Psychiatry Consultation/Liaison Service and Emergency Services(CHRMC)
The Psychiatry Consultation Service (PCS) at CHRMC focuses on providing psychiatric consultation to the medical inpatient units. Our patients have a broad range of problems including acute life-threatening illness, chronic illness, somatoform disorders, and pain. Because CHRMC is part of the Seattle Cancer Care Alliance, the PCS works with youths from all over the country who are undergoing bone marrow transplants and cancer treatment. Although the major focus of the PCS has been on inpatient care, there is an increasing opportunity to be involved in the care of youths in selected outpatient medical specialty clinics, such as the Reflex Neurovascular Dystrophy Program and the Pain Program and to the medical specialty clinics. The rotation allows the interested trainee to participate in elective experiences, such as the Adolescent Medicine Clinic, the Neuropsychological Assessment Service, and the Stress Management Clinic. The child and adolescent psychiatry residents work closely with the psychology faculty and with social work, which allows further opportunity for multi-disciplinary training. The PCS provides over 1800 hours of service annually and offers trainees the opportunity to hone their skills in working with other medical and allied specialties and to develop special areas of expertise.

Eating Disorders Program in Psychiatry (CHRMC)
CHRMC offers inpatient and outpatient treatment for adolescent Eating Disorders (primarily Anorexia Nervosa and Bulimia Nervosa) in coordination with the CHRMC Adolescent Medicine Clinic at the Laurelhurst (main) campus. The inpatient ED program on the general pediatric psychiatric unit and the outpatient ED clinic are the primary training sites and treat or evaluate approximately 100 teens and families each year. Services include diagnostic evaluations, routine and complicated psychopharmacological evaluation and management, cognitive-behavioral , narrative, Interpersonal Psychotherapy, Dialectical Behavioral Therapy, psychoeducation and interdisciplinary approaches to the treatment of eating disorders within the context of individual, family, and group therapy. Children best served are between the ages of 12-18 and living with consistent caregivers. Many of the teens seen present with comorbidity of anxiety or depressive disorders. Training of child psychiatrists occurs within the context of an interdisciplinary model implemented by a team including psychologists, physicians, nurse practitioners, psychiatrists, and nutritionists.

Odessa Brown Children's Mental Health Clinic (CHRMC)
This clinic is associated with the Odessa Brown Pediatric and Dental Clinics and is affiliated with Children's Hospital. It is housed in the Central District Community Health Center that also houses a family practice clinic, an adult dental clinic, a WIC clinic and some public health services. The mental health clinic serves children who receive pediatric and/or dental services in the same building or who are referred from other CHRMC clinics, as well as children from all over King County referred by private pediatricians, family practitioners or other clinics. The clinic serves an ethnically, culturally and socio-economically diverse clientele. Special programs focus on treating children with ADHD and teaching Parent-Child Interaction Therapy.