Division of Infant, Child, and Adolescent Psychiatry
SFGH Division Interim Director: Betsy Wolfe, PhD
The Division of Infant, Child, and Adolescent Psychiatry includes the following programs:
Program Administrator: Gloria Zermeno
SFGH Child and Adolescent Services provides outpatient mental health services to children and youth from birth through age 18. Clinic services are provided at SFGH offices and in neighboring community settings for families who are seeking help for their children, who may have behavioral and/or emotional problems. CAS also offers services to infants, children, and their families who have suffered psychological trauma due to physical assault, emotional abuse or neglect, domestic violence, catastrophic injury, or debilitating chronic disease. A variety of therapeutic modalities are utilized, including individual, play, family and group therapy. The Early Childhood Development Clinic, a component of CAS, provides evaluations of infants and children who may have developmental delays, behavioral problems or who are at risk of cognitive and behavioral problems due to a variety of conditions such as prenatal drug exposure and/or premature birth. Inpatient and outpatient psychiatric consultations are available via our Pediatric Consult-Liaison Service. Psychological consultations and brief assessments are provided to Outpatient Pediatrics providers and to Inpatient Pediatrics in conjunction with the Consult-Liaison Service.
Many children and youth experience school difficulties and have learning problems. An important component of CAS is consultation and collaboration with the San Francisco Unified School District, as well as providing psychological assessments. For clients in the foster care system, consultation with DHS workers is a key component to care coordination. CAS staff coordinates services with primary care and community providers as needed to facilitate the full and healthy development of each child and youth.
Services provide by Child and Adolescent Services include:
- Individual/Play Therapy
- Family Therapy
- Group Therapy
- Psychiatric Assessment/Medication Evaluation
- Outreach to Families effected by Trauma
- Crisis Intervention and Brief Therapy
- Consultation-Liaison Service - Inpatient and Outpatient
- Psychological Testing
- Teen Sensitive Services
- Consultation for Child Care and Primary Care Givers
- Assistance with Victim/Witness of Crime Application
- Information and Referrals
Child and Adolescent Services has a range of providers including UCSF faculty, child psychologists, child psychiatrist, clinical social worker, marriage and family therapist, pre and postdoctoral clinical psychology trainees, psychiatry residents and fellows, medical students and volunteers. Faculty and staff have a wide range of experience including areas of specialty in early childhood, trauma, teen violence, family therapy, work with foster care children, culturally appropriate services, and consultation with Pediatric Primary Care Providers. Staff work very closely with primary care providers and offer services in community settings. English and Spanish are spoken and there is access to interpreters for other non-English speaking clients.
How to Make an Appointment
For an appointment please call 415-206-4444.
Living in a Nonviolent Community
The Child and Adolescent Services Multicultural Clinical Training Program offers one-year training opportunities for Doctoral Interns, Post-Doctoral Fellows and Advanced Practicum Students, as well as rotations for medical students (through Community Medicine), Psychiatry Residents (PGY3), and Psychiatry Child Fellows. The program is designed to train clinicians who are committed to serving low-income and diverse ethnic and cultural minority populations.
Applicants interested in Psychology training should be aware that this is a very competitive program, and consider the following selection criteria.
- APA acredited graduate program in Clinical Psychology
- Strong undergraduate & graduate academic record
- In good academic standing
- Demonstrated interest and exprerience with children, youth, and families
- Demonstrated interest ane experience working with underserved communitiies
- Strong letters of recommendation
- Strong, clear Letter of Interest
- Essays reflect a thoughtful, insightful, mature candidate
- Essays reflect strong writing skills
- Essays reflect someonw who has a clear theoretical foundations
- Dissertation proposal defended
- Relevant research experience or interest
- Experience or interest in Trauma
- Bilingual (Spanish)
- Significant Psychological Testing Experience
The UCSF Child and Adolescent Services Multicultural Clinical Training Program follows the Association of Psychology Postdoctoral and Internship Centers (www.appic.org) Match Policies. As Part of the APPIC Match, applicants must submit the AAPI (which requires official transcripts as part of the application process).
How to Apply
Élida M. Bautista, PhD, Director of Clinical Training
Edgar Micua, Training Analyst
Child & Adolescent Services
Department of Psychiatry
University of California, San Francisco at San Francisco General Hospital
1001 Potrero Avenue, 7M-CAS, Box 0852
San Francisco, CA 94110
Telephone: (415) 206-4306
American Psychological Association
Association of Psychology Postdoctoral and Internship Centers
California Board of Psychology
Guide to Psychology Licensing in Other States
Program Administrator: Blanca Valle
The Infant-Parent Program is an infant and early childhood mental health program focusing on the relationships between young children and their adult caregivers. Diversity-informed services are provided to a multicultural population of children, families and professionals throughout San Francisco. The Infant-Parent Program staff consists of licensed clinical psychologists, social workers, marriage and family therapists, and early childhood specialists. Most clinical staff members are endorsed in the state of California as Infant/Family and Early Childhood Mental Health Specialists and many are endorsed as Mentors (cacenter-ecmh.org).
