Psychiatric Evaluations are provided by trained mental health professionals for the purpose of developing a case formulation and determining DSM-IV diagnoses on all five axes. Consideration of the client’s functioning within the context of the family and social environments is of primary importance in determining case formulation and diagnoses. Following the completion of the evaluation, feedback and recommendations to the family are provided. Recommendations may include psychotherapy, pharmacotherapy, school consultation, psychological testing, and/or case management.
Developmental Evaluations are provided through the Child Development Unit which provides clinical services to children under five and their families. Developmental evaluations include involvement of faculty, residents, and fellows in social work, psychology, psychiatry, developmental pediatrics and early childhood education. These multi-disciplinary teams provide developmental and diagnostic assessment and treatment recommendations.
The Psychological Assessment Service (PAS) provides specialized evaluations of child and adolescent psychological functioning using standardized psychometric techniques. The clinic provides comprehensive evaluations within the areas of intellectual, academic, neuropsychological, adaptive, and social-emotional functioning. A comprehensive evaluation can address: problems in cognitive development, problems related to developmental delay, problems in academic achievement and learning, problems in neuropsychological functioning, and problems with behavioral adjustment or emotional functioning. The evaluations include comprehensive recommendations for psychiatric treatment planning, educational remediation, educational planning, and home-based interventions.
Psychotherapeutic services offered include cognitive-behavioral treatments for anxiety disorders and depression, trauma-focused cognitive-behavioral therapy for children and adolescents who have experienced trauma, parent management training for disruptive behaviors in children under the age of 12, parent-child interaction therapy for disruptive behavior problems in young children, problem-solving skills training for patients and families, play therapy, and traditional psychodynamic psychotherapy. We also offer parenting skills workshops for parents of children with disruptive behaviors. In some cases, particularly with older children and adolescents, parenting skills training is not sufficient to address the interactions and relationships between family members and, therefore, we also offer family therapy when indicated. The Clinic will also begin offering social skills training groups for children and young adolescents with social skills difficulties.
Off-site services include visits to patients’ and families’ homes for the purpose of conducting in-home patient and family therapy as well as visits to the patients’ schools generally for the purpose of classroom observations and consultation with school personnel around issues related to the child’s treatment at the Clinic.
Intensive In-Home Child and Adolescent Psychiatric Services (IICAPS) provides home-based interventions for seriously emotionally disturbed (SED) children and youth who are at significant risk for requiring institutional based treatment. IICAPS is a manualized, empirically informed service that was developed at the Child Study Center. The service includes home-based psychiatric evaluation and treatment, parenting skill training, care management services, and 24/7 mobile crisis as needed.
The Long-Term Care Service (LTCS) is a new service being offered for children and adolescents who have completed a course of psychotherapy and are on stable psychopharmacological medications which need continuing monitoring. These children are monitored by a staff psychiatrist or advanced practice registered nurse and a social worker.
The Psychopharmacology Service provides on-going medication management for those children and adolescents who are currently enrolled in psychotherapy services in the Outpatient Clinic. This service is staffed by child psychiatry residents under the close supervision of senior child psychiatry faculty. Children are generally seen for monthly visits to monitor their status while they are in psychotherapy with a primary clinician. Close collaboration between the primary clinician and the prescribing clinician occurs both formally through weekly Rounds as well as informally.
Individual school consultation services are offered as-needed. Many of the children and adolescents we serve have difficulties related to school functioning, whether due to underlying learning disorders, poor child-school fit or a combination of the two. In order to enhance the child’s school functioning it is critical that the child’s school personnel are aware and/or involved in the child’s on-going treatment at the Child Study Center.
Case management services and coordination are also an essential component of our service. Many of the children and adolescents enrolled in the Clinic have multiple providers and it is critical to their treatment at the Center that the services they receive are well-coordinated with other services they receive outside of the Clinic.