Adult Inpatient Services / Inpatient Services Unit

APPIC #118324

Overview

The Inpatient Services Unit placement is based at Connecticut Mental Health Center (CMHC) which serves adults with a wide range of serious mental health concerns. As an academic-based community mental health center, CMHC offers not only a broad range of traditional mental health services but many other wellness oriented programs or treatments designed to enhance recovery for those with mental illnesses. The internship experience is based on providing crisis intervention, symptom stabilization, and individual and group psychotherapy to adults through an interdisciplinary team model with an emphasis on helping clients develop and achieve goals designed to maximize their mental health.

Placement Options

Primary placement, full time for a full year.

Number of Fellows

Primary Placement: 1

The Setting

The Inpatient Services Unit is designed to provide inpatient mental health services to adults with serious mental illness who live in the New Haven catchment area. CMHC’s treatment model is firmly grounded in the concept of recovery. This involves a focus on empowerment as well as individualized, person-centered treatment to help individuals achieve their highest potential. The recovery emphasis at CMHC is built around the principle that for a mental health system to provide the best care, it must include not only clinical services but also a range of other opportunities including housing and residential services, employment and social supports, and avenues for creative expression.

The Inpatient Services Unit is a 20-bed adult (age 18+) service that serves as an integral part of CMHC's crisis, ambulatory, and community-based care system. The Inpatient Services Unit, utilizing a multidisciplinary team approach, provides comprehensive assessment, crisis intervention, symptom stabilization, treatment and discharge planning to uninsured or under-insured residents of the local community. Each client’s length of stay is determined by their presenting problem and specific care requirements. As a result, the stay may vary from a few days to several months or longer.

Upon admission, each client is assigned to a primary clinician and a team comprised of an attending psychiatrist, nurses, social workers, mental health assistants and trainees of various disciplines. Within the context of team discussion, individualized outcome-oriented plans of care are developed, typically in direct collaboration with the client and his/her outpatient care providers. The involvement of the client's family and/or significant others is also sought (in accordance with the patient's needs and wishes) to ensure that a comprehensive and workable plan is established.

Client-specific treatments are defined and evaluated on an ongoing basis to guide the client's care throughout the hospitalization. The client’s medical, housing, financial, social, and vocational needs are assessed to inform the type and level of services that are needed. Individual, group, occupational, recreational, milieu and pharmacological therapies are employed in accord with the specific needs of the clients. Comprehensive disposition planning is undertaken to ensure that the client is returned to the community in a safe and expeditious fashion.

The Internship

This placement offers skills development in assessment, treatment, consultation, and clinical research. The fellow will clinically manage and observe clinical problems reflecting the full spectrum of psychiatric disorders. The fellow will carry direct care responsibilities within the unit as a primary clinician. Responsibility for coordinating a client's overall plan of care rests with the primary clinician (who may be a staff social worker, resident in psychiatry, or the doctoral psychology fellow).

As a valued member of the multidisciplinary treatment team on the Inpatient Services Unit, the intern will acquire or further develop their skills in, among other areas: comprehensive admissions assessments; differential diagnosis; cultural and diversity matters; case formulation; treatment planning; case presentations; individual and group psychotherapy; disposition planning and preparation of notes and discharge summaries.

The fellow will also have the opportunity to administer psychological assessments, participate in psychoeducational programming, provide case management, and assist in the formulation and adherence of behavioral management plans for patients on the unit. There is also the possibility for the fellow to start new groups on the unit depending on their areas of interest and expertise.

The fellow plays a central role within a broader psychology service on the unit, which is overseen by a variety of faculty members based at CMHC and also includes two part-time doctoral fellows.

Evidence-Based Practices

The following evidence-based practices (EBPs) are used in this placement setting. Fellows generally have exposure to most of these EBPs though do not necessarily receive training or supervised experience in all of them. The EBPs include, as part of a recovery-oriented model of care: Person-centered planning, peer support, supported housing, supported employment, strengths-based case management, integrated treatment for co-occurring disorders, family psychoeducation and psychopharmacology.

Scholarly Activity

The fellow’s scholarly activity can take many forms. In consultation with the primary advisor, the fellow can choose to engage in an ongoing research project, evaluate a clinical service or program, or help design and implement a new project that will benefit the individuals receiving services on the unit or elsewhere in the CMHC service system. Ideas for other projects can be explored; the advisors for the internship are eager to engage fellows in a collaborative process to determine the scope and content of the scholarly project.

Faculty

Thomas Styron, Ph.D., Primary Advisor
Allison Ponce, Ph.D., Supervisor
Keith Hawkins, Ph.D., Supervisor
Thomas McMahon, Ph.D., Supervisor
Nakia Hamlett, Ph.D., Supervisor

Supervision

Supervision is provided by the fellow's primary advisor as well as by numerous other full time and voluntary faculty. The fellow is provided with at least four hours of individual and group supervision each week with licensed psychologists from a range of theoretical orientations. The exact nature of each supervisory relationship is determined by the supervisor-fellow dyad but normally will include discussion of clinical material, the fellow's role on an interdisciplinary team, research and scholarship as it applies to the clinical work, and professional development issues.

Seminars

In addition to the core seminar series, the fellow in this placement participates in two additional weekly seminars based at CMHC. One is a didactic and interactive seminar focusing on the topics related to the delivery of care on an inpatient unit. The other is a continuing clinical case conference, which provides an opportunity for trainees to present and discuss clinical material related to work with their clients at CMHC and to further develop one’s relationship with fellow trainees and seminar leaders.

Applicant Qualifications

Strong applicants for this placement generally have experience working with adults with serious mental illness in both inpatient and outpatient settings. Fellows who match with this placement usually have an interest in community-based and recovery-oriented services and their future goals often include doing clinical work with people who have significant mental health problems and/or conducting research related to serious mental illness.

Applicants selected for this placement must be able to successfully pass background checks conducted by Yale University and the State of Connecticut.

For Further Information

Contact Dr. Thomas Styron at thomas.styron@yale.edu or 203-974-7174