Practice Policies
Office Hours: I am in the office from 8 a.m. to 12 noon and 1 p.m. to 5 p.m. Mondays, Tuesdays, Wednesdays, and Thursdays. The office is closed Fridays through Sundays.
Appointment Scheduling: Please call or email Kim at 223-5125 or kim@jkaganmd.com.
Prescriptions: I now have electronic prescribing in place. Simply contact your pharmacy directly rather than me. Your refill will be processed electronically. Schedule II medications such as [Ritalin (methylphenidate), Ritalin LA, Metadate, Focalin, Concerta, Daytrana, Dexedrine, Adderall, Vyvanse] require a printed prescription which can either be mailed to you or picked up at my office. Please let me know your preference.
After Hours Emergencies: I am available for emergency calls at all times and can be reached at (970) 481-3205. I participate in a rotating on-call schedule with several other psychiatrists so that when I am out of town help can be accessed by calling my office phone (970) 223-5125. In an emergency, always call my office number first to be sure I am in town before leaving an emergency message at (970) 481-3205.
Payment for Professional Services: Payment is due at the time of service and can be made by check, Visa, Mastercard, or cash. Patients receive an itemized receipt at each visit which is suitable for submission to their insurance. All information required by insurance is contained in this receipt. It is the patient’s responsibility to submit his/her own receipt along with their claim form. I am not a participating provider with any insurance company, Medicaid, or Medicare. If special arrangements for payment need to be made, please speak with me about this.
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Professional Guidelines
As a psychiatrist, I am a medical doctor who has completed advanced residency training in psychiatry. This includes both psychological and biological aspects of mental illness. Prior to becoming a psychiatrist I was a pediatrician and specialized in the medical care of children and adolescents. This additional perspective has led me to evaluate my patients not only in psychological and biological ways, but also in developmental and social ways as well. My overall approach to diagnosis and treatment is therefore broad. Human beings are obviously quite complicated. There is rarely one simple explanation for what ails us. So I make it a point to try to understand my patients as thoroughly as possible, believing that there is more than one way to address a problem and treat it.In order for us to feel relatively comfortable sharing important personal information about ourselves we must be assured of confidentiality. This is a guiding principle in the practice of psychiatry, and I maintain it. With regards to the treatment of children, it is important to agree upon the parameters of confidentiality from the outset. This is particularly important in the treatment of adolescents.We need to feel safe in the presence of a professional. For this reason there is no physical contact allowed, and patients are free to make whatever requests they would like and to ask any questions they would like in order to enhance their sense of safety and comfort in the psychiatric consulting room. We are able to discuss any topic without fear of judgment.The doctor-patient relationship is a protected one. This protection enhances total honesty on the part of both parties. It is a contractual agreement in which the patient agrees to provide the physician with as complete information as he/she is able, the physician agrees to evaluate the information as competently as possible, the patient agrees to compensate the physician for his efforts, and the physician agrees to provide treatment that is appropriate and acceptable to the patient. Occasionally the two parties come to the conclusion that their positions are incompatible, and in these situations I am always willing to refer a patient on to a colleague.I have practiced medicine since my graduation from medical school in 1969. I consider it a great privilege and honor to be entrusted with the health of my patients, and I take my responsibilities very seriously. I also truly enjoy working with my patients and take real pleasure in my professional relationships.
Books and Workshops
A 3-D View of Foster, Kinship, and Adopted Children
by
James M. Kagan, M.D.
Rick Delaney, Ph.D.
In our new book, Dr. Delaney and I present a three dimensional approach to the understanding and treatment of children who have sustained what we call "multiple negative impacts." Our trainings and workshops based upon this approach are designed to help foster, kinship, and adoptive parents, as well as the professionals who work with them, to become better informed caregivers and advocates for children.
Training topics include:
- Foster, kinship, and adopted children who have suffered from "multiple negative impacts," e.g. prenatal exposure to drugs and/or alcohol, inherited defects leading to mental and physical illness; chronic maltreatment ("complex trauma"); and multiple caregivers and placements.
- How damaging individual negative impacts compound and often multiply the destructive influences of other factors.
- Use of the three-dimensional approach (bio-psychosocial model) for a thorough, integrated understanding of children with multiple negative impacts and their mental health problems.
- Practical design of treatment plans and family-based, psychosocial interventions for these troubled children.
Reviews of A 3-D View of Foster, Kinship, and Adopted Children: " A 3-D View is a gift...It makes sense of the complex world of foster, kinship, and adopted children...(and) should be required reading...Successful parenting begins with this book. " Deborah D. Crawford, M.D., F.A.A.P., Child Abuse Consultant "Wow, this book is fantastic...so much of value to caregivers in such a few pages...Excellent resource for all tenured and new foster, kinship, and adoptive parents. A must read." Irene Clement, President, National Foster Parent Association "I find this comprehensive perspective and approach to parenting interventions very practical and thorough...This book contributes greatly to our field..." Brenden McKinney, M.S.W., foster parent/guardian "This book is for anyone who is on the road to healing with a child who has experienced the biological, psychological, and social impacts of abuse or neglect. A 3-D View is a great resource." Kate Trujillo, Ph.D., L.C.S.W., Executive Vice President, The Adoption Exchange "I have not found a more concise,usable, accurate and clear description of what goes wrong with kids, and what to do about it." Tom Linnell, Ed.D., Child Psychologist For information on scheduling trainings and/or book orders, contact: Kim at (970) 223- 5125 or kim@jkaganmd.com