2012 Research Annual Report

Psychiatry

Division Details

Division Data Summary

Research and Training Details

Number of Faculty15
Number of Joint Appointment Faculty2
Number of Support Personnel30
Direct Annual Grant Support$65,000
Peer Reviewed Publications24

Clinical Activities and Training

Number of Clinical Staff48
Number of Other Students10
Inpatient Encounters21,234
Outpatient Encounters28,435

Division Photo

Group photo of the Division of Psychiatry

Row 1: D Barzman, S Sampang, S Batsel-Thomas, L Wink, B Kurtz, C Erickson

Row 2: D Vogel, S Delgado, M Sorter, M Johnson



Significant Accomplishments

Significant Accomplishments

Improving Mental Health Care for Rural Populations

Access to mental health care is a national problem, and it can be especially difficult for children in rural areas, where there are extreme shortages of providers and little or no access to child psychiatry or other mental health professionals. Cincinnati Children's Division of Psychiatry has partnered with employers to provide mental health care via teleconferencing. Evidence suggests that mental health care provided via telemedicine has comparable positive outcomes to that provided by face-to-face encounters.

Currently, we serve children in a three-state region outside of Ohio. These children have diagnoses that include ADHD, disruptive behavioral problems, mood disorders and eating disorders. We provide access to both psychotherapy and medical care, and also provide an infrastructure and access point for children needing more intensive services such as inpatient care. Groups participating in this pilot program are highly satisfied with excellent patient outcomes. The program is designated for expansion and will allow Cincinnati Children’s psychiatry physicians to provide improved care for children throughout the Midwest region.

Improving Medical Care and Safety

Children with intellectual disabilities and severe mental health challenges often struggle in medical care facilities, resulting in aggressive episodes or refusal of care. The Division of Psychiatry leads a collaborative effort at Cincinnati Children’s to improve care for these young people. We are able now to predict which children will struggle to comply with medical care and we are developing mitigation strategies and improved psychosocial outreach for better care. This program has been extremely effective in preventing aggressive episodes, as evidenced by decrease of injury rates among Cincinnati Children’s care providers. Patients and staff are now involved in interactions that are safer, more comprehensive, and able to produce outcomes of enhanced medical care and decrease staff and patient injury.

School Based Health

Access to mental health care remains a significant challenge in our region. Families often struggle in locating and transporting to providers. Studies indicate that using a collaborative approach that involves school, family, and mental health professional improves outcomes. The Division of Psychiatry has established a number of school-based mental health clinics. In these settings, in partnership with community providers, Cincinnati Children’s physicians or advanced practice nurses lead mental health teams on-site at community schools to address mental health problems of the students. Along with providing psychiatric care, preventive services are also provided. This model of a diagnostician with the ability to provide medicine and medical care, along with psychiatric social work and therapy, has served as a template for the region. On-site, school-based mental health care is seen as a strong contributor to improved school retention rates and student outcomes.


