Bio

Clinical Focus


  • Therapeutic Alliance
  • Child and Adolescent Psychiatry
  • School Mental Health
  • Faculty development in Postgraduate Medical Education
  • Cultural aspects of pediatric health

Academic Appointments


Administrative Appointments


  • Chair, Child & Adolescent Psychiatry Caucus, American Association of Directors of Psychiatry Residency Training (AADPRT) (2013 - 2016)
  • Associate Chair: Education Leadership & Integration Committee, Stanford Department of Psychiatry & Behavioral Sciences (2013 - 2014)
  • Affiliate Faculty, Center for Comparative Studies in Race and Ethnicity (CCSRE) (2013 - Present)
  • Director of Training, Division of Child & Adolescent Psychiatry (2003 - Present)
  • Director of School Mental Health Services, Division of Child & Adolescent Psychiatry, and Lucile Packard Children's Hospital (2000 - Present)

Honors & Awards


  • Irma Bland Award for Excellence in Teaching, American Psychiatric Association (2013-2014)
  • Honorary Service Award (Suicide Prevention and Health Promotion), Palo Alto Unified School District PTA Council, and California State Assembly (2012)
  • The Mental Health Provider Hero Award, Santa Clara County Mental Health Board (2012)
  • The Unsung Hero Award, Stanford University Department of Psychiatry and Behavioral Sciences (2012)
  • Member, American College of Psychiatrists (2012)
  • Outstanding Faculty Award, San Mateo County Hospital General Psychiatry Training Program (2012)
  • Award of Distinction for Inspired Mentorship, Committee on Medical Students and Residents, American Academy of Child & Adolescent Psychiatry (2011)
  • Community Partnerships Award (with Project Safety Net), Stanford University (2011)
  • Outstanding Mentor Award, American Academy of Child & Adolescent Psychiatry (2009)
  • Teaching Scholar: Harvard-Macy Institute, American Academy of Child & Adolescent Psychiatry; Harvard Medical School (January 2007-May 2008)
  • Award for Excellence in Teaching, Stanford University Division of Child & Adolescent Psychiatry (June 2005)
  • Future Leaders in Psychiatry, Emory University (April 2004)

Boards, Advisory Committees, Professional Organizations


  • Panel Member, CA State Superintendent's Student Mental Health Policy Work Group (2012 - Present)
  • Co-Chair, Schools Committee, American Academy of Child & Adolescent Psychiatry (2012 - Present)
  • Co-Chair, Data Work Group, Santa Clara County Suicide Prevention Oversight Committee (2012 - Present)
  • Steering Committee, Project Safety Net, Palo Alto (2009 - Present)
  • Executive Committee, Health Care Alliance for Response to Adolescent Depression (HEARD) (2009 - Present)

Professional Education


  • Board Certification: Child and Adolescent Psychiatry, American Board of Psychiatry and Neurology (2002)
  • Board Certification: Psychiatry, American Board of Psychiatry and Neurology (2001)
  • Board Certification: Pediatrics, American Board of Pediatrics (1999)
  • Residency:Albert Einstein College of Medicine (1998) NY
  • Residency:Albert Einstein College of Medicine (1995) NY
  • Internship:Albert Einstein College of Medicine (1994) NY
  • Medical Education:Baylor College of Medicine (1993) TX
  • Diplomate, Amer Bd Psychiatry & Neurology, Child & Adolescent Psychiatry (2002)
  • Diplomate, Amer Bd Psychiatry & Neurology, General Psychiatry (2001)
  • Diplomate, American Bd of Pediatrics, Pediatrics (1999)
  • MD, Alb Einstein College of Medicine, Child & Adolescent Psychiatry (1998)
  • MD, Alb Einstein College of Medicine, General Psychiatry (1998)
  • MD, Alb Einstein College of Medicine, Pediatrics (1995)
  • MD, Baylor College of Medicine, Medical Sciences (1993)
  • BS, University of Texas @ Austin, Psychology (1988)

