This is a required rotation conducted four hours per week for six months during the first year of the child fellowship. The Children’s Aid Society clinical experience is a psychopharmacology evaluation and treatment clinic in the community run at a foster care agency. While at the Children’s Aid Society, trainees also provide informal consultation on cases. A faculty member accompanies trainees to the site and provides direct supervision of patient evaluations as well as ongoing medication management.
The CAS rotation is unique in that it provides trainees with a community based consultation experience and exposes them to the foster care system. The population is predominantly comprised of minority patients with an equal distribution of males and females. Patients range in age from five to 17 years old. Trainees also encounter patients with mental retardation and pervasive developmental disorders at CAS. The type of pathology varies and includes mood disorders, disruptive behavior disorders, anxiety disorders, and co-morbid substance issues, as well as family / relationship dynamics issues.
Each trainee sees approximately one new evaluation and four ongoing cases each week. The total caseload amounts to approximately 20 patients. Therapy is provided by CAS social workers and trainees are expected to collaborate with them whenever possible. Each trainee is expected to complete an initial medication evaluation and provide treatment recommendations to the family and the agency. In addition, they are expected to provide psycho-education and medication education to the families and patients. Once medication treatment is initiated, trainees follow the patient at monthly intervals.
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