Division Publications

Division Publications

  1. Amatya PL, Barzman DH. The Missing Link between Juvenile Delinquency and Pediatric Posttraumatic Stress Disorder: An Attachment Theory Lens. ISRN Pediatr. 2012; :134541.
  2. Axelson DA, Birmaher B, Findling RL, Fristad MA, Kowatch RA, Youngstrom EA, Arnold EL, Goldstein BI, Goldstein TR, Chang KD, Delbello MP, Ryan ND, Diler RS. Concerns regarding the inclusion of temper dysregulation disorder with dysphoria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. J Clin Psychiatry. 2011; 72:1257-62.
  3. B K, JR S. Treatment in children and adolescents with posttraumatic stress disorder (PTSD): a review of current evidence. Child & Adolescent Psychopharmacology News. 2012; 17:5-10.
  4. B.J. M, S.V. D. How to Plan and Tailor Treatment: An Overview of Diagnosis and Treatment Planning in Child and Adolescent Psychiatry. Clinical Child Psychiatry. Chichester, West Sussex: Blackwell-Wiley; 2012:90-106.
  5. Bitter SM, Mills NP, Adler CM, Strakowski SM, DelBello MP. Progression of amygdala volumetric abnormalities in adolescents after their first manic episode. J Am Acad Child Adolesc Psychiatry. 2011; 50:1017-26.
  6. Boat BW, Pearl E, Barnes JE, Richey L, Crouch D, Barzman D, Putnam FW. Childhood Cruelty to Animals: Psychiatric and Demographic Correlates. Journal of Aggression, Maltreatment & Trauma. 2011; 20:812-819.
  7. Cerullo MA, Fleck DE, Eliassen JC, Smith MS, DelBello MP, Adler CM, Strakowski SM. A longitudinal functional connectivity analysis of the amygdala in bipolar I disorder across mood states. Bipolar Disord. 2012; 14:175-84.
  8. Chung TK, Lynch ER, Fiser CJ, Nelson DA, Agricola K, Tudor C, Franz DN, Krueger DA. Psychiatric comorbidity and treatment response in patients with tuberous sclerosis complex. Ann Clin Psychiatry. 2011; 23:263-9.
  9. Delgado SV, Strawn JR. Termination of psychodynamic psychotherapy with adolescents: A review and contemporary perspective. Bull Menninger Clin. 2012; 76:21-52.
  10. Delgado SV, Strawn JR, Jain V. Psychodynamic Understandings. Encyclopedia of Adolescence. New York: Springer; 2011:2210-2219.
  11. Fleck DE, Kotwal R, Eliassen JC, Lamy M, Delbello MP, Adler CM, Durling M, Cerullo MA, Strakowski SM. Preliminary evidence for increased frontosubcortical activation on a motor impulsivity task in mixed episode bipolar disorder. J Affect Disord. 2011; 133:333-9.
  12. Heffner JL, DelBello MP, Anthenelli RM, Fleck DE, Adler CM, Strakowski SM. Cigarette smoking and its relationship to mood disorder symptoms and co-occurring alcohol and cannabis use disorders following first hospitalization for bipolar disorder. Bipolar Disord. 2012; 14:99-108.
  13. Heffner JL, Strawn JR, DelBello MP, Strakowski SM, Anthenelli RM. The co-occurrence of cigarette smoking and bipolar disorder: phenomenology and treatment considerations. Bipolar Disord. 2011; 13:439-53.
  14. Keeshin BR, Cronholm PF, Strawn JR. Physiologic changes associated with violence and abuse exposure: an examination of related medical conditions. Trauma Violence Abuse. 2012; 13:41-56.
  15. King KA, Strunk CM, Sorter MT. Preliminary effectiveness of surviving the teens((R)) suicide prevention and depression awareness program on adolescents' suicidality and self-efficacy in performing help-seeking behaviors. J Sch Health. 2011; 81:581-90.
  16. Kulkarni GA, Deshmukh PA, Sorter MT, Barzman DH. A paranoid, violent teenager. Current Psychiatry. 2012; 11:43-4+9-51.
  17. Kurtz BP, Abrams AN. Psychiatric aspects of pediatric cancer. Pediatr Clin North Am. 2011; 58:1003-23, xii.
  18. Nandagopal JJ, Fleck DE, Adler CM, Mills NP, Strakowski SM, DelBello MP. Impulsivity in adolescents with bipolar disorder and/or attention-deficit/hyperactivity disorder and healthy controls as measured by the Barratt Impulsiveness Scale. J Child Adolesc Psychopharmacol. 2011; 21:465-8.
  19. Schneider MR, Delbello MP, McNamara RK, Strakowski SM, Adler CM. Neuroprogression in bipolar disorder. Bipolar Disord. 2012; 14:356-74.
  20. Shahana N, Delbello M, Chu WJ, Jarvis K, Fleck D, Welge J, Strakowski S, Adler C. Neurochemical alteration in the caudate: implications for the pathophysiology of bipolar disorder. Psychiatry Res. 2011; 193:107-12.
  21. Strakowski SM, Adler CM, Almeida J, Altshuler LL, Blumberg HP, Chang KD, Delbello MP, Frangou S, McIntosh A, Phillips ML, Sussman JE, Townsend JD. The functional neuroanatomy of bipolar disorder: a consensus model. Bipolar Disord. 2012; 14:313-325.
  22. Strawn JR, Keeshin BR. Successful treatment of posttraumatic stress disorder with prazosin in a young child. Ann Pharmacother. 2011; 45:1590-1.
  23. Strawn JR, Patel NC, Chu WJ, Lee JH, Adler CM, Kim MJ, Bryan HS, Alfieri DC, Welge JA, Blom TJ, Nandagopal JJ, Strakowski SM, Delbello MP. Glutamatergic effects of divalproex in adolescents with mania: a proton magnetic resonance spectroscopy study. J Am Acad Child Adolesc Psychiatry. 2012; 51:642-51.
  24. Strawn JR, Wehry AM, DelBello MP, Rynn MA, Strakowski S. Establishing the neurobiologic basis of treatment in children and adolescents with generalized anxiety disorder. Depress Anxiety. 2012; 29:328-39.

