE, Powers SW, Johnson SB, Chamberlin LA, Deeks CM, Jain A,
      Whitaker RC. Maternal feeding practices and beliefs and their relationships to
      overweight in early childhood. J Dev Behav Pediatr 2001;22(6):391-408.

11.   Powers SW, Byars KC, Mitchell MJ, Patton SR, Standiford DA, Dolan LM.
      Parent report of mealtime behavior and parenting stress in young children with
      type 1 diabetes and in healthy control subjects. Diabetes Care 2002;25(2):313-8.

12.   Powers SW, Patton SR, Byars KC, Mitchell MJ, Jelalian E, Mulvihill MM,
      Hovell MF, Stark LJ. Caloric intake and eating behavior in infants and toddlers
      with cystic fibrosis. Pediatrics 2002;109(5):E75-5.
13.   Powers S W , Mitchell M J , Graumlich SE, B y a r s K C , Kalinyak KA.
      Longitudinal assessment of pain, coping, and daily functioning in children with
      sickle cell disease receiving pain management skills training. J Clin Psychol Med
      Settings 2002;9(2):109-119.

14.   Ris M D, Packer R, Goldwein J, Jones-Wallace D, Boyett JM. Intellectual
      outcome after reduced-dose radiation therapy plus adjuvant chemotherapy for
      medulloblastoma: a Children's Cancer Group study. J Clin Oncol

15.   Dietrich KN, Ris MD, Succop PA, Berger OG, Bornschein RL. Early exposure to
      lead and juvenile delinquency. Neurotoxicol Teratol 2001;23(6):511-8.

16.   McDonough-Ryan P, DelBello M, Shear PK, Ris DM, Soutullo C, Strakowski
      SM. Academic and cognitive abilities in children of parents with bipolar disorder:
      a test of the nonverbal learning disability model. J Clin Exp Neuropsychol

17.   Cavallo A, Good WV, Ris MD, Succop P. Dose response to melatonin treatment
      for disordered sleep rhythm in a blind child. Sleep Med 2002;3(2):159-161.

18.   Epstein LH, Paluch RA, Saelens BE, Ernst MM, Wilfley DE. Changes in eating
      disorder symptoms with pediatric obesity treatment. J Pediatr 2001;139(1):58-65.

19.   Patrick K, Sallis JF, Prochaska JJ, Lydston DD, Calfas KJ, Zabinski MF, Wilfley
      DE, Saelens BE, Brown DR. A multicomponent program for nutrition and
      physical activity change in primary care: PACE+ for adolescents. Arch Pediatr
      Adolesc Med 2001;155(8):940-6.

20.   Stein RI, Saelens BE, Dounchis JZ, Lewczyk CM, Swenson AK, Wilfley DE.
      Treatment of eating disorders in women. Counseling Psychologist

21.   Saelens BE, Sallis JF, Nader PR, Broyles SL, Berry CC, Taras HL. Home
      environmental influences on children's television watching from early to middle
      childhood. J Dev Behav Pediatr 2002;23(3):127-32.

22.    Wilfley DE, Saelens BE. Epidemiology and causes of obesity in children. In:
       Fairburn CG, Brownell KD, editors. Eating disorders and obesity : a
       comprehensive handbook. 2nd ed. New York: Guilford Press; 2002. p. 429-432.

23.    Saelens BE, Sallis JF, Wilfley DE, Patrick K, Cella JA, Buchta R. Behavioral
       weight control for overweight adolescents initiated in primary care. Obes Res


Ammerman, RT: Editorial Boards – Journal of Family Violence Behavior
Modification, Journal of Clinical Geropsychology, Aggression and Violent Behavior,
Journal of Aggression, Maltreatment, and Trauma, Clinical Case Studies; Member –
National Institutes of Health (NIH) Risk, Prevention and Health Behavior (01) Study

Powers, SW: Editorial Boards – Child Psychiatry and Human Behavior, Journal of
Pediatric Psychology; Children’s Health Care. Program Chair – Society of Pediatric
Psychology, 2002 American Psychological Association Convention

Ris, MD: Board of Directors, American Board of Clinical Neuropsychology (1999-

Saelens, BE: Selected as one of thirty of 150 applicants among early career behavioral
scientists to attend 2-week training institute sponsored by the Office of Behavioral and
Social Sciences Research, National Institutes of Health, Fellow at Summer Training
Institute for Randomized Clinical Trials Involving Behavioral Interventions. (August

Stark, LJ: Board of Editors of the Journal of Pediatric Psychology, Journal of Applied
Behavior Analysis; Invited Member of the Scientific Counsel of the Dannon Institute,
Elected Charter Fellow to the Society of Pediatric Psychology of the American
Psychological Association


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