Sample schedules for fellows

Rotation Descriptions

Madrona Recovery: Madrona Recovery offers residential, short term stabilization from cooccurring- mental health and/or substance use disorders in a secure setting. Madrona provides the highest-quality care that stabilizes youth, educates families, and increases long-term success for youth and families. Resiliency is our capacity for growth and resourcefulness in the face of difficult terrain. By offering youth language to articulate feelings and practical tools to increase resilience, we help youth to develop emotional and physical awareness and regulation. This work and approach is remarkable in empowering young people to replace reactive decision making with intentional choices, including replacing drug use and other high-risk behaviors with sustainable practices that help them to feel whole.

Helen Gordon Child Development Center: Portland State University’s full-day infant/toddler and preschool program, serving 200 children aged four-months to five years. The rotation is primarily observational wherein the fellows develop a sense of complex interaction of development in various spheres, including cognition, social skills, language acquisition, motor skills & emotional functioning through childhood.

 Eating Disorder Clinics: Fellows rotate a full day with Suki Conrad, MD, CEDS where they begin their day at the Portland Eating Disorders Day Treatment Clinic then at Clementine Residential Treatment Center in West Linn. The primary clinical purpose of this rotation is to obtain direct care experience in the residential and partial hospitalization treatment of eating disorders in adolescents. Fellows will work with an interdisciplinary team at each program and will be supervised by a child and adolescent psychiatrist who is a certified eating disorder specialist. Fellows will have the opportunity to follow cases through the levels of care and adapt treatment plans as patients change levels of care.

Confederated Tribes of the Grand Ronde Great Circle Recovery: Great Circle Recovery offers medicated assisted treatment for opiate use disorder for youth and adults. The multidisciplinary team engages clients utilizing a harm reduction approach with onsite medication inductions. Programming at the Great Circle Recovery Honors Native American/Alaskan Native spiritual and cultural practices, blending these with allopathic/psychotherapeutic modalities to address the needs of clients who have a primary diagnosis of a substance use disorder (SUD).  

LifeWorks NW Bridge Clinic: This rotation is intended to help fellows learn about the continuum of care, providing a high-quality community bridge for youth and families who are vulnerable to gaps in care. Helping young people and families move from crisis to recovery in a community mental health setting is at the heart of the Bridge Clinic. Led by Cortney Taylor, MD, this rotation is structured to allow for fellows and faculty members to take the time they need to provide comprehensive assessment and treatment. 

OHSU Child & Adolescent Psychiatry Outpatient Clinic: The CAP outpatient rotation is an integral part of the training program and is continuous during the two years of the fellowship. Fellows provide treatment including psychotherapy, combined pharmacotherapy and psychotherapy, and sessions focused on good psychiatric medication treatment. In the first year, fellows have the opportunity to enjoy supervision and provide co-therapy with Christopher Reigeluth, PhD. 

OHSU Pediatric Integrated Care Clinic (PICC): The pediatric integrated care clinic (PICC) half-day rotation that occurs in both the first and second year of training. During this rotation, fellows are collocated with pediatricians at Doernbecher Children’s Hospital, providing brief consultation to pediatricians on common youth mental health disruptions. Fellows often work alongside resident pediatricians to help with diagnostic clarification, to consider management strategies, and interview young people and caregivers. This provides youth and families with rapid response to questions and concerns that may otherwise take months to address as young people wait for specialty mental healthcare. PICC rotation director, Craigan Usher, MD discusses the youth mental health crisis in this televised town hall. 

OHSU Child & Adolescent Psychiatry Outpatient Consultation Clinic: On this rotation, fellows work alongside Linda Schmidt, MD completing comprehensive assessments. Fellows develop proficiency in utilizing rating scales, including the Child Behavior Checklist (CBCL), gathering information from multiple informants, and developing treatment blueprints for young people and families. Consults include at least three one hour visits. To learn more about Dr. Schmidt’s international work and perspectives on youth mental health, please listen to this Let's Get Psyched Podcast.

OHSU Child & Adolescent Psychiatry Consultation Liaison Service: Doernbecher Children’s Hospital is the largest tertiary pediatric hospital in Oregon and Southwest Washington. The consultation-liaison (CL) rotation provides fellows with the opportunity to contribute to the care of youth with an array of mental health concerns and complex neuropsychiatric disorders including catatonia and autoimmune encephalitis. Fellows work with a multidisciplinary team, providing assessments and recommendations in the pediatric emergency departments, pediatric intensive care unit, and the pediatric wards. To learn more about the consult service and types of present, applicants are encouraged to read "Trends at a Pediatric Emergency Department and Hospital, 2015-2019" which was co-authored by two members of our faculty.

OHSU Institute for Developmental Disabilities/Child Development & Rehabilitation Center (IDD/CDRC): This rotation is designed to help fellows: 1) Accurately diagnose autism spectrum disorders; 2) Appreciate the critical importance of early diagnosis and evidence-based interventions, with fellows gaining an awareness of the implication of false positive and false negative diagnoses; 3) Explore the compounding issues of intellectual disability, speech and language delay, nonverbal learning disorders, and sensory integration problems that present during early childhood and possibly make diagnoses tentative rather than definitive; 4) Understand the importance of a detailed understanding of autism, intellectual disability, and related disorders in order to provide appropriate psychiatric interventions and care.

Pediatric Psychosis Clinic (PPC): During this rotation, fellows provide assessment and make treatment recommendations for youth with perceptual disturbances and thought disruption. Fellows are required to read literature on early-onset psychosis, to consider the unique circumstance of each child and teen they meet and examine ways of optimally supporting caregivers. Please read this interview with PPC Director, Pari Faraji, MD. 

OHSU Pediatric Neurology Clinic: This rotation meets the requirements of the ABPN to become “board-eligible” for certification in child psychiatry and is essential as there is an overlap in the types of conditions which the two specialties, wherein appropriate neurological examination, rule-out of identifiable and treatable neurological/medical etiologies for psychiatric conditions, recognition of how/when to obtain additional studies (including neuropsychological testing, neuroimaging), and when consultation with a pediatric neurological specialists are all necessary to competent child and adolescent psychiatric practice.

OHSU Pediatric Sleep Medicine Clinic: Fellows will participate in the evaluation and management of children with sleep disorders; learn to take a thorough sleep history that screens for sleep disordered breathing, insomnia, parasomnias, circadian rhythm disorders and sleep related movement disorders; understand sleep changes throughout development; become familiar with sleep disorders in normally developing children as well as children with special health needs.

OHSU Systemic Family Therapy clinic: This rotation involves fellows being part of the “reflecting-team” wherein they watch couples and family therapy sessions through a two-way mirror and then reflect, with the rest of the team, on the strengths of the family as well as their analysis of major narratives, structures, and dilemmas facing family. Occasionally this discussion is witnessed by the family and therapists, watching from the other side, helping families develop a “reflective function.”

Trillium Family Services: Trillium’s Psychiatric Residential Treatment Services program (PRTS) offers short-term, on-site psychiatric services for young people requiring 24-hour support for emotional and behavioral challenges We serve children and adolescents, ages 5 – 17 at the Portland campus and 12 – 17 at the Corvallis campus, who are struggling with mental health challenges and are in need of 24-hour residential treatment.

Unity Center for Behavioral Health: Our inpatient mental and behavioral health services provide treatment for patients who need additional care. We have dedicated inpatient facilities for Adolescents. There are 22 adolescent beds and calming and therapy rooms available. The adolescent unit treats patients from 9-17 years old.