![]() This clinic at the CSC is part of a larger national study assessing outcomes of premature and very low birth weight infants. Trainees typically do not have the opportunity to work clinically with program participants except in rare occasions when adult psychiatric assessments are needed for mothers in the program. Trainees may be able to investigate a small research project of their own with data from the program. Trainees may also attend weekly rounds during which both research and clinical issues are raised. Trainees have the opportunity to conduct research developmental and social assessments including the Ambiance Paradigm, the Strange Situation, and the Bayley Scales of Early Development. This is a research program for young, high risk mothers who begin their participation in their first pregnancy investigating the benefit on mother and child outcomes of a weekly home visiting program with a nurse practitioner and social worker focused on reflective functioning. Children with mental illness are also followed/treated in the Re-integration arm of IICAPS which assists them as they move from acute or long-term hospitalization/institutionalization to live with families. Trainees attend 4 individual rounds weekly to become familiar with the IICAPS treatment model and accompany clinicians on home visits for psychiatric assessment and ongoing care of children and adolescents. Intensive In-home Child and Adolescent Psychiatric Services allows trainees to become involved in medical management of ongoing community-based treatment of severely emotionally disturbed children. The clinic is usually one morning every two weeks, with some additional team meetings and time for writing notes etc., and can also provide more opportunities working with databases etc. There are also multiple studies involving this clinical population, and enrollment and participation in the studies is integrated into clinic visits. Psychosocial evaluations are an integral part of this ongoing care, and target both the emotional sequelae of treatment on the patient and their family, as well as neurocognitive aspects of treatment like cranial radiation and intrathecal chemotherapy. Patients are seen annually by a team of medical specialists to carefully follow each patient's specific risk factors based on the treatment they received. The clinic emphasizes preventive guidance and education to empower survivors to be healthy individuals. HEROS is a survivorship clinic for both adults and kids who were treated for cancer during their childhood. Trainees may be involved in child and family evaluations and clinic rounds as well as the research that focuses on developing, testing and disseminating state-of-the-art interventions for children and families affected by psychological trauma. ![]() In particular, the clinic delivers and researches the Child and Family Traumatic Stress Intervention, a 4 session Parent-Child model that enhances communication. This clinic offers a range of treatments and interventions for children and adolescents who are struggling with traumatic reactions and disorders. The assessment includes an intake parent interview, 2 weeks of developmental testing, 2 weeks of play observation, completion of parent and teacher surveys outside of team time, school and/or home observation, and a final feedback session. Beginning in August, Trainees typically conduct 2-3 individual assessments which last 6 weeks with a team that they are working with through the year. Trainees receive training during the summer on how to conduct the various components of young child assessments including the Mullen Scales of Early Development and the Vineland Survey. Teams meet weekly to observe one person from their team conduct a thorough assessment of a young child with an emotional or behavioral problem. The CDU is a young child assessment clinic run in several teams by supervisors with young child expertise. it also is an excellent way to watch an expert team from a variety of disciplines at work and to gain a better understanding of the interface between schools and mental health. This is an excellent clinic in which to see a variety of presentations of the ASCs and some of the unusual developmental disorders associated with the conditions. Patients are not generally followed outside of this evaluation. You may also watch the various other components of the evaluation, including psychology testing and speech and language testing. As a child psych resident, your role is to participate in the evaluation by presenting a thorough history, and conducting a parent and child interview, and contributing to the verbal and written feedback given to the family. This clinic offers an intensive and extensive evaluation of children and teens with suspected autism spectrum conditions.
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