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Psychiatric Services

Child and Adolescent Behavioral Health (C&A) is pleased to offer psychiatric services to our clients up to age 18.  Our psychiatric team is led by C&A Medical Director, Dr. Elizabeth Hayford. Dr. Hayford is board certified in family medicine, adult psychiatry, and child psychiatry.

Dr. Elizabeth Hayford - use this one

In addition to Dr. Hayford, our psychiatric team includes  Advance Practice Registered Nurses (APRNs) Liz Pfalzgraf, Caren Lennon-Ream and Grace Maxton, board certified Registered Nurse (RN-BC) Meredith Skotschir and Theresa Culver, psychiatric services scheduler.

C&A offers psychiatric services at both our Belden and Alliance offices.  Our psychiatrists and APRNs will assess your child to determine if medication may be an appropriate part of their overall treatment for conditions including Attention-Deficit/Hyperactivity Disorder (AD/HD), depression and bipolar disorders, anxiety, trauma and stressor-related disorders, and psychotic disorders.  Referrals to C&A’s psychiatric services can be made by primary care physicians, treating therapists and case managers, or self-referrals by parents for their children.  Initial appointments for psychiatry typically begin with an evaluation which can last from 60 to 90 minutes. If medication is prescribed, our prescribers will work with parents and children

regarding expectations and follow-up appointments.  At C&A, medication is only one facet of the recommended treatment protocol for many presenting conditions, with therapy, case management, and other adjunct services usually included for best results.  Our focus is on treating the whole child and improving each domain that touches their life and environment (school, family, social relationships, spirituality).

Psychiatric services are provided Mondays, 8 a.m. to 5:30 p.m., Tuesday and Wednesday, 7:30 a.m. to 6 p.m.,  and Thursday, 7:30 a.m. to 5 p.m. For more information, please call 330-433-6075 and speak to the receptionist.

C&A has implemented Just In Time scheduler model to allow for more accessibilty.


Dr. Elizabeth Hayford
Medical Director

        Meet The Team

Theresa Culver 3.5x4 1.5.21
Carin - Psychiatric services page 3.5x 4

              Theresa Culver
               Medical Scheduler

                   Caren Lennon-Ream

Grace Maxton
Elizabeth Pfalzgraf -use this
Meredith Skotschir - use this

 Gracie Maxton

Elizabeth Pfalzgraf

Meredith Skotschir