Children's Health and Illness Recovery Program (CHIRP)

Clinician Guide

Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady

Programs That Work

Offers session-by-session guidelines for clinicians while allowing for flexibility in application to meet the unique needs of clients
Provides a level of detail and direction to intervention for clinicians at varying levels of training and experience
Includes exercises that lead to increased teen independence and continued success beyond treatment

Children's Health and Illness Recovery Program (CHIRP)

Clinician Guide

Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady

Description

Youth with chronic illness, particularly when accompanied by debilitating, painful and/or fatiguing symptoms, face challenges that may prove disruptive to their normal physical, psychological and social developmental trajectories. Derived from six decades of combined experience from authors, Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady, The Children's Health and Illness Recovery Program (CHIRP) is an interdisciplinary cognitive behavioral and family systems-based treatment program designed to maximize the independent functioning of teens with chronic illness.

The CHIRP Clinician Guide is a detailed outline for implementing this manualized treatment protocol over the course of twelve sessions and provides clear guidance as to the philosophy, pragmatics and art of working with this challenging pediatric population. Designed to accompany the CHIRP Teen and Family Workbook, The Clinician Guide equips practitioners with specific assessment measures and the tools needed to establish a collaborative treatment team approach that incorporates the skills of the CHIRP clinician, primary care and specialty physicians, and the various other healthcare (e.g., physical therapists, occupational therapists, etc.) and educational professionals critical to the successful management and treatment of these youth.

Children's Health and Illness Recovery Program (CHIRP)

Clinician Guide

Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady

Programs That Work

Acknowledgements
Introduction and Prep Session
Chapter 1: Session 1-Stress Identification and Management
Chapter 2: Session 2-Problem-Solving Skills
Chapter 3: Session 3-Relaxation Skills
Chapter 4: Session 4-Thought Challenging Skills
Chapter 5: Session 5-Time Management and Prioritization
Chapter 6: Session 6-Increasing Teen Independence
Chapter 7: Session 7-Assertiveness and Relationships
Chapter 8: SESSION 8: Family Roles, Communication, and Support
Chapter 9: SESSION 9: Keys to Maintaining Progress
Chapter 10: SESSIONS 10-12: Skill Reinforcement and Relapse Prevention
APPENDICES
Appendix A: Model 504 Letter
Appendix B: CHIRP Mastery Rating Scales
Appendix C: CHIRP Program Brochure
Appendix D: CHIRP Physician Referral Form
Appendix E: CHIRP Interdisciplinary Communication Form
Appendix F: CHIRP Feedback Form
Appendix G: Suggested Assessment Measures
Appendix H: Conducting CHIRP in a Group Format
Appendix I: CHIRP Group Intake Form
Appendix J: CHIRP Outcomes Study Results
Appendix K: CHIRP Follow-Up Study Results
Appendix L: CHIRP Commitment Form
References

Children's Health and Illness Recovery Program (CHIRP)

Clinician Guide

Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady

Programs That Work

Author Information

Bryan D. Carter, Professor, Department of Pediatrics, Child and Adolescent Psychiatry and Psychology, University of Louisville School of Medicine, William G. Kronenberger, Professor, Director of the Section of Psychology, and Executive Vice-Chair of the Department of Psychiatry, Indiana University School of Medicine, Eric L. Scott, Clinical Associate Professor, Department of Pediatrics, University of Michigan Medical School, and Christine E. Brady, Assistant Professor, Department of Pediatrics, Child and Adolescent Psychiatry

Dr. Bryan Carter is a Professor with the Department of Pediatrics, Division of Child & Adolescent Psychiatry and Psychology, University of Louisville School of Medicine, and the Service Chief of the Pediatric Consultation-Liaison Service to Norton Children's Hospital. He is the primary developer of the CHIRP (Children's Health & Illness Recovery Program) manualized treatment intervention for adolescents and their families coping with the challenges of chronic illness, and co-editor with Kris Kullgren, PhD, of the Clinician Handbook of Pediatric Psychological Consultation in Medical Settings.

William G. Kronenberger, PhD, is Professor, Director of the Section of Psychology, and Executive Vice-Chair of the Department of Psychiatry at Indiana University School of Medicine (IUSM). He serves as Chief of the Pediatric Psychology Testing Clinic and Co-Chief of the ADHD Clinic at Riley Hospital for Children. He is an author of several tests, including the Learning, Executive, and Attention Author Biography Functioning scale (LEAF), Conduct-Hyperactivity-Attention-Oppositional Behavior Scale (CHAOS), the Pediatric Inpatient Behavior Scale (PIBS), and the Outburst Monitoring Scale (OMS).

Eric L. Scott, PhD is a pediatric psychologist and Associate Professor of Pediatrics and Anesthesiology at the University of Michigan Medical School. He directs the MiPAIN (Michigan Pediatric and Adolescent Interdisciplinary Network) program, a comprehensive, interdisciplinary treatment program including physical therapy services, occupational therapy, psychotherapy, art and recreation therapy restoring health to individuals and their families with complex, chronic pain.

Christine E. Brady, PhD is an Assistant Professor with the Department of Pediatrics, Division of Child & Adolescent Psychiatry and Psychology at the University of Louisville School of Medicine and the Assistant Chief of the Pediatric Consultation-Liaison Service to Norton Children's Hospital. Dr. Brady also has expertise in transgender

Children's Health and Illness Recovery Program (CHIRP)

Clinician Guide

Bryan D. Carter, William G. Kronenberger, Eric L. Scott, and Christine E. Brady

Programs That Work

Reviews and Awards

"CHIRP is a valuable evidence-based manualized treatment protocol that can benefit both novice and seasoned psychologists seeking to provide quality care to adolescents with a variety of physical illnesses, including those with chronic pain." - Ana B. Goya Arce, Department of Anesthesia, Stanford University, Pediatric Pain Letter, International Association for the Study of Pain

"The CHIRP Clinician Guide and CHIRP Teen and Family Workbook are outstanding resources that professionals will turn to again and again.Â The Guide and Workbook cover all the bases in the treatment of teens with debilitating chronic illness - a biopsychosocial philosophy that guides practice, sample scripts for engaging patients and families in treatment, evidence-based strategies to increase teen's self-confidence and daily functioning, and methods of collaboration with the family, school, and interdisciplinary medical teams. Both junior and senior professionals will find new ideas and useful tools to apply in their clinical practice." - Lynn S. Walker, PhD, Professor of Pediatrics and licensed clinical psychologist at the Monroe Carell Jr. Children's Hospital of Vanderbilt University

"Carter and his colleagues provide clinicians, teens and their families an invaluable resource in the CHIRP (Children's Health and Illness Recovery Program) Teen and Family Workbook and CHIRP Clinician Guide. Supported by years of clinical work and empirical support, these books provide step by step guidelines for helping teens cope with a wide range of chronic health conditions that lead to significant functional disability. Interdisciplinary teams in the pediatric context will find these books to be essential reading that informs their day-to-day work in supporting their families on the road to rehabilitation" - Larry L. Mullins, PhD, Regents Professor and Vaughn Vennerberg Chair of Psychology, Oklahoma State University

"The long respected Children's Health and Illness Recovery Program guide and workbook has helped many children with chronic illnesses, their families, and the clinicians who work with them. This practical, easy to use compendium of clinical materials is a must-have resource for mental health professionals to provide quality evidence-based care in an individual or group format." - Sara Williams, PhD , Pediatric Psychologist, Cincinnati Children's Hospital; Author of Treating Somatic Symptoms in Children and Adolescents