Chiefs of the Division of Child & Adolescent Psychiatry
present Daniel M. Medeiros, M.D.
2002-2009 Ramon Solhkhah, M.D.
2000-2002 Rodrigo Pizarro, M.D
1999-2000 vacant
1995-1999 Raul Silva, M.D.
1993-1995 Mariano Nevarez-Tapia, M.D. (Acting)
1990-1993 Leo Kron, M.D.
1990-1991 John Fogelman, M.D., Associate Director (RH site)
1990-1993 Mariano Nevarez-Tapia, M.D., Associate Director (SL site)
1990 Divisions Merge
1987 - 1990 Leo Kron, M.D. (SL) 1980-1990 John Fogelman, M.D. (RH)
1984-1987 Ted Becker, Jr., M.D. (SL) 1965-1979 Bernard L. Pacella (RH)
1971-1984 Clarice J. Kestenbaum, M.D. 1957-1965 ? (RH) (SL)
1972-1978 Hector Bird, M.D., Associate Director (SL) ??-1957 Janet Rioch, M.D. (RH)
1962-1971 Jerry M. Wiener, M.D. (SL)    
1956-1962 Earl Loomis, M.D. (SL)    
??-1956 ? (SL)    
1952-?? Alice C. DeBlois, M.D. (SL CGC)    
??-1952 Joseph D. Teiden, M.D. (SL CGC)    

For over half a century, the Division of Child and Adolescent Psychiatry of Mount Sinai St. Luke's Roosevelt, a University Hospital of Columbia University’s College of Physicians and Surgeons, has been an integral part of the Department of Psychiatry. Beginning in the late 1940’s, before Child and Adolescent Psychiatry was even a recognized field, St. Luke's (SL) and Roosevelt (RH) Hospitals were providing care to children and their families afflicted by mental illness. Initially, service was delivered through the Department of Pediatrics (under the Chairman, Edmund N. Joyner, III, M.D.) at RH. At SL, the Division got its’ start as the Child Guidance Clinic.

In 1947, Mount Sinai St. Luke's began its’ affiliation with Columbia University College of Physicians and Surgeons. RH has always been closely affiliated with Columbia, and for a time in the early 1900’s, Columbia and RH almost merged.

Mount Sinai Roosevelt was founded in 1869 under the will of James Henry Roosevelt (1800-1863), uncle to President Teddy Roosevelt. The hospital officially opened November 2, 1871. In 1898, the hospital opened the Bliss Ward for Sick Children. In 1953, the new Tower Building opened. Pediatrics occupied the 8th floor, and the newly created Psychiatry Service was on the 9th floor.

Beginning in the late 1950’s, there was a residency in Child Psychiatry at SL. The American Medical Association’s Council on Medical Education and Hospitals initially accredited this program in 1963. The program was last site visited in October of 2009 with continued full accreditation for five years (until 2014).

Dr. Janet Rioch, M.D. was the first Chief of Child Psychiatry at RH. She was the 1st president of the American Academy of Psychoanalysis (AAP) and a supervisor at the White Institute. The AAP was established in 1956 in Chicago. Founding members included Janet Rioch, M.D., Clara Thompson, M.D., William Silverberg, M.D., Ralph Crowley, M.D., Jules Masserman, M.D., Irving Bieber, M.D., Abraham Kardiner, M.D., Frieda Fromm-Reichmann, M.D., Sandor Rado, M.D., Robert Heath, M.D., Franz Alexander, M.D., and Leon Saul, M.D. Dr. Rioch was named president. Dr. Rioch also co-founded the William Alanson White Institute of Psychiatry, Psychology and Psychoanalysis in 1943 with Harry Stack Sullivan, Erich Fromm, Clara Thompson, and Frieda Fromm-Reichmann. She left the hospital in 1957.

Meanwhile, at SL, the Child Guidance Clinic (CGC) was providing care to children and their families since the late 1940’s. Dr. Joseph D. Teiden was one of the first Directors of the CGC. Dr. Teiden left in 1952 and was followed by Alice C. DeBlois, M.D. Over the mid-1950’s the Division of Child Psychiatry was formed, along with a Child Psychiatry Clinic which replaced the Child Guidance Clinic.

The Department of Psychiatry was created at Mount Sinai St. Luke's on December 27, 1954. Prior to that date, all psychiatric services at St. Luke's were administered through the Neuropsychiatric Service (NPS) under the Department of Neurology.

Dr. Earl Loomis resigned as Director of Child Psychiatry in 1962 in order to spend a sabbatical year in Geneva, Switzerland with Dr. Jean Piaget.