Community and International Work


  • Student Mental Health Policy Workgroup, Sacramento

    Topic

    K-12 School Mental Health Policy

    Partnering Organization(s)

    State Superintendent of Public Instruction, Cal MHSA,

    Populations Served

    All California Youth, ages 5-19

    Location

    California

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Suicide Prevention Oversight Committee, Santa Clara County

    Topic

    Data Wkgrp Co-chair

    Partnering Organization(s)

    Santa Clara County

    Populations Served

    Santa Clara County

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    No

  • Cognitive Behavioral Intervention for Trauma in Schools (CBITS) in SFUSD, San Francisco Unified School District

    Topic

    Structured group psychotherapy intervention

    Partnering Organization(s)

    SRI, Int'l; UCLA; US Dept. of Education

    Populations Served

    Middle school children at 8 schools in SFUSD

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • HEARD Alliance (Healthcare Alliance Response to Adolescent Depression)

    Topic

    Access to care, stigma reduction, mental health education,

    Partnering Organization(s)

    LPCH, PAMF, many other local primary care and mental health providers

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • Project Safety Net

    Topic

    City of Palo Alto-Palo Alto Unified School District Community Task Force on Suicide Prevention

    Partnering Organization(s)

    Lucile Packard Children's Hospital, AFSP

    Populations Served

    Students in PAUSD and neighboring school districts

    Location

    Bay Area

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • School Mental Health Consultation Service, Palo Alto, East Palo Alto, Mountain View, Los Altos, San Jose, San Francisco

    Topic

    School Psychiatry

    Partnering Organization(s)

    Achievekids, EPA Acad HS, Palo Alto Unif Sch Dist, MtnView-Los Altos Sch Dist

    Populations Served

    Children, teens, and young adults with developmental disabilities

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

Research & Scholarship

Current Research and Scholarly Interests


Dr. Joshi's teaching and research focuses on increasing knowledge and enhancing effectiveness of school mental health, pediatric psychotherapy and medication interventions. Areas of study include: the therapeutic alliance in medical care, structured psychotherapy interventions in school settings, cultural issues in pediatrics, and faculty development in graduate medical education.

Teaching

2013-14 Courses


Publications

Journal Articles


  • Does Early Mentorship in Child and Adolescent Psychiatry Make a Difference? The Klingenstein Third Generation Foundation Medical Student Fellowship Program Academic Psychiatry Stein, J., Kolevzon, A., Martin, A., Anders, T., Joshi, S., et al 2013; 37 (5): 321-324
  • Ethical issues in child & adolescent psychiatry Focus: The Journal of Lifelong Learning in Psychiatry Goldsmith MD, Joshi SV 2012; X (3): 315-320
  • ADHD and Other Disorders of Attention Regulation Steiner H (ed.), Handbook of Developmental Psychiatry Steiner H, Stemmle P, Joshi SV, Patel P 2011: 271-315
  • America's New Kids Preface CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Joshi, S. V., Pumariega, A. J. 2010; 19 (4): XV-XVII

    View details for DOI 10.1016/j.chc.2010.08.001

    View details for Web of Science ID 000284507200002

    View details for PubMedID 21056339

  • Culture and Development in Children and Youth Child & Adolescent Psychiatric Clinics of North America Pumariega AJ, Joshi SV 2010; 19 (4): 661-680
  • Cultural issues in pediatric mental health (Collected volume of papers) Child & Adolescent Psychiatric Clinics of North America Joshi SV, Pumariega AJ (eds.) 2010; 19 (4; October)
  • Culturally adapted pharmacotherapy and the integrative formulation Child & Adolescent Psychiatric Clinics of North America Malik M, Lake J, Lawson W, Joshi SV 2010; 19 (4): 791-814
  • Thinking about prescribing: The psychology of psychopharmacology in Martin A, Scahill L, Kratochvil C (eds.): Pediatric Psychopharmacology: Principles and Practice, 2nd ed. Pruett KP, Joshi SV, Martin A 2010: 422-434
  • The supporting alliance in child and adolescent treatment: enhancing collaboration among therapists, parents, and teachers. American journal of psychotherapy Feinstein, N. R., Fielding, K., Udvari-Solner, A., Joshi, S. V. 2009; 63 (4): 319-344

