My impact on the child psychiatry community in NV and nationally has been significant. Nevada ranks 51st for
children’s mental health metrics (www.mhnational.org). Our fellowship’s mission is to build southern Nevada’s
CAP workforce. To date, 100% of graduates practice CAP in southern NV and two of them teach for the
program. My efforts to expand access to child psychiatry in Nevada are also reflected in my grant-funded work,
the Pediatric Access Line. The PAL is a statewide child psychiatry access program, and is a clinical experience
in which senior CAP fellows learn invaluable skills of collaborative care.
I’ve created several public awareness educational programs, including the UNLV Women’s Council summer
series, on a variety of child mental health topics. I’ve presented Grand Rounds to pediatrics and psychiatry,
and have been invited to speak by national and international organizations about anxiety due to coronavirus
and the influence of social media on body image. I frequently provide expert interviews to the media about
children’s mental health, to raise awareness and provide resources to the community. I have appeared on local
news several times educating about suicide awareness, signs of depression, accessing appropriate help,
supporting youth transitioning back to school.
I created (in 2019) and deliver a quarterly Crisis Intervention Training specific to youth mental health. This
2.5-3 hour long interactive session is provided on a quarterly basis to the Clark County School District (CCSD)
Police as part of their Crisis Intervention Training. The CCSD is the fifth largest school district in the US, and
their police force includes 157 sworn officers. Each quarterly CIT training reaches 20-25 officers who engage
in a week-long training. Our section of the training covers an overview of child and adolescent
psychopathology, tips for verbal de-escalation and risk assessment. In addition, during the COVID shutdown,
CCSD police had an increased number of law enforcement encounters with adults, specifically unhomed
individuals roaming the vacant school campuses.
Ongoing Grant-Funded Work: The Pediatric Access Line. Chicanos por la Causa, NV partnered with UNLV and were awarded state Mental Health Block Grant funds in 2020 to create a child psychiatry access program. Under my leadership, we have created a statewide child psychiatry access program providing interprofessional consultation for patients ages 0-25. In addition, our program has created a website through which we disseminate educational materials to aide primary care clinicians in the diagnosis and treatment of youth with myriad psychiatric symptoms.
I’m a passionate teacher, clinician, and advocate for child and adolescent psychiatry. In 2013, I spearheaded
southern Nevada’s first child & adolescent psychiatry (CAP) fellowship program, and have continued to serve
as its Program Director. In this role, I create and facilitate a weekly cross-educational didactic program which
includes problem-based learning, collaborative case consultation with UNLV’s Psychology Doctoral Program
(shared case conference for 3+ years), family systems therapy with emerita faculty and journal club. In
addition, I initiated the implementation of a collaborative care case discussion curriculum between residents
from pediatrics and our CAP fellows.
My impact on the child psychiatry community in NV and nationally has been significant. Nevada ranks 51st for
children’s mental health metrics (www.mhnational.org). Our fellowship’s mission is to build southern Nevada’s
CAP workforce. To date, 100% of graduates practice CAP in southern NV and two of them teach for the
program. My efforts to expand access to child psychiatry in Nevada are also reflected in my grant-funded work,
the Pediatric Access Line. The PAL is a statewide child psychiatry access program, and is a clinical experience
in which senior CAP fellows learn invaluable skills of collaborative care. To date, we’ve conducted over 300
primary care clinical consultations, and over 1,400 care coordination encounters. I also directly supervise
fellows rotating through Mojave Counseling, and individually supervise fellows I do not directly supervise
in-clinic. I’ve won an Excellence in Fellow Mentoring award from the CAP fellows.
I also teach child psychiatry curriculum to general psychiatry and pediatrics residents. I’ve taught for the
medical school and currently mentor two medical students’ research projects, one of which is a retrospective
chart review of psychotropic prescribing practices in a community clinic treating foster care involved youth, and
the other is analyzing data pre- and post-initiation of the child psychiatry access program’s questionnaire of
primary care clinicians’ experiences working with youth mental health concerns. Both projects’ databases are
complete and we are actively analyzing our outcomes for publication, in which the medical students have a key
role in both background research and writing.