Departments

The Yale Child Study Center is an internationally recognized center of innovation in child and family mental health, dedicated to promoting healthy development and psychological well-being across the lifespan. We care for children and adolescents whose families are concerned about their child’s development and behavior. Common concerns include developmental delays, behaviors or worries that interfere with their child’s life, isolation and fear of school, and defiant and difficult behavior. Our first job is to listen. As we begin to understand the family and child, we will guide our patients through the evaluation, diagnosis, and treatment process. We provide office and home-based interventions as well as telehealth services, and we work with as many people involved in your child’s growth as possible, including parents, teachers and pediatricians. Above all, we care about your child’s development and your family’s well-being. We will use every means available—and maybe even invent some new ones—to help the child and their family. We are committed to working with every family to help them understand and address their child’s and family’s needs. Our interdisciplinary teams use up-to-date science to evaluate and then work with the family to develop a comprehensive treatment recommendations. Our treatment may include (one-on-one or group) therapy, family therapy, and parent-centered approaches and collaboration with schools. When appropriate, our providers will discuss the use of medication, providing detailed information so parents can make an informed decision. Many of our patients improve and thrive without medication, and for others it is a valuable part of their treatment. At the Yale Child Study Center, we are pioneering many treatments including approaches that help parents improve disruptive anger and aggression in children with autism and other developmental disorders. We are also developing new ways to help children overcome anxieties that may limit their daily lives, and treatment approaches designed to lessen the impact of an overwhelming event on the child and family. Finally, we work directly with parents around their own concerns about their roles as parents.

Yale Psychiatry is the largest provider of psychiatric services in Connecticut, and the top National Institutes of Health-supported Department of Psychiatry in the United States. We are dedicated to adding to the body of knowledge in the field, and improving treatments for psychiatric disorders that span all ages. This includes helping people cope with major life events or medical illnesses, behavioral problems associated with personality disorder or addiction, mood and psychotic disorders, and dementia. Yale investigators have pioneered new treatments for nearly every psychiatric disorder. Our research programs have produced breakthroughs in areas as diverse as molecular neuroscience, genetics, translational neuroscience, neuroimaging, psychopharmacology, psychotherapy, rehabilitation, health services, forensic psychiatry, epidemiology, and health policy. Today, our clinicians are at the forefront of social, pharmacological, psychological, rehabilitative, and neurostimulation treatments. Through clinical trials, our interventional psychiatry service delivers high-impact treatments, including ECT (electroconvulsive therapy) and ketamine, for patients with treatment-resistant symptoms of depression. Our clinical programs are interwoven with our research efforts. We host programs that specialize in the major mental diseases and substance abuse treatment at three major institutions: Connecticut Mental Health Center, the Veterans Affairs Connecticut Healthcare System, and the Yale New Haven Psychiatric Hospital. We also provide increased psychiatry support for Smilow Cancer Hospital in areas such as smoking cessation.

Yale is the regional leader in diagnosing and treating a wide range of sleep problems in infants, toddlers, children, and teens. Sleep problems can be linked to respiratory issues, or may stem from other medical, behavioral, or developmental concerns. We are dedicated to working with each family to locate the source of the child’s sleep issues, and to find a way to better sleep. No matter the cause, we will deliver comprehensive, compassionate care for each child’s sleep challenges in a warm, child-friendly environment. Our staff includes physicians who are board-certified in pediatrics, pediatric pulmonology, and sleep medicine. We are the only center in the state staffed exclusively with board-certified specialists. In addition to diagnosis and treatment of sleep issues, we provide support for patients in need of oxygen and ventilators, and continuous positive airway pressure (CPAP) titration and management. Nonrespiratory sleep complaints we treat include: Insomnia, including difficulties falling asleep and nocturnal awakenings Excessive daytime sleepiness Restless leg syndrome Sleep disturbance, including parasomnias (sleep walking, night terrors, nightmares, and bed wetting) Narcolepsy Respiratory sleep problems include: Obstructive sleep apnea with snoring, noisy breathing, disrupted sleep, or daytime sleepiness and/or attention problems Life-threatening eventsin infancy Respiratory complications of neuromuscular disease, including muscular dystrophy Pre- and post-operative evaluation for scoliosis, spina bifida, cleft palate, and other neurosurgical and craniofacial disorders

