Center for Adolescent Health

Individualized care for adolescents and young adults An Expert Team Packard Children’s internationally recognized team of adolescent medicine specialists, child psychiatrists, nurses and social workers collaborate with teachers, recreational, occupational and physical therapists, nurses and nutritionists to ensure that all patients and their families receive the highest level of care. Our collaborative approach helps heal the whole child—mind, body and spirit—and enables our patients to easily return to their regular lives.

The Adolescent Health Care Team Neville H. Golden, MD James D. Lock, MD, PhD What About Patient Chief, Division of Adolescent Medicine Psychiatric Director, Comprehensive Confidentiality? The Marron and Mary Elizabeth Kendrick Eating Disorders Program; Professor, Professor of Pediatrics, Division of Department of Psychiatry and Behavioral Under California law, patients Adolescent Medicine Sciences and Pediatrics, Division of Child 18 years or older can consent Seth D. Ammerman, MD and Adolescent Psychiatry for their own care; patients 12 Medical Director, Teen Health Van Megen Vo, MD to 17 years of age can receive Clinical Professor of Pediatrics, Clinical Assistant Professor of Pediatrics, confidential health care Division of Adolescent Medicine Division of Adolescent Medicine without their parents’ consent Shelly Bar, MD Sophia Yen, MD, MPH or presence for the following Clinical Instructor of Pediatrics, Clinical Associate Professor of Pediatrics, services: Division of Adolescent Medicine Division of Adolescent Medicine • Sexually transmitted infections Jennifer L. Carlson, MD Diana Sherman, NP Clinic Chief, Division of Adolescent Adolescent Medicine • Contraception Medicine; Clinical Associate Professor Colleen Surmay, RN, MSN, CPNP • Pregnancy-related issues of Pediatrics, Division of Adolescent Adolescent Medicine Our Teen and Young Adult Clinic Medicine Inna Patel, LVN team keeps all visits confidential, Rachel Goldstein, MD Adolescent Medicine except if the patient indicates Clinical Assistant Professor of Pediatrics, Division of Adolescent Medicine Lauren Davis, RN an intention to hurt him/herself Adolescent Medicine or others. Patients with financial Bonnie Halpern-Felsher, PhD Director of Research, Adolescent Elizabeth Cotter, MPH, RDN need may qualify for “Family Medicine; Professor of Pediatrics Clinical Dietitian Pact,” a special program to Katherine B. Hill, MD Allyson Sy, RD help pay for services related Clinical Instructor of Pediatrics, Division Clinical Dietitian to reproductive health care. of Adolescent Medicine Lori Durand, MSW General health care for patients Paula J. Adams Hillard, MD Clinical Social Worker under the age of 18, including Chief, Gynecologic Specialties Amy Valentine, LCSW sports physicals and illness Professor of Obstetrics & Gynecology Clinical Social Worker treatment, requires consent of a Cynthia J. Kapphahn, MD, MPH parent or guardian. The parent or Medical Director, Comprehensive guardian needs to be present at Eating Disorders Program the first visit; a note is required Clinical Professor of Pediatrics, Division for subsequent visits. of Adolescent Medicine Lucile Packard Children’s Hospital Stanford’s Center for Adolescent Health provides comprehensive health services for teens and young adults in a confidential and age appropriate setting. Our services cover a complete range of health care needs from yearly check-ups and immunizations, to acne treatment, birth control and urgent care. We also provide specialty clinics where teens and young adults can be treated for health problems common to their age group such as eating disorders, reproductive health, psychosocial issues, weight management and sports-related injuries. In addition, our mobile medical clinic provides outreach services for traditionally underserved communities. Teen and Young Adult Clinic Eating Disorders Program The Teen and Young Adult Clinic provides comprehensive The Comprehensive Eating Disorders Program at medical services for young adults ages 12-21 years old. Lucile Packard Children’s Hospital Stanford is the Our clinic staff understands the unique health issues only comprehensive program in Northern California that teens and young adults face during this time in their that provides inpatient interdisciplinary specialty lives. The clinic is a safe and inclusive space for LGBTQ care in addition to outpatient services for medically youth and their families. compromised children and adolescents with anorexia Check out videos on preteen and teen health at: nervosa, bulimia nervosa, ARFID and other eating onlinevideolibrary.stanfordchildrens.org disorders. Our multidisciplinary program, which has been treating patients successfully for more than 35 General Health Services: years, is directed jointly by the Stanford University • General health check-ups for school sports School of Medicine’s Division of Adolescent Medicine or employment and the Division of Child and Adolescent Psychiatry. • Immunizations Patients access care through the program’s eating • Urgent health care disorders outpatient