[PPT] - Lisa Durette MD, FAPA Program Director Medical Director, Healthy PowerPoint Presentation

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Lisa Durette MD, FAPA Program Director Medical Director, Healthy Minds

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

 What is a CAP?  National Shortage  Local Shortage  Our Partners  Our Program  Research and Future Training

Agenda

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 What is a CAP

 “The CAP is a physician who specializes in the diagnosis and the treatment of disorders of thinking, feeling and/or behavior affecting children, adolescents, and their families.” – aacap.org  The Pathway: college (4 year degree), medical school (MD or DO, 4 years), general psychiatry residency training (3-4 years), THEN CAP fellowship (2 years)  = total after high school MINIMUM

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

 1899, Mannheimer uses the term child psychiatry in Les Troubles Mentaux de l’Enfance  1909, Jane Addams et al created Juvenile Psychopathic Institute (later Institute for Juvenile Research – world’s first child psych clinic) AND William Healy, MD neurologist studied IQ, behavior and biology of the brain  1930, Leo Kanner, MD founded the first academic child psychiatry department (Johns Hopkins)  1933, Moritz Tramer, MD described the parameters of CAP in terms of diagnosis, treatment and prognosis within the discipline of medicine  1934, Tramer founded the first Journal of Child Psychiatry: Zeitshrift fur Kinderpsychiatrie  1944, first clinical description of autism = Kanner’s syndrome  ABPN since 1959 (I’m 5983)

History

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Shortage Of Child And Adolescent Psychiatrists Reaches ...

www.medicalnewstoda.y.comireleases/144958.php Iv Medical News Today

****'

Rating: 4..5 - 2 votes Apr 5, 2008 - The shortage of child and adolescent psychiatrists in the United Slates has reached the crisis level with 7418 practicing in a country with 73675

Child and Adolescent Psychiatry: The Next 10 Years ...

wyeimpsychiatrictimes.comi.Jciiiid-and-adoescent-psy._

Psychiatric Times - Child and

adolescent

psychiatry is a unique subspecialty with some very formidable .... This

shortage embraces all children's mental health professions and _..

In Iowa, shortage of child psychiatrists reflects national ...

thegazette.corni..din-iowa-shortage-of-child-psychiatrists-refl.... '''r The Gazette Jan 4, 2014 - About one in five children in the United Slates today has a mental health disorder , according to the American Academy of Child and Adolescent

Shortage of Psychiatrists plaguing state, region, experts say ...

the-times-tribune_comL.ishortage-of-psychiatrists-pla..... The Times-Tribune Jul 5, 2013 - None has inpatient psychiatric beds for children

and adolescents. _._

Association predicts a shortage of about 22,000 child psychiatrists and

Shortage of child psychiatrists has families scrambling for help

livww„nhregister..comf.,../shortage-of-child-ps..... New Haven Register lir by Ed Manna rd - in 175 Google+ circles . Jan 1g, 2013 - A national shortage of psychiatrists who treat children, and difficulty in ... child

and adolescent psychiatrist on staff, according to its

website_

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Recommend

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By Guest Writer. May 6, 2014

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PRINTER FRIENDLY

U.S. is 20,000 Short on Child and Adolescent Psychiatrists

by Dr. Paramjit Joshi According to the latest numbers at least 1 in

5

American

youth live with

a serious mental disorder—a dramatic increase from ten years ago. Of that number, only about

20

percent receive evaluation and treatment by a medical professional, with only a fraction ever having the

pportunity to meet with a

specialist. Despite three decades of hi-partisan supported policy initiatives, Congress has never funded any provision to address the critical shortage of child and adolescent psychiatrists (CAPs). We can

no longer

sit back and watch

this

vulnerable population suffer in silence. Congress

must

act now to renew

and

fund H.R.

1827,

'The Pediatric Subspecialty and Mental Health Workforce Reauthorization Act of 2013," a critical Public Health Service Act provision.

