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The Fellowship Program
The child and adolescent psychiatry fellowship program is a two-year program after three years of general psychiatric training. It involves a didactic curriculum covering child psychiatry, child development, and related areas, plus rotations through a wide variety of services which work in an interdisciplinary context. Its goals are to train competent, ethical child psychiatrists, skilled in the delivery of comprehensive psychiatric care.

Inpatient Child-Adolescent Psychiatry
The rotations through the child inpatient unit (ages 5 to 12), and the adolescent inpatient unit (12 to 18) exposes the fellow to patient with acute psychiatric syndromes. The fellow learns to provide in depth of psychiatric assessments and treatment of patient and their families in a team context. There is a forensic component in the inpatient psychiatric rotation.

Partial Hospitalization Program
This rotation offers close continuity between emergency, inpatient, and day hospital services. It offers educational and therapeutic components. It serves children and adolescents with acute conditions while providing strong and viable family support.

Outpatient Child-Adolescent Psychiatry
During this rotation the fellow works with a team implementing assessments of children in an ambulatory basis. Schools, parents, and other agencies refer children and there is continuity with the inpatient and other services. Brief and long term individual, family and group psychotherapy with children and families are available along with psychopharmacology as needed.

Chemical Dependency
During this rotation, the fellow has the opportunity to work with adolescents who are abusing illegal substances. Some of the patients may have a dual diagnosis.

Day Treatment Program
This rotation offers the fellow the opportunity to observe adolescents with moderate to severe behavioral problems or mental illness in a special educational setting with a strong therapeutic component. The fellow provides psychiatric services to patients and participates in team meetings.

Prevention Program
The fellow has the opportunity to participate with other clinicians in the provision of services geared to prevent placement of children away from their families. This includes community outreach and home visits as well as work with the family.

Neurodevelopment Program
The fellow rotates through this program which is part of the Department of Pediatrics and is run by Pediatric neurologists and a team of child specialists focusing on neurological and psychiatric problems. The fellow also provides consultations to the center.

Pediatric Consultation and Liaison
Under supervision, the fellow provides psychitric consultations to children and adolescents admitted to the Pediatric floors, ICU, and Emergency Room.

School Psychiatry
The fellow participates in one of three school sites geared to the psychiatric assessment and treatment of children in a school context. This program complements the Day Treatment Program.

Emergency Child Psychiatry
The fellow participates in the psychiatric assessment and disposition of children in acute situations referred to the emergency room. S/he has the opportunity to get acquainted with the multiple levels of service available to New York Children from Respite and Home Based services, to Intensive Case Management and placements.

Fellows may spend elective training time in any of the following programs:
  • Research Program: This program monitors research being conducted by different divisions of the Department.
  • Forensic Program: This program involves working with Family Court referrals and adolescents in detention at several sites.
  • Adolescent Substance Abuse Program: this program consists of two related units working respectively with substance abuse and dual diagnosis adolescents.
  • Autism, Mental Retardation and Learning Disabilities Program: the fellow can choose any of these areas for further study.
  • Functional Family Therapy Program: This new program will have the capacity to offer training and practice in the implementation of this evidenced-based approach with difficult children and adolescents.
Child and Adolescent Unit, Child and Adolescent Clinic, and consultation/liaison psychiatry are other areas for elective rotations.


Urbis Westray
Tel No. (718)466-7281
Email: uwestray@bronxleb.org

J. Arturo Sanchez-Lacay M.D., M.P.H.
Director of Child and Adolescent Inpatient Service
Director of Child and Adolescent Psychiatry Fellowship Program
Tel. No (718) 901-8756
Email: asanchez@bronxleb.org