Administrative Issues in Child Psychiatry
Raul R. Silva, M.D. Æ Eraka Bath, M.D. Æ Douglas Beer, M.D. Æ
Haruka Minami, B.A. Æ Lenore Engel, M.D.
Published online: 31 March 2007
Ó Springer Science+Business Media, LLC 2007
Abstract Administrative issues related to operating child and adolescent psychiatry
programs or child mental health centers are substantially different than their adult coun-
terpart 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.
Keywords Child psychiatry Á Administration Á Forensics
R. R. Silva, M.D. (&)
Department of Child and Adolescent Psychiatry, New York University School of Medicine, 550 First
Avenue, NBV 21S6, New York, NY 10016-9196, USA
E. Bath, M.D.
ACS-Bellevue Mental Health Program, Department of Child and Adolescent Psychiatry, New York
University School of Medicine, New York, USA
D. Beer, M.D.
Department of Psychiatry, Mt. Sinai School of Medicine, Elmhurst Hospital Center, Elmhurst, NY,
H. Minami, B.A.
Department of Child and Adolescent Psychiatry, New York University School of Medicine, New York,
L. Engel, M.D.
Division of Child and Adolescent Psychiatry, Kings County Hospital Center, Brooklyn, USA
Psychiatr Q (2007) 78:199–210