Child and Adolescent Psychiatry Outpatient Clinic

700 SW Campus Drive Portland, OR 97239-3098

Robert S. McKelvey, M.D., Director

DESCRIPTION: The Outpatient Clinic rotation provides the skills and knowledge required for care of severely disturbed youth at high priority for services; as well as for youth with other psychiatric and mental health problems. Because most of the patients and families referred to this clinic have multiple problems, a comprehensive, collaborative approach is necessary. The ability to develop treatment plans that make the best possible use of available treatment resources requires collaboration with community resources as well.

DURATION: Two years, 6-13 patient contact hours per week.

SUPERVISION: Dr. McKelvey oversees the overall distribution of cases for each resident. Administrative and clinical problems are solved by the trainees and clinic director. In the first year of training, residents receive one hour of supervision weekly, and in the second year, two hours weekly. Supervision may employ shared interviews, case conferences, audio and video tapes, in addition to traditional approaches.

METHODS:

• Caseloads vary with time commitments in other rotations and are monitored to provide experience with a spectrum of disorders, gender and ages. Residents keep a log of cases according to age, gender, diagnosis, treatment and disposition.
  
  
• Residents' outpatient commitment increases in the second year when inpatient rotations have been completed. The central learning experience is thorough diagnostic and therapeutic work with youth and their families. More intensive therapy is emphasized in the second year of training.

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Division of Child & Adolescent Psychiatry
Oregon Health & Science University, Mail Code: DC7P
Portland, OR 97239-3098 503-418-5775

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