Clinical services include assessment and intervention offered at SFGH or, more commonly, in community settings including families’ homes, residential programs, shelters and transitional housing programs. The program also provides consultation to multidisciplinary professionals serving children birth through age five in early childhood education, primary care, and other service settings.
Modalities of intervention include perinatal psychotherapy for expectant parents who are struggling with relational or mental health challenges that may negatively impact their transition to parenthood; infant-parent psychotherapy for infants or toddlers who are evidencing or at risk for difficulties in social-emotional development; infant-parent groups to enhance parental understanding of infant development; case and programmatic consultation and milieu-based therapeutic shadowing and therapeutic playgroups for toddlers and preschoolers who are exhibiting behavioral concerns in a group care setting.
Infants, toddlers and preschoolers present with a range of emotional and behavioral difficulties including attachment complications, posttraumatic stress responses, failure to thrive and other feeding disorders, regulatory and sensory challenges, depression and anxiety, and disorders of relating and communicating. A broad range of parental mental health difficulties negatively impacting the parent-child relationship are addressed. In many instances families are supported in navigating multiple systems including child welfare, early care and education, early intervention, primary care, substance abuse treatment and behavioral health services. The aim of all services is to support child development by enhancing the quality of caregiving relationships.
Intensive Practice-Based Training In Multicultural Infant/Family Mental Health
IPP offers professional development and training to multidisciplinary students and practitioners comprising the field of infant and early childhood mental health. These disciplines include social work, family therapy, psychology, and psychiatry (child and adult). On occasion, students or professionals from allied professions such as maternal-child health nursing, pediatrics, or occupational therapy may pursue the specialized training opportunities IPP provides.
All aspects of the training program have been articulated with the California Competencies, supporting participants in pursuing endorsement as Infant Mental Health Transdisciplinary Providers and/or Specialists through the California Center for Infant/Family and Early Childhood Mental Health. The curriculum includes units dedicated to understanding parenting, family functioning, and infant-parent and preschool-parent relationships; infant/toddler and preschool development; biological and psychosocial factors impacting outcomes; risk and resiliency; observation, screening & assessment; diagnosis & intervention; interdisciplinary collaboration; and ethics.
Participants in the Intensive Practice-Based Training Program typically pursue training in one multicultural infant/family or early childhood intervention modality per year, although those with appropriate background and experience may undergo two or more training strands simultaneously. The modalities in which participants may be trained include:
- Infant-parent psychotherapy (children 0-3)
- Mental health consultation to infant/early childhood settings
- Perinatal intervention and consultation
- Child-parent psychotherapy (children 3-5)
- Developmental therapeutic playgroups for toddlers and preschoolers
- Therapeutic shadowing of special needs children in group care settings
Training in infant-parent psychotherapy and therapeutic shadowing is available every year. The availability of training in the other modalities is variable based on funding considerations and also requires that trainees enter with the appropriate educational or professional background.
Training is 9-12 months beginning in September of each year.
Predoctoral psychology internships: IPP typically offers three full time paid pre-doctoral psychology internship positions each year through the Association of Psychology Postdoctoral and Internship Centers (www.appic.org). Applications are submitted via the APPIC match program. Deadline: December 1, 2013.
Post-doctoral psychology: One full time paid postdoctoral fellowship is typically available dependant on funding resources. Additional full- and/or part-time, non-stipended training positions are regularly available for applicants with appropriate background and experience who have graduated from APA accredited PsyD or PhD programs and are seeking supervised hours of experience towards licensure. Follow application guidelines below. Priority deadline: February 14, 2014; open until filled.
Marriage and family therapy, social work and other disciplines: Several part- and full-time non-stipended positions are offered to developing professionals in these disciplines who are seeking supervised hours of experience. While the training is usually most appropriate for people at the post-master’s level, training can sometimes take place concurrent with the second year of the master’s program. Follow application guidelines below. Priority deadline: February 14, 2014; open until filled.
Send hard copies of the following to Maria St. John, PhD, MFT, Director of Training:
- a letter describing your interest in the Infant-Parent Program and relating this to your background and experience
- a CV
- 3 letters of recommendation (these may be included or sent under separate cover)
University of California, San Francisco at San Francisco General Hospital
1001 Potrero Avenue
Building 5, 6B
San Francisco, CA 94110
Program Administrator: Dione Johnson
Clinical Research - Training - Community Service
The Child Trauma Research Program is nationally recognized for its leadership in developing effective, family-centered interventions for children aged birth through five who experience traumatic events such as:
- Violence in the home.
- Death of a loved one.
- Life-threatening accidents, illnesses, or disasters.
Our team of multi-cultural, multi-lingual staff is dedicated to helping young children and families who experience traumatic events. We develop and evaluate effective treatment models, provde training across settings and disciplines, and offer direct service to children and their families. Go to the CTRP website.