Track Overview:\u00a0The\u00a0CIDD Track offers interns a comprehensive training experience in\u00a0assessment,\u00a0evidence-based\u00a0intervention, and clinical consultation in the areas of intellectual\u00a0and developmental\u00a0disability\u00a0(IDD), autism spectrum disorder, learning disability, epilepsy, chronic medical conditions, sensory impairments, genetic syndromes, and other related neurodevelopmental disabilities\u00a0across the lifespan.\u00a0The CIDD intern\u00a0works\u00a0within interdisciplinary teams as well as with families, schools, group home personnel, care providers, and other professionals.\u202fSpecific activities may include,\u00a0but are not limited to,\u00a0evaluation and diagnosis across the lifespan, behavioral and mental health consultation, intervention groups, consultation for children and adults with IDD living in the community or in local\/regional group homes, and therapy with individuals with\u00a0IDD.\u00a0\u00a0Pediatric neuropsychology evaluation experience is also available.<\/p>\n
The Carolina Institute for Developmental Disabilities (CIDD) is North Carolina\u2019s University Center for Excellence in Developmental Disabilities (UCEDD) and is home to a Leadership Education in Neurodevelopmental and\u00a0Related Disabilities (LEND) program and an Intellectual and Developmental Disability Research Center (IDDRC). As such, the CIDD has a rich offering of clinical, training, and research opportunities.\u00a0 The CIDD intern will participate in the interdisciplinary 2023-2024 LEND cohort.\u00a0For all CIDD trainees, there is an emphasis on opportunities to observe and learn evaluation and treatment techniques from the other disciplines, including special education, speech and language pathology, social work, genetics, neurology, occupational and physical therapy, psychiatry, and pediatrics.<\/p>\n
Interns will receive training and supervision with a focus on cultural sensitivity and awareness.<\/p>\n
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Clinical Rotations and Patients:<\/p>\n
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CIDD\u2019s Adult Autism Clinic (AAC) offers diagnostic evaluations for adults.\u00a0 Often this clinic focuses on evaluating autism spectrum disorder in individuals who have struggled to succeed in school, vocationally, and socially.\u00a0 Many of these persons have been misidentified as having psychiatric diagnoses and\/or have unidentified co-occurring autism spectrum disorder.\u00a0 An important element of evaluations for older adolescents or young adults is to assist in helping them transition from school and home-based services to adult educational, residential, and vocational services.\u00a0 This clinic is held twice per month.<\/p>\n
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CIDD\u2019s Behavior Medicine Clinic (BMC) is an interdisciplinary evaluation and treatment service for children,\u00a0adolescents,\u00a0and adults with underlying neurodevelopmental disabilities co-occurring with complex behavioral and\/or psychiatric challenges.\u00a0 The evaluation and treatment team includes a psychologist and a physician trained in both pediatrics and psychiatry.\u00a0 Common referral concerns include assistance with self-injurious behaviors, disabling ritualistic behaviors, difficulties surrounding obsessive\/narrow areas of interest, anxiety, depression, PICA, and explosive\/aggressive behaviors.\u00a0 Evaluation services are problem focused.\u00a0 Diagnostic clarification of the underlying developmental disability is not the area of focus in this clinic. Intervention services can include but would not be limited to development of a detailed behavioral management plan, psychopharmacologic\u00a0consultation,\u00a0and collaborative institution of all recommendations with the family and community providers as appropriate.\u00a0 Consultation with the patient\/family will vary from one visit to a longer period of co-management with the family and\/or community provider as appropriate.\u00a0 This clinic is held on a weekly basis.<\/p>\n
