Child and Adolescent Psychiatry Fellowship Rotations
The Center for Autism Care is a multi-departmental, multi-disciplinary program evaluating and serving children and adolescents with Autism Spectrum Disorder (ASD). Fellows will have the opportunity to learn about interviewing and to directly interview school-age and teenage patients for ASD diagnostic purposes with an attending physician behind the mirror and be able to compare their clinical diagnostic interview with the Autism Diagnostic Observation Schedule (ADOS) completed by the psychologist. Fellows have the opportunity to observe the ADOS, to learn how to score the ADOS, and to compare their clinical impression with the ADOS. Fellows will also be able to interview children and adolescents to detect psychiatric co-morbidity in patients, which is an important part of learning. Fellows will learn how to conduct appropriate parent/family intake interviews and a thorough developmental history to detect ASD.
This partial hospitalization program runs 5 days/week, 7 hours/day and is designed to increase the level of emotional and behavioral functioning of children and their families in the home, school, and community. Multimodal treatment is offered, including milieu, individual, family, and group therapy, focused on obtaining a thorough diagnostic assessment, managing psychopharmacology, and helping the patient and family develop skills to successfully manage symptoms in the home and school environment.
In addition to learning diagnostic and treatment skills in the overlap of pediatric neurology and psychiatry, fellows assist neurologists in identifying patients with underlying psychiatric illnesses and in treatment referrals. Fellows are assigned to different pediatric neurology attendings and see 2-4 cases per morning, attain histories and complete neurological exams. Common diagnoses include seizure disorders, headaches, post-traumatic stress injury, traumatic brain injury, developmental delays, and genetic syndromes.
This dual-diagnosis program for teenagers with mental illness and co-occurring substance abuse issues is an intensive outpatient program with a group-based treatment model. Fellows participate in initial substance abuse evaluations and provide psychiatric management as appropriate and participate in group therapy.
Henry Wade Detention Center
This low security level county juvenile detention center located in Dallas houses male offenders convicted for crimes under Texas state and federal laws. As part of their forensic experience, fellows conduct evaluations and medication management appointments with Child and Adolescent Psychiatrists at the detention center and have opportunities to attend group therapy sessions.
This multi-disciplinary program based in pediatrics has services from child and adolescent psychiatry, psychology, child protective services, and pediatrics so that children in foster care may have one place to come for their care. The team works collaboratively with child-placing agencies and community providers to coordinate treatment for this vulnerable population. Fellows will evaluate children and adolescents and develop treatment plans with the multi-disciplinary team.
This rotation involves the fellow being on site at St. Anthony School to observe class time and consult with staff while learning about the educational system in Texas. St. Anthony School is a respected private school where some students have learning differences and developmental issues and the school develops individual strategies for children and their families to support academic success.
Terrell State Hospital includes a child unit, girls unit, and boys unit, with bed capacity up to 30. Patients have a broad range of diagnosis, including some forensic cases. The average inpatient stay is approximately 6 weeks, but acute admissions are also seen, as well as complex cases that may be hospitalized for months. The campus has a school that patients attend and where fellows have the opportunity to rotate.
*It is recommended that each first-year Fellow have 1-2 psychotherapy patients.
Children’s Medical Center, Outpatient Clinic, including specialty clinics in Depression and Early Childhood Mental Health
Children’s Medical Center, Suicide Prevention and Resilience at Children’s (SPARC) Intensive Outpatient Program
Outpatient Community Psychiatry Sites
Community Psychiatry Workforce Expansion (CPWE) is a program funded by the Texas Legislature through the Texas Child Mental Health Care Consortium that allows fellows and residents to have a community psychiatry experience under the supervision of a UT Southwestern Faculty child psychiatrist. Trainees carry a caseload of patients and work with a multidisciplinary team in a community mental health center to provide care and learn the unique aspects of this population. Rotations include on site care at urban centers and virtual care for more rural settings. Multidisciplinary team meetings and case staffing are part of the training.
*It is recommended that each second-year Fellow have 3-4 psychotherapy cases, which can include one family case.
Fellows choose from a variety of elective experiences to help enhance their educational experience with specific areas of interest, which may include some of the following:
- Additional psychotherapy experiences
- Specialized consultation-liaison psychiatry clinics: such as REACH (Referral and Evaluation of at Risk Children), COACH (childhood obesity), pain management, sleep medicine, AYA (Adolescent Young Adult Medicine)
- Research work with faculty in areas such as the use of Ketamine
- CPAN (Children's Psychiatry Access Network)
- TCHATT (Texas Child Health Access Through Telemedicine)