Expanding the Child
Psychiatry Fellowship
Dr. Cecilia DeVargas
Region 15 RHP Meeting
El Paso First Healthplan, 1145 Westmoreland Drive
July 24, 2013
1:00pm
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
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.
• Milestones:
Progress
o Expand training program – hire fellow(s)
100%
o Participate in Bi-Weekly Interactions to
promote Collaborative Learning 80%
o Increase Clinic Volumes – patient
encounters 50%
• Risk Areas:
• Anticipated outcomes:
o Milestones will be met
Innovations
• Improvements to processes:
o Educated team on CQI/Rapid Cycle Improvement
o Formulated Action Plan
Child and Adolescent
Fellowship
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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
Rotation Sites
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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
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
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
14
Goals
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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
Challenges
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Small number of Core Faculty/Faculty turnover
Financial constraints
Reporting accuracy
IT Software barriers
Community needs
Milestones
1. Hire new Fellow
2. Bi-weekly meetings
3. Increase clinic volume
100%
100%
50%