Clinical Focus


  • Psychology
  • Psychology, Child and Adolescent

Professional Education


  • Fellowship: Stanford University Child Psychology Postdoctoral Fellowship (2001) CA
  • PhD Training: Yale School Of Medicine (2000) CT
  • Internship: Boston Children's Hospital (2000) MA

2022-23 Courses


All Publications


  • A Framework for Navigating Requests for Nondisclosure in Pediatric Palliative Care CLINICAL PRACTICE IN PEDIATRIC PSYCHOLOGY Brown, M. R., Sunnquist, M., Schneider, L. M. 2021; 9 (3): 296-307

    View details for DOI 10.1037/cpp0000415

    View details for Web of Science ID 000708786500008

  • Psychotherapy in pediatric palliative care CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Brown, M. R., Sourkes, B. 2006; 15 (3): 585-?

    Abstract

    Psychotherapy for children who have life-threatening illness is unique in its challenges and rich in its rewards. Most of these children enter into psychotherapy because of the stress engendered by the illness rather than more general intrapsychic or interpersonal concerns. The facilitation of psychological adjustment is a common goal and brought about by managing anxiety related to great un-certainty and anticipatory grief. Siblings and other family members are incorporated into the work as they play a pivotal role in sustaining and strengthening emotional resources. Critical losses.around control, personal identity, and interpersonal relationships are common themes throughout the therapeutic process.

    View details for DOI 10.1016/j.chc.2006.02.004

    View details for Web of Science ID 000239131600005

    View details for PubMedID 16797440

  • Improved pain management in pediatric postoperative liver transplant patients using parental education and non-pharmacologic interventions PEDIATRIC TRANSPLANTATION Sharek, P. J., Wayman, K., Lin, E., Strichartz, D., Sentivany-Collins, S., Good, J., Esquivel, C., Brown, M., Cox, K. 2006; 10 (2): 172-177

    Abstract

    A pain management intervention, consisting of pretransplant parental education and support, pre- and postoperative behavioral pediatrics consultation, postoperative physical and occupational therapy consultation, and implementation of non-pharmacologic pain management strategies, was introduced to all pediatrics patients receiving liver transplants at Lucile Packard Children's Hospital beginning August 2001. Children receiving transplants pre-intervention (May, 2000 to February, 2001) and post-intervention (August, 2001 to March, 2002) were compared using pain scores, parent perception of pain ratings, length of stay, ventilator days, total cost, and opioid use. A total of 27 children were evaluated (13 historical control, 14 intervention). The two populations did not differ on age at transplant (mean age 53.8 vs. 63.6 months), sex (46.1% vs. 50% male), ethnicity (53.8% vs. 57.1% white, non-Hispanic) weight at transplant (17.5 vs. 24.7 kg), percent with biliary atresia as the primary reason for transplant (42.9% vs. 69.2%), percent with status 1 transplant listing score (38.5% vs. 50.0%), or public insurance status (30.8 vs. 57.2% with Medicaid). No differences were found in mean pediatric intensive care unit (PICU) postoperative length of stay (6.7 vs. 5.3 days), total postoperative length of stay (17.5 vs. 17.5 days), total inpatient length of stay (27.0 vs. 24.4 days), time to extubation (30 vs. 24.3 h), total cost (dollar 147,983 vs. dollar 157,882) or opioid use through postoperative day (POD) 6 (0.24 vs. 0.25 mg/kg/day morphine equivalent). A decrease in mean pain score between POD 0 and 6 (2.82 vs. 2.12; p = 0.047), a decrease in mean parental pain perception score (3.1 vs. 2.1; p = 0.001), and an increase in number of pain assessments per 12 h shift (3.43 vs. 6.79; p < 0.005) were seen. A comprehensive non-pharmacologic postoperative pain management program in children receiving a liver transplant was associated with decreased pain scores, improved parent perception of pain, and an increased number of pain assessments per 12 h shift. No increases in lengths of stay (PICU, postoperative, total), time to extubation, or total cost were found.

    View details for DOI 10.1111/j.1399-3046.2005.00438.x

    View details for PubMedID 16573603

  • Food, toys, and love: pediatric palliative care. Current problems in pediatric and adolescent health care Sourkes, B., Frankel, L., Brown, M., Contro, N., Benitz, W., Case, C., Good, J., Jones, L., Komejan, J., Modderman-Marshall, J., Reichard, W., Sentivany-Collins, S., Sunde, C. 2005; 35 (9): 350-386

    View details for PubMedID 16301200