PARTNERS IN CHILD PSYCHIATRY

1. PARTNERS IN CHILD PSYCHIATRY John E. Dunne, MD 1400 Talbot Road South, #203 Renton, WA 98055 425-235-7383

2. Premises • 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, 1023-1031, Sept 2006

3. Goals • 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 • 3. To change the working relationship between C + A psychiatrists and PCP’s from consultation to collaboration

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

5. Implementation • 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, 2005 • 3. Assist with practice implementation

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

7. Washington State Child Psychiatry Access Program • 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 • 3. Not currently funded