Estimates

place the growing necessity for CAPs at over 30,000. However, many graduating physicians choose

ther specialties because of the staggering debt upon graduation. As a result, there are
nly

8,300

practicing CAPs available to

meet

the needs of more than 75 million children across the nation, a number exacerbated by the

rising

median age

at 53

years.

Current

average wait

times

f

7.5

weeks

for

any psychiatric evaluation

r

treatment clearly illustrate the urgent need

for workforce

expansion. Evaluations suggest these delayed mental

health

services cost

the nation $247 billion annually

through

lost

productivity, crime

and

the utilization

f
ther

health care

venues

such as emergency

rooms.

Without action, extensive delays will also prolong assessments, diagnoses, and treatments that can

carry

serious and even

life

threatening consequences.

H.R.

1827 offers a simple solution: provide loan

relief

programs for CAPs working full-time with medically underserved populations.

H.R. 1827

re-authorizes the "Investment in Tomorrow's Pediatric

Health Care

Workforce" program, sponsored by Representative Joe Courtney {D- Conn.), which recommends

appropriations

f $50 million annually

for

pediatric subspecialty workforce growth, with up to $20 million each year specifically designated to increase numbers

f

CAPs. As a

mother

and a medical doctor, I share the despair

f

every family who searches endlessly

for

answers—only to learn that few resources exist to help them and their children. I urge all lawmakers. Demonstrate your commitment to America's youth

by

ensuring

they have

access to quality mental health services. Support and

fund H.R.

1827 today.

Dr. Josh/ is President of the American Academy of Child and Adolescent Psychiatry, as well as Division Chair
f Behavioral Medicine, and Director of the Psychiatry and Psychology programs at Children's National

Health System. She has more than 25

years of experience as a child and adolescent psychiatrist

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Federally-Designated Health Professional Shortage Areas (HP A) for Mental Health'

(Legend: Number of Mental Health Professional Shortage Area Designations per State)

Mental Health HFSAs FIPSA Legend

1-25

■

27-48 ■ 49-76 ■ 79-3.35

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3h1 2h1

'F1

2.001 million (2012)

Clark County, Population

Nevada 2.759 million

*

Clark County 2.001 million Las Vegas 596,424

___--429,908

(2012)

Washoe County, Population

1970 1980

195.

500,000 400,000 300,000 200..000 100,000

O Washoe County 429,908 ^^Reno 231,027

1970 1980 1990 2000 2010

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 Nevada Supply

 Data derived May 2014 from the American Board of Psychiatry and Neurology verifyCert site (all currently Board Certified in a particular specialty)  Nevada: 34 BC CAPs  10:34 - active practice in Clark County  6:34 – moved away or not practicing in Clark County  18:34 – practicing in northern Nevada

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 The Partnership

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 April 2014 received accreditation from the ACGME  2 fellows per year  Faculty 50/50 MD and PhD  Didactics partner with UNSOM Reno and UNLV  FY-1: 6 months DJJS, 6 months DWTC, longitudinal clinic for 2 years at HM  FY-2: 6 months UMC, 6 months DFS, longitudinal clinic at HM

The Program

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 Clark County School District school clinics – Mental Health care partnership with Healthy Minds  Craniofacial Clinic  FAS Clinic  Administrative Psychiatry  Forensic Psychiatry  Child Neurology / Autism Clinic  Research (requirement for graduation)

Other Training Sites

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 Focus of treatment on evidence based care provided in a collaborative fashion  Compliance with ACA: use of EMR, ongoing quality

f care measures, ongoing research

 Relationship with DFS, the Clark County Pilot Project  National relationships: presentation at AACAP 2013, FFTA 2014  Dr Durette is appointed to AACAP adoption and foster care committee, liaison with NCVC  Multidisciplinary training site: MD, MFT, LCSW, and pending PhD site

Why Healthy Minds?

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 Questions?

Ldurette@medicine.nevada.edu http://medicine.nevada.edu/las-vegas/ psychiatry www.healthymindslv.com

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