General Inpatient Child and Adolescent Psychiatry at Hawthorn Children’s Psychiatric Hospital

Hawthorn Children's Psychiatric Hospital main building

Rotation Director: Joshua Calhoun, MD

Rotation Faculty: Joshua Calhoun, MD; Cristiana Teodorescu, MD; Eleatha Surratt, MD

Rotation Coordinator: Johanna Pike

Number of Fellows per Rotation: Two

Length of Rotation: 20.8 weeks or 2 blocks of 10.4 weeks consecutive or not (one block in Child Unit and one block in Adolescent Unit)

Time of Rotation: First year of training

Location:
Hawthorn Children’s Psychiatric Hospital
1901 Pennsylvania Ave.
St. Louis, MO 63133
(314) 512-7800

Goal
To provide first-year fellows with an in-depth exposure to the evaluative and treatment modalities used in intensive inpatient child and adolescent psychiatry.

Objectives
To develop competence in the following areas:

Patient Care

The nature of patient care at Hawthorn is interdisciplinary.

  • Assessing patients admitted from emergency room settings
  • Conducting patient and family-centered evaluations of severe disorders
  • Observing and interpreting family relationships and their pertinence to the child’s presenting problems
  • Appreciating the role of the family in the assessment and treatment regardless of the age of the patient
  • Producing differential diagnosis and dynamic case formulation of psychiatric symptomatology and appreciating the importance of biologic, psychologic, and socio-cultural aspects of symptoms
  • Becoming familiar with psychopharmacological and psychotherapeutic approaches to severe disorders
  • Understanding behavior modification and level systems in treatment
  • Planning dispositions for return as an outpatient or less restrictive care system

Medical Knowledge

The fellow will gain medical knowledge through a combination of supervised clinical activities, mandatory divisional didactics, and supervised reading of pertinent or related literature.

  • Knowing the strengths and limitations of the current DSM diagnostic criteria
  • Understanding the appropriate use of laboratory testing
  • Understanding the appropriate use of adjunct medical consultation

 Practice-Based Learning

In addition to supervised clinical activities and self-initiated and suggested readings, the fellow will participate in 1:1 supervision by faculty at Hawthorn and other divisional supervision including individual and team supervision.

  • Continuing to appraise oneself of current knowledge concerning the pathogenesis and etiology of psychiatric disorders
  • Becoming familiar with the appropriate use of psychological testing
  • Gaining administrative experience in ward management
  • Appreciating historical, cultural, legal, and ethical aspects of inpatient child/adolescent psychiatry

Professionalism

The fellow will demonstrate sensitivity and compassion to children, adolescents, and to their families/caretakers affected by serious psychopathology and will continue to develop relationships with other professionals or professionals in training, including supervisors, colleagues, students, and allied professionals.

  • Developing intra-professionally by managing their own emotional reactions to severe youth psychopathology
  • Demonstrating the ability to function as a cooperative member of a multi-disciplinary therapeutic team
  • Demonstrating a commitment to continued professional development

Interpersonal/Communication Skills

The fellow will effectively communicate with patients, their families/caretakers, and all other members of the treatment team.

  • Conducting age-appropriate interview techniques, as well as comprehensive mental status examination on children and adolescents
  • Talking with and obtaining a history from patients, family members, and all others involved in the caretaking system of the patient (DFS social worker, teacher, etc.)
  • Presenting cases succinctly and accurately

System-Based Care

  • Understanding the roles of other mental health professionals including psychologists, nursing staff, social workers, educational therapists, activity therapists, etc.
  • Interacting with social and legal agencies in the management of child/adolescent psychiatric disorders

Measurement of Objectives

  • Standard program evaluations
  • Multisource feedback
  • Clinical skills examinations

Description of Rotation

The General Inpatient Child and Adolescent Psychiatry Rotation at Hawthorn Children’s Psychiatric Hospital expose fellows to a broad variety of developmental problems, youth psychopathology, and the full range of treatment modalities used to treat inpatients including pharmacotherapy, behavior modification, family therapy, group therapy, milieu therapy, and psychodynamic therapy.