Outpatient Psychiatry & Behavioral Health

Goals and Objectives

Description

Provides comprehensive diagnostic servicesfor children and adolescents with mental health problems using a multidisciplinary approach.Providers include child psychiatrists,child psychiatric nurse practitioners, child psychologists, child neuropsychologists, mastered prepared therapists, and clinical support staff.The activities in this clinic include diagnostic assessments, therapeutic interventions, crisis management, and medication management.

Resident Role and Expectations

Residents will observe assessment and treatment of children, adolescents and their families regarding mental illness regarding psychiatric medication management. Participation will contribute to ACGME resident goals to 1) develop a working knowledge of typical development and behavior for children and families and apply this knowledge in the clinical setting to differentiate normal from abnormal states; and 2) diagnose and manage specific pediatric behavioral, developmental and medical problems using knowledge and insight about family development and family systems theory.

Suggested Reading

  • American Academy of Pediatrics. Clinical practice guidelines: diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder. Pediatrics. 2000;105(5):1158-1170.
  • American Academy of Pediatrics. Clinical practice guideline: treatment of the school-aged child with attention-deficit/hyperactivity disorder. Pediatrics. 2001;108(4):1033-1044.
  • Mash, E. J., & Barkley, R. A. (2007). Assessment of childhood disorders (4th ed.) (2nd ed.).New York: Guilford.
  • MTA Cooperative Group: National Institute of Mental Health Multimodal Treatment Study of ADHD follow-up: changes in effectiveness and growth after the end of treatment. Pediatrics 2004;113:762-769.
  • Swanson JM, Elliott GR, Greenhill LL, et al, for the MTA Cooperative Group: Effects of stimulant medication on growth rates across 3 years in the MTA follow-up. J Am Acad Child Adolesc Psychiatry 2007;46:1015-1027.
  • Molina BSG, Hinshaw S.P., Swanson J.M., et al, and the MTA Cooperative Group: The MTA at 8 years: prospective follow-up of children treated for combined type ADHD in a multisite study. J Am Acad Child Adolesc Psychiatry 2009;48:484-500.

Contact

Ashley Kimberley 206-987-3004,

Educational Goals Resident will see:

1. between 1-4 children with mental health concerns, most with a diagnosis of ADHD.2. patients at different stages of initial diagnosis, ongoing treatment, discontinuation and / or adjustment of medications.3. multi-disciplinary approaches of care for mental health patients.

Learning Objectives

Because of participating in Outpatient Psychiatry & Behavioral Health, trainees will be able to:

1. Understand the need for multi-disciplinary interventions and supports for children with mental health issues.

a. Medical Knowledge

  • Learn about differential diagnosis of mental health issues in children.
  • Learn about evidence based interventions for the treatment of mental health issues in children.

b. Patient Care

Learn about using a standardized, validated and accurate developmental and behavioral screening instruments, plus skills in interview, exam and medical knowledge to identify patterns of atypical development, such as:
a) ADHD home and school questionnaires (e.g., ADDES, Vanderbilt, Connors)
b) Behavioral screening questionnaire (e.g., Achenbach/Child Behavior Checklist)