services or, if they are in need of medical stabilization, through the inpatient • Evaluation and treatment of menstrual Comprehensive Care Program. The combination of disorders, including: both inpatient and outpatient services in one program • Absent periods (amenorrhea) makes our eating disorders program truly unique. • Irregular periods • Excessive bleeding Multi-Disciplinary Inpatient Treatment • Menstrual cramps When a young patient’s eating disorder is severe enough • Primary care for the young athlete to require hospitalization, they may be admitted to • Acne treatment Packard Children’s Comprehensive Care Program (CCP), a specialized, 15-bed inpatient eating disorders • Growth and development concerns clinic located at El Camino Hospital in Mountain View. • Referrals for counseling for school, family, social CCP is designed to treat medical complications resulting and emotional issues from abnormal eating that may affect a patient’s heart, We also provide confidential reproductive health brain, bones, liver or kidneys. Our goal is to prevent services, including: long-term complications. Inpatient treatments include: • Birth control (condoms, pills, shots, patches or • Diagnostic evaluation (both medical and psychiatric) vaginal rings) • Medical management to prevent or detect • Pregnancy counseling and testing complications • Sexually transmitted infection testing and treatment • Nutritional assessment and management • HIV testing and counseling • Evaluation of growth • Family-based treatment • Coordination with school • Group and milieu treatment • Psychiatric medication evaluation and monitoring • Individual therapy (cognitive, interpersonal and psychodynamic) • Evaluation of psychiatric conditions related to eating disorders, such as depression, obsessive compulsive disorder and anxiety Patients usually stay at the CCP for a relatively brief period (7-14 days) and upon discharge continue treatment at our eating disorders outpatient many of whom would otherwise go untreated or seek services program. care only at emergency rooms. Staff members include a physician specializing in adolescent medicine, a Pediatric Weight Clinic pediatric nurse practitioner, a pediatric registered Our Pediatric Weight Clinic provides comprehensive nurse, two social workers, a dietitian, a driver and an medical and nutritional evaluations for overweight administrative assistant. The Teen Health Van operates children and adolescents. The clinic focuses on the two days a week, providing one-stop medical care, evaluation and management of patients with a including medications. significant degree of overweight and related conditions, including sleep apnea, diabetes and Outreach Clinic orthopedic problems. The clinic is supported by Our Adolescent Outreach Clinic serves a diverse ancillary services at Lucile Packard Children’s patient population on Monday afternoons at the Hospital Stanford, such as nutrition, social work, Mission Neighborhood Health Center in San Francisco. occupational therapy and physical therapy. Comprehensive primary care services are offered, as well as help for special adolescent needs such as eating Mobile Health Program disorders, family planning and smoking-cessation Also known as the “Teen Health Van,” Packard Children’s counseling. Dr. Seth Ammerman attends the clinic Mobile Health Program provides care to uninsured and along with a female provider, a social worker and health homeless youth by regularly visiting homeless shelters educators. A dietitian is available by referral. HIV testing and continuation schools in San Francisco, San Mateo and counseling are also available. All insurance plans are and Santa Clara counties. In operation since 1996, our accepted. Patients without insurance are charged on a mobile clinic provides comprehensive primary health sliding scale. All uninsured patients are considered for care services to about 1,800 teens and young adults, eligibility for MediCal, Healthy Kids or Healthy Families. Lucile Packard Children’s Hospital Stanford 725 Welch Road, Palo Alto, CA 94304 (650) 497-8000 stanfordchildrens.org

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Foothill Expy The Center for Adolescent Health Comprehensive Care Program Teen and Young Adult Clinic 1195 West Fremont Ave., 2nd Floor Inpatient Unit 1195 West Fremont Ave., 2nd Floor Sunnyvale, CA 94087 Packard Children’s at El Camino Sunnyvale, CA 94087 Tel (408) 637-5959 Hospital, Unit 4C Tel (408) 637-5959 Fax (669) 233-2872 2500 Grant Road Mission Neighborhood Health Center Administrative Office/Non-Clinical: Mountain View, CA 94040 240 Shotwell Street Tel (650) 736-9557 Tel (650) 988-8381 San Francisco, CA 94110 Fax (650) 736-7706 Tel (415) 552-3870, x339 Days and Hours: Child and Adolescent Psychiatry Outpatient Clinic Monday-Friday: 12 pm – 5 pm Eating Disorders Outpatient Clinic 401 Quarry Road (San Francisco) Teen Health Van Palo Alto, CA 94305 California Pacific Medical Center teenvan.stanfordchildrens.org Tel (650) 498-4468 370 California St. Suite B555 San Francisco, CA 94118 Tel (415) 600-0770

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