Inpatient Child and Adolescent Psychiatry at Hawthorne Rotation CAP 1

Rotation Director: Joshua Calhoun, MD

Rotation Faculty: Joshua Calhoun, MDCristiana Teodorescu MD, and Eleatha Surratt MD

Rotation Coordinator: Johanna Pike

Number of residents per rotation: Two

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

Time of Rotation: First year of training

Location: Hawthorne Hospital

Johanna Pike will contact you before the start of your rotation. this rotation.

Goal

To provide CAP 1st year residents 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 resident will learn provision of clinical care at Hawthorne.  The nature of patient care at Hawthorne is inter-disciplinary.

  • Assessing patients admitted from emergency room settings
  • Conducting patient and family centered evaluations of severe CAP 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 CAP disorders
  • Understanding behavior modification and level systems in treatment
  • Planning dispositions for return to outpatient or less restrictive care system

Medical Knowledge

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

  • Knowing  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 resident will participate to supervision including 1:1 supervision by faculty at Hawthorne 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 resident will demonstrate sensitivity and compassion to children and adolescents affected by serious psychopathology and to their families or their caretakers and will continue to develop in relationship with other professionals or professionals in training, including supervisors, colleagues, students and allied professionals.

  • Developing intra-professionally by managing adaptively 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 resident will effectively communicate with patients, their families 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 Exams

Description of Rotation

The Hawthorne inpatient services expose residents to a broad variety of developmental problems and youth psychopathology and, to the full range of treatment modalities used to treat inpatients include pharmacotherapy, behavior modification, family therapy, group therapy, milieu therapy, and psychodynamic therapy.