Psychiatry and Behavioral Medicine

All Articles in the Category ‘Psychiatry and Behavioral Medicine’

North Clinic in Everett Now Offers Psychiatry and Behavioral Medicine

Outpatient psychiatry services are now available at Seattle Children’s North Clinic in Everett. Providers at the North Clinic are offering:

  • Diagnostic evaluations for depression, anxiety and early childhood disorders
  • Stepped-care treatment for anxiety and externalizing behaviors (focusing on groups with some individual/family therapy)
  • Parent management training
  • Individual therapy for depressive disorders (very limited; by internal referral only)
  • Treatment of young children focusing on parent management training

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Partnership Access Line: A Resource for Providers to Support Patients’ Mental Health Care

Significant mental health impacts on kids during the COVID-19 pandemic mean services like the Partnership Access Line (PAL) hotline are more important than ever. PAL supports the PCP community in treating their pediatric patients in several ways:

  1. Specialized support in all areas of child and adolescent mental health to community prescribers that lack resources and cannot complete a care plan
  2. Rapid access to in-person or telemedicine consultations for any child with Medicaid coverage; eligibility determined during a PAL call
  3. Mental health resource support for PCPs and expansion resource support for families
  4. Evidence-supported mental health training for primary care providers with Category 1 CME credit
  5. Publishes Primary Care Principles for Child Mental Health manual containing evidence-supported care guidelines for treating providers

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Mental Health Referral Service for Kids: Additional Capacity Coming in January

Research shows that COVID-19 is taking the greatest mental health toll on children and teens ages 11 to 17. Demand for counseling and treatment for this age group is high and growing. Washington’s Mental Health Referral Service for Children and Teens receives about 20 calls a day from families needing help, and the wait time to be connected to an available provider in their community is currently about 9 weeks. The service is adding more staff in January and hopes to bring wait times down to the two-week level of this summer.

“We recommend families not be daunted by the current wait and call us right away to start the process,” says Ana Clark, manager of the Partnership Access Line program (PAL). “We provide education over the phone and can get them started on the right track. Some families are able to find providers on their own after our initial guidance and recommendations. And for those families who need a little more help, they will be added to our wait list and helped as soon as we are able. Our goal is to help families as quickly as possible.” Read full post »

Accessing Youth Mental Health Services and Support During COVID-19: A Q&A With Erika Miller, BSN, RN-BC; Kashi Arora; and Sophie King, MHA

Erika Miller is the clinical practice manager of Psychiatry Consult Services and Emergency Department Mental Health, Seattle Children’s. Kashi Arora is the mental and behavioral health project manager with Community Health, Seattle Children’s. Sophie King is the supervisor of program operations for triage and the Crisis Care Clinic, Seattle Children’s.

Q: What mental health services does Seattle Children’s offer?

A: We offer short-term, outpatient mental health services through our Psychiatry and Behavioral Medicine (PBM) team. We start with a diagnostic evaluation to determine the patient’s needs and the evidence-based interventions recommended for these needs. We also discuss with families where it would be most helpful to receive care (either at Seattle Children’s or in the community).

In order to provide equitable and efficient care, many of our treatment programs operate using a stepped care model. They begin with a group or class for patients/caregivers, followed by short-term individual therapy as needed. Capacity for individual therapy is very limited. For youth pursuing medication, we offer a brief consultation model. We do not provide long-term therapy or medication management. Read full post »

Recognizing and Treating Anxiety

A Q&A With Dr. Kendra Read

Anxiety affects 30% of children and adolescents at some point in their lives. Of those, 8.3% are severely impaired by it.

Anxiety in children can be a part of normal development, but unhealthy levels of anxiety can lead to significant distress and impairment in school, social and home functioning.

Unfortunately, patients with anxiety disorders do not always receive the help they need. When they do receive treatment, it is often insufficient or not evidence based.

We spoke with Dr. Kendra Read, an attending psychologist within Seattle Children’s Psychiatry and Behavioral Medicine department, to find out how providers can identify childhood anxiety, which treatment options are most effective and what information they should provide to parents. Read on to learn more. Read full post »

Caring for Traumatized Children

A Q&A with Dr. Ben Danielson, Mark Fadool and Dr. Nat Jungblut

The majority of children will experience a potentially traumatic event during childhood, but only some of them will develop clinically significant distress.

Identifying and supporting children who have been negatively affected by trauma is crucial to their emotional and physical health.

Primary care providers have a unique opportunity to recognize families experiencing post-traumatic stress and offer them support. We’ve brought together three experts to help: Dr. Ben Danielson, senior medical director of the Odessa Brown Children’s Clinic (OBCC); Mark Fadool, clinical director of Mental Health Services at OBCC; and Dr. Nat Jungbluth, a clinical psychologist working on a Washington state-funded pilot program to offer behavioral health services to youth and families in the Tri-Cities.

How does trauma affect a child’s health?

Dr. Danielson: The CDC-Kaiser Permanente Adverse Childhood Experiences Study, published in 1998, recognized a direct correlation between 10 stressful experiences – termed Adverse Childhood Experiences (ACEs) – and health outcomes. These experiences include: physical, verbal or sexual abuse; substance abuse by family members; parent separation or divorce; witnessing domestic violence; depression in a family; and a family member in prison, among others.

The study demonstrated that the more ACEs a person experiences during childhood, the more severe and the more frequent illnesses they are likely to suffer as a child and into adulthood.
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New Online Information for Psychiatry and Behavioral Medicine Referrals

Seattle Children’s has increased transparency about our access, scheduling and communication process for Psychiatry and Behavioral Medicine by launching a new online resource “How to Get Services.”

Psychiatry and Behavioral Medicine requires a provider referral to see new patients. If families receive a referral from a provider, we will let the provider know if we have an opening or not. If we do, we will contact the family to schedule.

We are sorry that, at this time, many of our clinics do not have openings for new patients. However, we may have openings in research studies. Families who would like to participate in a research study, should call (206) 987-2164 and press 2. Read full post »