Block A involves 3 months of inpatient adolescent crisis intervention. The team is led by Dr. Andrew Williams, who is also the Medical Director of Psychiatry at Children’s Hospital. As the rotation progresses, so do the duties of the residents and fellows. The final month of the rotation is an “acting attending” month where the fellow assumes all responsibilities for managing the team.
Block B is similar to Block A in that it is also a 3 month inpatient psychiatry rotation. However, this month focuses on children aged 7 to 13. Dr. Jamie Hanna is the staff psychiatrist overseeing daily duties and cares for 15 patients on her unit. The final month of this rotation also affords the fellow the opportunity of an “acting attending” on the service.
Block C of the first year is a combination of outpatient experiences over the course of 3 months. Residents will rotate with child neurology, a school intervention clinic at the Rowley Alternative School, the Autism Specialty Clinic at Children’s Hospital, and the Gulf Coast clinics in Chalmette and New Orleans East. Fellows also have Elective time during this block.
Block D is a relatively new experience for the follows called the “Psychosocial Rotation.” Residents choose a small number of cases and focus on the psychosocial aspects/milieu aspects of the cases including art/music therapy, psychological testing, group therapy, family therapy, meals, and transportation. Case formulation is also highlighted during this rotation. One month is spent on each of the inpatient teams at Children’s Hospital.
Throughout the two year fellowship, fellows also participate in a continuity clinic at the LSU Behavioral Health Science Center that is primarily focused on psychotherapy, but includes psychopharmacology cases as well.
In the second year, fellows are involved in consultation liaison at Children’s Hospital. The rotation is staffed by Dr. Cody Roi, but allows the resident as much autonomy as desired. The psychiatry team works closely with the Emergency Medicine and inpatient teams to transition lower acuity patients to the outpatient setting in the Transitional Clinic. Exposure to emergency psychiatry is also part and parcel of this 3 month block.
Block B is a 3 month experience with community mental health. General population patients are seen at the Algiers Behavioral Health Clinic and young adults with a newly diagnosed schizophrenia spectrum disorder are seen in the First Episode Psychosis clinic at Chartres Behavioral Health Clinic. Elective time is provided to work on a scholarly project.
In Block C is also a 3 month experience with community mental health. Residents continue their patients at the Algiers Behavioral Health Clinic. They also observe psychological assessment of children suspected of having Autism Spectrum Disorder at the LSU Behavioral Sciences Clinic. Elective time is also a part of this 3 month block.
Block D involves a 3 month experience with various psychiatric community services. These include a Developmental Disabilities rotation, Telemedicine consultation, forensic rotation, and involvement with the Harris Infant Mental Health Court team. Elective time is also provided during this 3 month block.
The Harris Infant/Child Fellowship is held in the second year. All participants will leave the lecture series fully trained in Infant/Child psychiatry. The program is led by Drs. Joy Osofsky and Amy Dickson.