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CIDD\u2019s Early Childhood Clinic (ECC) offers diagnostic evaluations for children up to 6 years of age.\u00a0 The primary purpose of this clinic is to determine whether the child meets criteria for autism spectrum disorder or other developmental disorder. The team consists of a licensed psychologist and a licensed speech language pathologist.\u00a0 One of the attending SLPs is fluent in Spanish.\u00a0 Professionals from other disciplines are included as needed based on the referral questions. Evaluations for ASD typically use the ADOS-2, Vineland-3, diagnostic interviewing, developmental testing, and administration of other questionnaires as appropriate.\u00a0 Parents\/caregivers are provided an interpretive conference regarding the results the evaluation, strategies to address their referral concerns, and opportunity to return for follow-up consultation and parent training\/therapy.\u00a0 A report of the findings and recommendations is tailored to the needs of the family. This clinic is held\u00a0weekly.<\/p>\n
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The HDC offers diagnostic evaluations of individuals of all ages who are Deaf\/Hard of Hearing in combination with developmental concerns.\u00a0 The primary purpose of the clinic is to better understand a child\u2019s global developmental profile and provide relevant recommendations for treatment.\u00a0 Typical referral concerns include speech, language, or learning difficulties, developmental or intellectual delays, autism spectrum disorders, and\/or concerns regarding socialization, communication, or sensory dysfunction.\u00a0 The team consists of an audiologist, speech-language pathologists, a psychologist, a learning specialist, and occupational therapy as needed based on referral concerns.\u00a0 At the conclusion of the interdisciplinary assessments an interpretive conference is provided for parents\/caretakers to explain the results of the evaluation and strategies to address referral concerns.\u00a0 A report is provided along with assistance in identifying local resources. This clinic is held twice per month.<\/p>\n
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CIDD\u2019s Pediatric Neuropsychology Clinic focuses on neuropsychological assessment of children and adolescents with neurological illness, medical illnesses and disorders, genetic disorders, psychiatric illness and behavior problems, brain injury, developmental disabilities, and complex learning issues.\u00a0 Individuals are referred to the clinic from a variety of sources, including neurology, nephrology, oncology, pediatric rehab, and local school systems.\u00a0 Neuropsychological assessment describes brain-behavior relationships by assessing multiple cognitive domains and relating a patient\u2019s performance within these domains to neuroanatomical and neurophysiological principles.\u00a0 A typical clinic day begins with a parent\/child interview to clarify questions and concerns, followed by three to five hours of assessment.\u00a0 Interpretive sessions\u00a0may\u00a0take place on another day in order to have time to score all assessments, develop the diagnostic formulation, and select appropriate treatments and recommendations.\u00a0 Interns participate in all aspects of the clinic, and gradually move into more independence in interviewing, battery development, and formulation. Interns participating in this clinic will be exposed to a wide range of clinical presentations, semi-structured clinical interviewing, neuropsychological testing procedures, interpretation of data, clinical interpretive with clients and family members, report writing, and community consultation and information sharing as requested by the families. This clinic is held twice per month.<\/p>\n
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The CIDD\u2019s School-Age Autism Clinic (SAAC) offers diagnostic evaluations for children\u00a0and adolescents.\u00a0 The primary purpose of this clinic is to determine whether the child meets criteria for autism spectrum disorder,\u00a0and differential diagnosis\u00a0of\u00a0other\u00a0possible\u00a0neurodevelopmental\u00a0and\/or psychiatric conditions.\u00a0\u00a0The team also provides consultation to families regarding tailored\u00a0recommendations for interventions and supports.\u00a0 Evaluations typically consist of\u00a0reviewing records, diagnostic interviewing,\u00a0observational assessment (including\u00a0the\u00a0ADOS-2 when\u00a0appropriate),\u00a0measures of\u00a0cognitive and adaptive functioning,\u00a0and administration of questionnaires as needed.\u00a0\u00a0This clinic is held twice per month.<\/p>\n
