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Kelly Marie Sullivan

Associate Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
Box 104424, Durham, NC 27710
1121 W Chapel Hill St, Ste #100, Durham, NC 27701

Selected Publications


Enhancing early parenting in the community: Preliminary results from a learning collaborative approach to scale up Attachment and Biobehavioral Catch-up.

Journal Article Infant Ment Health J · November 2023 Attachment and Biobehavioral Catch-up (ABC) is a promising home-visiting intervention promoting sensitive caregiving and secure parent-child attachment in families with young children. The goal of this study was to examine a learning collaborative approach ... Full text Link to item Cite

What about trauma? Accounting for trauma exposure and symptoms in the risk of suicide among adolescents who have been adopted.

Journal Article Child Abuse Negl · August 2022 BACKGROUND: Research suggests that individuals who have been adopted are at increased risk for suicidal behaviors, but this research does not account for the role of trauma. OBJECTIVES: The study provided rates of trauma exposure among individuals who were ... Full text Link to item Cite

The Child Welfare System: Problems, Controversies, and Future Directions

Chapter · January 1, 2021 The main organization charged with responding to child maltreatment in the United States (USA) is the child welfare system. Approximately 10% of the US child population were reported to the child welfare system. This chapter provides an overview of how the ... Full text Cite

Disseminating parent-child interaction therapy through the learning collaborative model on the adoption and implementation of an evidence-based treatment

Journal Article Children and Youth Services Review · June 1, 2019 Evidence-based treatments (EBTs) for childhood disruptive behavior disorders, such as Parent-Child Interaction Therapy (PCIT), have limited availability in community settings. Recent research highlights the importance of implementation support models to en ... Full text Cite

Promoting trauma-informed parenting of children in out-of-home care: An effectiveness study of the resource parent curriculum.

Journal Article Psychol Serv · February 2019 The Resource Parent Curriculum (RPC) is a workshop designed to promote trauma-informed parenting among foster, adoptive, and kinship caregivers (i.e., resource parents). The ultimate goal of RPC is to improve placement stability and promote healing from tr ... Full text Link to item Cite

Developmental trajectories of executive functions in young males with fragile X syndrome.

Journal Article Res Dev Disabil · October 2018 BACKGROUND: Executive functions (EF) have been identified as impaired in FXS, but few studies have examined their developmental trajectories. AIMS: The primary aim of this longitudinal study was to examine the development of EF in young males with FXS comp ... Full text Link to item Cite

Trauma Screening in Child Welfare: Lessons Learned from Five States

Journal Article Journal of Child and Adolescent Trauma · December 1, 2017 Children in the child welfare system experience high rates of exposure to potentially traumatic events, which are associated with significant impairments in safety, permanency, and well-being. However, child welfare systems have not routinely screened chil ... Full text Cite

Using clinical assessment to enhance adoption success

Journal Article Families in Society · January 1, 2017 There is a growing recognition that adoptive families have unique clinical needs, including the need for postadoption mental health services that are adoption competent, trauma informed, and evidence based. Although underrepresented in the literature, the ... Full text Cite

Working with resource parents for trauma-informed foster care

Chapter · January 1, 2017 Child welfare and mental health trainers are often at a loss for trauma-informed resources to enhance the knowledge, attitudes, and skills of resource parents. This chapter is designed to provide an understanding of the National Child Traumatic Stress Netw ... Full text Cite

Trauma-Informed Care for Children in the Child Welfare System: An Initial Evaluation of a Trauma-Informed Parenting Workshop.

Journal Article Child Maltreat · May 2016 An essential but often overlooked component to promoting trauma-informed care within the child welfare system is educating and empowering foster, adoptive, and kinship caregivers (resource parents) with a trauma-informed perspective to use in their parenti ... Full text Link to item Cite

A statewide nurse training program for a hospital based infant abusive head trauma prevention program.

Journal Article Nurse Educ Pract · January 2016 Successful implementation of universal patient education programs requires training large numbers of nursing staff in new content and procedures and maintaining fidelity to program standards. In preparation for statewide adoption of a hospital based univer ... Full text Link to item Cite

Effectiveness of a Statewide Abusive Head Trauma Prevention Program in North Carolina.

