MHSA GRANT Training Schedule
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

    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
         Percentage of inpatient hospitalizations / medications (reference)
    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


    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
    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

* Additional subject areas covered in the morning include:
  • 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