Clinical Sites

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Clinical Sites

Outline

  1. Child and Adolescent Inpatient Units: Hartgrove Behavioral Health
  2. Pediatric Collaboration and Consultation-Liaison: University of Illinois
  3. DCFS Adolescent Assessment Unit (CATU): University of Illinois
  4. Colbeth Outpatient Clinic: UIC/IJR
  5. School Consultation: SEDOL
  6. Addiction Medicine: Hartgrove Behavioral Health
  7. Electives

 

  1. Child and Adolescent Inpatient Units: Hartgrove Behavioral Health Hospital
    • Fellows will spend 4 months practicing inpatient child and adolescent psychiatry at Hartgrove Behavioral Health at 5730 West Roosevelt Road, some 15 minutes from the UIC campus.  Hartgrove has separate units for children and adolescents and separate units for boys and girls.  Fellows encounter a diverse patient population with problems across the spectrum of psychiatric pathology. While fellows work under two UIC-trained child and adolescent psychiatrists, they are granted a wide breadth of independence allowing them to make patient management decisions commensurate with their burgeoning knowledge and skill sets. Fellows will be working with and at times leading a team of nurses, psychologists and social workers in formulating and implementing treatment protocols designed specifically for each patient, family and their specific psychosocial needs. There are specialized substance abuse and trauma tracts that may be a component of a youth’s treatment.  Families are an important component of an acute treatment plan and the development of an outpatient plan that may include Hartgrove Outpatient Services or other community services, including outpatient services at the UIC Colbeth Clinic will be carefully developed.
  2. Pediatric Collaboration and Consultation-Liaison: University of Illinois at Chicago
    • The Child and Adolescent Psychiatry Collaboration and Consultation service is directed by Elizabeth Charney, MD and Kathleen Kelley, MD, both triple boarded child and adolescent psychiatrists and full-time faculty members. First-year fellows rotate through this service four months. The service provides a combination of inpatient, outpatient, and emergent consultation to pediatric patients who have been referred by other physicians at UIC. Consults to inpatients include medically ill patients hospitalized on the pediatric unit. The pediatric unit consists of 40 general pediatric beds, a Pediatric Intensive Care Unit, and a step down unit. Outpatient consultation involves consults to general pediatric patients as well as patients in specialty clinics including pediatric neurology, hematology/oncology, nephrology, endocrinology, surgery, infectious disease, cardiology, genetics clinic, and Development and Behavioral clinics. One main site for this consultation is in the Pediatric Embedded Clinic within the Pediatric outpatient main clinic. Fellows on this rotation also gain experience in DocAsist, a phone consultation service for primary care providers throughout the State of Illinois. Fellows also attend two half-day Clinics in the Pediatric Outpatient Clinic. The Neurology clinic will focus on the fundamentals of the neurological history and physical examination, differential diagnosis, when to suspect an underlying neurological condition in a child with a behavior problem, typical behavioral problems of common neurological conditions, knowledge of basic neurological medications and their side effects. The clinic sees children between 0 to 21 years of age, with the majority between 7 and 16 years of age.  The Adolescent Medicine Clinic is their second experience.  Here there is a special emphasis on the medical care of youth, 13-24, with Eating Disorders as well as general adolescent medicine care which often includes the gamut of adolescent mental health presentations as well as gynecologic services.
  3. DCFS Adolescent Assessment Unit: University of Illinois
    • The Comprehensive Assessment and Treatment Unit (CATU)/Response Training System (CARTS) is an intensive treatment program serving the psychiatric needs of DCFS wards. The Medical Director/Coordinator is Michael Naylor, MD and the onsite Director is Elizabeth Charney, MD. The program is the result of a contract between the Department of Children and Family Services and the University of Illinois at Chicago. The patients treated are adolescents between the ages of 12 and 18 years with severe psychopathology who have failed numerous hospitalizations, residential treatment center placements, group or foster home placements. The inpatient component of the program, the CATU, strives to provide comprehensive evaluations, crisis stabilization, acute treatment, and linkage to intensive community-based treatment programs, including wrap - around services. The CATU is a 10 bed unit housed in the University of Illinois at Chicago Hospital. Diagnoses represent the full range of psychopathology, with high percentages of post traumatic stress disorder, affective disorders, disruptive behavior disorders, and learning disabilities. Services offered include psychological, neuropsychological, and educational testing; speech and language evaluation; behavioral analysis and behavioral treatment; individual psychotherapy; pharmacotherapy; milieu and group therapy; case management; occupational therapy; group therapy for adolescents who have been sexually and physically abused, and substance abuse groups. Given the chronicity and severity of psychopathology in this population, the average length of stay is expected to be approximately 30-45 days.
    • The CARTS team follows youth from the hospital into the community, providing direct clinical services and providing consultative and educational services to care-givers involved in the patient's care in the community, often residential treatment centers.
