10. Time-Saving Tips for managing mental health in primary care with Drs. Wendy Sapolsky, Kim DalPorto, Chanley Dudley
08/28/23 • 19 min
How do primary care pediatricians take care of the growing volume of mental health problems in the setting of a busy private practice? Drs. Wendy Sapolsky, Kim DalPorto and Chanley Dudley, pediatric mental health champions in their large pediatric primary care private practice, Carithers Pediatric Group, share Time-saving Tips for managing the challenges of limited time, and increased volume and complexity of child mental health problems in this episode. Tips include:
** 1 - Use screening tools at well-visits and for symptomatic patients
** 2 -Invest in time-saving dictation software for notes
** 3 - When charting, include measurable behavioral outcomes
** 4 - See complex pts before lunch, at end of the day or schedule a separate appt
** 5 - Monitor your burnout
** 6 – Take advantage of telehealth
** 7 – Check in w/ families in between appts via phone calls/patient portal
** 8 – Develop a relationship w/ a child psychiatrist
** 9 – Medical Education!
** 10 - Know your community MH resources
Dr. Wendy Sapolsky, MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at Wake Forest University/Bowman Gray School of Medicine. Her professional interests include ADHD, adolescents, and weight management.
Kim DalPorto MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at the University of Alabama at Birmingham. In addition to her work in the US, she is involved with global missions and helped to launch a permanent primary care medical clinic in Uganda, associated with Okoa Refuge.
Chanley Dudley, MD has been in practice for 10 years at Carithers Pediatric Group. She received her medical degree from the University of Florida College of Medicine. She completed her pediatric residency at Harvard /Massachusetts General Hospital in Boston. She has a special interest in children and adolescents with complex medical or social situations and in those who struggle with speech/language disorders and other learning differences.
Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds
How do primary care pediatricians take care of the growing volume of mental health problems in the setting of a busy private practice? Drs. Wendy Sapolsky, Kim DalPorto and Chanley Dudley, pediatric mental health champions in their large pediatric primary care private practice, Carithers Pediatric Group, share Time-saving Tips for managing the challenges of limited time, and increased volume and complexity of child mental health problems in this episode. Tips include:
** 1 - Use screening tools at well-visits and for symptomatic patients
** 2 -Invest in time-saving dictation software for notes
** 3 - When charting, include measurable behavioral outcomes
** 4 - See complex pts before lunch, at end of the day or schedule a separate appt
** 5 - Monitor your burnout
** 6 – Take advantage of telehealth
** 7 – Check in w/ families in between appts via phone calls/patient portal
** 8 – Develop a relationship w/ a child psychiatrist
** 9 – Medical Education!
** 10 - Know your community MH resources
Dr. Wendy Sapolsky, MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at Wake Forest University/Bowman Gray School of Medicine. Her professional interests include ADHD, adolescents, and weight management.
Kim DalPorto MD, FAAP has been in practice for 28 years at Carithers Pediatric Group. She received her medical degree from the University of South Florida College of Medicine, completed her pediatric residency at the University of Alabama at Birmingham. In addition to her work in the US, she is involved with global missions and helped to launch a permanent primary care medical clinic in Uganda, associated with Okoa Refuge.
Chanley Dudley, MD has been in practice for 10 years at Carithers Pediatric Group. She received her medical degree from the University of Florida College of Medicine. She completed her pediatric residency at Harvard /Massachusetts General Hospital in Boston. She has a special interest in children and adolescents with complex medical or social situations and in those who struggle with speech/language disorders and other learning differences.
Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds
Previous Episode
09 Depression Meds: Tips and Tricks for Prescribing w/ Dr. Elise Fallucco and Dr. Michaela Denison
How do you choose which SSRI to start for child/teen depression? Dr. Elise Fallucco and Dr. Michaela Denison discuss the 3 SSRIs w/ best evidence for depression treatment in kids and teens :
o Fluoxetine (Prozac)= FDA-approved for depression 8 yo+, activating, long half-life; Good for kids with fatigue, low motivation
o Sertraline (Zoloft)= Works quickly, dose at night to help with sleep; Good for kids w/ initial insomnia
o Escitalopram (Lexapro)= FDA-approved for depression 12 yo+,weight gain; Response/side effects moderated by cytochrome p450 2C19 phenotype
** Potential challenges in treating depression
***3 questions to ask kids at follow-up on antidepressant meds
1 – Compliance: (and what time of day are yout taking it?)
2 – Benefit: have you noticed improvement in mood, sleep, energy, motivation?
3 – Side effects: activation, sleep problems, HA, GI side effects ?
***We also talk about our Magic SSRI dosing card to help pediatric clinicians treat DEPRESSION AND/or ANXIETY- available our website Psyched4Peds.com
Dr. Elise Fallucco, child psychiatrist, mom, and host of PsychEd4Peds, specializes in adolescent depression and suicidality. She brings over 14 years experience in training pediatric clinicians to identify and treat mental health problems.
Dr. Michaela Denison, child psychiatrist, mom, and co-host of this episode of PsychEd4Peds, is the founding Director of the Lockbag program to prevent youth overdoses at the University of Florida College of Medicine - Jacksonville. (UF-Jax) She also serves as the Associate Program Director for the child and adolescent psychiatry fellowship at UF-Jax.
Follow us on Instagram @psyched4peds or visit our website at Psyched4Peds.com
Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds
Next Episode
11. Kids get PTSD, too: How to recognize it and get help w/ Dr. Brooks Keeshin
Did you know that 10% of kids in primary care are suffering from post-traumatic stress? We talk with Dr. Brooks Keeshin, child abuse pediatrician and child psychiatrist, about how to use the Pediatric Traumatic Stress Screening Tool to recognize the signs of PTSD, intervene and get kids the help they need.
Key points include:
1. Some kids with PTSD can seem like they are doing fine
2. PTSD symptoms can be confused with ADHD, anxiety, and/or depression
3. Screen all kids 11 years and older using the Pediatric Traumatic Stress Screening Tool
4. Assess all kids with a positive screen for safety
5. Refer kids with PTSD to Trauma-focused CBT
6. Try to address 1 impairing symptoms (usually sleep) at the visit
To access the Pediatric Traumatic Stress Screening Tool, visit https://utahpips.org/cpm/
Our guest: Brooks Keeshin, M.D., is a child abuse pediatrician and child psychiatrist in the Division of Child Protection and Family Health at the University of Utah and the Center for Safe and Healthy Families at Intermountain Healthcare’s Primary Children’s Hospital.
Check out our website PsychEd4Peds.com for more resources.
Follow us on Instagram @psyched4peds
Child Mental Health for Pediatric Clinicians - 10. Time-Saving Tips for managing mental health in primary care with Drs. Wendy Sapolsky, Kim DalPorto, Chanley Dudley
Transcript
welcome back to PsychEd4Peds, the child mental health podcast for pediatric clinicians, helping you help kids. I'm your host, Dr. Elise Fallucco, Child psychiatrist and mom. We have with us three of my favorite pediatricians, Dr. Wendy Sapolsky, Dr. Kim Dal Porto and Dr. Chanley Dudley from Carithers pediatric group in Jacksonville, Florida. Today we're really going to learn from these pediatric primary care experts about the challenges
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