Interns on this track participate in a variety of experiences designed to help them develop skills as well-rounded child clinicians. Interns have opportunities to work in an outpatient setting, an inpatient pediatric setting, an inpatient psychiatric medical setting and emergency department. Interns can also volunteer for one week as  counselors at a camp setting for children with chronic medical problems. Collaboration occurs with a variety of others including primary care physicians, pediatric specialists, school personnel, and representatives from children's services agencies.

Pediatric Psychology Outpatient Service
Interns develop skills in assessing and treating behavior and emotional problems common to children from birth to age 18. Interns provide assessments, and individual, family and group psychotherapy. Some examples of referrals managed by interns include children with anxiety, eating disorders, adjustment disorders, depression, attention deficit hyperactivity disorder, social skills deficits, children whose parents divorce, issues of adolescence, suicide attempts, school refusal, somatoform disorders, disruptive behavior disorders, parent-child problems, problems adjusting to acute and chronic illness, and autism spectrum disorders. Child track interns participate in the outpatient service for the entire year.

Consultation in the Janet Weis Children's Hospital
Geisinger has its own children's hospital and pediatricians represent almost every pediatric subspecialty. We also have pediatric and medicine-pediatric residents providing care for children. In addition to receiving referrals from pediatricians for outpatient services, interns also conduct consultations with inpatients in the Janet Weis Children's Hospital. Examples of referrals include adjustment to chronic illness, non-adherence with medical regimens, need for assessment of adolescents following an overdose, or somatoform disorders.

Psychiatric Emergency Services
Child track interns participate in two different ways with patients who present with psychiatric emergencies. First, interns work one day a week for four months conducting psychiatric emergency services for adults. The emergency services team is comprised of a staff psychiatrist, clinic triage case worker, physician's assistant and a medical resident.

Interns learn basic emergency psychiatric assessment skills to understand medical conditions that may simulate psychiatric conditions, an ability to assess and triage suicidal or aggressive patients, a working knowledge of psychopharmacologic agents and somatic therapies, and an appreciation of psychiatric treatment resources. Child track interns specifically are required to work with adults in this setting because we believe that they may encounter parents with similar problems and need to have skills to manage such challenges.

The second component of this experience involves conducting emergency evaluations of children and adolescents. Although it is a significant training experience, because of the inconsistent volume of patients, this experience is spread throughout the year. Interns take similar roles in working with adolescents and children that they take in providing emergency services to adults. These experiences occur during the day and are provided in both the outpatient setting and the emergency department.

Assessment of Learning Problems
Interns conduct psychological evaluations of school-age children experiencing learning problems. This activity includes diagnosing learning disabilities as well as making appropriate recommendations for improving a child's performance in school.

Disruptive Behavior Disorders Clinic
Psychologists assess children with disruptive behavior disorders such as attention deficit hyperactivity disorder and oppositional defiant disorder. Treatment recommendations often include parents participating in group treatment as well as the use of medication. Interns learn assessment skills, how to make practical recommendations and how to conduct group treatment for parents and children.

Adolescent Group and Family Therapy
Geisinger provides outpatient psychotherapy for adolescents. Group psychotherapy and family therapy are two primary treatment components. Adolescents referred to the group present with problems such as depression, conflicts with parents, conduct problems, and school difficulties. Interns have the opportunity to learn a competency based systemic model of family therapy and participate in a family therapy training seminar.

Anxiety Disorders Clinic
Interns participate in an anxiety disorders clinic for children and adolescents. Interns learn assessment skills that include use of structured interviews and psychological tests. Interns also learn to conduct evidence-based treatments for anxiety disorders.

Family Transitions Program
The Family Transitions Program is a parent-focused intervention aimed at promoting children's adjustment to parental divorce. The program targets enhancement of parenting skills including training in behavior modification and parent-child communication skills and relationship development. Interns participate in the Family Transitions Program by co-facilitating sessions in the community.

Preschool Development and Behavior Clinic
During this rotation, interns participate in the evaluation and treatment of preschool age children with developmental and behavioral problems. Interns will conduct developmental assessments and implement an evidence-based treatment (Carolyn Webster-Stratton's Incredible Years Program).

Clinic for Children with Enuresis
Interns participate in a multi-disciplinary clinic for children and adolescents with enuresis in conjunction with pediatric nephroligists and nurse practitioners. Interns evaluate and treat children using behavioral treatment approaches.

Adolescent Depression Clinic
Child-track interns participate in an adolescent depression clinic that includes both assessment and treatment. Interns learn to implement an evidence-based group model.

Treatment Outcome Research
Child track interns have the opportunity to participate in treatment outcome research in the pediatric psychology service. Models of treatment demonstrated as efficacious in highly controlled settings are implemented to evaluate their effectiveness in this applied setting. Interns learn how to conduct treatment outcome research and how to implement models of treatment demonstrated to have empirical support.