We are internationally known for the care we provide for older people, helping them maintain their independence and quality of life, and manage multiple complex health conditions. Our team of geriatricians, geriatric psychiatrists, nurse case managers, patient care assistants, physical therapists, and neuropsychologists works closely with patients, their families, primary care providers, and other care providers to assess and develop a comprehensive plan for their care. Yale physicians have developed widely used interventions and support families facing such challenges as functional decline, disability, decision-making, and driving problems. The Connecticut Older Adult Collaboration for Health 4M (COACH 4M) grant provides multiple resources for older adults and their caregivers. The new video resource library offers a collection of brief videos for older adults and caregivers by experts in the field touching on a range of topics relating to health, well-being, caregiving, and maintaining creativity in aging. The COACH 4M project is pleased to provide an updated and expanded list of available resources and services for older adults in Connecticut, parts of southeastern New York and southwestern Rhode Island, and hopes you find the Geriatric Resource Directory a helpful guide to assist you in meeting the needs of older adults throughout the region. The new user-friendly version enables you to navigate the content through links in the table of contents and region list or using the Adobe bookmark feature. If you have any questions about the Resource Directory or have corrections to the content, please contact Dana Limone at dana.limone@yale.edu . View the Yale Geriatrics Resource Directory . Disclaimer: COACH 4M does not recommend or endorse the services provided by the organizations and individuals listed in the directory. Inpatient and outpatient geriatric consultations at the VA Connecticut Healthcare System in West Haven Syncope and Falls Assessment Program A prevention initiative for seniors at risk for falls, which has reduced falls and related injuries in many Connecticut The development of the Confusion Assessment Method, used internationally to diagnose delirium An Acute Care for the Elderly Unit at Yale New Haven Hospital, which aids with maintenance of function during acute hospitalization Outpatient consultations at the Dorothy Adler Geriatric Assessment Center Welcome to our video library! Here you will find a collection of brief videos for older adults and caregivers by experts in the field touching on a range of topics relating to health, well-being, caregiving, and maintaining creativity in aging. Each video is 15-30 minutes long and you can view the entire video or come back to it later. We are continuously expanding our offerings, so check in periodically to see new selections and let us know if there are topics you’d like to see addressed in the future. Contact eliza.kiwak@yale.edu with any questions or suggestions. This

Yale’s Department of Neurology has been at the forefront of cutting-edge clinical care and scientific discovery since it began in 1952. It was Yale scientists who discovered the genes that cause Multiple Sclerosis. Yale housed one of the first epilepsy monitoring units in the country, and one of the first stroke centers at its partner, the Veterans Affairs (VA) Center in West Haven. Today, our team of experienced doctors are committed to understanding and treating the entire spectrum of nervous system diseases. Expert physicians specialize in brain and nerve health for both children and adults. Specialized care is offered in the following areas: Amyotrophic lateral sclerosis (ALS), myasthenia gravis, peripheral neuropathy, neuromuscular disorders Alzheimer’s disease/cognitive disorders Epilepsy and neurophysiology General neurology, headache, pain Multiple sclerosis and neuroimmunology Neurodegenerative disorders Neurocritical care Neurological infections Neuro-oncology Parkinson’s disease and movement disorders Stroke and vascular neurology

When a young person has questions or concerns related to gender, the entire family is affected. We are a safe, supportive resource and interdisciplinary program for children, adolescents, and young adults who are exploring their gender identity, as well as for their families. We provide comprehensive care for young people who are questioning their assigned gender and/or are seeking consultation and care. Our team includes pediatric-trained endocrinologists, psychologists, and psychiatrists, as well as a medical ethicist, a chaplain, and a lawyer. We work closely together as a team and also consult with a wide array of other specialists. Together, we are committed to providing care in compassionate and respectful ways. Our clinicians follow current medical protocols, and the care offered by our program is supported by professional guidelines endorsed by the American Academy of Pediatrics, the American Medical Association, the American Psychiatric Association, and the American Psychological Association. When it comes to gender identity and related concerns, our first step is to listen. Some youth are exploring their identity. Others know that how they feel inside does not match up with the gender they were assigned at birth. We help sort through these questions. After an initial consultation, we offer a thorough biopsychosocial readiness assessment, which includes obtaining information from patients and their families. This comprehensive assessment takes six to eight hours to complete and can be done in one day or divided over several sessions. If we determine that any mental health or other support is needed, we can connect patients with resources at Yale or in the community. After the evaluation and when all parties agree that it is safe, healthy, and appropriate, we offer a variety of care options related to gender affirmation. At the first visit to our program, gender affirmation visit, patients and their families will meet with both one of our a pediatric endocrinologists and a mental health provider experienced in caring for dealing with patients who report gender variance. First and foremost, we make sure we understand our patients’ needs and desires. We will discuss the risks and side effects of any proposed care options, work together to learn what support systems are already in place, and determine what additional treatments and resources our patients may need. If you are in crisis, call the confidential toll-free National Suicide Hotline at 1-800-273-TALK (8255), 24 hours a day, seven days a week. If texting is easier, you can also text the National Crisis Text Line by texting HOME to 741741.

