Get to Know our Staff: Psychology Department

Get to Know our Staff: Psychology Department

What role do psychologists play at Scottish Rite for Children?
We play many roles. At Scottish Rite, our providers treat the whole child – this includes children’s physical and emotional health. Specifically, our psychologists are trained in the many pediatric medical conditions treated here. This means we can help patients and families understand and adapt to their diagnoses. It also means that we can help patients and their families understand their treatment options and support families throughout medical decision making. 

If surgery is recommended, we help patients and families to become as knowledgeable and prepared for surgery as possible, including prepping patients for any post-operative expectations. We also assist patients in supporting their adherence to any treatment recommendations, such as brace wear, medication or physical therapy. 

Why is psychology involved in patients’ pre-surgical preparation?
There are many psychosocial and behavioral factors that may impact a patient’s readiness for surgery, as well as their recovery post-operatively. Psychology’s involvement in pre-surgical evaluations helps to proactively address any concerns that may impact a patient’s recovery and rehabilitation, which in turn helps to mitigate post-operative challenges. 

Additionally, we provide patients and their families significant, developmentally appropriate education, to ensure that they fully understand the surgical procedure, as well as what is expected from them throughout the recovery process. Having this information ahead of time helps to provide patients with a roadmap of what to expect and allows them to feel in control. These evaluations are also used to answer any questions the patient and family may have. 

How is psychology involved in pain management?
Our team is uniquely trained to support children and adolescents with pain concerns, whether from acute injury, surgical pain or chronic pain complaints. Scottish Rite psychologists play an important role in assessing psychological, social and environmental factors that may impact a patient’s experience of pain and by providing targeted intervention. Our team has expertise in evidence-based psychological pain management interventions, like cognitive-behavioral approaches, including relaxation skills training, distraction techniques, cognitive restructuring and parent training.

How are you different from a counselor or therapist a patient may see in the community?
That’s a great question. Our team is different in that we are focused specifically on supporting patients and their families as part of their medical care at Scottish Rite. We know that having a medical condition may elicit feelings of stress, anxiety, worry or sadness. We also know that stress, anxiety, worry or sadness can exacerbate certain medical conditions and make treatment more difficult to manage. We support patients and families in understanding those relationships and how to cope with them. 

That said, we greatly value mental health providers in the community and will frequently partner with them. For example, if a patient is working with a counselor in their community, we may ask to speak to that counselor to help coordinate care. Or, if appropriate, we may recommend that a patient work with a local counselor or psychiatrist to receive additional, longer-term support. 

In addition to seeing patients, what other roles do you play at Scottish Rite?
In addition to clinical care, our team is also very involved in research. We have partnered with many of the surgeons and physicians throughout the institution on active lines of research and regularly present at national conferences. We also have a Pediatric Psychology Fellowship training program, where we provide training, education and supervision for post-doctoral fellows in pediatric psychology. Additionally, we are involved in numerous committees within Scottish Rite, and we are engaged in nation-wide psychology organizations such as the American Psychological Association. 

MEET THE TEAM

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Area(s) of expertise – I have the pleasure of getting to work with numerous departments, including the Neurology and Rehabilitation Medicine team, the Hand team, as well as multiple orthopedic providers. Specifically, I work with patients with scoliosis and spine conditions, hip conditions, complex foot and ankle conditions, lower extremity conditions and patients requiring limb lengthening and/or reconstruction.

Special interests – I am particularly interested in the provision of interdisciplinary care, the role of the family in supporting pediatric patients and transitional care. 

I like working in pediatrics because: The patients I get to serve. Children are curious, insightful, honest, funny, adaptable and resilient. It is incredibly rewarding to support a patient in their medical journey and assist in making it as positive an experience as possible.

Area(s) of expertise – I work with a variety of departments and teams, including Rheumatology, General Orthopedics, Prosthetics and scoliosis teams. I love the variety of the clinics I support and being able to meet families with an array of medical conditions. 

Special interests – I particularly enjoy working with children and teens who are experiencing chronic pain. Psychology plays a critical role in chronic pain management and I enjoy seeing children and teens return to the activities they enjoy. Recently, I have developed expertise in the emotional and psychological needs of patients with a prosthesis.

I chose to work at Scottish Rite because: The mission is consistent with my training of treating the whole child and family. I was eager to join a team who cares about giving kids more than a positive medical outcome, but also a positive emotional outcome for the patient and their family.  

Area(s) of expertise – I have gained extensive training in integrated health settings, specifically in providing interventions for pain, adherence and treatment related mood difficulties. At Scottish Rite, I support the Sports Medicine department and provide care to young athletes throughout the course of the treatment and return to sport.  

Special interests – I enjoy working with and supporting young athletes throughout the course of their medical treatments, especially related to coping with anxiety and pain related to treatment and addressing barriers to adherence and return to sport. 

Scottish Rite is special because: The organization stands true to its mission in “treating the whole child and never just the condition.” The provision of wholistic, interdisciplinary care is what is so special. Every staff member cares so deeply about each patient and works tirelessly to ensure the best possible outcomes, both medically and psychosocially.

Area(s) of expertise – Pediatric psychology and childhood trauma are my main areas of focus. 