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CIDD\u2019s School Age Team (SAT) is the most comprehensive interdisciplinary clinic provided by the CIDD. Children and adolescents\u00a0aged\u00a03-21 who are struggling with a variety of different types of learning, developmental, social and\/or behavioral\/emotional concerns are referred to the SAT for evaluation.\u00a0 Currently, children and their caregivers spend a full day with CIDD faculty (representing up to 11\u00a0different disciplines).\u00a0 Consultation, interviewing, and standardized assessments are conducted, as appropriate. All clinicians\u00a0participate in a\u00a0team meeting following the evaluations to discuss findings and develop a plan for the child and family. Results are provided on the same day to the family.\u00a0 This clinic is held\u00a0twice per month.<\/p>\n
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The Telehealth Evaluation and Consultation (TEC) clinic through the CIDD offers\u00a0virtual telehealth services to families throughout the\u00a0state.\u00a0 These include\u00a0first-line screening and consultation\u00a0visits, or more in-depth remote evaluation\u00a0for\u00a0families who might not otherwise be able to participate in an in-person visit.\u00a0 Clinic visits may\u00a0involve\u00a0clinical comprehensive assessments, clinical interviewing, remote assessments (including\u00a0standardized\u00a0tools for\u00a0remote diagnostic assessment), and administration of questionnaires as needed,\u00a0as well as\u00a0tailored developmental and behavioral consultation.\u00a0 Individuals\u00a0of all ages are seen through this clinic, which is offered twice per month.<\/p>\n
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The Social Skills Group Clinic is a recurring 8-week group-based social skills training program.\u00a0 The group runs once during the Fall and once during the Spring. The group focuses on social cognition (understanding the intentions of others) and social skills (improving social behaviors) and relies on structured didactics, videos, and role-plays.\u00a0 The group is open to those with a formal diagnosis that impacts their social abilities (such as autism spectrum disorder or ADHD) as well as to those simply wishing to improve their social skills.\u00a0 The group is geared towards older teenagers and young adults, and most participants are in high school.<\/p>\n
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Genetic Syndrome\u00a0Clinics\u00a0(Offered less frequently)<\/p>\n
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This clinic occurs once a month multidisciplinary clinic serving individuals with AS or Dup15 and their families across NC and surrounding states. Angelman Syndrome is a\u00a0genetic disorder originating from the maternal leg of chromosome 15 which results in severe\/profound intellectual disabilities, minimal speech, seizures, and an unusual happy demeanor. Duplication 15 Syndrome is a genetic disorder\u00a0characterized by motor delays, epilepsy, and a high likelihood of intellectual disability and autism spectrum disorder.\u00a0The clinic team is comprised of psychology, neurology, psychiatry, speech\/language, nutrition, PT, OT,\u00a0medicine,\u00a0and genetic counseling. A medical consultation model is used in providing support to families who come to the clinic.\u00a0Typically,\u00a02-3 individuals and their caregivers are seen each month.<\/p>\n
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CIDD\u2019s Neurogenetics Disorders clinic is an interdisciplinary evaluation service for children, adolescents, and adults with genetic syndromes or documented chromosomal abnormalities associated with developmental disability (e.g., Fragile X Syndrome, Williams Syndrome, Down Syndrome, 22q11 Deletion Syndrome, and others).\u00a0The clinic team is comprised of psychology, neurology, and speech\/language disciplines.\u00a0\u00a0\u00a0 The clinical team provides assessment of cognitive strengths and weaknesses,\u00a0neurologic concerns, sensory processing differences, and speech\/ language concerns that may be part of a genetic disorder.\u00a0\u00a0 After\u00a0the\u00a0clinic visit, a report will be provided with\u00a0recommendations for\u00a0local resources.\u00a0\u00a0Ongoing monitoring and consultation will be available for clinic patients if needed. This clinic is held\u00a0once per month.<\/p>\n
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CIDD\u2019s Prader Willi Syndrome clinic is once every other month.\u00a0 This multidisciplinary clinic serves individuals with PWS and their families across NC and surrounding states.<\/p>\n
PWS\u00a0is a genetic disorder originating on the paternal leg of chromosome 15, which results in borderline to moderate intellectual disability, mild to extreme hypotonia, often severe hyperphagia (urge to eat), OCD and autistic-like behaviors, and mild self-injurious behaviors (mostly skin-picking). Many individuals with PWS have obesity-related health concerns as well. The clinic team is comprised of psychology, psychiatry, speech\/language, nutrition, social work, medicine and genetic counseling. A medical consultation model is used in providing support to families who come to the clinic.\u00a0Multiple\u00a0families\u00a0are seen\u00a0by rotating providers\u00a0each\u00a0clinic.<\/p>\n
