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

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 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 care and is Co-Director of the Pediatric Gender Clinic with the University of Louisville Pediatric Endorinology Clinic.

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

"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