Special interests: Childhood trauma, providing coping assistance to those with acute and chronic illness/injury, pain management, behavior management, providing integrated behavioral health care and providing trauma informed care

I chose my specialty because: Throughout the course of my training and clinical practice, I have developed a passion for working with children and adolescents, along with the team around them, in helping them strive to become the best version of themselves as they process and cope through difficult traumas in their life. Working with childhood trauma and physical health related issues has become a primary focus for me over the course of my early years as a psychologist. I believe that providing education and intervention to children, families and fellow medical providers on how emotional and physical functioning can be connected is one of the most important interventions to begin the healing process for the whole child.

Area(s) of expertise – I have undergone extensive training in early childhood assessment and intervention, developmental delay/disability, multicultural psychology, trauma, behavioral management and integrated health psychology. At Scottish Rite, I work specifically with teams treating a variety of spine conditions, including scoliosis.

Special interests – I love working with preschool populations and children on the autism spectrum, as well as teaching parents new techniques to improve their child’s behavior. I also enjoy training and educating others on culturally humble and sensitive practices we can employ to be more respectful in our approach with diverse patients.  

How do you help your patients feel comfortable: I enjoy working with younger populations because I get to bring out my inner clown and be comical. Therefore, I use a lot of humor and comedy in my interactions with children and adolescents. It often helps them see my humanity first, as opposed to my professional hat.

The Importance of Caring for the Whole Child

The Importance of Caring for the Whole Child

At Scottish Rite for Children, our mission is to provide the best and most innovative care. Through ongoing research, our experts are able to give treatment options for a child’s condition, whether common or complex.

In addition to our six centers for excellence, we have other areas of treatment which allow us to provide care for the whole child – mind, body and spirit. Scottish Rite’s Psychology department is comprised of pediatric psychologists who focus on biological, social and emotional aspects of our patients who are diagnosed with challenging medical conditions. Ongoing clinical research informs best ways to help our patients and families.

Recently, the Psychology and Orthopedics departments published an article in the Journal of Children’s Orthopaedics titled, Preoperative Mental Health Status is a Significant Predictor of Postoperative Outcomes in Adolescents Treated with Hip Preservation Surgery. The purpose of the study was to identify and evaluate possible factors that may influence postoperative outcomes: pain, function and mental health symptoms.

Our psychologists play a crucial role in our patients’ lives – especially those who are preparing for significant treatment. From previous studies, factors such as depression, anxiety and family function have been shown to impact pain and coping after surgery. Knowing this, our team wanted to proactively identify and help prepare these children. Before scheduling surgery, the child and family work with the psychologist to prepare and plan. As part of our integrated approach to care, patients in this study, who were prepared with the psychologist, showed improvements in pain, health-related quality of life and mental health symptoms.

Overview and Key Findings:

  • 58 hip preservation surgery (HPS) candidates were given measures to assess pain, quality of life and mental health symptoms, such as anxiety and depression, before surgery and six months after surgery.
  • Results: 78% of patients reported one to three years of pain prior to hip preservation surgery. All pain scores significantly decreased at six-months post-operatively.
    • Pre-operative mental health scores significantly predicted post-operative pain scores and mental health symptoms decreased significantly.
    • Patients who were seen by Psychology two or more times prior to scheduling surgery reported better six-month post-operative outcomes than those seen only once.
  • Conclusions: HPS candidates evaluated pre-operatively by Psychology, as part of an integrated treatment approach, demonstrated statistically significant improvements in pain, health-related quality of life and mental health symptoms.

Director of the Psychology department, pediatric psychologist and lead researcher on this study Heather M. Richard, Psy.D., acknowledges the strong impact this care model can have on patients going through surgery. “The results of this research validate the importance of integrating psychology into a child’s plan of care,” says Richard. “We work hand in hand with the orthopedic doctors to make sure each patient receives individualized care – for their bones and joints, as well as their minds. Through research like this, we are able to identify any potential concerns the child and family may have going into the procedure, making sure we work through those as a team to maximize outcomes.”

Learn more about our Psychology department.

D Magazine: Scottish Rite for Children is Studying the Impact of the Pandemic on Children and Young Adults

D Magazine: Scottish Rite for Children is Studying the Impact of the Pandemic on Children and Young Adults

Researchers at Scottish Rite for Children are looking into the impact of the pandemic on kids, teenagers and adults. One study is analyzing current and former patients 18 years of age or older, volunteers, community members, and others to see the psychological impact of the pandemic, while the other is studying the virus’ impact on children’s activity levels and sports.

Read more on D CEO, about how the pandemic may have coaxed some children into more outside play, while canceling organized activities for others. 

CultureMap Dallas: Top Texas Pediatric Hospital on Why Pain Management for Kids Matters

CultureMap Dallas: Top Texas Pediatric Hospital on Why Pain Management for Kids Matters

Scottish Rite Hospital is committed to treating the whole child – mind, body and spirit. As integrated members of the hospital’s orthopedic team, our psychologists play an important role before, during and after a child receives treatment. 

Staff pediatric psychologist Teresa Collins-Jones, Ph.D., explains how pain is multidimensional and can affect different aspects of a child’s life. Our psychology experts have the ability to talk through the patient’s concerns and fears to address how they are feeling.

Read the full article and learn about how our team integrates psychology into the care of the hospital’s patients.