Harbor-UCLA PSYCHIATRY
CAP TRAINING
CAP I TRAINING
Inpatient/Partial Hospitalization: During the first year, fellows rotate for 4 months at the Semel Institute on the UCLA Westwood Campus. During this rotation, they are supervised by various UCLA attendings when they follow patients in the partial hospitalization program. Fellows work closely with psychologists, educational experts, social workers and other clinicians to care for their patients and thus, learn about multi-disciplinary treatment. Fellows also attend case discussions and lectures on the eating disorders unit.
Consultation/Liaison: CAP I fellows not rotating on inpatient and partial hospitalization at UCLA Westwood Campus are responsible for a consultation to the pediatric unit and the emergency rooms three days a week. These experiences are supervised by Drs. Patrick Kelly and Ed Castelo.
Outpatient Treatment: CAP I fellows treat children and transitional age youth in the Harbor-UCLA outpatient clinic. They provide medication treatment services for patients in treatment with other clinicians and see new assessments in Dr. Grob’s assessment clinic and in intake clinics with Drs. Lee and Yagoubi. Fellows are encouraged to have a variety of ages and diagnoses represented in their practices. They are encouraged to have a variety of kinds of involvement in their cases: shared cases with other clinicians, patient for whom they provide both medication and therapy and, when indicated, patients for whom they only provide therapy.
Intake Clinics: CAP I fellows assess new patients once a week with Dr. Grob and several times a month with child psychiatrists Dr. Lee or Dr. Yagoubi. This offers fellows the opportunity to see experienced child psychiatrists assess children and to receive individual feedback and teaching.
CAP II TRAINING
Sub-Specialty Clinic: Fellows work for six months with Dr. McKenna, developing a clinic within the Harbor-UCLA outpatient clinic that serves four purposes: 1) to provide further assessment of children seen in the emergency room at Harbor-UCLA, 2) to provide prompt follow up for children in the Harbor-UCLA catchment area who have recently been discharged from a psychiatric hospital, 3) to provide teaching of child psychiatry to residents in pediatrics, child neurology and family medicine who must have child mental health training as part of their residency curriculum, and 4) to provide opportunities for CAP II fellows to mature in teaching, consulting and supervising under the supervision of Dr. McKenna.
Outpatient Treatment: During the second year, fellows continue to follow their outpatients. They provide medication management to patients in the Dialectical Behavior Therapy service. The do fewer initial evaluations than the CAP I fellows.
Elective Rotations: At the end of the first year, fellows meet with Dr. McKenna to plan their elective time. Fellows may broaden or deepen their interest areas by taking advantage of established electives or working to develop a new elective when possible. Current fellows are rotating at the UCLA Westwood Campus in the Anxiety, OCD and Tourette’s program, the Couples and Family Therapy program, the partial hospitalization program for young children, and the Parenting and Friendship program for children with autism spectrum disorders. There is a Child Maltreatment, Advocacy and Forensic elective established at Harbor-UCLA in conjunction with pediatrics in which a child fellow can join the multidisciplinary team of pediatricians and psychologists to provide mental health assessment and consultation, teaching and liaison to community services while learning from the other members of the team. On this elective, fellows have the chance to attend multidisciplinary conferences regarding medical aspects of child maltreatment and to watch one-way mirror interviews of children who may have experienced abuse. There are other electives at Cedars Sinai and at USC and additional electives are in the process of being developed.
CAP II Didactics: Fellows have 12 months of specialty training 2 hours a week to learn Dialectical Behavioral Therapy and are part of the DBT team. Fellows also have weekly seminars on the Harbor-UCLA campus to learn Cognitive Behavioral Therapy and to discuss more advanced topics in child and adolescent psychiatry.
CAP II Supervision: CAP II fellows receive group supervision in TF-CBT with Dr. Lynette Lau. Fellows also receive supervision while rotating on required and elective rotations. They additionally receive one hour of individual supervision per week.