Yale Program in Addiction Medicine physicians and advanced practice providers prevent, diagnose, and treat substance use disorders and related harms. Our program, founded on over 30 years of pioneering research designed to integrate addiction treatment into general medical settings, is internationally recognized for leadership in the field and innovative approaches to care. Our clinicians are experienced in treating opioid, alcohol, tobacco, and other substance use disorders and in providing medications and behavioral therapy for substance use treatment. Our clinicians have training in a wide range of areas in medicine including internal medicine, primary care, emergency medicine, pediatrics, infectious diseases, psychiatry, pulmonary and critical care medicine. They are experienced in providing treatment for substance use alongside pregnancy and care for other co-occurring conditions such as pain, Hepatitis C, HIV, bacterial infections, and mental health diagnoses. Yale Program in Addiction Medicine clinicians see patients in community health centers, primary care clinics, infectious disease clinics, the emergency department, and in the hospital. We emphasize a patient-centered approach to care and will work with patients and their families to identify a treatment plan that best supports the patient’s needs and goals. Our clinicians meet patients where they are—whether they are new to treatment, returning to treatment, or exploring ways to reduce risk associated with substance use. Our dedicated clinicians are experienced in treating the full spectrum of substance use from intermittent use to severe substance use disorder. We use evidence-based treatment strategies to care for patients throughout the often relapsing-remitting nature of the disease of addiction and are supported by a large community of experts in the field working to develop and make available innovative, effective treatment options. In collaboration with our many community-based and institutional partners, we offer a robust network of care options to ensure appropriate support for our patients at every stage of treatment. Yale School of Medicine is a teaching institution. As such, patient care teams may include physician fellows, residents, advanced practice trainees, and or medical students being trained by our program in addiction medicine. The Yale Program in Addiction Medicine houses a robust research portfolio focused on advancing innovative treatments and improving the quality and efficacy of care for our patients. We are internationally recognized for our scholarly contributions to the field, particularly with respect to implementation and evaluation of medications for substance use treatment in primary care clinics, infectious disease clinics, the emergency department, and in the hospital, as well as comprehensive training and education of the next generation of addiction medicine providers. Our faculty and collaborators form an interdisciplinary team representing intern

We care for patients with a broad spectrum of sleep disorders, including sleep apnea, insomnia, narcolepsy, and restless leg syndrome. We are accredited by the American Academy of Sleep Medicine, and evaluate, diagnose, and treat these disorders with a coordinated approach. We know that a good night of sleep matters. Other issues we treat include: Snoring Sleep apnea-related seizure disorders Circadian and shift work-related disorders Parasomnias, such as sleep walking and talking, and abnormal behavior during sleep Our internationally recognized physicians are board-certified in pulmonary critical care medicine or neurology. They also have additional certifications in sleep medicine. As an interdisciplinary program, we work closely with specialists in otolaryngology (ENT), neurology, cardiology, psychology, dentistry, and bariatric surgery. We offer a state-of-the art lab testing system to pinpoint patients’ sleep problems, as well as home sleep-testing systems. At the West Haven VA, we care for veterans, who frequently struggle with sleep issues related to posttraumatic stress disorder and traumatic brain injury. Our VA program includes six in-hospital monitoring beds and 30 home sleep-testing units. Through our Sleep Center in the Department of Pediatrics, we treat sleep disorders in children, and manage patients with congenital disorders that impact breathing during sleep. We have a three-bed testing unit in Yale New Haven Hospital specifically designed for children that includes dedicated staff who are experienced in dealing with children and their sleep disorders.

