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Expanding the Child Psychiatry Fellowship. Dr. Cecilia DeVargas Region 15 RHP Meeting El Paso First Healthplan , 1145 Westmoreland Drive July 24, 2013 1:00pm. Description of the Project. Synopsis

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Expanding the child psychiatry fellowship

Expanding the Child Psychiatry Fellowship

Dr. Cecilia DeVargas

Region 15 RHP Meeting

El Paso First Healthplan, 1145 Westmoreland Drive

July 24, 2013

1:00pm


Description of the project
Description of the Project

Synopsis

Increase 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
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
Progress

  • Milestones:

    • Expand training program – hire fellow(s) 100%

    • Participate in Bi-Weekly Interactions to promote Collaborative Learning 80%

    • Increase Clinic Volumes – patient encounters 50%

  • Risk Areas:

  • Anticipated outcomes:

    • Milestones will be met


Innovations
Innovations

  • Improvements to processes:

    • Educated team on CQI/Rapid Cycle Improvement

    • Formulated Action Plan


Child and adolescent fellowship
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
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
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



Goals
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
Challenges

  • Small number of Core Faculty/Faculty turnover

  • Financial constraints

  • Reporting accuracy

  • IT Software barriers

  • Community needs


Milestones
Milestones

  • Hire new Fellow 100%

  • Bi-weekly meetings 100%

  • Increase clinic volume 50%


Questions?

Comments?


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