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
    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)
and crisis
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
  • 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
Training with
Dr. Muralles
June 2010