    Abstract

    Research indicates that the therapeutic alliance between therapist and pediatric patient is most effective in the context of a productive supporting alliance--an alliance encompassing the network of relationships among therapists, parents and teachers. In this essay, we develop a model of the supporting alliance, arguing that the child's primary relationships with various parties (therapists, teachers, and parents) imply a set of secondary relationships among those parties (parent-therapist, therapist-teacher, parent-teacher). We review the literature on these secondary relationships, focusing on their nature and discussing the benefits of and obstacles to establishing productive collaborations in each case. We also describe three sorts of pathology that can afflict the supporting alliance as a whole, and discuss the importance of patient autonomy and therapist-patient confidentiality relative to the supporting alliance. Finally, we identify directions for future research and highlight implications for practice.

    View details for PubMedID 20131741

  • Psychiatric medications for the treatment of pruritus PSYCHOSOMATIC MEDICINE Shaw, R. J., Dayal, S., Good, J., Bruckner, A. L., Joshi, S. V. 2007; 69 (9): 970-978

    Abstract

    To review the use of psychiatric medications in the treatment of pruritus.A literature review was conducted using the key words pruritus, psychiatric, and treatment.Three categories of pruritus are described: dermatologic, systemic, and psychogenic. Peripheral and central nervous system mechanisms of pruritus are reviewed. Conventional dermatologic treatments for pruritus are contrasted with some of the common psychopharmacologic treatment modalities that include anxiolytic, antidepressant, and antipsychotic agents. A treatment algorithm is offered to help guide the treatment of patients with pruritus.Psychiatric medications have been used successfully in the treatment of pruritus that is associated with both psychocutaneous and systemic disorders, which are resistant to conventional treatment.

    View details for DOI 10.1097/PSY.0b013e3181572799

    View details for Web of Science ID 000251204900024

    View details for PubMedID 17991825

  • Subtypes of pediatric delirium: A treatment algorithm PSYCHOSOMATICS Karnik, N. S., Joshi, S. V., Paterno, C., Shaw, R. 2007; 48 (3): 253-257

    Abstract

    Delirium in adult populations of hospitalized patients has been well characterized into hyperactive, hypoactive, and mixed subtypes. The degree to which these subtypes apply to pediatric populations has yet to be fully demonstrated. In this case report, the authors present two cases of delirium that serve as examples of the hyperactive and hypoactive/mixed types and then discuss treatment. They find marked differences in the response of different delirium subtypes to haloperidol and risperidone and theorize as to the neurochemical pathways by which these pharmacological agents might work. This framework provides an algorithm for the treatment of pediatric delirium.

    View details for Web of Science ID 000246210400010

    View details for PubMedID 17478595

  • Teaching evidence-based psychotherapies CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Thienemann, M., Joshi, S. V. 2007; 16 (1): 183-?

    Abstract

    Currently our field is actively involved in developing new ways to characterize and treat children and adolescents with psychiatric disorders and in evaluating the effects of our therapies. We also are beginning to examine the effectiveness of our teaching methods. This article presents evidence for, ideas about, and a philosophy to guide individuals who are privileged to train child psychiatrists in psychotherapies. Specifically, it discusses the issues of the evidence base for diagnosis and for nonspecific and specific active elements of child psychotherapy. Evidence for methods of training is presented. The article addressed the need for supervising psychiatrists to keep abreast of developments in teaching methods so that we can best train competent, curious, and compassionate child psychiatrists.

