title: Administrative issues in child psychiatry.
abstract: Administrative issues related to operating child and adolescent psychiatry programs or child mental health centers are substantially different than their adult counterpart programs. The increasing demands from managed care and other regulatory agencies make these programs difficult to operate. The smaller scale of these programs and the fewer existing programs make managing access to care more complicated. The administrators and clinicians in these programs have to be vigilant of legal responsibilities and reporting mandates that child practitioners and agencies that treat children need to abide by. In order to continue thriving, programs need to be efficient and fiscally viable. Issues such as building the continuum of care and finding the qualified personnel to staff these services are discussed in this article.
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University School of Medicine, 550 First Avenue, New York, NY 10016-9196, USA. raul.silva@med.nyu.edu
authors.forename: Raul R
authors.initials: RR
authors.lastname: Silva
authors.forename: Eraka
authors.initials: E
authors.lastname: Bath
authors.forename: Douglas
authors.initials: D
authors.lastname: Beer
authors.forename: Haruka
authors.initials: H
authors.lastname: Minami
authors.forename: Lenore
authors.initials: L
authors.lastname: Engel
mesh_terms: D002648:Child; D002665:Child Psychiatry / Q000458:organization & administration* / Q000592:standards; D003219:Confidentiality; D003266:Continuity of Patient Care / Q000458:organization & administration; D003657:Decision Making; D005555:Forensic Psychiatry / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D011369:Professional-Patient Relations; D040841:Resource Allocation / Q000592:standards; D014481:United States