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Dr. Yesheswini Kamaraju,
                         M.D. Psychiatry
Fellowship- Child & Adolescent Psychiatry
Services
 Expertise


 Training


 Credentials


 Experience
Mental health professionals
 Generalist or specialist


 Group / Team


 Crisis work


 Acute versus chronic care
Ingredients – collaborative care
 Personality traits


 Identifying individual factors


 Communication


 Managing the dynamics
Treatment Modalities
 Counseling


 Therapy


 Medications


 Complimentary Treatments [CAM]
Evaluation
 Frame work


 Referral


 Plan follow up sessions


 Build net work
Early childhood
 Developmental Delays

   Screening


   Require comprehensive diagnostic assessment


   Early identification


   Early intervention
Special Needs
  Special Needs      Medical Needs



                  Developmental Disabilities


                     Learning issues



                  Behavioral issues



                  Mental health issues
School age children
 School phobia


 Separation anxiety


 Learning issues


 ADHD
Middle school
 Academic issues


 Family / friends issues


 School issues
High School
 Adolescent development


 Peer issues


 Family / school pressure


 Academic pressure
Young Adults
 Life style diseases


 Marital issues


 Work pressures
Mental health problems
 Screening


 Diagnosis


 Treatment plan


 Follow up
Missing pieces
 Complete history


 What else is required?


 Referrals required?


 Short term or long term?
Interventions
 Expertise in psychotherapy

 Specific therapies

 Combination modalities

 Educational Evaluation

 Psychological testing
Pit falls
 Lack of collaborative care


 Communicating within their own group


 Poor follow up care


 Evidence based treatment modalities?
Effective Counseling Services
 School programs


 Screening


 Supportive therapy


 Community programs
No Waiting ….
 Safety issues / acute symptoms / crisis situations

 Worsening clinical symptoms

 Unsure of further plan

 No progress made

 Medication side effects
Collaborate
 Network with mental health professionals


 Hospital association


 Crisis / emergency care


 Social workers
Approaches
 CCE [ Continuing Counselor Education]

 Develop manuals

 Standardizing treatment approaches

 Ethical / legal issues

 Support Group
Improvising Care
 Supervision of trainees


 Case conferences


 Open to second opinions


 Flexibility with referrals
Summary
 Collaborate


 Coordinate


 Communicate
Collaborating patient care

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Collaborating patient care