11. Collaborating with Child Psychiatrists: Promoting Optimal Mental Health Care for Our Most Vulnerable Children with Dr. Jeanette Scheid

https://swiy.co/WhatAreYourThoughts

Dr. Scheid is a practicing Child and Adolescent Psychiatrist and Associate Professor at MSU whose primary research interests are in the area of mental health services and public policy for children and adolescents with limited resources and multiple needs. Dr. Scheid’s work encompasses the full scope of child and adolescent psychiatry including disruptive behaviors, mood, and anxiety disorders, and eating disorders and much of her focus is on improving the health and well-being of the youth served by the Michigan Department of Health and Human Services. She welcomes collaboration with primary care providers to promote optimal care to some of our most vulnerable children.

Let’s dive right in and hear Dr. Scheid’s thoughts about improving psychiatric care for all children and particularly those in the child welfare system.

[00:01 - 09:13] Opening Segment

• Introducing today's guest, Dr. Jeanette Scheid
• Expertise and work
• How we know each other
• Dr. Scheid gives some background on her story
• Started in pediatric hematology
• Always wanted to work with kids
• First rotation in psychiatry
• First mentors at MSU
• Dr. Scheid talks about shifting careers
• What is it that excites you
• Look around and look at your colleagues
• Thinks about the day to day aspects

[09:14 - 24:45] Dealing with Child Trauma in the Welfare System

• Dr. Scheid talks about her consultancy with the Child Welfare System
• Interests in trauma
• Working in Pittsburgh
• Open doors to become a consultant
• Dr. Scheid’s training focuses
• Understanding the other point of view
• Foster parents lack empowerment
• You can’t assume
• Everyone brings in their own experience
• Experiences and lessons with children in bio-families
• Everyone has a unique experience
• How can we support the parent
• Strengths and weaknesses analysis
• All or nothing may not be the answer
• Dealing with gaps in background information
• How do you find out the best practices for the individual
• Acknowledge what we don’t know

[24:56 - 36:56] Deprescribing and Polypharmacy

• Dr. Scheid’s insights on polypharmacy
• The presence of other problems
• Hard to know a single diagnosis
• Take a step back and look at the history
• Is there evidence of benefits
• Back away based on risk
• Start slow as you go down
• I summarize my own experience
• Dealing with dependency
• Depression example
• Gauging this impact of symptoms
• Aggressive behavior assessment
• Psychosocial intervention
• Links you can find below
• The issues of diagnosing
• The levels of confidence

[36:57 - 44:12] Building Relationships with Psychiatry Colleagues

• Dr. Scheid’s thoughts on relationships with colleagues in psychiatry
• It all requires time and energy
• Getting the most recent documentation and records
• Having open communication
• Dr. Scheid’s example
• Getting to know your colleagues
• It’s fun and informative
• Making friends and connections

[44:13 - 53:19] Closing Segment

• Dr. Scheid talks about resources that can help
• Links below
• Dr. Scheid’s advice to her younger self
• Dealing with the answer no
• Don’t be afraid to name your lack...