Our program, focused on adult primary care, is known for its excellence and emphasis on prevention and wellness. We efficiently manage potential medical problems as they arise, and collaborate with specialists when needed. Our practice includes internal medicine physicians, advanced nurse practitioners, a clinical psychologist, a social worker, registered-nurse patient care coordinators, licensed practical nurses, medical assistants, clerical office staff, and a practice supervisor. Our goal is to provide patients with the highest quality, personalized healthcare in the Patient-Centered Medical Home (PCMH) model of care. The PCMH model of care focuses on five areas: Building strong, collaborative health care teams that work together to meet the needs of patients Providing patient-centered care addressing the whole person, respecting patients’ values and preferences Coordinating comprehensive health care through clear communication among patients, families, caregivers, medical and behavioral health providers, hospitals, and other facilities Improving patients’ access to care, through such initiatives as expanded office hours and providing email access to electronic medical records Improving health care quality and standards by providing evidence-based care, patient and family education, and self-management support We would like to hear your direct feedback regarding your experience as a patient/family member of our clinic. Please visit the YIMA Patient/Family Comment Box to provide your feedback. Sign up for MyChart , our secure online patient portal, that gives you access to all of your Yale health information whenever you need it, wherever you may be.

The Psycho-Oncology Program at Smilow Cancer Hospital is available to help patients experiencing challenges such as depression, anxiety, insomnia, and decreased energy levels while undergoing cancer treatment. This program includes specialists in evidence-based psychotherapy and medication management. Our providers focus on teaching solution-focused interventions, such as problem-solving and coping strategies, to be used in daily routines to help patients improve their quality of life and better manage their cancer treatment and care. Individual psychotherapy Issues addressed include: Adjustment to diagnosis Changes in mood (depression, anxiety) Fear of cancer recurrence Managing physical symptoms of cancer or side effects of treatment, such as pain, insomnia, and “chemobrain” Stress management Transitioning back to life after cancer treatment Couples and family psychotherapy Receive support and learn tools to help manage the stress that a cancer diagnosis can have on the entire family. Group psychoeducation and support Support Groups Video archive

Internationally known for clinical excellence and cutting-edge research, we provide promising treatment options for adult and pediatric patients. Our program was one of the nation's first, and has evolved into one of the most active and advanced in the world.Yale is internationally recognized as a leader in innovative treatment for medically intractable and new onset epilepsy. We treat patients in outpatient settings, at a six-bed adult epilepsy monitoring unit, a two-bed pediatric epilepsy monitoring unit, and a technologically advanced operating suite. We are also equipped with state-of-the-art technology for continuous brain and video monitoring of seizures in children and infants. We evaluate patients in phases to precisely determine concordance of electrophysiology, cognitive testing, history, as well as physical and neurological examination with advanced imaging, using MRI, SPECT, and PET techniques. Doctors treat each surgical patient as an individual, determining which procedure or combination of procedures is appropriate.

Our uncompromising faculty and staff are dedicated to the welfare of children and adolescents. One of two major pediatric centers in Connecticut, Yale offers an extensive range of services for patients through our 14 specialties. In addition, we have several interdisciplinary centers and programs that involve collaborations with multiple departments throughout Yale Medicine and Yale New Haven Children’s Hospital. Thanks to our reputation for comprehensive pediatric care, we serve as a regional and national center for referral and consultation. Many of our physicians are internationally recognized for their innovative approaches to the diagnosis and treatment of conditions including arrhythmias, diabetes, cystic fibrosis, childhood cancers, juvenile diabetes, dyslexia, blood disorders, infectious diseases, and complications of premature birth, as well as many other disorders. We are leaders in the global pediatric community, advocates for childhood health and development, and innovators in research. We rank among the top pediatric centers in the country with respect to National Institutes of Health support for research. Neonatal and pediatric ICUs that serve our most vulnerable patients with the highest level of care 24/7 subspecialty telephone consultation service for primary care clinicians with expected response time of three minutes More than 20 years of experience with neonatal and pediatric Extracorporeal Membrane Oxygenation, a sophisticated machine that acts as an artificial heart and lungs, crucial for some seriously ill infants One-call center that provides centralized appointment scheduling for all pediatric specialties Close collaboration with other Yale departments to provide such services as molecular and genetic diagnostic services, state-of-the art management of high-risk fetuses and newborns, bone marrow transplantation, and management of complex malignancies