MHSA GRANT Training Schedule
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In-Patient Training Schedule at College Hospital’s DDMI Wing
(10802 College Place, Cerritos, CA 90703)
Morning Session:
In-patient Training at College Hospital DDMI Wing Program with Chief of Staff, Dr.
Craig Wronski
(10802 College Place, Cerritos, CA 90703)
Morning Session:
In-patient Training at College Hospital DDMI Wing Program with Chief of Staff, Dr.
Craig Wronski
- 8:45 am – 9:00 am – Doctor’s sign in and get materials and gather for coffee and snacks.
Collect signed orientation forms
- 9:00 -9:15 am – Introductions and place of work, experience with DD population – Participants
- 9:15 – 9:30 am - Orientation and brief history of the DDMI wing – Dr. Stephen
Mouton
Evidence-based outcomes (reference)
- 9:30- 10:00 am – Discussion of Patient Population - Dr. Craig Wronski
- Criteria for Admissions – Why admit to DDMI? (reference)
Drug Therapy and Polypharmacy with DD Population – concomitant medical issues, IQ degree /
function, separate unit, wheelchair, medical condition, seizures, behavior function, aggression
stay in groups; problems with eat/drink = liquid medications; self-mutilation, hitting, throwing
chairs ; legal issues; physical functioning / spastic groups – (parent integration w/ social worker)
| Psychiatric hospitalizations and crisis placements DDMI Wing CLICK HERE |
Afternoon Session
Outpatient Training at San Gabriel Pomona Regional Center (761 Corporate Center Dr.
Pomona, CA 91768) with Dr. Carlos Muralles
2-5 PM
Outpatient Training at San Gabriel Pomona Regional Center (761 Corporate Center Dr.
Pomona, CA 91768) with Dr. Carlos Muralles
2-5 PM
- 3-6 “live” patients with co-occurring developmental disability and mental illness will be schedule to
be seen by the group. In addition, the following topics will be covered:
- Definition and History of Developmental Disability
- Classification
- Etiology
- Epidemiology – Familial pattern – Specific Cultural and Gender Features
- Symptoms and diagnostic features related to developmental disability and psychiatric
conditions - Associated features and disorders other than the criteria for diagnosis
- Course of the condition
- Assessment and alternative techniques
- Chief complaint and history of complaint symptoms
- Dynamic formulation
- Differential diagnosis
- Conclusive criteria / tentative diagnosis
- Treatment plan
- Recommendations
- Prognosis
- Resources
10:00 am – 12:00 pm - Patient Interviews / Observations (Adult / Adolescent)
Topics to discuss: DDMI Wing process in action
Topics to discuss: DDMI Wing process in action
- a) Patient history – past medication and treatment / Medical concerns
Diagnosis / harm to self/others / behaviors / Triggers and Clozaril
Past placements – future placement
Recidivism – legal issues – metabolic syndrome?
b) Behavioral Assessment – Tools/Behavioral Specialist/Groups/Goals/IQ
Integration with others – Token Economy
c) R.N. – Assessment / plans / ADC’s
Management of MHC – Implementation of orders
d) Social Worker – coordination of patient – family- treatment team and regional
center -placement
- 12 -1:00 pm Lunch and presentation on Regional Centers - Conference Room Dr.
Stephen Mouton
- Scheduling of medications (6am / PM, Nighttime etc.);
- Routines with staff,
- low sensory, beach ball, touch, thought, mood, polypharmacy,
- diagnosis: Schizophrenia or behavior;
- decrease in anti-psychotics; past history medications; pain symptoms – opiates;
- seizure medications; Tegritol behaviors; side effects opiates;
- metabolism/ diabetes increase weight gain; dietary no soda (food/ extra fruit); decaf –
break lunch; no Prorzac, Luvox,; Re-enforcers : creative / draw;
| Dr. Wronski and MHSA training Psychiatrists on a walking tour of the hospital |
| Dr. Wronski with Hospital Staff and MHSA Training Psychiatrists JUNE 2010 |
| Out-Patient Training with Dr. Muralles June 2010 |
