The Harding Hospital at OSU has a 20 bed unit for children with a wide variety of psychopathology including psychotic disorders, disruptive behavior disorders, pervasive developmental disorder, anxiety disorders and affective disorders. Fellows are responsible for running the treatment team for their assigned patients. Their responsibilities include diagnosis, medications evaluation, and assessment of academic and social challenges. They are responsible for integration of the systems of care for their patients.
Nationwide Children’s Hospital is a 359 bed hospital serving mid Ohio. Consultations are managed in a collaborative fashion with the Department of Psychology. Mental health assessment, treatment and assistance with referral to outpatient care is provided to any child cared for in the hospital. These functions are carried out in a systems based integration of care with the various pediatric services throughout the Hospital. Fellows also rotate through the various outpatient clinic in the Department of Psychology In these clinics there is concentration of care in specialty areas such as cardiology, transplant, gastroenterology, weight management, oncology, pulmonary. The clinics provide extensions of behavioral interventions offered to children and their families after discharge from the hospital.
The school based program is based in the local public schools of Franklin County in Columbus, Ohio. Fellows assess and treat children in the school setting allowing teachers, parents, children and psychiatrist to work together to problem solve on behalf of the student. The services provided include evaluation, crisis intervention, in school and in home therapy as well as medication evaluation, school intervention planning and classroom management.
The Ohio State University Nisonger Center has been in existence since 1966 and is among the first groups of federally funded University Centers for Excellence in Developmental Disabilities. The Center provides assistance to people with disabilities, families, service providers and organizations to promote inclusion in education, health, employment and community settings. Fellows rotate through this program working with attending psychiatrists and psychologists evaluating children and adolescents with disabilities. They provide comprehensive treatment of these children in the form of medication management and behavioral interventions as appropriate.
Together the Center for Autism Spectrum Disorders and the Child Development Center at Nationwide Children’s Hospital provide comprehensive, multidisciplinary care focusing on evidence based treatment, education, research and advocacy for children with the diagnosis of an ASD. Fellows participate in the evaluation of children and adolescents as the member of the interdisciplinary team. They see patients for whom the diagnosis of autism spectrum has not yet been made and children whose families are struggling with the management of the symptoms of the disorder. Fellows participate in this comprehensive care.
The Center for Family Safety and Healing (CFSH), established in 2002, is dedicated to the needs of child abuse and family violence victims in central Ohio. CFSH provides state-of- the-art service to abused children. The CFSH is a multi-disciplinary team of exerts including, mental health, child protective services and areas of the law. Fellows have the opportunity to participate in the range of services provided at the center including individual assessment, evidenced based trauma focused therapy, and group therapy for children and adolescents that have been traumatized.
Multisystemic therapy is an intensive family and community-based evidenced based treatment program that focuses on the total system of chronic and violent juvenile offenders including families, schools and neighborhoods. Nationwide Children’s Hospital offer care to adolescents in this highly structured program
The Sleep Clinic at the Nationwide Children’s Hospital is designed to detect and treat sleep disorders. The multi-disciplinary team that runs the clinic includes a pulmonologist, a neurologist and a psychiatrist, and a psychologist. They are supported by a respiratory therapist and registered polysomnographic technologist. Fellows integrate into this team of specialist to evaluate and treat children and adolescents with sleep complaints. Treatment suggestions are made to families once the evaluation is complete and these may include medications for treatment of disorders that are at the base of the sleep difficulties. Various behavioral interventions are also utilized to help the children seen.
The Division of Developmental and Behavioral Pediatrics at the Nationwide Children’s hospital offer care to children and adolescents in several clinics including Cerebral Palsy Clinic, Developmental Diagnostic clinic, Down’s syndrome clinic and the Myleomeningocele/Spina bifida clinic. Fellows attend these clinics and observe the interventions offered. They participate in the evaluations and offer support to the treatment team for the children in these clinics.
In March 2009, the Section of Adolescent Health launched the multidisciplinary Nationwide Children’s Hospital Eating Disorders program, which provides eating disorder assessment and treatment services in the outpatient setting. The program includes staff in medicine, psychology, social work, nursing and nutrition, with additional linkages to occupational therapy, massage therapy and recreational therapy. The program emphasizes care for adolescents with eating disorders and includes younger children on a case-by-case basis. The team also provides inpatient care for those adolescents requiring medical stabilization. At this time, child and adolescent fellows participate in the assessment of the adolescents that come to the clinic and are engaged as co-leaders in the running of groups for the teens.
The physicians and staff at Talbot Hall have provided drug and alcohol recovery services in Columbus since 1974. Talbot serves adolescents in the outpatient setting to help these young people manage their addictions. Fellows in the Nationwide Children’s Hospital Child and Adolescent Fellowship participate in assessments and group therapy .The goal of this program is to provide patients with recovery programs tailored to meet their individual needs. To achieve this goal, focus is on the physical, emotional, social and spiritual well-being of the patients.
The Ohio State University has as outstanding Child and Adolescent Clinic with a strong family therapy contingent of clinicians. These therapists provide state of the art care to families of children who have serious mental health issues. Fellows in training for Child and Adolescent Psychiatry are active participants in the diagnostic process and in the treatment of families.