Child and Adolescent Psychiatry Fellowship

Child and Adolescent Psychiatry Fellows

Mission

The mission of the University of Colorado Division of Child Psychiatry and Children's Hospital Colorado Department of Psychiatry and Behavioral Sciences is to improve the mental, physical, and emotional health of children, adolescents, and their families through the provision of high quality, coordinated programs of patient care, research, education, and advocacy. In partnership with the community, we will enhance our position as a national leader in child psychiatry and behavioral health sciences.

The 2-year ACGME accredited Child and Adolescent Psychiatry fellowship has the experiences and faculty to train graduates who are competent to work with youth across the age span from 0-young adulthood, at the levels of prevention, assessment and treatment to address the full range of emotional/behavioral problems. The program embraces a developmental neurobiology framework within the context of family and larger environmental influences including culture, society and systems. Graduates generate a rich formulation and are competent in psychopharmacology as well as evidence-based therapies including family therapy.  

Core values of the program include transparency, collegiality and integrity. We are interested in recruiting passionate, curious fellows. Fellows have a strong voice in creating change within the program and have established a legacy of continued improvement for upcoming classes. We value scholarship and equip graduates to continue to engage in scholarship, whether they continue in academic medicine or choose other settings.  All fellows participate in a mentored scholarship project, producing a poster and or manuscript.  

Our curriculum covers two years in which the first year clinical and didactic experiences addresses essential skills and the second year allows the resident to use the block of elective time to gain intensive experiences in specific clinical, administrative and/or research areas. 

The educational cycle i​s divided into a summer session from July to September and a September to June session. Classes and Seminars are taught by a diverse faculty group. Classes are held at the University of Colorado and Children's Hospital Colorado (CHCO) campuses. Participants from the UCH and CHCO psychology intern programs and the Harris Fellowship (Infant Mental Health) program add to the educational clinical experience. ​Classes in the summer are held in 3-4 hour blocks, to allow in depth coverge of topics. The rest of the year, multiple courses run logitunidally for an hour per week.

Year 1

Intensive Patient Experience

The Intensive patient experience involves supervised experiences in which the resident functions as the primary clinician and team member for the treatment of children and/or their families. Group, individual and family therapies are practiced in these settings. Several affiliate institutions are utilized for this experience. 

4 Months1 Month2 Months5 Months

Inpatient Adolescent Unit at DHMC

 

Max 30 Hours/Week

Emergency Psychiatry Services at CHCO

 

Max 30 Hours/Week

Consulation/Liaison At CHCO

 

Max 30 Hours/Week

Combination of 2 roatations at Children's Hospital*

*Day Treatment/Inpatient Child and Adolescent Psychiatry Services, Neuropsychiatryic Special Care Unit(serving youth with neurodevelopmental disorders and other comorbid DSM V disorders), and Eating Disorder Program

Outpatient Clinics

6 Months6 Months

General Clinic and Anxiety Disorders Group 

 

5 Hours a Week

General Clinic and Disruptive Behavior Group 

 

5 Hours a Week

Clinics are held at Children's Hospital of Colorado

On Call

Call is combined with Psychiatric Emergency Service (PES) rotation in 2x2 week blocks.  Fellows rotate in PES from 4-10, M-H, go home and take-home call from 11-8 am.  Fellows do not come into the hospital during home call.  The fellow also is excused from didactics, clinic and other day time meetings during their PES rotations.  Weekend call consists of evaluating new admissions in person. An attending is on call at all times and also evaluates all new admissions in person. Admissions cap at 4 per day.  

Other after hour services and duties are covered by our attendings and moonlighters. Residents may moonlight at approved sites if they choose.

 

Supervision

Each resident receives a minimum or 2 hours of supervision per week.  In the first year, residents receive an hour of supervision from faculty at CHCO, an hour of supervision regarding group therapy and supervision from service attendings.

