FACILITIES FOR TRAINING
The Program facilities include a rich array of private and public, inpatient and outpatient, medical and community facilities including the following:
- Tulane Behavioral Health Clinic: Child psychiatry residents have offices at the Tulane Behavioral Health Clinic (TBHC), located within the Tulane Hospital in the heart of downtown New Orleans. In this multidisciplinary clinic they see a variety of patients both for medication management and for short term and long term psychotherapy. This clinic serves as a continuity clinic for the trainees where children and families may be followed throughout the entire training program. At this clinic faculty members are actively seeing their own patients and work alongside the residents. Special “Assessment Clinics” where the fellow performs a full psychiatric interview with a faculty member present provide an excellent opportunity for “in the moment” training and a chance to work one-on-one with each individual faculty supervisor to evaluate complex patient dilemmas. The director of this clinic is Dr. Cecile Many, who is also the Child Psychiatry residency and Triple Board Program training director.
- Tulane University Hospital: Consultation-Liaison: The Tulane Hospital for Children was founded in 1993 as a hospital within the larger Tulane University Hospital. This rotation,, which occurs during the first year of child psychiatry residency, provides a combination of inpatient and outpatient experiences that focus on the evaluation and treatment of psychiatric and psychosocial issues in medically ill children. Trainees on this rotation are actively incorporated into rounds on the in- patient unit with several of the subspecialties including the pulmonary, hematology/oncology, and transplant services. They are also involved in psychosocial assessments for pediatric transplantation patients. An important aspect of this rotation is the multidisciplinary approach: trainees work closely with pediatricians, nurses, social workers, psychology faculty and interns, and other disciplines. In this complex and challenging environment addressing liaison issues can be as important as the focus on the children and their families. In addition to hospital-based rounds with the C/L faculty during the week all of the trainees and psychology interns participate in a weekly case conference where complicated cases are presented and the most recent literature about the evaluation and treatment of medically ill children is discussed. At the completion of this rotation it is expected that the residents will have a clear understanding of the important issues that arise when caring for acutely and chronically ill children. This service is jointly directed by Dr. Neil Boris, Dr. Stacy Drury, and Dr. Paula Zeanah.
- Southeast Louisiana State Hospital (SELH): Southeast State Hospital is located on a 200 acre campus on the northern shore of Lake Pontchartrain, approximately 30 miles from the metropolitan New Orleans area. This is the site for the child psychiatry residents inpatient training experience. The residents spend six months of their first year of training at SELH dividing their time between the acute inpatient unit and Challenges, a day treatment program for children and adolescents. In addition, interested residents can also elect to rotate on the Developmental Neuropsychiatry Service, which provides long term care to children and adolescents with both cognitive and behavioral difficulties. The inpatient rotation is directed by Dr. Elizabeth Hierowski, while the day program is directed by Dr. Chris Borrillo.
- Lafourche Mental Health Center: This community mental health center provides an array of outpatient services to children and adolescents in Lafourche Parish in the southeastern part of the state. Child psychiatry residents participate in the assessment and short-term treatment of children and adolescents with the support of on-site supervision from faculty. This rotation is directed by Dr. Betty Muller and is linked with the rotation with the LaFourche Parish Public Schools.
- Lafourche Public Schools: Pupil Appraisal Center (PAC) During this rotation child psychiatry fellows conduct on-site assessments of children and their families at various middle and high schools in Lafourche Parish. In addition to providing care for these children at a specified clinic during this rotation the residents journey directly to the schools, actively participate in home and classroom observations, and are directly involved with behavioral and IEP planning for their patients. This rotation is directed by Dr. Betty Muller.
- Infant Team: Infant team is a community based intervention program supported by the Office of Community Services and housed within the offices of the Jefferson Parish Human Services Association. All children less than five years of age in Jefferson Parish who are in the custody of the state due to allegations of abuse or neglect participate in this extensive evaluation and treatment program, along with their biological families, foster families, and potential adoptive families. Child psychiatry residents on this rotation are members of a multi-specialty treatment team which performs in-depth evaluations of the children, their families and provides targeted therapy to both the children and their parents. This rotation provides exposure to the growing field of Infant Mental Health and the child psychiatry residents interact with faculty in both psychiatry and psychology.In addition during this evaluation and treatment process recommendations from the treatment team about permanent placement of the child are made to the juvenile court system. During this rotation the child fellows interact with a wide range of community services involved in the care of these children and their families. Drs. Charles Zeanah and Julie Larrieu direct this rotation.
- Bridge City Youth Correctional Facility: BCYCF houses juvenile offenders from the Greater New Orleans area. During this second year rotation child psychiatry trainees work directly with the faculty supervisor to provide psychiatric care to the youths in the facility. In addition to psychiatric evaluations and medication management the trainees work directly with therapist, psychologist and learning specialist to design an effective treatment plan targeting both psychiatric issues and the rehabilitation of juvenile offenders. At the conclusion of the rotation, residents are able to identify the major symptoms and diagnoses with which youths present in secure facilities and implement useful pharmacotherapeutic and psychotherapeutic approaches to treat their problem behaviors and symptoms. Dr. Richard Dalton is the supervisor on this rotation.
- School-Based Health Clinics: Medical clinics located within several of the greater New Orleans area Public and Charter Schools provide primary care to students. Since Hurricane Katrina, there has been a public health initiative to increase the number of such clinics, as well as the range of services provided there that has dramatically strengthened and increased the number and effectiveness of these clinics. Child Psychiatry trainees provide evaluations and follow-up care to students within these schools who are referred by teachers, social workers, medical personnel, their families or themselves. This rotation also provides close collaboration with a variety of other professionals in designing the most effective comprehensive treatment plan for these children. This rotation is supervised by Dr. Morgan Feibelman.
- Early Childhood Supports and Services: Located around the state, ECSS is a network of agencies involved with young children who meet regularly and refer young children for mental health services. Child Psychiatry trainees conduct psychiatric evaluations on children less than 6 years of age and their families in a multi-disciplinary clinic in New Orleans. Trainees also provide treatment, working collaboratively with case managers, social workers and psychologists. Faculty and trainees work side by side. The rotation is supervised by Dr. Neil Boris and Dr. Cecile Many.
- Child Custody Clinic: During the second year of the program trainees participate in a unique clinic designed to expose them to a structured custody evaluation and the legal system involved in divorce and separation cases. The Custody Evaluation Clinic teaches the process of custody evaluation as well as family systems analysis, custody statutes and case law, the domestic court system and the role of the evaluator as an expert witness. Each participant in the course observes and participates in evaluating custody cases and writes a full custody evaluation that is submitted to the courts. This rotation is supervised by Dr. Karen Van Beyer.
- Drop-In Clinic at Covenant House: Located in a teen homeless shelter in the French Quarter, the Drop-In Clinic is a medical and mental health clinic providing free services to children and adolescents in the community. In addition to doing Psychiatric Evaluations and medication management, trainees do some psychotherapy, as well as collaborating with social workers and Pediatricians. Child Psychiatry trainees treat a wide variety of patients from the community and group homes. Trainees work independently, supervised by Dr. Morgan Feibelman.