Clinical Rotations Year One Inpatient Services For 4 months residents participate in the inpatient services for children and adolescents at the University of Rochester Medical Center in Strong Memorial Hospital (SMH). In this setting, residents evaluate and direct the treatment of children ranging in age from 5 to 18 who require acute, intensive intervention. Consultation Services During these 4 months the resident participates in the very active, multidisciplinary consultation program providing service to the Department of Pediatrics. Outpatient Clinic Throughout the 2 years of the residency program residents take an active role in the Child and Adolescent Outpatient Clinic of Strong Memorial Hospital. It is in this setting that residents develop the skills of the primary provider of mental health services. The clinic is multidisciplinary in its approach, and clinical care is provided by social workers, nurse clinicians and clinical psychologists in addition to resident and faculty child psychiatrists. Community Consultation and Subspecialties 10 week rotation during which time the resident completes experiences in the following settings: Rochester City School District, Monroe County Family Court, Golisano Children's Hospital Pediatric Sleep Medicine Clinic, Child Neurology Faculty Practice Clinic and Movement Disorders Clinic, Andrew J. Kirch Deveopmental Services Clinic, Rochester Mobile Crisis Team, Child and Adolescent Psychiatry for Primary Care. Elective Residents have 2 weeks of elective time to focus on a clinical experience of interest based on their individual educational goals. Year Two Chief Resident / Administrative Rotation This is a teaching and administrative rotation where residents are mentored by the Program Director regarding clinical and educational administrative practices and issues, participate in department administrative, incident review and quality improvement committees, and complete a discrete Quality Improvement project. Residents also participate in didactic instruction to General Psychiatry and/or Pediatrics Residents and have other educational opportunities based on individual educational goals. Adolescent Partial Hospital Service Residents work closely with the Attending Child and Adolescent Psychiatrist and the multidisciplinary team in this intensive treatment program, focusing on the more discrete role an attending psychiatrist typically plays in such teams (as opposed to the primary clinician/therapist role which is the focus in the first year rotations), including diagnostic evaluation, formulation of the treatment plan, and collaboration with team members to achieve treatment goals. Residential Treatment and Substance Use Disorders Villa of Hope operates a residential treatment center for youth from a variety of cultural and socio-economic backgrounds. Residents spend twenty hours each week for 6 months participating with child psychiatry faculty in the care of adolescents who require long term residential treatment, or suffer with substance use disorders. The emphasis of this rotation is on the development of the resident's skills as a consultant rather than as a primary caregiver for these intensely troubled youth. Outpatient Clinic Residents continue to follow selected cases in the Child and Adolescent Outpatient Clinic in Strong Memorial Hospital at the University of Rochester Medical Center. In addition, they serve as psychopharmacology consultants as a part of that clinic's psychopharmacology service.