Faculty, Staff, and Trainees

Faculty Members

Michael Sorter, MD, Associate Professor
Leadership Director, Division of Psychiatry
Drew Barzman, MD, Assistant Professor
Leadership Director of Child & Adolescent Forensic Psychiatry Service
Sandra Batsel-Thomas, MD, Assistant Professor
Cynthia Daugherty, MD, Assistant Professor
Sergio Delgado, MD, Associate Professor
Leadership Director of Outpatient Services
Carol Engel, MD, Assistant Professor
Leadership Residency Training Director, Triple Board Program
Elana Harris, MD, Assistant Professor
Mark Johnson, MD, Assistant Professor
Brian Kurtz, MD, Assistant Professor
Leadership Director of Consultation Services
Mary Matias-Akhtar, MD, Assistant Professor
Daniel Nelson, MD, Associate Professor
Leadership Director of Inpatient Services
Hilton Rodriguez, MD, Assistant Professor
Suzanne Sampang, MD, Assistant Professor
Leadership Residency Training Director, Child & Adolescent Psychiatry
Raymond Troy, MD, Assistant Professor
Daniel Vogel, MD, Assistant Professor

Joint Appointment Faculty Members

Melissa DelBello, MD, Associate Professor (Psychiatry)
Jeffrey Strawn, MD, Assistant Professor (Psychiatry)

Trainees

  • Heather Adams, MD, PGY 5, Chicago College of Osteopathic Medicine
  • Jennifer Bowden, MD, PGY 5, Michigan State University
  • Arman Danielyan, MD, PGY 5, Yerevan State Medical University
  • Cathy Southammakosane, MD, PGY 5, George Washington University
  • Daniel Weis, MD, PGY 5, Medical College of Ohio
  • Deb Amann, MD, PGY 4 , Wright State University
  • Reyna Gilmore, MD, PGY 4, Howard University College of Medicine
  • Mercedes Kwiatkowski, MD, PGY 4, Georgetown University School of Medicine
  • Lindsay Schotts, MD, PGY 4, University of Missouri - Columbia
  • Elizabeth Wassanaar, MD, PGY 4, Jefferson Medical College of Thomas Jefferson University
  • Diana Frey, MD, PGY 3, Mayo Medical School
  • Delanie Janke, MD, PGY 3, University of Texas Medical Branch
  • Ernest Pedapati, MD, PGY 3, University of Massachusetts Medical School
  • Courtney Cinko, MD, PGY 2, Rush Medical College
  • Paul Houser, MD, PGY 2, St. Louis University School of Medicine
  • Kelli Dominick, MD, PGY 1, Boston University School of Medicine
  • Katie Gieselman, MD, PGY 1, University of Minnesota Medical School
  • Yesie Yoon, MD, PGY 1, Yonsei University South Korea

Division Collaboration

Neurology » David Franz and Tracy Glauser
Tuberous Sclerosis Clinic, Pharmacogenetics, Seizure Therapy
Adolescent Medicine » Frank Biro and Laurie Mitan
Mental Health Treatment Clinic in Adolescent Medicine Center and Eating Disorders
DDBP » David Schonfeld, Patricia Manning, Rena Sorensen, and Michael Lind
Center for School Crisis and Bereavement; Kelly O'Leary Center/Autism Treatment, Comorbid Intellectual Disability and Mental Illness Services
Pediatric Primary Care » Zeina Samaan, Mona Mansour, and John Morehouse
Mental Health Consultation
Behavioral Medicine and Clinical Psychology » Lori Stark and Jeff Epstein
ADHD Consultations to Pediatricians; Outpatient Care
Hematology/Oncology » John Perentesis
Specialized Consultation Service
Pediatric Endocrinology » Larry Dolan and David Klein
Management of Atypical Antipsychotic/Metabolic Syndrome
Human Genetics » Howard Saal
Velocardio Facial Syndrome
Mayerson Center » Bob Shapiro
Trauma Treatment and Clinic

Grants, Contracts, and Industry Agreements

Division Grants

Grant and Contract AwardsAnnual Direct

Danielyan, A

Quality Of Life In Adolescents With Bipolar Disorder With Comorbid ADHD: Role of Impaired Facial Emotion Processing and Social Cognition
08/01/11-10/23/12$15,000

Harris, E

The Frequency of Oscillations in Obsessive-Compulsive Disorder
07/15/11-07/14/12$50,000
Current Year Direct$65,000
Total$65,000