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U :. <br /> The Center for Emotional and Behavioral Health-Child/Adolescent Psychiatric Mental Health Clinic-IRC CSAC <br /> s <br /> x C. PROGRAM DESCRIPTION (Entire Section C, I — 61 not to exceed tw)ohages) <br /> 1 . List Priority Needs area addressed . <br /> Therapeutic evaluation and interventions program for underinsured and uninsured school age <br /> children in Indian River County diagnosed with psychiatric or mental health problems . <br /> 2 . Briefly describe program activities including location of services . <br /> Any child or adolescent from Indian River County seeking evaluation and treatment of <br /> psychiatric or mental health issues will be provided a comprehensive evaluation by the <br /> psychiatrist . Based on the findings of the evaluation, a treatment plan is formulated and <br /> discussed with the child/adolescent and family. The treatment may include <br /> psychopharmacology, counseling and/or both . In addition all families are encouraged to attend <br /> and participate in the parenting classes . The psychiatrist will collaborate with family, school and <br /> other health care providers to coordinate the care . The child will be followed up that clinic at <br /> regular intervals based on the unique needs of each child . The services are provided at the <br /> Center for Emotional and Behavioral Health . <br /> 3. Briefly describe how your program addresses the stated need/problem . Describe how <br /> your program follows a recognized " best practice" ( see definition on page 12 of the <br /> Instructions) and provide evidence that indicates proposed strategies are effective with <br /> target population . <br /> Providing comprehensive treatment involving medication management, psychotherapy, active <br /> involvement with the family and school and teaching specific social skills and behavior program <br /> will provide the child or adolescent with an opportunity to regain and maintain function. <br /> Recent research shows that certain types of psychotherapy, particular cognitive behavior therapy <br /> (CBT), can help relieve depression in children and adolescents . (Birmaher B , Brent DA, Benson, <br /> RS , 1998 ) (Jayson D, Wood A, Kroll C. et all 1998 ) <br /> In addition safety and efficacy of six general classes of medication have been researched , psycho <br /> stimulants ( Greenhill et al . , 1998 ), mood stabilizers (Ryan et al . , 1999) selective serotonin <br /> reuptake inhibitors ( SSRI ' s) (Emslie et al . , 1999), antidepressants (Geller et al , 1998 ) , <br /> antipsychotic agents (Campbell et al, 1999), and other miscellaneous agents (Riddle et all , 1998 ) . <br /> Review of comprehensive body of research indicates strong support for safety and efficacy of <br /> SSRI ' s for childhood depression and psycho stimulants for ADHD . However, for many other <br /> disorders and medication, information from rigorously controlled trials is sparse or absent <br /> ( Surgeon Generals Conference on Mental Health, June 2000 ) . Addressing these, NIMH has <br /> initiated a large scale study involving clinical trials at 10 sites across the US to compare the long <br /> term effectiveness of medication, CBT and a combination of these for treatment of depression in <br /> adolescents . <br /> 7 <br />