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The Center for Emotional and Behavioral Health — Child/Adolescent Psychiatric Mental Health Clinic — IRC - CSAC <br /> C. PROGRAM DESCRIPTION (Entire Section C, I — 6, not to exceed two pages) <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 medication <br /> management, individual and/ox group therapy. 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/adolescent will be seen at regular <br /> intervals based on the unique needs of each child . The services are provided at The Center for <br /> 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, particularly cognitive behavior <br /> therapy (CBT), can help relieve depression in children and adolescents. (Birmaher B , Brent DA, <br /> Benson, 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 ; <br /> psycho stimulants (Greenhill et al . , 1998), mood stabilizers (Ryan et al . , 1999) selective <br /> serotonin 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 />