PARTNERS IN CHILD PSYCHIATRY John E. Dunne, MD 1400 Talbot Road South, #203 Renton, WA

Premises There is a chronic shortage of Child and Adolescent Psychiatrists There is a chronic shortage of Child and Adolescent Psychiatrists –US Average: 8.67 C+A Pyschiatrists/100,000 youths (2001) –High – Massachusetts: 21.3/100,000 youths –Low – Alaska: 3.1/100,000 youths –Washington: 6.6/100,000 youths Thomas and Holzer, The Continuing Shortage of Child and Adolescent Psychiatrists, J Am Acad Child Adolesc Psychiatry, 45:9, , Sept 2006

Goals 1. To provide training for PCP’s in principles of assessing, diagnosing and treating C + A with a wide range of MH problems 1. To provide training for PCP’s in principles of assessing, diagnosing and treating C + A with a wide range of MH problems 2. To improve the quality of MH treatment received by C + A in WA 2. To improve the quality of MH treatment received by C + A in WA 3. To change the working relationship between C + A psychiatrists and PCP’s from consultation to collaboration 3. To change the working relationship between C + A psychiatrists and PCP’s from consultation to collaboration

Training 1. Assessment process in a primary care setting 1. Assessment process in a primary care setting 2. Interviewing children and adolescents 2. Interviewing children and adolescents 3. Assessment tools, use and interpretation 3. Assessment tools, use and interpretation 4. Evidence based treatments and best practices 4. Evidence based treatments and best practices

Implementation 1. Provide assessment tools 1. Provide assessment tools 2. Provide standard text “Child and Adolescent Psychiatry, The Essentials,” Keith Cheng, MD, and Kathleen Myers, MD, ed., Lippincott Williams and Wilkins, Provide standard text “Child and Adolescent Psychiatry, The Essentials,” Keith Cheng, MD, and Kathleen Myers, MD, ed., Lippincott Williams and Wilkins, Assist with practice implementation 3. Assist with practice implementation

On-line Discussion Groups 1. Secure bulletin board format 1. Secure bulletin board format 2. Ten PCP’s per group with a child psychiatric moderator/consultant 2. Ten PCP’s per group with a child psychiatric moderator/consultant 3. Oversight by a child psychiatrist program administrator 3. Oversight by a child psychiatrist program administrator 4. Discussion group for the child psychiatrists 4. Discussion group for the child psychiatrists 5. Access to UW clinical experts by the child psychiatrists 5. Access to UW clinical experts by the child psychiatrists 6. Duration of 12 months with debriefing 6. Duration of 12 months with debriefing

Washington State Child Psychiatry Access Program 1. Robert Hilt, MD, CHRMC 1. Robert Hilt, MD, CHRMC 2. Provide one-time assessment and consultation and report for Medicaid and Medicare children and potentially for those with private pay 2. Provide one-time assessment and consultation and report for Medicaid and Medicare children and potentially for those with private pay 3. Not currently funded 3. Not currently funded