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Cincinnati Children’s Hospital Medical Center provides all levels of care to children from Greater Cincinnati, the surrounding states and around the world. As the premier pediatric medical center in the region, we receive referrals from across the spectrum of socioeconomic, cultural and racial backgrounds. Child and adolescent psychiatry residents have the opportunity to interact with, teach and learn from faculty, residents and fellows in the 28 training programs administered by Cincinnati Children’s. These include:
The Division of Child and Adolescent Psychiatry offers patients and their families a variety of treatment options that can be tailored to meet their needs including outpatient care, partial hospital / day treatment and inpatient hospitalization. Faculty child and adolescent psychiatrists complete more than 4,000 outpatient visits each year. Residents both participate in psychopharmacology clinics with on-site faculty supervision and have their own outpatients for whom they provide psychotherapy and manage medications, with indirect supervision.
The Children’s Psychiatric Unit (CPU) is the only acute psychiatric facility in the region providing inpatient care to children ages 2 through 12. This 15-bed unit provides services to more than 450 children each year. While rotating on the CPU, residents are exposed to younger children with severe psychopathology, such as autism, post traumatic stress disorder, major depression, bipolar disorder and reactive attachment disorder. Under the supervision of a faculty child and adolescent psychiatrist, the resident has primary responsibility for evaluating and treating up to six of these children at a time. As a team leader, the resident coordinates the services of the unit social workers, teachers, psychologists and nurses.
The Adolescent Medical Psychiatric Service (AMPS) is a 22-bed inpatient psychiatric unit serving more than 1,300 adolescents each year. As on the CPU, the resident has responsibility for up to six assigned patients. Under the supervision of a faculty child and adolescent psychiatrist, the resident will treat patients with disorders such as anorexia nervosa, schizophrenia, mood disorders and nascent personality disorders.
The Inpatient Psychiatry Consult Liaison Service provides residents the opportunity to collaborate in the care of hospitalized children on the pediatric services. Residents participate in multidisciplinary treatment teams in areas such as surgery, bone marrow transplant, neurology, pediatric intensive care and general pediatrics.
The range of psychopathology seen includes anorexia nervosa, conversion disorder, mood disorders, disruptive behavior disorders, psychosis, delirium and chemical dependency. Residents provide psychiatric evaluation of children, treatment planning and disposition for follow-up care.
In-depth exposure to adolescent chemical dependency treatment occurs at the Christ Hospital Intensive Outpatient Program. Under the supervision of Carol Engel, MD, residents perform a comprehensive psychiatric evaluation of chemically dependent adolescents, participate in treatment team conferences and attend group therapy sessions.
This four-month block rotation gives residents a longitudinal experience in chemical dependency treatment and opportunities to participate in family intervention.
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