Children's Health and Illness Recovery Program (CHIRP): Clinician Guide

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"Adolescents with chronic illness, particularly when accompanied by debilitating, painful, and/or fatiguing symptoms, face challenges that are disruptive to their normal physical, psychological, and social development. The Children's Health and Illness Recovery Program (CHIRP) is an evidence-based program specifically designed to address the skills needed by adolescents with chronic illnesses to become more confident and independent in coping and managing their illness and lifestyle. The flexible 12-session format of CHIRP can be administered with individual teens and their families, or conducted in teen groups with a parallel parent group component. CHIRP integrates and adapts effective treatment components from Behavioral Family Systems Therapy, Cognitive Behavioral Therapy, Coping Strategies Intervention, Interpersonal Psychotherapy, Assertiveness training, among others, into therapeutic activities in the companion CHIRP Teen and Family Workbook. This CHIRP Clinician Guide provides detailed instructions for implementing the manualized treatment protocol in the workbook. CHIRP was developed from both a careful review of the evidence-based literature on treatments for adolescents with chronic physical illness and the authors' more than six decades of combined experience in helping children and families improve their quality of life and independence while coping with a chronic illness. Clinical outcome data on teens who have completed CHIRP demonstrate significant improvement in independent functioning and reduction in symptoms of fatigue and chronic pain; longitudinal data suggest these improvements not only persist but teens continue to make gains on these factors beyond the completion of treatment, allowing them to pursue meaningful life goals as they transition to young adulthood"--

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Stress Identification and Management
ProblemSolving Skills
Relaxation Skills
ThoughtChallenging and ThoughtChanging Skills
Time Management and Prioritization
Increasing Teen Independence
Assertiveness and Relationships
Family Roles Communication and Support
CHIRP Physician Referral Form
CHIRP Interdisciplinary Communication Form
CHIRP Feedback Form
Suggested Assessment Measures
Conducting CHIRP in a Group Format
CHIRP Group Intake Form
CHIRP Outcomes Study Results
CHIRP FollowUp Study Results

Keys to Maintaining Progress
Skill Reinforcement and Relapse Prevention
Model 504 Letter
CHIRP Mastery Rating Scales
CHIRP Program Brochure
CHIRP Commitment Form
About the Authors

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About the author (2020)

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.

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