Riley Children's Health Annual Report 2023 – 2024

Child and adolescent psychiatrists and clinical child psychologists at Riley Children’s Health partner with children and families to develop a treatment plan to address each child’s mental health needs. Our clinicians, working in outpatient, hospital-based and emergency department settings, focus on advanced, evidence-based evaluations and treatments to provide expert care for psychiatric diagnoses and behavior problems. PSYCHIATRY

RESEARCH HIGHLIGHTS

Our team is engaged in research related to: ■ Language development in hearing-impaired children ■ Risky decision-making in youth ■ Psychological interventions for pediatric chronic pain ■ Telehealth Recovery & Resilience Program – Opioid Extension in Adolescent and Young Adult Trauma Survivors National institutes of Health- funded studies ■ Workforce and System Change to Treat Adolescent Opioid Use Disorder within Integrated Pediatric Primary Care ■ The Role of Cross-System Collaboration in Implementation

DIVISION CHIEF Leslie A. Hulvershorn, MD, MSc Associate Professor of Psychiatry, IU School of Medicine > Connect with Dr. Hulvershorn on Doximity.

Clinical trial participation Our specialists are involved in several nationally funded clinical studies for disorders such as depression, bipolar disorder, schizophrenia, autism and chronic pain.

PROGRAM DISTINCTIONS

Specialized programs Outpatient psychiatric care

■ Ranked among the leading pediatric and adolescent behavioral health programs in the nation by U.S. News & World Report ■ Using the Project ECHO model, offers continuing education programs for primary care providers, K-12 educators and juvenile justice professionals ■ Employs the evidence-based Collaborative Assessment and Management of Suicidality (CAMS) treatment model for reducing suicidality and improving depression ■ Home to one of only five Multisystemic Therapy programs in Indiana Riley Children’s developed and operates the Behavioral Health Access Program for Youth (Be Happy) and the Adolescent Addiction Access Program . These programs support healthcare providers in caring for youth with mental health and substance use disorders. Be Happy is part of the National Network of Child Psychiatry Access Programs.

Evidence-based psychotherapy, psychological testing and pharmacotherapy across all diagnoses, including mood and anxiety disorders, autism, tics and compulsive disorders, trauma-related disorders, self- injurious behaviors, somatic symptom disorders and disruptive behavior disorders. Hospital-based psychiatric care Includes Indiana’s only Emergency Department Behavioral Health Access Center staffed by in-person child psychiatrists and a multidisciplinary Psychiatric Consultation-Liaison Service that provides mental health assessments and unique treatment services for medically hospitalized patients. In addition, we have psychologists integrated into several specialty programs at Riley Children’s (pain, oncology, headache, deaf and hard of hearing, and gastroenterology). Riley Children’s is home to Indiana’s only dialectical behavior therapy-informed child and adolescent psychiatric inpatient unit for children and adolescents who need intensive psychiatric or eating disorder treatment. Substance use disorder (SUD) treatment One of the few adolescent SUD treatment programs in the Midwest that uses medication-assisted treatment. Riley Children’s is the only U.S. entity certified to train providers on ENCOMPASS, an evidence- based model that uses CBT, motivational interviewing, pharmacotherapy and contingency management to treat co-occurring psychiatric disorders and SUDs in adolescents.

44 doctoral-level specialists

See full team member list >

of Evidence-Based Substance Use Practices in Child Welfare

NOTABLE PUBLICATIONS

Psychiatry Volume: 2023

JAMA Network Open: October 2023 Engagement With Mental Health Services Among Survivors of Firearm Injury Psychological Medicine: May 2023 Latent Profiles of Substance Use, Early Life Stress, and Attention/Externalizing Problems and Their Association With Neural Correlates of Reinforcement Learning in Adolescents Clinical Child Psychology and Psychiatry: October 2023 Associations Between Outpatient Treatment and the Use of Intensive Psychiatric Healthcare Services Arthritis Care and Research: August 2023 Clinical Characterization of Juvenile

Emergency department behavioral health assessments 1,362

Inpatient psychiatric hospitalizations 329

Outpatient visits 18,132

Advanced technologies and procedures ■ Electroconvulsive therapy (ECT) and transcranial magnetic stimulation (TMS) – Riley specialists are among the only practitioners in Indiana able to use ECT and TMS to treat severe psychiatric disorders in youth. ■ Specialized interventions -- Many of our providers have training and expertise in specialized and/or innovative approaches to assessment and psychotherapy, including computer adaptive testing, SPACE Treatment, DBT, TF-CBT, PMT, pain-CBT, CAMS and ENCOMPASS. Professional organization affiliations VICE CHAIR, EPILEPSY MAINTENANCE OF CERTIFICATION COMMITTEE American Board of Psychiatry and Neurology David W. Dunn, MD RESEARCH COMMITTEE American Academy of Child and Adolescent Psychiatry Leslie A. Hulvershorn, MD, MSc

Fibromyalgia in a Multicenter Cohort of Adolescents

59 research publications in 2023

Enrolled in a Randomized Clinical Trial

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Annual Report 2023 – 2024

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