Health Psychology & Technology
The clinical experience gained in the fellowship is housed within the Neurocognitive Assessment Lab in the Department of Psychiatry and Neurobehavioral Sciences at the UVA School of Medicine. Fellows will also be involved in cutting edge research conducted in the Behavioral Health & Technology Lab.
Clinical Focus (70%)
The fellow will function as an integral part of a multi-disciplinary health care team in the Organ Transplant and Infectious Disease clinics (HIV Clinic). Primary duties will include initial diagnostic evaluations of organ transplant candidates through the Transplant Services, including clinical interview, assessment of medical non-adherence risk factors, and cognitive screening. The fellow will also provide behavioral consultation to the interdisciplinary transplant clinical staff and attend liver and kidney transplant selection meetings. UVA is the only comprehensive center in the state that transplants all solid organs, including liver, kidney, pancreas, lung, and heart.The majority of patients will be those with end-stage liver or kidney disease, although patients with end-stage pulmonary disease will also be evaluated. In addition, the fellow also has the opportunity to conduct psychotherapy under the framework of health psychology at the Ryan White HIV Clinic of the UVA Health System. Many of the patients in the Ryan White Clinic are underserved minorities living in rural settings. These patients often face stigmatization due to their HIV diagnosis. Some are also LGBT-identified and face double stigmatization in their communities. The fellow will gain experience in providing pragmatic therapy to these patients with depression, PTSD, other anxiety disorders, difficulty adjusting to their diagnosis, and for some, a Schizophrenia-spectrum illness.
Finally, 20% of the fellow's clinical experience will take place within the Virginia Driving Safety Laboratory located within the Behavioral Medicine Center. Clinically, this service provides evaluations to determine the extent to which acute or progressive medical conditions affect driving ability. Additional clinical services involve treatment of driving phobias, as well as rehabilitation of driving skills following a physical insult, such as traumatic brain injury. Research opportunities consist of developing virtual reality driving simulation and working with various patient populations, such as military personnel, seniors, and individuals with ADHD, Aspergers, or Type I diabetes.
Across clinical settings, the fellow will be expected to consolidate and develop further competence in therapeutic and diagnostic procedures, as well as the ability to consult with other professionals where psychological knowledge can make a unique contribution to patient success and management. UVA offers a balance of primary, secondary, and tertiary care to people in Central Virginia, the Shenandoah Valley, and Western Virginia, as well as nationally and internationally.
Research Focus (20%)
The Behavioral Health & Technology (BHT) program area focuses on the development and evaluation of medical-behavioral treatments delivered via the Internet, as well as related emerging eHealth technologies (e.g., mobile phone). Emphasis is placed on the scientist-practitioner model of clinical psychology. Fellows will work closely with faculty and assist in soliciting grants, screening participants, conducting risk assessments, developing and implementing Internet delivered interventions, and evaluating and disseminating results for studies which bridge the gap between psychology/psychiatry and technology in a variety of areas.
Fellows will engage in clinical research throughout the fellowship. The BHT investigators have received significant NIH and state funding to develop and evaluate programs. Specific research projects are determined by the professional goals and interests of the Fellow and include:
- Evaluation of an Internet intervention for patients with insomnia, including those with comorbid psychiatric or medical problems
- Evaluation of an Internet intervention to prevent pressure ulcers in spinal cord patients
- Evaluation of an Internet intervention to prevent skin cancer
- Evaluation of an online game to reduce asthma attacks in children
- Evaluation of an Internet intervention to improve understanding of elevated risk for high and low blood glucose in patients with Type 1 diabetes
- Evaluation of an Internet intervention to reduce alcohol and contraception risk to prevent Fetal Alcohol Spectrum Disorder
Educational & Professional Development (10%)
In addition to two hours per week of individual supervision, the fellow will have the opportunity to participate in weekly didactics. The Fellow will also have the opportunity to participate in weekly research meetings with both Core Faculty members and a team of interdisciplinary co-investigators, including internationally recognized experts in their respective fields.
There are numerous opportunities for educational and professional development, including:
- Grand Rounds in Department of Psychiatry and Neurobehavioral Sciences
- Sleep Lab Seminar/Case Conference
- Neuropsychology Fellows' Seminar and Journal Club
- Monthly Fellows Meeting
- Regular HIV-related behavioral health grant meetings
- Didactics offered in various other departments in the medical center and academic university
- Jason R. Freeman, Ph.D. (Neurocognitive Assessment Lab, Primary Clinical Supervisor)
- Anthony P. De Marco, Psy.D. (Neurocognitive Assessment Lab)
- Donna K. Broshek, Ph.D. (Co-Director & Training Director, Neurocognitive Assessment Lab)
- Karen S. Ingersoll, Ph.D. (Associate Professor, PI for multiple HIV-related grants)
- Lee Ritterband, Ph.D. (Director, Behavioral Health & Technology Lab)
- Frances Thorndike, Ph.D. (Training Director, Behavioral Health & Technology Lab)
- Daniel J. Cox, Ph.D., ABPP-Clinical Psychology (Director, Center for Behavioral Medicine Research)
- Virginia C. Andersen, Ph.D.
APPLICATION DEADLINE FOR HP&T: Not currently recruiting.
DIRECT INQUIRIES AND MATERIALS TO:
Jason R. Freeman, Ph.D.
University of Virginia Health System
Charlottesville, VA 22908