Journal Article JAMA Pediatr · December 2015 IMPORTANCE: Abusive head trauma (AHT) is a serious condition, with an incidence of approximately 30 cases per 100,000 person-years in the first year of life. OBJECTIVE: To assess the effectiveness of a statewide universal AHT prevention program. DESIGN, SE ... Full text Link to item Cite

Process evaluation of a statewide abusive head trauma prevention program.

Journal Article Eval Program Plann · December 2014 The current study used four dimensions of the RE-AIM framework (Reach, Adoption, Implementation, and Maintenance) to evaluate the implementation of a statewide abusive head trauma prevention program. Numerous methods, including telephone surveys, paper and ... Full text Link to item Cite

Designing and testing a shaken baby syndrome prevention program - the period of PURPLE crying: Keeping babies safe in North Carolina

Journal Article Social Marketing Quarterly · December 1, 2009 Each year infants die or are permanently disabled at the hands of their caregivers by abusive head trauma, more commonly known as Shaken Baby Syndrome (SBS). Current medical research confirms the central role of infant crying in triggering shaking by careg ... Full text Cite

Developmental trajectories of young girls with fragile x syndrome.

Journal Article Am J Intellect Dev Disabil · May 2009 To describe the early phenotype of girls with full mutation fragile X, we used 54 observations of 15 girls between the ages of 6 months and 9 years to examine developmental trajectories as measured by the Battelle Development Inventory. In this sample, aut ... Full text Link to item Cite

Executive functions in young males with fragile X syndrome in comparison to mental age-matched controls: baseline findings from a longitudinal study.

Journal Article Neuropsychology · January 2008 The performance of 54 boys with fragile X syndrome (FXS), ages 7 to 13 years, was compared to that of a group of typically developing boys who were matched on mental age (MA) and ethnicity across multiple measures of executive function (EF). Boys with FXS ... Full text Link to item Cite

Sustained attention and response inhibition in boys with fragile X syndrome: measures of continuous performance.

Journal Article Am J Med Genet B Neuropsychiatr Genet · June 5, 2007 Sustained attention and response inhibition were examined in boys with full mutation fragile X syndrome (FXS) using adapted visual and auditory continuous performance tests (CPTs). Only 61% of 56 boys with visual CPT data and 54% of 52 boys with auditory d ... Full text Link to item Cite

Behavioural equivalents of anxiety in children with fragile X syndrome: parent and teacher report.

Journal Article J Intellect Disabil Res · January 2007 BACKGROUND: Identifying many of the diagnostic criteria for anxiety and depression in individuals with intellectual disability (ID) can be challenging because they may be unable to recognize and communicate their emotional experiences accurately. The purpo ... Full text Link to item Cite

ADHD symptoms in children with FXS.

Journal Article Am J Med Genet A · November 1, 2006 Parent- and teacher-report of attention-deficit/hyperactivity disorder (ADHD) symptoms were examined using problem behavior and DSM-IV symptom inventory questionnaires for 63 children with full mutation fragile X syndrome (FXS) and 56 children without disa ... Full text Link to item Cite

Mapping nonverbal IQ in young boys with fragile X syndrome.

Journal Article Am J Med Genet A · January 1, 2005 This study examines the developmental changes in nonverbal intellectual functioning evident in males with fragile X syndrome (FXS) measured by the Leiter International Performance Scales-Revised (Leiter-R). The Leiter-R provides both IQ scores and associat ... Full text Link to item Cite

Adaptive behavior in children with fragile X syndrome.

Journal Article Am J Ment Retard · November 2003 Adaptive behavior over time in 70 children with fragile X syndrome, ages 1 to 12 years, was examined using the Vineland Adaptive Behavior Scales. With a mean of 4.4 assessments per child, adaptive behavior skills increased steadily and gradually over time. ... Full text Link to item Cite

Problem behavior in boys with fragile X syndrome.

Journal Article Am J Med Genet · March 1, 2002 This study examines problem behavior over time in 59 boys with fragile X syndrome (FXS), aged 4-12 years, using the Child Behavior Checklist (CBCL). Approximately 49% of the boys scored within the borderline or clinical range on total problem behavior, whi ... Full text Link to item Cite