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George 'Bud' Vana, MD, General Pediatrician, adult & child psychiatrist at Vermont Child Psychiatry Access Program (VTCPAP)

The Faces Behind VTCPAP

VTCPAP is staffed by a team of licensed clinical social workers and board certified child and adolescent psychiatrists. VTCPAP is guided by a spirit of continuous learning, collaboration, and a drive to serve primary care providers in Vermont.

Margaret Spottswood, MD, MPH, Medical Program Director at Vermont Child Psychiatry Access Program (VTCPAP)
Louis Ostrowsky, MD is a child and adolescent psychiatrist at Vermont Child Psychiatry Access Program (VTCPAP)

Child & Adolescent Psychiatrists


​​Margaret Spottswood, MD, MPH

VTCPAP Medical Program Director

Margaret ‘Greta’ Spottswood, MD, MPH (she/they) is the medical director of VTCPAP.  She trained at UVM medical school and the Cambridge Health Alliance in child and adolescent psychiatry and works at a federally qualified health center supporting PCPs in their work with their younger patients. She is glad to be able to work with PCP colleagues to more quickly provide care for Vermont's children and families, with a goal of working together to show how much Vermont cares about young people by improving the mental health systems that support our most vulnerable. 



George 'Bud' Vana, MD

General Pediatrician, Adult & Child Psychiatrist

George ‘Bud’ Vana, MD, is a general pediatrician, adult psychiatrist, and child psychiatrist who was born and raised in the Northeast Kingdom of Vermont. Bud is a graduate of Harvard University, and he completed medical school at the University of Vermont and his residency training at Brown University in Providence, Rhode Island. He has worked to develop a telehealth infrastructure at the Lummi Tribal Health Center in Bellingham, Washington, as well as a child psychiatry consultation service for other tribal health clinics. His other professional interests include family-based psychiatry, acceptance and commitment therapy, treatment of co-occurring disorders, treatment of developmental disabilities, intensive wrap-around services, and integrated medical and behavioral healthcare. Outside of work Bud enjoys canoeing, hiking, and curling (as in the Scottish ice sport) with his family.


Louis Ostrowsky, MD

Child & Adolescent Psychiatrist

​​Louis Ostrowsky, MD is a child and adolescent psychiatrist and Instructor of Psychiatry, Part-Time at Harvard Medical School. He is a staff psychiatrist in the Student Mental Health and Counseling Service at MIT Medical. Dr. Ostrowsky is also on the staff of The Cambridge Health Alliance, where he works in school-based and community mental health, seeing children and families at the CHA Everett Teen Center, located in Everett High School. He also serves as a consultant to local school systems. Dr. Ostrowsky attended Northwestern University's Feinberg School of Medicine, graduating with Distinction in Research. He completed a residency in psychiatry at Cambridge Health Alliance/Harvard Medical School, followed by a fellowship in child and adolescent psychiatry, also at CHA/HMS. Dr. Ostrowsky teaches and supervises residents and fellows in the hospital as well as in outpatient psychotherapy and psychopharmacology clinics. His areas of interest include psychodynamic psychotherapy, mental health in school settings, and parent-infant mental health. 


​​Andrew Rosenfeld, MD

Family Psychiatrist

Andy Rosenfeld MD (he/him) is a family psychiatrist with VTCPAP and UVM Health Network. Andy enjoys working to bring family, community, and medical resources together to support family well-being.

Liaison Coordinators


Ellen Arrowsmith, LICSW

Liaison Coordinator

​​Ellen Arrowsmith, LICSW (she/her) is a Liaison Coordinator with VTCPAP; this means that if you call the VTCPAP phone line, Ellen may be the one to answer your call. Ellen is a graduate of the University of Vermont’s MSW program, and she brings over a decade of experience in serving children, youth, and families in Vermont. Ellen has worked within a Designated Agency as a school social worker and in private practice; she has worked with children from kindergarten through high school, in mainstream and "alternative" settings, with youth in foster care, and with families impacted by domestic violence. Ellen is a "systems thinker" and is passionate about working to improve access to high quality mental health care for families in Vermont.


Kate Dearth, LICSW, EMDR Certified

VTCPAP Liaison Coordinator

​​Kate Dearth, LICSW & EMDR Certified (she/they) is the VTCPAP Liaison Coordinator you'll reach on a Wednesday afternoon, and on Thursday/Fridays. In addition to her work with our team, Kate has a private practice where she supports adolescents and adults in addressing symptoms of personal & cultural trauma, as well as improving their overall wellbeing. Through individual and systems level changes, Kate is passionate about improving the health of youth & families.


Eliza Pillard, LICSW

Liaison Coordinator

Eliza Pillard, LICSW (she/her) will likely be the Liaison Coordinator answering the phone if you call on a Monday. Eliza has been providing clinical social work services to children and families in Vermont for 23 years, first through the Howard Center and more recently (18 years!) at UVMMC Child Psychiatry (VCCYF). Eliza loves being a part of the “system of care” to help address youth mental health challenges, and enjoys supporting parents/guardians, and now Primary Care Practitioners, in their journey to find the right services/supports/wellness opportunities for children and their caregivers. 

Administrative Staff


Annie Quinn

Administrative & Research Assistant

Annie Quinn, Administrative & Research Assistant (she/her) Annie helps to educate and register clinics and providers for VTCPAP and manages all things administrative. Born and raised in a small suburb of Massachusetts she relocated to Vermont in 2018. Annie graduated from Emerson College in Boston with a degree in film and media production. She began working as a front desk representative at the Community Health Center shortly after moving to Vermont, while working at the front desk she became heavily involved with the behavioral health and psychiatric departments and took over the role of administrative assistant at the beginning of Covid. In her new role she worked closely with Dr.Spottswood and helped coordinate the Child Psychiatry Consultation Clinic which led to the creation of VTCPAP. Annie is an advocate for mental health services and enjoys being able to connect providers and families to this amazing service.

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