    View details for DOI 10.1016/j.chc.2006.09.004

    View details for Web of Science ID 000243016300012

    View details for PubMedID 17141124

  • Maintaining the Therapeutic Alliance in Modern Pharmacology Practice American Society of Clinical Psychopharmacology (ASCPP) Model Psychopharmacology Curriculum, 4th ed., Glick I (ed.) Joshi SV 2006: 501.1-501.22
  • ADHD: Assessment and Treatment across the Lifespan American Society of Clinical Psychopharmacology (ASCPP) Model Psychopharmacology Curriculum, 4th ed., Glick I (ed.) Joshi SV 2006: 504.1-504.22
  • Teamwork: The therapeutic alliance in pediatric pharmacotherapy CHILD AND ADOLESCENT PSYCHIATRIC CLINICS OF NORTH AMERICA Joshi, S. V. 2006; 15 (1): 239-?

    Abstract

    All child psychiatrists' interactions with patients and families have important potential meanings, and the act of prescribing medication is no exception. As psychopharmacologic practice has increased in child psychiatry, facility with psychotherapeutic skills, such as establishing an alliance, identifying and treating symptoms, and promoting adherence must follow to enhance clinical outcomes. This article addresses the role of the therapeutic alliance in pediatric work, the psychologic implications of administering medications, developmental issues altering psychopharmacologic efforts, the role of the dual alliance (allying both patients and parents), and recommendations for clinical practice and further research.

    View details for DOI 10.1016/j.chc.2005.08.004

    View details for Web of Science ID 000234522400013

    View details for PubMedID 16321733

  • School Consultation and Intervention Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach, Joshi SV 2004: 885-916
  • Psychostimulants, atomoxetine, and alpha-agonists in the treatment of ADHD Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach, Joshi SV 2004: 258-287
  • Characteristics and perceived. needs of mothers with serious mental illness PSYCHIATRIC SERVICES Joseph, J. G., Joshi, S. V., Lewin, A. B., Abrams, M. 1999; 50 (10): 1357-1359

    Abstract

    This cross-sectional survey determined the prevalence of motherhood among severely mentally ill women hospitalized in an inner-city facility and examined the demographic characteristics and perceived needs of the 32 mothers who were identified. Slightly less than one-quarter of these mothers had seen their children within the last week, and only about 20 percent maintained full custody of their children. However, none of the respondents reported feeling that it was unimportant whether they continued mothering their children. Approximately half described needing help in dealing with their sadness about their children. The pilot data presented in this paper suggest that motherhood is common among severely mentally ill and hospitalized women and that issues relevant to mothering remain important to them.

    View details for Web of Science ID 000082941600017

    View details for PubMedID 10506308

  • Medical assessment and laboratory testing in child and adolescent psychiatry Poustka F, Lehmkuhl D, Steiner H , eds: Lehrbuch der Kinder - und Jugendpsychiatrie. Traver D, Joshi SV 2008
  • Teaching about School Psychiatry American Academy of Child & Adolescent Psychiatry News Bostic JQ, Joshi SV 2007; February
  • The Resident as Teacher and Learner: Utilizing Principles of Adult Learning Theory American Academy of Child & Adolescent Psychiatry News Joshi SV, Hunt J 2007; December
  • Attention Deficit Hyperactivity Disorder Ferri's Clinical Advisor: Instant Diagnosis and Treatment Misakian AM, Louie A, McBurnett K, Joshi SV 2006
  • Psychological aspects of pediatric medication management Handbook of Mental Health Interventions in Children and Adolescents: An Integrated Developmental Approach Joshi SV, Khanzode LA , Steiner H 2004: 465-481
  • ADHD, growth deficits, and relationships to psychostimulant use. Pediatrics in review Joshi, S. V. 2002; 23 (2): 67-68

    View details for PubMedID 11826259

  • Fever and Acute Foot Pain in an 8-year Old Boy Emergency and Office Pediatrics Joshi SV 1996; 9: 92-94

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