Yale Fellowship in Public Psychiatry (PPF)

Program Description

April 2018

The Yale Fellowship in Public Psychiatry provides advanced training in clinical, administrative, and legal aspects of the practice of psychiatry within the public sector, including policy development on a statewide level. It fosters the development of the participants in their careers as future leaders within the field by providing didactic and interactive learning experiences, mentorship, and opportunities to engage in scholarship.

Background

The Connecticut Mental Health Center (CMHC) has flourished as a successful partnership between the Yale University School of Medicine and the State of Connecticut Department of Mental Health and Addiction Services (DMHAS) for over 50 years. CMHC provides a full range of inpatient and ambulatory services to residents of the Greater New Haven area, serves as a training ground for mental health professionals from several disciplines, and is the site for internationally acclaimed research. CMHC is also the Local Mental Health Authority for a Community Services Network comprised of 18 clinical, residential, vocational, and psychosocial rehabilitation providers. The Center is located in downtown New Haven across the street from Yale-New Haven Hospital and adjacent to the campus of the Yale University School of Medicine.

DMHAS, CMHC, and the Department of Psychiatry of the Yale School of Medicine are committed to providing advanced training to psychiatrists who are interested in pursuing careers in the field of Public Psychiatry. The unique settings of state-funded, academic, mental health facilities provide excellent opportunities for obtaining experience and greater understanding in this important area.

Structure of Fellowship Program

Fellows who meet eligibility criteria are appointed to the faculty of the Department of Psychiatry in the Yale School of Medicine at the rank of Instructor. A yearly salary is paid at the level commensurate with this rank as determined by the Department. Fellows who need to maintain status as a trainee may participate as a PG 5 advanced resident. Medical benefits, malpractice coverage, and reimbursement for licensure are included in the compensation package. The program will also pay travel expenses for a professional conference. The Yale School of Medicine issues a certificate of completion of advanced training to individuals who successfully complete the one-year program.

  • Fellows spend 50% effort providing direct clinical service and/or consultation. Potential placements at CMHC include the Assertive Community Treatment (ACT) team, Acute Services, Hispanic Clinic, Early Intervention for Psychosis (STEP) clinic, Young Adult Service, Community Forensic Service, Refugee Health clinic, Street Psychiatry Program, Transitional Living Program, Substance Abuse Treatment Clinic. Other sites include Whiting Forensic Hospital in Middletown and an Integrated Care experience in a primary care clinic.
  • Fellows spend 50% time (20 hours per week) participating in seminars, administrative meetings, supervision and scholarship.
  • The core seminar in Public Mental Health Administration takes place at CMHC. Fellows also participate the weekly CMHC Attending/trainee psychiatrist meeting. Group supervision with the Program Director takes place weekly at CMHC.
  • All Fellows attend the monthly Statewide Clinical Chiefs meeting, chaired by the DMHAS Medical Director.

Typical Weekly Schedule

Monday: Clinical Sites, 9-5
Tuesday: Clinical Sites, 9-5
Wednesday: CMHC - Senior Leadership Group, Group Supervision, CMHC MD Meeting, Public Mental Health & Admin Seminar
Thursday: Clinical Sites (Morning), Statewide Clinical Chiefs (Afternoon, Monthly), Academic Time
Friday: Yale Department of Psychiatry Grand Rounds, Academic Time

Scholarship

Fellows are expected to develop and complete an academic or quality improvement project during the year that will further their understanding of an aspect of Public Psychiatry and promote the advancement of care in the field. These projects may culminate in lectures for professional staff and/or a community audience, papers suitable for publication, development of statewide policy, etc.

Core Faculty

Jeanne Steiner, DO, Program Director, Medical Director, CMHC
Tobias Wasser, MD, Associate Program Director, Medical Director, Whiting Forensic Division, Connecticut Valley Hospital
John Cahill, MD, Medical Director, Acute Services and STEP Program
Esperanza Diaz, MD, Medical Director, CMHC Hispanic Clinic
Charles Dike, MD, Medical Director, DMHAS
Monica Kalacznik, MD, Medical Director, CMHC ACT Team
Allison Ponce, PhD, Director of Education and Training, CMHC
Michael Sernyak, MD, Director, CMHC

Dr. Steiner is the Program Director and administrative supervisor of the Fellows. As Medical Director of CMHC, she oversees the clinical care provided by faculty and the administration of the Risk Management and Performance Improvement programs for the hospital. She arranges and monitors all clinical and educational components of this program.

Eligibility and Application Progress

Eligibility requirements include graduation from an accredited residency program, board eligibility, employability and licensure in the state of CT. Although the Fellowship is designed primarily for psychiatrists who have completed ACGME approved residencies, the program may accept PG 4 residents who meet all other eligibility criteria.

Please send a letter of interest describing your background, career goals, and how the Fellowship will facilitate your achievement of those goals, and a CV to Dr. Steiner. Please arrange for 3 letters of reference to be sent directly to her.

Contact Information

Jeanne Steiner, DO, Medical Director, Connecticut Mental Health Center
34 Park St., New Haven, CT 06519
jeanne.steiner@yale.edu or (203) 974-7077

References

The Connecticut Mental Health Center: Celebrating 50 Years of a Successful Partnership Between the State and Yale. Steiner JL, Anez-Nava L, Baranoski M, Cole R, Davidson L, Delphin-Rittmon M, Dike C, DiLeo PJ, Duman RS, Kirk T, Krystal J, Malison RT, Rohrbaugh RM, Sernyak MJ, Srihari V, Styron T, Tebes JK, Woods S, Zonana H, Jacobs SC: Psychiatric Services. Psychiatric Services 67:12:1286-1289, 2016.

The Evolution of Public Psychiatry Fellowships. Steiner JL, Giggie MA, Koh S, Mangurian C, Ranz JM: Academic Psychiatry, 38:6:685-689, 2014.

Public Psychiatry Fellowships: A Developing Network of Public – Academic Collaborations. LeMelle S, Manguran C, Ali OM, Giggie MA, Hadley T, Lewis ME, Runnels P, Sowers, W, Steiner JL, Trujillo M, Ranz JM: Psychiatric Services 63:9:851-854, 2012.

Yale Textbook of Public Psychiatry, Jacobs SC and Steiner JL, Editors. Oxford University Press, New York, NY, 2016

Training Photo 2

Members of the division enjoy an annual alumni dinner.

Training Photo 3

Annual alumni dinners are a reunion for members of the division.