During their two-year program, child and adolescent psychiatry residents encounter a full range of diagnostic and treatment issues relevant to child and adolescent mental disorders. Modes of therapy utilized include individual psychotherapy with or without concomitant individual psychotherapy for family members, family therapy, couples therapy, group therapy, psychopharmacology, behavioral and cognitive-therapy.
Clinical activities during the first year of training are organized around an approximately one-third time experience at a residential treatment program for latency-age children. Trainees begin long-term outpatient psychotherapy with patients of differing ages (pre-school, latency, and adolescent), including collateral work with their parents or guardians. In addition, trainees conduct diagnostic assessments and short-term treatment of patients referred to the outpatient service. Second-year training activities include continuation of a variety of outpatient therapies with a range of children and adolescents, supervision of adult psychiatry residents and medical students, pediatric consultation-liaison, school consultation and consultation in community systems. During both years, activities are supplemented with a variety of seminars and conferences.
Research and/or Scholarly activity is required. Fellows have to present Grand rounds at end of first and second year of scholarly activity. Mentoring is available. A research methodology course is taught in the first year. A monthly journal club focuses on current research and research methodology. Trainees are invited to approach child psychiatry faculty about participating in ongoing research, to speak with others in the Department who have projects that are potentially relevant to child mental health disorders, or to initiate their own projects. Areas of emphasis include aspects of diagnosis, etiology, course, and treatment of early infant-parent attachment, affective disorders, pervasive developmental disorders, Attention-Deficit/Hyperactivity Disorder, and neuropsychiatric movement disorders, such as Tourette’s Disorder and obsessive-compulsive disorders. Also of interest are treatment of early trauma and diagnostic and treatment issues pertinent to the residential psychiatric care of seriously disturbed children.