Child & Adolescent: Psychiatry Residency Program

Program Schedule: CAP-I

Inpatient – Clarity Child Guidance Center

The inpatient rotation at Clarity Child Guidance Center provides CAP fellows the opportunity to learn and work with an interdisciplinary team in the treatment of children, adolescents and families. Fellows work with patients and families in all steps of the process from admission to discharge. In the process, they gain experience in the diagnosis and treatment of a wide variety of disorders, exposure to complexities of family dynamics, and knowledge of access to care issues and community resources. Psychiatric emergencies are also evaluated.

Soad Michelsen, M.D.
Site Supervisor

Inpatient – San Antonio State Hospital
John Harper, M.D., Site Supervisor

Consults – University Health System

The pediatric consultation-liaison (CL) service provides inpatient and is a full-time 3-month rotation. We provide inpatient and hospital-based outpatient psychiatric consultation to the pediatric, surgical, and subspecialty services at University Hospital. Fellows gain experience in learning how to evaluate, diagnose, and treat psychiatric disorders in the context of complex medical problems; assisting hospital providers to communicate more effectively with their patients, understanding systems of care, and establishing and maintaining a consultative relationship. The population seen is broad, ranging from infants to transitional age youth and their parents, legal guardians, and siblings. Fellows work with physicians, nurses, and social workers from trauma surgery, pediatrics, orthopedics, plastics, ICU, cardiology, hematology-oncology, nephrology, hepatology, transplant, neurology, gastroenterology, endocrinology, and pulmonology.

Adina Campbell, M.D.
Site Supervisor

Community Psychiatry Rotation
Bexar County Juvenile Detention Center

The child psychiatry residents are involved in the diagnosis and treatment of adolescents in an acute incarcerated setting. These adolescents face charges ranging from misdemeanor to felonies. In addition to Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD), they have a broad spectrum of psychiatric illness including depression bipolar disorder, substance abuse, anxiety, trauma, Attention Deficit Hyperactivity Disorder (ADHD), and combinations of these.

Thomas Matthews, M.D.
Site Supervisor

Cyndi Taylor Krier Juvenile Correctional Treatment Center

The child psychiatry residents are involved in the diagnosis and treatment of adolescents in a 96 bed residential treatment setting for repeat offenders. These adolescents face charges ranging from misdemeanor to felonies. In addition to CD and ODD they have broad spectrum of psychiatric illness including depression Bipolar disorder, substance abuse, anxiety, trauma, ADHD and combinations of these.

Jessica Sandoval, M.D.,
Faculty Supervisor

Thomas Matthews, M.D.
Site Supervisor

The Bridge

The child psychiatry residents are involved in the diagnosis and treatment of children and adolescents as part of an outpatient treatment setting. These children have typical issues seen in an outpatient setting with ADHD, ODD, depression, and anxiety as the most common. Many patients are treatment naïve.

Jessica Sandoval, M.D.,
Faculty Supervisor

Advance Clinic

Residents are provided a private psychiatric practice experience with the Chair of Psychiatry. They will see culturally diverse children with mental health issues, ranging in age from 3 – 17 years of age. Diagnoses encountered include major child and adolescent psychiatric illnesses. The faculty consists of one full-time Board Certified Child and Adolescent Psychiatrist, with site support from the clinical manager, schedulers, EMR, and billing. Residents are exposed to new assessments, pharmacological management, and coordination of care with referring physicians. Residents see an average of one new evaluation and 4-5 follow-ups per half day.

Steven Pliszka, M.D.,
Site Supervisor

Program Schedule: CAP-II
Continuity Clinic/Outpatient – Clarity Child Guidance Center
Elective/QI Project, The Bridge, School Consults

Roy Maas Youth Alternative Meadowlands Residential Treatment Center

Meadowlands provides long-term residential care to children and adolescents with severe emotional disorders. Many of these have suffered severe abuse and neglect. The CAP resident will learn how to assess children who have multiple disorders, which are often complicated by post-traumatic stress disorder. The CAP resident will become skilled in dealing with children and adolescents who require multiple psychotropic medications to stabilize their conditions.

Steven Pliszka, M.D.
Site Supervisor