Dual ABPN-certified Dr. Vijay Kumar N. Chennamchetty Jayaprakash, MD in Point Loma treats both geriatric and general psychiatric conditions at the San Diego County Psychiatric Hospital campus on Rosecrans Street. Geriatric subspecialization targets dementia-associated behavioral disturbances and late-life depression, a clinical lane that runs parallel to the mindfulness-based approach at Kind Mind but adds psychopharmacological intervention for patients whose cognitive decline requires medication management. Osmania Medical College training and a concurrent Master of Public Health equip the practice with a population-health perspective uncommon in solo-clinician psychiatry. County of San Diego affiliation includes the East County Mental Health Clinic, covering community-based caseloads with coordinated primary care support from physicians such as Dr. E. Lee Rice, DO. The highest-acuity cases involve capacity determinations and conservatorship evaluations for elderly patients with advanced neurocognitive decline.