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Recommended\u00a0Minor Rotations:<\/p>\n
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Didactics:<\/p>\n
The CIDD intern participates\u00a0in the\u00a0didactics offered\u00a0in our LEND\u00a0program,\u00a0which\u00a0includes\u00a0a\u00a0broad interdisciplinary\u00a0training\u00a0curriculum on\u00a0neurodevelopmental disorders with an emphasis on ASD, especially\u00a0with respect to increasing early diagnosis and intervention.\u00a0Interns participate in a weekly course September through April\u00a0wherein\u00a0cases\u00a0are\u00a0imparted through both\u00a0small group\u00a0asynchronous\u00a0discussion\u00a0and\u00a0live\u00a0meetings. The course provides a life span perspective\u00a0related to\u00a0interdisciplinary\u00a0topics\u00a0within the\u00a0neurodevelopmental\u00a0disabilities\u00a0field.\u00a0 As such,\u00a0they\u00a0examine key issues,\u00a0such as\u00a0public health, life course perspective, cultural and linguistic competence, ethical decision making, person-\/ family-centered approach, a systems lens, and community outreach.\u00a0 Additionally,\u00a0the interns\u00a0will\u00a0attend\u00a0hour\u00a0long\u00a0lectures twice monthly during the academic year that are didactic in nature and cover a wide variety of topics related to neurodevelopmental disabilities.\u00a0If interested the\u00a0intern can\u00a0participate in a\u00a0summer\u00a0sign language\u00a0workshop\u00a0in a relaxed and interactive setting.<\/p>\n
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Professional Development:<\/p>\n
The CIDD intern\u00a0participates\u00a0in a\u00a0series of workshops\u00a0designed to prepare future leaders with the ability to change the direction of policies, practices, and services in ASD\/DD and to positively alter the life course trajectory for individuals and families.\u00a0 The workshops\u00a0follow a\u00a0developmental progression in focusing on leadership skills relative to self, then others, then the wider community.\u00a0The model is unique in its application to public health issues while the curriculum is designed to provide a foundation for interdisciplinary and public health leadership.\u00a0These 8\u00a0leadership\u00a0workshops\u00a0cover\u00a0topics such as\u00a0multiculturalism, bias, ethics, communication, conflict resolution, critical thinking, self-assessment, systems navigation, advocacy, family-professional relationships, policy evaluation, and dissemination skills in the context of leadership.<\/p>\n
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Research Opportunities:<\/p>\n
Many of the\u00a0CIDD\u00a0faculty are involved in research projects, and\u00a0CIDD\u00a0has a rich community of researchers\u00a0focused on neurodevelopmental disorders.\u00a0 Interns are welcome to\u00a0interact with faculty around their research, often visiting labs, attending lab meetings or journal clubs, or attending\u00a0grand rounds, talks by visiting scholars,\u00a0or\u00a0research seminars as their schedule allows.\u00a0 Psychology interns at CIDD can use their research\u00a0time to explore options for postdoctoral fellowships, either formal programs\u00a0such as the NIH funded T32\u00a0fellowship in neurodevelopmental disorders\u00a0at CIDD, or informal opportunities for fellowships working on research projects.\u00a0Interns\u00a0can\u00a0also\u00a0choose\u00a0protected time to work on their\u00a0dissertation.<\/p>\n
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Supervision Training and Opportunities:<\/p>\n
Interns will have opportunities to supervise graduate-level clinical psychology practicum students and to provide education and training to\u00a0trainees\u00a0within other medical or allied health\u00a0disciplines.<\/p>\n
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Track\u00a0Coordinator:<\/p>\n
Jean Mankowski, Ph.D.<\/p>\n
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Clinical\u00a0Supervisors:<\/p>\n
Gabriel Dichter, Ph.D.<\/p>\n
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Heather Hazlett, Ph.D.<\/p>\n
Laura Hiruma, Ph.D.<\/p>\n
Jean Mankowski, Ph.D.<\/p>\n
Becky Pretzel, Ph.D.<\/p>\n
Melissa Beck, Ph.D.<\/p>\n
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