Dr. Bernard L. Pacella was one of the early chiefs at Mount Sinai Roosevelt. His work with children dates back to co-editing a book with Nolan D. C. Lewis, M.D. in 1945, "Modern Trends in Child Psychiatry." Dr. Pacella, first certified in neurophysiology and neurology, trained in psychoanalysis with Ernst Kris, Edith Jacobson, and Otto Isakower and collaborated with Phyllis Greenacre and particularly with Margaret S. Mahler. He is a past President of the Margaret S. Mahler Psychiatric Research Foundation as well as past President of The American Psychoanalytic Association.

The American Academy of Child Psychiatry (AACP) was founded in 1953, with 107 charter members. Membership was originally by invitation only. The subspecialty of Child Psychiatry was approved in February 1959. As a result, a six-person ABPN Committee on Certification in Child Psychiatry was formed. In 1960, the Accreditation Council for Graduate Medical Education's Residency Review Committee (RRC) in Psychiatry approved 11 child psychiatry residency programs. In 1986, the academy voted to expand its name to the American Academy of Child and Adolescent Psychiatry (AACAP) and within a few years, this expansion was approved by the ABPN and the Psychiatry RRC.

In 1962, Jerry M. Wiener, M.D. became the Chief of Child Psychiatry at SL. Prior to his joining SL, he had been on the child psychiatry staff of Columbia-Presbyterian Medical Center. During Dr. Wiener’s tenure, collaborations were started with the Riverside Health Center, including a “well-baby” clinic. Also, a program was started with the Riverside Church Nursery School. The School Mental Health Program was started in September 1962 to give service to teachers and guidance counselors on the understanding of emotional problems of school children. The Psychopharmacological Clinic was opened at SL in conjunction with the Department of Pediatrics to provide medication for youngsters with “organic conditions” on a regular basis. Dr. Wiener was a true leader in the field. He was a past-president of the American Psychiatric Association (1994-1995), the American Academy of Child and Adolescent Psychiatry (1987-1989), and the American Association of Chairmen of Departments of Psychiatry (1981-1982). He was also th Editor of The Textbook of Child and Adolescent Psychiatry , the major textbook in Child and Adolescent Psychiatry. He left the Division in 1971 to become the Director of the Division of Child and Adolescent Psychiatry at Emory University in Atlanta.

Upon Dr. Wiener’s departure in 1971, Clarice Kestenbaum, M.D. became Chief of the Division at the St. Luke's site. Another leader in the field, she is a past-president of the American Academy of Child and Adolescent Psychiatry (2001-2003) and American Academy of Psychoanalysis. She served as Chief of the Division until 1984. During her tenure, The Hospital Center was established in 1979 with the merger of Mount Sinai St. Luke's and Mount Sinai Roosevelt, although initially the hospitals maintained separate Divisions of Child and Adolescent Psychiatry. At the time of the merger, Dr. Harley Shands was the Chairman of the Department of Psychiatry at Mount Sinai Roosevelt and Dr. Dave McDonald was acting chair at St. Luke's. Dr. Shands became the Chairman of the Department of Psychiatry for both sites shortly after the merger. When Dr. Shands abruptly died of an aortic aneurysm, the President of the merged Hospital Center, Gary Gambuti, appointed Dave McDonald as acting director for the merged department.

Dr. Kestenbaum left the Division in 1984 to become the Director of Training in the Division of Child and Adolescent Psychiatry at Columbia University College of Physicians and Surgeons. In 1990, the Divisions merged forming the current Division of Child and Adolescent Psychiatry of Mount Sinai St. Luke's Roosevelt. Some unique programs were started during this time, including the Adolescent Alternative Day Program (AADP), run by Dr. Fred Matzner and the Gender Identity Clinic at RH (and then 1090), run by Susan Coates, Ph.D.

In January 1997, Mount Sinai St. Luke's Roosevelt entered into a partnership with Mount Sinai Beth Israel, forming Mount Sinai Health System

The Child and Family Institute (CFI) at Mount Sinai St. Luke's Roosevelt was founded at the end of Spring of 2004 under the leadership of Dr. Ramon Solhkhah. Dr. Medeiros then assumed leadership in the winter of 2009/2010. The outpatient program serves a large volume at the 411 W 114th St and 1090 Amsterdam site, including work in satellites through Child and Family Clinic Plus. In addition to the clinic, educational rotations occur in the school-based clinics, adolescent day program (CARES) and through our Children’s Community Mental Health Services (CCMHS). CFI is currently a highly competitive academic institution with several active research projects focusing on children and mental health and addiction issues.


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