The Intensive patient experience involves supervised experiences in which the resident functions as the primary clinician and team member for the treatment of children and/or their families. Group, individual and family therapies are practiced in these settings. Several affiliate institutions are utilized for this experience.
|Intensive Patient Services*
||Emergency Psychiatry Services
||Consulation/Liaison at CHCO|
|Max 30 Hours/Week
||Max 30 Hours/Week
||Max 30 Hours/Week|
|Child, Adolescent and Family Outpatient Clinics*|
|10 Hours a Week|
University of Colorado Hospital (UCH) Outpatient Clinic:
- Training activities include triage, diagnosis, treatment, and systems consultation/intervention (e.g. schools, social services agencies, courts, non-psychiatric physicians and mental health practitioners). Both short and long-term treatments are provided. Individual treatment modalities include parent counseling, infant mental health, family therapy, and individual psychodynamic, learning/cognitive/behavioral, and pharmacologic therapies. A “private practice” model is utilized’ i.e., residents are responsible for the care of their patients during working hours and an after-hours answering service is provided by on-call residents.
- Residents maintain a caseload of approximately ten hours per week. Some cases are seen weekly and some less frequently depeding on the patient's needs and treatment modality. Residents are assigned cases as needed to maintain a caseload of adequate size and diversity. Residents may also solicit/accept direct referrals of cases of interest. In that this is an ongoing rotation of two years duration, all resident gain experience with long-term therapies where they are clinically indicated and supported.
Each resident covers just over 3 weeks of call per year, apportioned throughout the year. Weekday call consists of phone coverage for Children’s Hospital Colorado ED and inpatient services, begins at 10pm and consists of phone coverage. Residents do not come into the hospital during weekday call. Weekend call consists of evaluating new admissions in person. An attending is on call at all times and also evaluates all new admissions in person.
Other after hour services and duties are covered by our
attendings and moonlighters. Residents
may moonlight at approved sites if they choose.
All residents receive two hours minimum of weekly supervision in the Outpatient Clinic and from faculty supervisors. Typically this includes supervision from the primary faculty in the clinic and from community volunteer faculty supervisors with expertise in psychotherapy. Second year residents are allowed to make specific requests for supervisors of choice, often with a particular clinical interest/expertise. In addition to these two hours weekly of outpatient supervision, each of the specialty clinics – Infant, Family Therapy, and Refugee Mental Health- provide supervision for their own cases.