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School Consults

Faculty: Susan Hill, MSN, ARNP

During the first year of the Child and Adolescent Psychiatry fellowship, fellows are required to participate in this program to attain familiarity with the school system, its resources, and the interaction of the system and staff with the child within the school environment. School consultation is performed on-site in several schools in Alachua County and surrounding school districts. Fellows are accompanied to the schools with Susan Hill, MSN, ARNP. Susan is on faculty and has a wide breadth of experience with providing clinical care to children in various settings. Fellows will interact with school officials and provide diagnostic and treatment recommendations.

A. Required 1-2 months rotation occurring in the first year at institution 3 and requiring 10% of the resident’s time.

B. Faculty consists of 1 full-time ARNP from the University of Florida.

C. Fellows spend a full day at the schools with Susan, which consist of separate interviews with student, family, teachers and related school staff and classroom observations.

D. The children seen during this rotation are about 65% males and 35% females; 40% are Caucasian, 30% African American and 30% Hispanic. Ages range from 5 to and including 17 years; the majority are between 6 and 12 years of age. Approximately 30% have school behavioral problems, 20% anxiety disorders, 40% learning disorders, 20% mood disorders, and 50% are developmentally disabled, 20% are responding to stressful environments, i.e., family disruption, death in the family, abuse.

E. An average caseload for a fellow would consist of 2 to 3 patients that are seen for diagnostic clarification and treatment recommendations.

F. All new and follow up patients are discussed with the faculty on an individual basis before any recommendations are made to school.

G. Following are the goals and objectives for this rotation:

Goal: To provide Child Psychiatric consultation proficiently in school settings.

Objectives

Knowledge:

  • To learn about Child Psychiatrist roles in school settings and about different consultation techniques.
  • To learn about the influence of the school on children’s cognitive, social and emotional development.
  • To learn about the influence of different socioeconomic and cultural factors on children’s school performance.
  • To observe and learn parameters of development and behavior of children and adolescents within the school setting.
  • To become familiar with school-based mental health services for children and adolescents.
  • To become familiar with the qualification process for special education programs.
  • To become aware of new developments in school policies and structures, particularly as they apply to the mental health needs of students.

Skills: The fellow will demonstrate the ability to

  • Display familiarity with the role of a Child Psychiatrist as consultant to regular and special education programs.
  • Conduct assessment and formulate treatment plans for youths from various cultural and socioeconomic backgrounds in a culturally sensitive manner.
  • Act as spokesperson for the needs of children and to relate them to school personnel.
  • Increase partnerships within the school and community that promotes emotional health.

Attitudes: The fellow should demonstrate:

  • Awareness and sensitivity of cultural differences among children and their families.
  • Respect for the roles of professionals from multiple disciplines in the school setting.
  • Appreciation for the influence of system and organizational factors on decision-making process related to psychiatric care of children and adolescents
  • Commitment to child advocacy, particularly in the are as of improving care for underserved youth
  • Professionalism as evidenced by timeliness of consultations, reports and phone calls; availability to answer any questions school/family may have during regular hours.