Child & Adolescent Psychiatry & Psychology

Child & Adolescent Psychiatry & Psychology

The Division of Child and Adolescent Psychiatry and Psychology provides outpatient and inpatient care for children ages 2 - 17 years.  Outpatient care is proved at Norton Children's Behavioral and Mental Health - Bingham Clinic, inpatient care is provided at Norton Children's Hospital - Ackerly Child Psychiatric Unit, and consultation services are provided at Norton Children's Hospital to all medical teams. Additionally, psychologists and psychiatrists are embedded in a variety of pediatric clinics providing integrated mental and behavioral health care including general pediatrics, hematology/oncology, transplant services and others in development.  Patients and their families have access to careful psychiatric and psychological evaluation and treatments resulting in a full range of services, including pharmacotherapy and a broad range of individual, group and family therapies.  Social work services are available to address barriers to care as needed.

The multidisciplinary team consists of 27 clinicians, including board certified child and adolescent psychiatrists, pediatric psychologists, nurse practitioners, licensed clinical social workers, and a variety of advanced level trainees all providing direct patient care:

  • 1,900 children and adolescents receive outpatient care annually
  • 700 children and youth receive inpatient care each year
  • The hospital consultation service evaluates and treats over 1200 children and adolescents annually
  • 2,000 children are evaluated each year in the emergency department

Division of Child and Adolescent Psychiatry and Psychology

Academic and Outpatient Clinic Office:
Norton Children's Mental and Behavioral Health - Bingham Clinic
Norton Hospital - Downtown
200 E. Chestnut Street, Louisville, KY 40202
P: 502-588-0800 | F: 502-588-0801

Division Leadership

Jennifer Le, MD
Professor of Pediatrics
Division Chief, Child & Adolescent Psychiatry & Psychology
Residency Director

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Courtney Smith, PhD
Associate Division Chief, Psychology
Assistant Professor of Pediatrics

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Felissa P. Goldstein, MD, DFAPA, DFAACAP
Assistant Professor of Pediatrics
Director of Telehealth Services, Child & Adolescent Psychiatry & Psychology

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Kayla LaRosa, PhD, HSP
Professor of Pediatrics
Director, Lovick C. Miller Post-Doctoral Psychology Fellowship
Director, Pediatric Consultation-Liaison Service

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Gagandeep Kaur, MD
Assistant Professor of Pediatrics
Assistant Medical Director, Inpatient Unit

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W. David Lohr, MD
Professor of Pediatrics
Medical Director, Department for Community Based Services, Kentucky Cabinet for Health and Family Services

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Sunnye Mayes, PhD
Associate Professor of Pediatrics
Director, Psychosocial Services for Pediatric Hematology and Oncology
Director, Child & Adolescent Psychiatry & Psychology Research
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Chris Peters, MD
Professor of Pediatrics
Medical Director, Outpatient Clinic

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Kristie Vail Schultz, PhD
Assistant Professor of Pediatrics
Director, Child Clinical and Pediatric Psychology Doctoral Internship Program

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Faculty

Virginia F. Barbosa, MD
Assistant Professor of Pediatrics

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Bryan Carter, PhD, HSP
Professor of Pediatrics & Psychology

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Morgan Daffin, PsyD
Assistant Professor of Pediatrics

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John E. Gallehr, MD
Associate Professor of Pediatrics

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Outpatient Services

General Mental Health Clinic
The skilled team provides assessment and management of complex mental and behavioral health needs.  Diagnoses treated include treatment refractory ADHD, disruptive behaviors, Mood and anxiety disorders, trauma related disorders, psychotic illnesses, and other mental health issues impacting individual or family functioning.

Sports Psychiatry
Patients have access to specialized assessment and treatment of athletes who are struggling with mental health issues related to their identity or performance as an athlete.

Chronic Illness
Psychological services are provided to evaluate and treat children and adolescents and their families struggling to accept and manage long term illnesses such as diabetes, epilepsy, organ failure, cancer, and diseases causing chronic pain. 

Children’s Health and Illness Recovery Program (CHIRP)
Children’s Health and Illness Recovery Program, is a multidisciplinary family-based treatment program designed to maximize the functioning of teens with chronic illness. Adolescents with chronic, debilitating, fatiguing and/or painful illnesses face challenges that may prove disruptive to their normal physical, psychological and social developmental trajectories.  In this evidence based group therapy, youth and their caregivers each participate in separate group therapy sessions over the course of 12 weeks.

Social Skills Group for Autism Spectrum Disorders
During the course of the year, three cohorts of adolescents with social skills deficits stemming from a diagnosis of Autism Spectrum Disorder are treated in a 6 week group therapy setting focused at improving this aspect of their diagnosis.

Integrated Pediatric Care
Mental health care is provided in conjunction with other pediatrics clinics in order to improve access to care and to facilitate early detection and treatment of illness, thus improving overall health for children and families.  Norton Children’s Behavioral and Mental Health works closely with Norton Children’s Medical Group Pediatrics—Downtown, the Norton Children’s Medical Group, and the Norton Children’s Cancer Institute, all located in the Novak Center.  Integrated specialty care services within pediatric hematology/oncology and solid organ transplant services offer continuity care across inpatient and outpatient settings. Additional integrated care services are expanding as we look to the future.

