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Child & Adolescent Psychiatry Fellowship

Eight hours a week throughout the second year is available for elective time and scholarly activity. All second-year fellows complete a Clinical Scholarship Project.

Our Training Program

Aim Statement:

"To develop clinical, academic, and innovation leaders in community child and adolescent psychiatry within a supportive learning environment that embraces health equity, diversity, and a compassionate, family-centered, evidence-based approach to caring for children and families."

Program Overview:

The CHA child psychiatry fellowship training program has its roots in psychodynamic therapies and public sector, multicultural, community-based care. While continuing to nurture this tradition, the program also trains fellows in other evidence-based treatment modalities in the service of a comprehensive bio-psycho-socio-cultural model. We are committed to training highly ethical, independent and responsible physicians to provide excellent psychiatric care to children and families of all backgrounds, using an integrative and collaborative approach. We aim to develop leaders in community child and adolescent psychiatry who will embody these core clinical values, and work to improve the systems, science, and practices supporting children and families in need.

The two-year training experience is designed upon a strong foundation of adult learning principles, and includes a combination of interactive didactics, longitudinal and rotation-based clinical practice, individual and group supervision, and independent and group projects and scholarship. During the two years, fellows:

  • develop proficiency in performing bio-psycho-socio-cultural evaluations of children and families of diverse backgrounds in a variety of treatment settings.
  • are taught to engage families in shared decision making around the most evidence-based, cost-effective, and appropriate treatment plans for each family’s unique set of preferences, beliefs, and strengths.
  • develop a deep understanding of the systems of care that can be rallied to support children and families, and have extensive opportunities to participate in these collaborations throughout fellowship.
  • will become proficient in the judicious use of medication and other biological interventions in the treatment of psychiatric disorders in youth, and will develop a range of psychotherapy techniques, including: intensive psychodynamic individual psychotherapy, intensive family therapy, brief and focused individual and family therapies, supportive psychotherapy, cognitive behavioral psychotherapy, dialectical behavior therapy, motivational interviewing, psycho-educational interventions, and group therapy.
  • develop their skills of leadership, scholarship, and improvement in community mental health care through experiential learning in such topics as: health equity and disparities, social determinants of health, structural competency, population health, and value-based care.

The first year is divided into five 10-week blocks that allow fellows to develop expertise in a variety of settings, including:

  • Child and Adolescent Inpatient Psychiatry
  • Psychiatric Emergency Service,
  • wrap-around community service agency,
  • residential psychiatric facility, and
  • inpatient and outpatient pediatric medical settings.

In addition, briefer rotations within each block focus on issues such as developmental disorders, pediatric neurology, early childhood development and infant mental health, early intervention observation, interdisciplinary outpatient diagnostic evaluations, pediatric primary care-mental health integration, consultation to state agencies, and elective time.

Also in the first year, trainees begin their longitudinal outpatient experience in both psychotherapy and psychopharmacology, and begin a longitudinal group quality and process improvement project.

The second year is focused on seeing a diverse outpatient population for a full range of outpatient treatments. In addition, second-year fellows learn about forensic psychiatry in the juvenile court clinic and through evaluations of children seeking asylum. They learn about school consultation through a year-long school placement and supervised risk assessments.

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