Expanding the Child Psychiatry Fellowship
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Transcript of Expanding the Child Psychiatry Fellowship
Expanding the Child Psychiatry Fellowship
Dr. Cecilia DeVargasRegion 15 RHP Meeting
El Paso First Healthplan, 1145 Westmoreland Drive July 24, 2013
1:00pm
Description of the Project
SynopsisIncrease the capacity to provide Child & Adolescent
Psychiatry Services and increase the availability of providers to better accommodate the demand in the El Paso Region.
Department Involved: Texas Tech Department of Psychiatry
Milestones DY2:• Expand the training program – hire fellow(s)• Participate in Bi-Weekly Interactions to promote Collaborative
Learning• Increase Clinic Volumes – patient encounters
Benefits to the Community
Behavioral health is in a state of crisis in our region. Most of Texas is designated as a Health Professions Shortage Area (HPSA) for mental health; however, the ratio of child psychiatrists to population in our region is less than 20% of the statewide average.
Progress• Milestones:
o Expand training program – hire fellow(s) 100%
o Participate in Bi-Weekly Interactions to promote Collaborative Learning 80%
o Increase Clinic Volumes – patient encounters 50%
• Risk Areas:
• Anticipated outcomes:o Milestones will be met
Innovations• Improvements to processes:
o Educated team on CQI/Rapid Cycle Improvemento Formulated Action Plan
Child and Adolescent Fellowship
• Cecilia DeVargas, M.D. – Program Director• Octavio Gutierrez, M.D. – Assistant Program Director• Leonora Petty, M.D. – Associate Professor• Juan Zavala, M.D. – Assistant Professor• Mercedes Ramirez, M.D. – Assistant Professor• Rebecca Pasillas, Ph.D. – Assistant Professor• Amelia Leony-Carrete, LCSW – Faculty Associate
Rotation Sites• El Paso Children’s Hospital• Emergence Health Network• Ysleta Independent School District• El Paso Psychiatric Center• Juvenile Justice Center• EPCGC (El Paso Child Guidance Center) If
grant approved in September 2013
Clinical Services• Consultation Liaison at EPCH and outpatient Pediatrics
Department• Outpatient and Inpatient
— Psychiatric Assessments/Crisis Stabilization— Medication Management and monitoring— Psychotherapy
• Psychotherapy modalities— Family Therapy— Child and Adolescents individual therapy— Group therapy
Baseline Encounters2012-2013
Unique Patients
Encounters
Inpatient Units – EPPC Child/ Adol (CAD)
62 128
Consultation Liaison:El Paso Children’s Hospital
419 620
Outpatient Clinics:Children
364 1037
EHN 14 14
Goals• To increase number of Faculty members• To increase number of non-salary Faculty affiliations• To search for other sources of income (Grants and Contracts)• To expand services to the community• To increase research and scholastic activities in the area of
Child and Adolescent Psychiatry• To increase collaboration between primary care and psychiatric
services
Challenges• Small number of Core Faculty/Faculty turnover• Financial constraints• Reporting accuracy• IT Software barriers• Community needs
Milestones1. Hire new Fellow 100%2. Bi-weekly meetings 100%3. Increase clinic volume 50%
Questions?
Comments?