Emergency Psychiatric Services
Psychiatrists and psychologists from Mental and Behavioral Health are involved in the assessment and disposition of all patients seen in the Norton Children’s Hospital Emergency Department for mental health emergencies.

Inpatient Services

Ackerly Child Psychiatry Inpatient Unit
Located at Norton Children’s Hospital, this 20 bed inpatient unit treats children and adolescents suffering with acute mental health needs that are causing them to pose a danger to themselves or to those around them.  Children and adolescents are assessed and admitted through the Norton Children’s Hospital Emergency Department.  Once admitted, youth receive care from a highly skilled team including psychiatrists, psychologists, licensed clinical social workers, psychiatric nurses, expressive therapists, chaplains and JCPS school teachers.  Therapeutic modalities include individual, family and group interventions as well as art, music and pet therapy.  The need for psychopharmacological interventions is assessed and discussed with the patients and families as well.  Prior to discharge, follow up is arranged with appropriate outpatient providers to ensure continued improvement.

Inpatient Consultation Services
The multidisciplinary consult team including both psychiatrists and psychologists is available to the medical services at Norton Children’s Hospital for consultation for mental health needs impacting patient’s medical care.  These could include assessment and short-term treatment of issues such as choking phobias or eating disorders, management of a new diagnosis of a chronic illness, assessment of acuity and need for possible inpatient admission, or management of acute agitation, among many other things.

Child Clinical and Pediatric Psychology Doctoral Internship Program

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The Child Clinical and Pediatric Psychology Doctoral Internship Program at the University of Louisville School of Medicine offers a one year, intensive training program in clinical child and pediatric psychology.  Our primary objective is to prepare psychology interns for entry into advanced postdoctoral training or professional practice in child clinical and pediatric psychology.  The program is designed to equip interns with the skills required to provide clinical and psychological assessments, diagnosis, treatment, consultation, and other aspects of mental and behavioral health care with children, adolescents, and families on an increasingly independent basis.  This includes developing expertise in the foundations of evidence based practices, cultural diversity, child development, and issues in professional development.

The internship is conducted within the Division of Child and Adolescent Psychiatry and Psychology (CAPP) in the Department of Pediatrics and is supported by personnel and facilities within the Norton Children's Behavioral and Mental Health - Bingham Clinic and Norton Children's Hospital.  The child psychology faculty maintain primary responsibility for planning and conducting the program and supervising interns.  Interns also receive instruction from the child psychiatry faculty and collaborate with professionals from other disciplines, resulting in extensive exposure to multidisciplinary approaches.  Training is further enhanced by opportunities to work alongside other trainees in the department.  The division also offers a child and pediatric psychology practicum, pediatric psychology postdoctoral psychology fellowship, and child psychiatry residency.  Additionally, CAPP faculty and learners participate in the lectures and clerkships for medical students/residents/faculty in the School of Medicine.

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The Child and Adolescent Psychiatry Fellowship at the University of Louisville is a two-year, ACGME- accredited fellowship that provides a comprehensive experience in the diagnosis and treatment of psychiatric disorders in children and adolescents.

Our program is developmental and psychodynamic in orientation with a strong emphasis on advancements in neuroscience. Our goal is to graduate highly skilled and compassionate clinicians who are prepared to step into clinical, research, and education environments, as leaders in psychiatric care.  We facilitate this goal by the unique positioning of the Child and Adolescent Psychiatry Fellowship as a division within the Department of Pediatrics at the University of Louisville School of Medicine.  Our fellows learn to function as members of an integrated team alongside doctoral and masters level psychology trainees and pediatric residents at Norton Children’s Hospital and at the innovative pediatrics clinical outpatient setting of Novak Center for Children’s Health.

At the close of training, our fellows are prepared to take the American Board of Psychiatry and Neurology's sub-specialty examination.

Lovick C. Miller Post-Doctoral Psychology Fellowship

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The Lovick C. Miller Post-Doctoral Fellow in pediatric psychology will serve in a 1-year training program with direct involvement in the following clinical and applied research programs.

Pediatric Consultation-Liaison (C/L) Service to Norton Children’s Hospital
The fellow’s primary clinical responsibility is to provide inpatient consultation-liaison services within a tertiary care children’s hospital and academic medical center. The fellow will serve a wide variety of youth with acute and chronic medical conditions (e.g., epilepsy, migraines, chronic pain, cystic fibrosis, GI difficulties), as well as psychiatric concerns (e.g., anxiety, depression, and eating/feeding difficulties). The fellow will work closely within a multi-disciplinary team, including Psychiatry, Hospitalists, and other subspecialty providers (e.g., Neurology, Pulmonology, Rehab Services, Social Work, and Expressive Therapy). The fellow typically carries a small caseload of patients for outpatient therapy that are commonly individuals that have been seen by the C/L Service.

Children’s Health and Illness Recovery Program (CHIRP)
CHIRP is an evidence-based, manualized treatment program for adolescents diagnosed with chronic medical conditions (e.g., diabetes, chronic pain, solid organ transplant), as well as their caregivers. The fellow is involved in the evaluation and treatment of referrals for this evidence-based intervention, as well as ongoing research assessing treatment efficacy. In addition, the fellow currently assists with an additional CHIRP group for youth with cystic fibrosis that is being completed as part of a grant-funded research study.

The fellow will also participate in individual and group supervision, selected seminars, case conferences and service rounds, and has an opportunity to supervise a doctoral-level practicum student under an umbrella supervision model.