Patient Care: Clinical Innovation and Service

Division Of Child and Adolescent Psychiatry and Child Development

Our Clinics and Hospital-Based Services are an integral part of one of the preeminent child and adolescent mental health treatment consortiums in the country, which includes the Stanford Children’s Health and Lucile Packard Children’s Hospital, Stanford Hospital & Clinics, and Stanford University School of Medicine.  For more information, please visit our division's website at:  http://childpsychiatry.stanford.edu/

Child and Adolescent Psychiatry Faculty provide comprehensive clinical services using evidence-based intervention to achieve excellence in patient care, while implementing innovative approaches to optimize functioning and long-term outcome. These services are provided through several outpatient specialty clinics, inpatient programs, and community-based programs:

Outpatient Clinics

The outpatient clinics provide psychiatric care to children and adolescents with a variety of diagnoses from 2 to 18 years of age. Clinic staff, consisting of child psychiatrists and psychologists, child psychiatry and psychology fellows, and general psychiatry residents, provides initial evaluations, second opinions, and ongoing treatment.

Clinical Services

Services Provided

  • Initial Evaluations
  • Second Opinion Evaluations
  • Psychotherapy (including individual, family, and parenting)
  • Pharmacotherapy
  • Psychological Testing (differential diagnosis, learning disabilities attention problems, mental retardation)

Pediatric Care Unit

The Comprehensive Pediatric Care Unit is a 15-bed unit that serves children and adolescents with eating disorder related medical problems severe enough to require hospitalization.

Pediatric Psychiatry Consult Service

The Pediatric Psychiatry Consultation Service provides inpatient and outpatient psychiatric consultation and treatment to the general pediatric and pediatric and surgical subspecialty services at Packard Children's Hospital and covers the emergency room at Stanford University Medical Center.

Division of General Psychiatry and Psychology

The Division of General Psychiatry and Psychology provides comprehensive psychiatric and psychological services across a continuum of care.  The clinical staff consists of psychiatrists and psychologists, psychiatry and psychology fellows, and general psychiatry residents provide initial evaluations, second opinions, and ongoing treatment.  For more information, please visit Stanford Health Care’s website at http://stanfordhealthcare.org/medical-clinics/psychiatry-behavioral-sciences.html

Outpatient clinics in the department include a range of specialties including:

Evaluation and Brief Treatment

  • The Evaluation and Brief Intervention team provides a Consultation Clinic for patients who have a Stanford primary care physician and require urgent assessment, as well as an evaluation clinic for short-term treatment (less than three months).
  • Continuity Clinic

Neuro-psychiatry

  • Neuropsychiatry
    (for our training program, click here)
  • Electroconvulsive therapy
  • Transcranial magnetic stimulation

Medical Psychiatry and Consults

The Medical Psychiatry and Consult Liaison supports an active Consultation and Liaison service for hospitalized patients in other departments and patients seen in the Cancer Center. A new Integrated Behavioral Health Service is under development to support Stanford Primary Care Medicine.

Therapy

The Psychosocial and Subspecialty Care Clinic provides psychotherapy including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Time-limited Psychodynamic Therapy, and Couples and Family Therapy for patients with a wide range of presenting problems.

The Individual Psychotherapy Clinic, which is staffed by psychiatry residents, provides the opportunity for patients to receive long-term psychodynamic psychotherapy.  Other subspecialties include:

  • Eating Disorders
  • Sports Medicine
  • Adult Dialectical Behavior Therapy       
  • Wellness Program
  • Couples and Family Therapy

Inpatient Care

Comprehensive Inpatient Care at Stanford University Medical Center offers in-depth evaluation and treatment of a broad range of psychiatric disorders. As part of a world-renowned university hospital, Stanford’s psychiatry service is prepared to treat individuals with complex and challenging illnesses.

The Inpatient Psychiatry Service at Stanford is recognized for its commitment to coordinating all patient care through a multidisciplinary team of healthcare professionals, including psychiatrists, psychologists, nurses, occupational and physical therapists, social workers and case managers.  Patient care is optimized through the availability of the full-range of resources available at Stanford University Medical Center. Located on the second floor of the hospital, the 29-bed Inpatient Psychiatry Service features both open unit (G2) and secured unit (H2) programs. Our treatment program is structured to maintain the safety, dignity, and confidentiality of every patient on the unit.

Care is provided utilizing appropriate treatment options that may include a variety of psychosocial interventions, psychopharmacologic treatments, and/or ECT. Consultation with additional medical specialty resources is available if required.  Coordination of care is accomplished through communication with other health-care providers, exploration of services available post-hospitalization, and consultation with family when possible.

