13. Psychiatric Consultation: The Doctor is In!

https://swiy.co/WhatAreYourThoughts

Today’s guest is Dr. Joanna Quigley, a clinical associate professor of psychiatry at the University of Michigan. She trained in pediatrics, general psychiatry, and child and adolescent psychiatry at the University of Kentucky and is part of the Michigan Child Collaborative Care (MC3) project at the University of Michigan, an outreach consultative program for primary care pediatrics, family medicine, and obstetrics.

Let’s dive right in and hear Dr. Quigley’s thoughts about common mental health concerns we see in primary care and how psychiatric child collaborative care programs can offer us support.

[00:01 - 08:47] Opening Segment

• Introducing today's guest, Dr. Joanna Quigley
• Dr. Quigley’s path to child psychiatry
• The differences between pediatrics and child psychiatry

[08:48 - 13:36] Collaborative Child Care

• We talk about the benefits of collaborative child care programs
• Learning from one another
• Leveraging one another’s resources
• Looking for collaborative care programs
• State health departments
• Keywords
• Telephone consultation programs
• Collaborative care consultation programs
• Psychiatric collaborative consultation

[13:37 - 25:13] Psychiatric Consultation

• Dr. Quigley shares some tips to make consultations easier
• Current condition
• Trauma history
• Symptoms
• She talks about a few best practices on selecting medications
• Where to access these best practices? Links below

[25:14 - 40:27] Child Psychiatry

• Managing screen time and media exposure of children
• Setting limits is okay
• Practical tip: Turn off the WIFI
• Dr. Quigley talks about collaborations with primary care providers
• Be intentional in your collaborative efforts
• Be open to the fact that one visit won’t solve everything
• We talk about this game-changing service in child psychiatry

[40:28 - 46:24] Closing Segment

• Finding joys with patients and colleagues
• Final Takeaways
• Collaborative child care
• Difficulties of primary care providers
• Psychiatric and pediatric trainings
• Trauma and anxiety
• Symptom relief
• Resources of best practice guidelines
• Parent management of children’s social media use
• “No question is too small, too stupid”

Tweetable Quotes:

“I do think that...it is okay [for parents] to set limits. Kids thrive on structure and consistency with expectations.” - Dr. Joanna Quigley

“You don’t need to solve everything that’s going on in one visit.” - Dr. Joanna Quigley

Resources Mentioned:

• Michigan Child Collaborative Care
• HealthyChildren
• American Academy of Child and Adolescent Psychiatry
• National Network of Child Psychiatry Access Programs
• Stahl's Essential Psychopharmacology
• American Academy of Pediatrics

If you’d like to connect with Dr. Quigley, email joannaq@med.umich.edu. Also, visit