1. Expanding the Child Psychiatry Fellowship
Dr. Cecilia DeVargas
Region 15 RHP Meeting
El Paso First Healthplan, 1145 Westmoreland Drive
July 24, 2013
1:00pm

2. Description of the Project
Synopsis
Increase the capacity to provide Child & Adolescent Psychiatry Services and increase the availability of providers to better accommodate the demand in the El Paso Region.
Department Involved:
Texas Tech Department of Psychiatry
Milestones DY2:
Expand the training program – hire fellow(s)
Participate in Bi-Weekly Interactions to promote Collaborative Learning
Increase Clinic Volumes – patient encounters

3. Benefits to the Community
Behavioral health is in a state of crisis in our region. Most of Texas is designated as a Health Professions Shortage Area (HPSA) for mental health; however, the ratio of child psychiatrists to population in our region is less than 20% of the statewide average.

4. Progress Milestones: Risk Areas:
Expand training program – hire fellow(s) 100%
Participate in Bi-Weekly Interactions to promote Collaborative Learning 80%
Increase Clinic Volumes – patient encounters 50%
Risk Areas:
Anticipated outcomes:
Milestones will be met

5. Innovations Improvements to processes:
Educated team on CQI/Rapid Cycle Improvement
Formulated Action Plan

6. Child and Adolescent Fellowship
Cecilia DeVargas, M.D. – Program Director
Octavio Gutierrez, M.D. – Assistant Program Director
Leonora Petty, M.D. – Associate Professor
Juan Zavala, M.D. – Assistant Professor
Mercedes Ramirez, M.D. – Assistant Professor
Rebecca Pasillas, Ph.D. – Assistant Professor
Amelia Leony-Carrete, LCSW – Faculty Associate

7. Rotation Sites El Paso Children’s Hospital Emergence Health Network
Ysleta Independent School District
El Paso Psychiatric Center
Juvenile Justice Center
EPCGC (El Paso Child Guidance Center) If grant approved in September 2013

8. Clinical Services
Consultation Liaison at EPCH and outpatient Pediatrics Department
Outpatient and Inpatient
Psychiatric Assessments/Crisis Stabilization
Medication Management and monitoring
Psychotherapy
Psychotherapy modalities
Family Therapy
Child and Adolescents individual therapy
Group therapy

9. Baseline Encounters 2012-2013 Unique Patients Encounters
Inpatient Units – EPPC
Child/ Adol (CAD) 62
128
Consultation Liaison:
El Paso Children’s Hospital
419
620
Outpatient Clinics:
Children
364
1037
EHN 14

10. Goals To increase number of Faculty members
To increase number of non-salary Faculty affiliations
To search for other sources of income (Grants and Contracts)
To expand services to the community
To increase research and scholastic activities in the area of Child and Adolescent Psychiatry
To increase collaboration between primary care and psychiatric services

11. Challenges Small number of Core Faculty/Faculty turnover
Financial constraints
Reporting accuracy
IT Software barriers
Community needs

12. Milestones Hire new Fellow 100% Bi-weekly meetings 100%
Increase clinic volume 50%

13. Questions?
Comments?