Division of Interdisciplinary Brain Sciences

The Division of Interdisciplinary Brain Sciences (DIBS) provides specialized clinical services with using a variety of treatment modalities including behavioral therapy, family therapy (including parent-training) cognitive-behavioral treatment, and psychopharmacology.  For more information, please visit our division's website at: http://cibsr.stanford.edu

Clinical Services

For neurodevelopmental disorders, such as:

  • Fragile X Syndrome
  • Turner Syndrome
  • Klinefelter Syndrome
  • Williams Syndrome
  • 22q deletion (VCFS) Syndrome
  • Prader-Willi Syndrome       
  • Behavioral and neuropsychiatric symptoms associated with Intellectual Disability

Psychiatric and developmental disorders associated with medical risk factors

  • Executive Function Clinic
  • Fetal alcohol exposure
  • Preterm birth
  • Diabetes
  • Disorders of sex development

Division of Public Mental Health and Population Sciences

The focus of the Division of Public Mental Health and Population Sciences is on the well being of the general population and the expert care of special populations or communities.  This division bridges the fields of psychiatry, epidemiology, ethics, and policy.  There are five main sections in the division, some of which feature clinical services:

  1. Public Mental Health and Behavioral Epidemiology
  2. Underserved and Veteran Populations
  3. Students and Young Adult Populations
  4. Mental Health Policy
  5. Ethics and Vulnerable Populations

Veteran Care

VA Palo Alto Health Care System provides a broad array of mental health services, both inpatient and outpatient. We provide consultation, evaluation, and treatment for a variety of issues that can impact emotional well-being.  See more at: http://www.paloalto.va.gov/services/mental/

Student Care

Vaden Health Center’s Counseling and Psychological Services (CAPS) is dedicated to promoting student mental health and well-being by address concerns in a confidential and supportive setting.

Positive Care

Stanford Positive Care and Sexual Health Clinic provides adults living in the San Francisco Bay Area with access to anonymous STI testing, treatment, prevention, and education.

Arbor Free Clinic

The mission of Arbor Free Clinic, one of two free clinics comprising the Cardinal Free Clinics, is to provide culturally appropriate, high quality transitional medical care for an underserved patient population and to educate and empower a new generation of healthcare leaders to proactively address health disparities and improve access to care in their communities.

Division of Sleep Medicine

Seventy million people suffer from chronic, severe sleep disorders in the United States alone.  That means nearly one of every four Americans has a sleep problem.  No other chronic disease affects more people than sleep apnea, a potentially fatal condition that causes some individuals to stop breathing several hundred times every night.

As the birthplace of sleep medicine, Stanford has been instrumental in developing the field of sleep medicine.  Under the sleep medicine division leadership of Dr. Emmanuel Mignot and the clinic leadership of Dr. Clete Kushida, the Stanford Sleep Medicine Center encompasses the diverse specialties required to effectively treat patients with sleep issues.  The Center has more than 100 doctors, research faculty, staff, and students who are devoted to the study and treatment of sleep and sleep disorders.  In addition to having strong sleep apnea and behavioral sleep medicine programs, the Clinic attracts patients worldwide for its specialized consultations in the following areas:

Special consult areas

  • Sleep surgery
  •  Insomnia
  • Narcolepsy
  • Restless legs syndrome
  • Parasomnias
  • Dentistry

Our clinical staff is comprised of psychologists, psychiatrists, neurologists, pulmonary specialists, and pediatricians.  In addition, we work closely with sleep apnea surgeons, dentists, and orthodontists, all of whom specialize in the treatment of sleep disorders.

In 2009, the Stanford Center for Sleep Medicine moved to a state-of-the-art facility in the Stanford Medicine Outpatient Center in Redwood City.  The facility has 14 clinical beds, and four additional beds dedicated to research.  We perform approximately 10,000 clinic visits and 3,000 in-house sleep studies per year.  The clinic also provides ambulatory home monitoring, an important trend in sleep medicine. 

Additionally, we use the latest technology to help properly diagnose and treat each patient.  Every new patient completes our innovative web-based questionnaire, the Alliance Sleep Questionnaire (ASQ), from home before their appointment.  This allows the clinician to review a comprehensive overview of an individual’s sleep complaints before the appointment begins to ensure the consultation is as effective as possible.  Soon we will have returning patients fill out an abbreviated version of the ASQ which will allow us to monitor how a patient’s symptoms change over time.

For more information, please visit our division's website: http://stanfordhealthcare.org/medical-clinics/sleep-medicine-center.html

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