Specialized Clinical Services

The International Adoption Clinic was founded in 2008 by division faculty member Rachel Orscheln, MD, as a portal of entry for newly adopted children to receive a global evaluation and gain access to multispecialty care and therapies. In addition to thorough screening for infectious diseases and a review of vaccination needs, these children are referred for developmental/neurologic evaluations, hearing assessments and occupational and physical therapy as needed. 

The travel clinic will provide pre- and post-travel consultations for any person traveling for work, leisure, volunteering or studying abroad. The infectious disease specialists will help patients to plan for a safer, healthier international trip by providing tailored health recommendations and administering vaccinations (including typhoid, hepatitis A, yellow fever, Japanese encephalitis, and others) required per the Centers for Disease Control and Prevention guidelines.  We will see and provide vaccines and pre-travel medications for the whole family in one visit!  Appointments are available on Monday afternoons or Thursday mornings.

The Ortho/ID clinic cares for children with infections of bones, joints or muscles. These infections are commonly caused by Staphylococcus aureus and other bacteria.  In the Ortho/ID clinic, patients receive one-stop care from their infectious diseases provider and orthopedics surgeon or nurse practitioner. In addition, physical therapy, orthotics and other services are at the ready. 

Project ARK (AIDS/HIV Resources and Knowledge) draws together several organizations interested in pediatric HIV to establish a unified comprehensive system of care that provides for the medical, psychosocial and educational needs of HIV-infected children and their families living in the bi-state region (eastern Missouri and southern Illinois). Outreach education and prevention and linkages with clinical research trials are additional goals of this project, which is funded by Ryan White Title IV and allows a multidisciplinary approach to care. Many groups are involved in Project ARK, including St. Louis Children’s Hospital at Washington University, Cardinal Glennon Children’s Hospital at St. Louis University, a number of primary care providers, the adolescent program at the Family Health Center, the Helena Hatch Special HIV Care Center for Women at Washington University, and community HIV service providers. Kim Donica, LCSW, is the Executive Director and oversees administration of the center.

The SPOT partners with youth and young adults (ages 13-24) to create a safe, welcoming space for them to address their goals and achieve positive physical and mental health outcomes.