Pediatric Psychiatric Medication Management in Kalamazoo

Kalamazoo Child & Family Counseling provides specialized pediatric psychiatric medication management for children, adolescents, and young adults in Kalamazoo and throughout Southwest Michigan.
Our Pediatric Mental Health Clinic is led by Melissa Reffitt, DNP, PMHS and provides assessment, evaluation, diagnosis, treatment, and management of common developmental, behavioral, and mental health concerns.
Managing your child’s care across multiple providers can be challenging and can place additional strain on the whole family. We take time to understand your child’s needs, coordinate care across providers, and help your family navigate treatment recommendations.
From the first visit through treatment, our approach maintains a child-centered focus with a family-inclusive perspective.
Conditions We Treat
Children and families served by our Pediatric Mental Health Clinic may be experiencing concerns related to:
- Attention-Deficit/Hyperactivity Disorder (ADHD): Including hyperactive, inattentive, and combined presentations.
- Anxiety: Including persistent worry, fear, avoidance, and physical symptoms related to anxiety.
- Depression and Mood Concerns: Including sadness, irritability, withdrawal, low motivation, and other changes in mood.
- Post-Traumatic Stress and Trauma-Related Symptoms: Including symptoms associated with post-traumatic stress disorder (PTSD).
- Oppositional Defiant Disorder and Behavioral Concerns: Including emotional and behavioral difficulties that affect functioning at home, at school, or in relationships.
What to Expect from Pediatric Medication Management
We take time to understand your child as a whole person—not simply a list of symptoms. Care is individualized based on your child’s development, history, current needs, and your family’s perspective.
1. We learn about your child.
During the first visit, we will review your child’s individual story. This may include developmental and family history, current concerns, previous treatment, medications, and other factors affecting your child’s mental health and daily functioning.
2. We evaluate your child’s mental health needs.
We assess your child’s symptoms and functioning through a pediatric mental health perspective. Children experience and respond to the world differently than adults, and their care should reflect those developmental differences.
3. We develop individualized recommendations.
Following the evaluation, we will discuss an intervention plan based on your child’s and family’s needs. When appropriate, treatment may include prescribing medication, therapy, parenting support, school-based interventions, or other services.
4. We monitor progress and adjust treatment.
When medication is part of treatment, we provide follow-up appointments to evaluate your child’s response, discuss benefits or concerns, monitor progress, and make adjustments when appropriate.
More Than Medication
Medication can be one part of a child’s overall treatment plan. When appropriate, we may recommend or coordinate additional services such as:
- Parent-Child Interaction Therapy (PCIT)
- Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
- Dialectical Behavior Therapy (DBT) for Teens
- Individual or Family Therapy
- Parenting Support
- Occupational Therapy
- Speech and Language Services
Our team will help you understand the recommendations and how different interventions may support your child’s needs.
Coordinated Care for Your Child
Communication is an important part of our approach. When appropriate, we collaborate with caregivers, therapists, school staff, primary care providers, and other professionals involved in your child’s care.
We communicate medication and treatment plans with your child’s primary care provider and work to support continuity of care across providers.
If your child’s needs require a higher level of care, we can assist with referrals to psychiatry or help coordinate access to an acute psychiatric evaluation when appropriate.
No Referral Required
Families can request services directly. While we welcome referrals from pediatricians and primary care providers, a provider referral is not required to request an appointment with our Pediatric Mental Health Clinic.
Insurance and Payment
KCFC participates with several commercial and Medicaid insurance plans and also accepts private payment. Coverage for medication management depends on your insurance plan and the services provided.
Request Pediatric Medication Management
Looking for help with your child’s medication or mental health needs? Complete the form below to request services.
Our team will review your information and contact you regarding availability and next steps. No referral is required.
Have Questions?
If you have questions about pediatric medication management or need help requesting services, our team is happy to help.
Call us at 269-615-7637 ext. 0.
Please do not use this request form for emergencies or urgent mental health concerns. If you or someone else is in immediate danger, call 911 or go to the nearest emergency department. For immediate crisis support, call or text 988 to reach the 988 Suicide & Crisis Lifeline.
Healthcare providers may fax referrals to (269) 213-5557.


