The Psychiatry and Behavioral Sciences Building is the hub of the training program. It provides individual office space for Child & Adolescent Fellows and faculty and also houses modern, well-equipped Outpatient Psychiatric Clinics for both adults and children. The two clinics serve both the general community and the various medical center departments as a setting for individual and group treatment.
The clinics' faculty and complement of trainees represent the disciplines of clinical psychology, psychiatry, psychiatric nurse practitioner, and psychiatric social work. As such, the clinics provide a matrix of interdisciplinary training and offer varied training formats that promote collaboration and exchange. Child & Adolescent Fellows participate in a model of training that reflects the working situation they will encounter as professionals.
SUNY Upstate Medical University is a 372-bed hospital, and is the region's only academic medical center. With 5200 employees, Upstate is also the county's largest employer. Because it is a tertiary-care referral hospital and the only Level I trauma center in central New York, the hospital coverage area of 17 counties is the broadest of the region's hospitals. The hospital features a full range of academic and clinical programs from neuroscience, cardiovascular, oncology and pediatrics to psychiatry, physical medicine, orthopedics and geriatrics. Each year, approximately 415 medical residents, 600 medical students, 300 health professionals, and over 150 advanced nursing students receive training at the hospital and its satellites, contributing in many ways to the improved delivery of health care to the region's 1.5 million residents.
The 71-bed Golisano Children's Hospital was opened September 2009 and occupies the top two floors of the new $147 million East tower at University Hospital. Golisano Children's Hospital offers a full spectrum of primary and specialized medical care for pediatric patients. Our dedicated pediatric staff care for patients, in an inpatient setting that consists of General Pediatrics, Pediatric Surgical Unit, Hematology/Oncology, the only pediatric intensive care unit in a 17-county referral area, and the only dedicated pediatric Emergency Department between Rochester, New York and Vermont.
Hutchings Psychiatric Center , has 105 adult psychiatric beds and 30 beds for children and adolescents, is operated by the New York State Department of Mental Health, and is a training facility for the Department of Psychiatry and Behavioral Sciences. This hospital provides experience in the area of community health organized around sections run by multiprofessional teams. The hospital serves as a model community mental health center providing continuity of service for adults, children, and adolescents, including inpatient units, outpatient clinics, crisis intervention "walk-in" clinics, halfway houses, and a large voluntary day care program. An effort is made to maintain the patient's community ties and involvement. Child & Adolescent Fellows spend time working on a multidisciplinary team treating inpatient child and adolescents with a broad range of diagnosis.
The Consultation Liaison Psychiatry Service provides inpatient consultation experience at University Hospital with Pediatricians and other healthcare professionals on the pediadric units for children and adolescents of all ages. The Fellows learn to integrate a biopsychosocial perspective in the treatment of patients with psychiatric needs secondary to chronic medical illness or traumatic surgery, as well as patients with premorbid psychiatric disorders who are chronically ill or had a traumatic surgery. The Fellows provide consultation. Common diagnoses include: somatoform disorders; psychological factors affecting a medical condition; depression; status post suicide attempt; psychiatric symptoms due to a general medical disorder; acute stress and posttraumatic stress disorders; anxiety disorders; school refusal; and problems with family functioning that impact medical care.
The Psychiatry Department Child & Adolescent Fellows work under the supervision of Laura Dibble, M.D. at the Onondaga County Department of Mental Health Day Treatment Program for Children (Cedar Street) as part of a multi-disciplinary team. This program is for students ages 5-12 years old that have been diagnosed with varied mental health problems. These kids have not functioned well in a local public school; they perform better in a well-structured classroom with one-to-one help. Fellows evaluate and provide medication management in conjunction with the treatment team. The Fellows will be exposed to multimodal treatment approaches used which are primarily therapeutic, interactive and milieu approaches used in changing behaviors and also include individual therapy, family therapy, supportive therapy and psychopharmacology.
The Margaret L. Williams Developmental Evaluation Center provides diagnostic assessment, consultation and referral service for children birth-6 years of age who are 'at risk for' or who have developmental disabilities. The presenting concerns include motor difficulties, mental retardation, speech/language abnormalities, and behavioral problems. The Center has an interdisciplinary staff that includes a physician, child and adolescent psychiatrist, psychologist, speech/language pathologist, occupational and physical therapist, nurse, and a special educator. An interdisciplinary approach is used with a team of appropriate professionals assembled to meet individual children's needs. The child and adolescent psychiatry fellow has the opportunity to observe the interdisciplinary team process as it proceeds to evaluate a child's developmental strengths and weaknesses, and to assess their medical status.
Elmcrest Children's Center is a multi-service, 130 bed, Residential Treatment Center for children who suffer from emotional and behavioral disturbances, ages 8-18 years old. Together with their families, youngsters are served in 12 different programs ranging form early education and family support to long-term residential and critical care programs. While at Elmcrest the child and adolescent psychiatry Fellows will work on multidisciplinary teams, and evaluate, manage and treat psychiatric patients. They will also have the opportunity to attend court hearings and make visits to patient's family's homes. Child and Adolescent psychiatry Fellows will also work with children in specialized treatment programs, including the Hard-to-Place Programs and the Special Supervision Units.