    • First year fellows rotate for 4 months on the CATU/CARTS. Fellows will be assigned patients at the time of admission to the unit and will be responsible for day to day patient care under the supervision of the attending physician as well as working with the team in group therapy and planning sessions.
  4. Outpatient Clinic: University of Illinois at Chicago/Institute for Juvenile Research (UIC/IJR)
    • The site for the majority of outpatient clinical experience is The UIC/IJR Colbeth Outpatient Clinic.  The clinic population is approximately 60% male and 40% female. Approximately 60% are Black, 20% are Caucasian, and 20% are Hispanic. Fifty-five percent are elementary school-age children, 35% are adolescents, and 10% are preschoolers. Typical diagnoses include depressive or anxiety disorders, sexual or physical abuse, family conflict, disruptive disorders, learning disorders, developmental disability/mental retardation, psychotic disorders, and specific symptom disorders such as enuresis and encopresis. Referral sources include the University of Illinois Complex, schools, community agencies, private practitioners, Department of Children and Family Services, Department of Corrections, Department of Mental Health inpatient units, City of Chicago Mental Health Clinics, and self-referrals. Services include consultation, diagnostic assessment, and treatment. Treatment provided may be either short- or long-term. Treatment modalities include an overall evidence-informed eclectic biopsychosocial approach, supportive psychotherapy, psychodynamic psychotherapy, psychopharmacology, group therapy, individual and family systems therapy, cognitive-behavioral therapy and trauma-focused CBT.
    • Fellows maintain an ongoing medication evaluation and management clinic as well as psychotherapy cases with children, youth and families throughout their two years of training. Weekly individual supervision of outpatient treatment is provided by several supervisors for each resident, in addition to special group practicum supervision in family work.  Second year CAP trainees attend susbspecialty clinics within the Colbeth Clinic.  They have a one year experience in the Pediatric Mood Disorders Clinic, under the supervision of Julie Carbray, PhD, DNSc.  Here trainees are co-leaders in outpatient groups as well.  They have a one-year experience in the Pediatric Stress and Anxiety Clinic under the supervision of Kelley Volpe, MD and Liza Suarez, PhD. They have four-month experiences within the Young Child Clinic with Diane Misch, MD and the Neuropsychopharmacology Clinic with Fedra Najjar, MD. These UIC/IJR subspecialty outpatient clinics use a multidisciplinary team approach to assessment and treatment and include social work, psychology and nursing students throughout.
  5. School Consultation: Special Education District of Lake County
    • A board-certified child and adolescent psychiatrist who is on our faculty and in private practice, Mojgan Makki MD, is the rotation coordinator and supervisor. SEDOL (Special Education District of Lake County) is a special education cooperative with a school population base of 67,000 students being served by 40 individual small suburban districts. Of these, 8000 have special education needs, and 2000 are within self-contained classrooms. Ages seen range from the Parent-Infant Center (0-3 years) to 21-year-old young adults. Children and youth seen have diagnoses that include autism, developmental disability/cognitive delay, disruptive behavior disorders, learning disabilities, physically handicapped, and mood disorders.
    • Trainees perform youth-centered, consultee-centered, and program consultation. They do classroom observation, consult to nursing staff about medication issues, consult to teachers about behavioral techniques, work with classroom groups on selected issues, meet with parents, evaluate individual children, and participate in staffings. Supervision occurs on-site at SEDOL for the SCHOOL day once a week for an average of 3 months with Dr. Makki.
    • Interested trainees may elect to become involved in ongoing research and clinical projects at UIC/IJR involving the Chicago Public Schools. The Chicago Public Schools serve 400,000 students in mainstream education. There is a large proportion of minority, low income, and socially disadvantaged students.
  6. Addiction Medicine:  Hartgrove Behavioral Health
    • The Addiction Medicine rotation is located at Hartgrove Behavioral Health. The director of the program is Martins Adeoye, MD, who is a general and child and adolescent psychiatrist. The fellows have a four-month experience which involves participating in the treatment of adolescents on the inpatient unit with substance abuse diagnoses in combination with other mental health diagnoses. Additionally, the fellow completes substance use evaluations and treatment plans for the inpatient substance abuse program and participates in group therapy. There is the opportunity to refine motivational interviewing skills and be involved in group and individual treatment of adolescents within the PHP or IOP.
  7. Electives
    • The training director helps each resident entering the second year of training to develop areas of interest into personally designed electives. The trainee's initial ideas are explored and refined. The training director acts as a networking resource to match trainee interests with faculty and sites. Electives generally are for 4 months for ½-1 day depending upon the specific elective.
    • Electives have included working with Dr. Toya Roberson at Insight Behavioral Health in the treatment of Eating Disorders, learning more about telepsychiatry with Dr. Dan Martinez, enlarging their experience in DocAssist, becoming competent with ADI/ADOS, working with the UIC Women’s Program to coordinate services between this service and Young Child Clinic in IJR.