Year 2

Outpatient Clinics

University of Colorado Hospital (UCH) Outpatient Clinic:
 ​
  • Training activities include triage, diagnosis, treatment, and systems consultation/intervention (e.g. schools, social services agencies, courts, non-psychiatric physicians and mental health practitioners). Both short and long-term treatments are provided. Individual treatment modalities include parent counseling, infant mental health, family therapy, and individual psychodynamic, learning/cognitive/behavioral, and pharmacologic therapies. A “private practice” model is utilized’ i.e., residents are responsible for the care of their patients during working hours and an after-hours answering service is provided by on-call residents.
  • Residents maintain a caseload of approximately fifteen to twenty hours per week depending on elective choice. Some cases are seen weekly and some less frequently depending on the patient's needs and treatment modality. Residents are assigned cases as needed to maintain a caseload of adequate size and diversity. Residents may also solicit/accept direct referrals of cases of interest. In that this is an ongoing rotation of two years duration, all resident gain experience with long-term therapies where they are clinically indicated and supported.  ​

School Based Mental Health

Residents rotate through school based clinics in several Denver Public Schools in conjunction with faculty from Denver Health. Depending on resident interest, this varies from 6-12 months.

Autism Spectrum Disorder Experience (JFK Clinic)

All residents spend one day per week for three months in an assessment clinic for children presenting with autism features. Residents participate in multidisciplinary team assessment. 2 month rotation. 

Pediatric Neurology Clinic

Residents also participate in the CHCO Pediatric neurology clinic once a week for two months. This clinic uses a proximal learner, teacher model, whereby the neurology resident helps the psychiatry fellow negotiate the neurology clinic with ultimate precepting from faculty.

Electives

In the second year, 6-12 hours are devoted to individualized elective experience designed with a primary faculty mentor to foster advanced knowledge and skill in research, clinical expertise or administrative/teaching arenas. Some examples include: additional focus on psychotherapy, advocacy, teaching, research in neuroimaging in children with irritability and working with teen mothers and their infants.

Community Mental Health

All residents spend two days a month providing C/L services, team consultation and direct clinical consultation to mental health professionals in a community mental health setting. This is a 12 month rotation in which the residents provide child and adolescent psychiatric consultation to community mental health centers both in the metropolitan Denver/Denver Suburban areas, and in the outlying parts of the state of Colorado. Several clinics offer telemedicine experiences.

Integrated Care

Fellows spend one afternoon per week for 6 months working with a multidisciplinary behavioral team embedded in a pediatric teaching clinic.  Fellows provide in the moment consultation and teaching related to ADHD, anxiety, depression, suicide risk and other behavioral emotional difficulties to pediatric and other learners.

 

We have 30 child and adolescent psychiatrists who are passionate and dedicated to training.  Psychologists and faculty from other disciplines make valued contributions to training.  Specific and general expertise among faculty enhance the training experience.

Areas of expertise include:

  • Infant Psychiatry
  • Systems of care
  • Autism and Development Disabilities
  • DMDD
  • Substance Abuse
  • Family Systems and therapy
  • Neuroimaging
  • Eating Disorders
  • Integrated Care (primary care clinics, school based clinics) 
  • Telepsychiatry
  • Advocacy
  • Peripartum mental health
  • Consultation/Liason
  • Education
  • Crisis assessment
  • LGTBQ youth
  • Anxiety

Faculty participate in a reverse educational competency committee process to utilize trainees’ feedback for their own growth.    

Contact Us

Tiffany Hamilton

Program Coordinator

Department of Children's Psychiatry

13123 E 16th Ave,

Gary Pavilion 4th Floor

Aurora, CO 80045

Phone: (720)-777-4524

Fax: (720) 777-7309

Email: Tiffany.Hamilton@ucdenver.edu

 

Kim Kelsay, MD

Program Director

Phone: (720) 777-4524

Email: Kim.kelsay@ucdenver.edu