Craig Yabuki Mental Health Walk in Clinic Overview

Amanda Quesnell, Director Mental and Behavioral Health

12/6/2022

�Children’s Wisconsin �Mental Health Walk in Clinic�

• 8915 W Connell Court, Milwaukee WI 53226
• Located in the Milwaukee Children’s Hospital campus in the skywalk (2^nd floor) of the clinics building

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Overview of services

• Hours of Operation:
• 3pm-9:30pm seven days a week (closed on major holidays)
• Services:
• In scope: safety risk assessments, brief intervention therapy, referrals, coordination, navigation
• Out of scope: medication adjustments, medical or lab services
• Referrals:
• No official referral process, but we do offer guidance to providers, schools, and community agencies
• Families may utilize a scheduling app to reserve a spot in line
• If a patient has a true active suicidal safety concern, this is considered an emergency. Emergency Dept, 911, Crisis Mobile Response or Mental Health Emergency Center are best resources
• Follow up/Communication:
• We route notes to primary care providers and existing mental health providers wherever possible
• With school communication, we are able to state that the patient was seen if family requests.
• Staffing:
• Licensed clinical social workers (LCSW and licensed professional counselors (LPC) with crisis care background
• Social worker
• Clinic assistant

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How to guide families:

• How to know if families should consider the Craig Yabuki Mental Health Walk-In Clinic - new or worsening:
• Feelings of anxiety, stress or panic attack
• Loss of interest in things the child typically enjoys
• Trouble focusing, loss of appetite, feelings of isolation
• Flare-ups from known mood disorders
• Change in conduct, hyperactivity or attention issues
• Withdrawal from family and social interactions resulting from bullying
• Sleeping difficulties
• Difficulties at school
• How to know if families should consider emergency department, 911, psych crisis:
• Thoughts of suicide or self-harm, or harming others
• Violent, erratic, or aggressive behavior
• Drug or substance withdrawal and detox
• Schizophrenia, Bi-Polar or personality disorders
• Medical work up needed
• If families or you are unsure, we can help!

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Success Stories

• Heart transplant recipient child with anxiety over realizing someone had died to save her life, could get into outpatient provider, saw walk in therapist for a session to help get her through to next visit

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• Family through multiple services, struggling with coordination, came to the walk in clinic and felt heard, felt like time was taken to listen to story, providers coordinated with PCP to assure follow up and continuity, and plan. Family relieved.

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• Girl who had a friend reach out saying she was going to commit suicide and wanted girl to join her, struggled to share with mother what was happening. Once she did, mom searched urgent mental health on internet. Our clinic surfaced and mom brought girl in to receive counseling, coping strategies and a plan to move forward.

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Working with schools

• We are a resource you can offer families who would benefit from urgent therapeutic support, safety planning if not available through school mental health resources, and entering/navigating the mental health care system
• We are not able to clear kids to return to school but we can, at family request, provide a note saying the child was seen
• When families tell us their school is requiring a mental health evaluation, we would like to understand more of what the school is thinking about with such request
• We are happy to come to talk to any school district on an individual basis

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By the numbers

• 700
• kids served since opening
• 60
• % who have had no previous contact with mental health provider
• 67:
• % who have a non-Children’s primary care provider
• 14:
• % referred to a higher level of care (partial hospitalization, intensive outpatient, or inpatient)
• 12:
• Average age of patient served in clinic
• 57
• % residing in Milwaukee County

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© Children’s Wisconsin

Contact Information

• https://childrenswi.org/location-directory/locations/urgent-care/craig-yabuki-mental-health-walk-in-clinic

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• Amanda Quesnell
• Director, Mental and Behavioral Health
• aquesnell@childrenswi.org
• 414-266-2007

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• Tammy Makhlouf
• Manager, Craig Yabuki Mental Health Walk in clinic and Connections clinic
• tmakhlouf@childrenswi.org
• 414-337-3402

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• Dr. Smriti Khare
• Chief Mental and Behavioral Health Officer, Interim Medical Director, Craig Yabuki Mental Health Walk in Clinic
• skhare@childrenswi.org
• 414-266-6405

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Questions?

Appendix

Craig Yabuki Mental Health Walk-In Clinic

© Children’s Wisconsin