Yale Fellowship in Public Psychiatry (PPF)
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.
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 (20 hours/week) providing direct clinical service and/or consultation. Potential placements at CMHC include the Assertive Community Treatment (ACT) team, Mobile Crisis & Intervention Team (MCI), Hispanic Clinic, Early Intervention for Psychosis (STEP) clinic, Young Adult Service, Community Forensic Service, Street Psychiatry Program, Transitional Living Program, Wellness Center (Integrated Primary Care Clinic), and Substance Abuse Treatment Clinic. Other sites include CT Valley Hospital and Whiting Forensic Hospital in Middletown; and selected outpatient services at the VA Connecticut Healthcare System in West Haven.
- 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 Clinical Best Practices meeting. Group supervision with the Program Director takes place weekly.
- Fellows attend CMHC’s Senior Leadership Group, chaired by the CEO, and the 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
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.
Program Directors and Core Faculty
Jeanne Steiner, DO, Program Director, Medical Director, CMHC
Stan Mathis, MD, Associate Program Director, Medical Director, ACT Team
Dale Sebastian, MD, Associate Program Director, Attending, Inpatient Services
Ani Annamalai, MD, Medical Director, CMHC Wellness Center and Director, YNHH Refugee Clinic
John Cahill, MD, Medical Director, MCI and STEP Programs
Esperanza Diaz, MD, Medical Director, Hispanic Clinic
Charles Dike, MD, Medical Director, DMHAS
Emma Lo, MD, Attending, Street Psychiatry Team
Allison Ponce, PhD, Director of Education and Training, CMHC
Michael Sernyak, MD, CEO, CMHC
Dr. Steiner is the Program Director and administrative supervisor of the Fellows. As Medical Director of CMHC, she oversees the Medical Staff office, clinical care provided by psychiatrists, and the administration of the Risk Management program for the hospital. She arranges and monitors all clinical and educational components of this program.
Dr. Sebastian (Associate Program Director) oversees the core seminar, and Dr. Mathis (Associate Program Director) provides mentorship for academic projects.
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. [Yale PG 3 residents may apply for a PG 4 position by sending a letter of interest and CV, and a letter of support from your APD.]
Jeanne Steiner, DO, Medical Director, Connecticut Mental Health Center
34 Park St., New Haven, CT 06519
firstname.lastname@example.org or (203) 974-7077
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 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, Mangurian 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