s
|
NEW YORK STATE PSYCHIATRIC INSTITUTE
COLLEGE OF PHYSICIANS AND SURGEONS
COLUMBIA UNIVERSITY - DEPARTMENT OF PSYCHIATRY
|
FELLOWSHIP IN PUBLIC PSYCHIATRY
PROGRAM DESCRIPTION
|
The Public Psychiatry Fellowship of New York State Psychiatric
Institute at the Columbia University Medical Center was initiated in
1980 as a public-academic liaison between New York
State Office of Mental Health (OMH) and Columbia University. OMH's goal
was to facilitate recruitment and retention of high caliber
psychiatrists to serve as leaders in the provision of services in the
public sector.
The Fellowship is a one year full-time training program for
psychiatrists (see information for applicants)
who
have completed accredited psychiatric residency training and who plan
to devote their careers to working with high risk populations in the
public sector. Fellows spend two days per week in seminars at
Psychiatric Institute, learning the major principles and practices of
public psychiatry. They
spend three days each week applying these concepts at an agency
providing comprehensive mental health services in the public sector.
Each Fellow
meets weekly with a core faculty
preceptor
who provides crucial guidance in all didactic and field experiences,
and
with a field placement supervisor who provides clinical and
administrative supervision of work at the field site.
Field placement sites are carefully selected to provide a year-long,
in-depth experience of how a particular mental health service works and
how the
psychiatrist as clinician/manager contributes to its effort. The
Fellowship
has developed a list of community- and
hospital-based mental health
agencies from which Fellows select a training site. Fellows with
special interests can also choose alternative sites. In conjunction
with the field site
supervisor, each Fellow negotiates a contract to perform certain
duties.
The duties usually include participation on a clinical team and a
combination
of direct patient care, supervisory consultation, administration and
internal program
evaluation. Through these field placements the Fellowship has developed
ongoing liaisons with a wide variety of community mental health,
municipal,
state and not-for-profit agencies. These agencies are consistently
eager
to recruit our Fellow and alumni.
Didactic Seminars provide a systematic framework of knowledge to
support the field work (see Syllabus).
The Academic Seminar is a year long
comprehensive overview of major topics in public psychiatry, taught by
the core faculty. The topics include: the structure of public
psychiatry in the United States, organizational theory, management
methods and strategies for public psychiatry, theory and practice in
service delivery for adults with severe and persistent mental illness,
psychosocial rehabilitation, internal program evaluation, fiscal
administration,
special populations (substance abuser, victims of abuse, people AIDS,
the homeless) and managed care in the public sector.
In an Applied Seminar, Fellows use this academic framework to
organize a series of clinical, management and fiscal presentations of
their field placement experiences. In addition, each Fellow is expected
to design and present an internal program evaluation project
examining some
aspect of the service system at his/her placement site. These Applied
Seminars are a crucial aspect of the Fellowship year, offering Fellows
the opportunity to organize, present and evaluate their efforts at
implementing the concepts they have learned during the year.
Each week the Fellowship is addressed by a guest speaker currently
active in the field of public psychiatry. These talks are coordinated
with concurrent topics in the Academic Seminar and cover areas of
interest in public policy, delivery of services, specialized clinical
work and research.
Finally, there are presentations throughout the year on the Role of
the Medical Director. In these presentations, approximately thirty
alumni who are medical
directors of public sector agencies describe a current management
problem. The fellows and
faculty help the presenter develop a strategy to deal with this
situation. In several instances, the same alumnus returns later in the
academic year to report on the outcome, and to present a new
problem.
Once a month Fellows visit a public sector treatment program of
special interest (many with national reputations) in the New York area.
These include Fountain House,
Institute for Commuity Living Therapeutic
Community, The Dorothy
Day Apartments, the Lincoln Hospital Acupunture
Clinic, Rikers Island Prison Mental Health Services, Manhattan Family
Court, Brooklyn Assisted
Outpatient Treatment Program and a variety of
supportive housing and shelter programs. The
field visits are followed by a luncheon discussion evaluating the
special
significance of that program.
Innovative Aspects of Fellowship
In recent years the Fellowship has attained increasing national
prominence. Four innovative aspects of the program warrant special
mention: (1) uniqueness of curriculum, (2) funding, (3) recruitment
into public sector agencies, and (4) ongoing contact with alumni.
(1) Uniqueness of curriculum: The scale and depth of the
academic curriculum, expanded and refined over 25 years, is highly
unusual in a psychiatric fellowship. It is generally recognized that no
other program provides comparable depth of training in public
psychiatry.
(2) Funding: Fellowship stipends were originally funded
completely by the New York State Office of Mental Health. More recently
field placement agencies have increasingly supplemented these funds and
now provide two-thirds of total stipends. These new funding sources
have allowed the Fellowship to train 10 Fellows a year over the past
decade.
(3) Recruitment into public sector agencies: The field
placement experiences are conceived more as the first year of a job
than as a separate training experience. Fellows receive ongoing
supervision in how to create a productive role for themselves within
the public agencies in which they are placed. Integration of Fellows
into agencies and the eventual transition of many to staff
psychiatrists at the end of the year is facilitated by the fact that
the agencies provide a large portion of Fellows' stipends. Alumni
surveys (see below) reveal that almost half of Fellowship alumni who
remain in the New York metropolitan area are currently working at their
field placement agencies. The agencies are aware of this impressive
retention record and know that Fellows and alumni make valued,
long-term contributions to their
agencies.
(4) Ongoing contact with alumni: An increasing number of
alumni are working in non-traditional settings, often as the first
full-time psychiatrist. To counteract the potential problem of
professional isolation, Fellowship faculty have fostered the
development of a permanent network of alumni
through yearly didactic presentations by more than 30 alumni, informal
and
formal reunions, individual consultations with faculty at career choice
points, an e-mail list and this Fellowship web site.
The
Fellowship is now serving as a national model for fellowship training
in public psychiatry
As the oldest, largest and best known
program training post-graduate psychiatrists to be public sector
leaders, the fellowship is frequently consulted by professionals around
the country interested in establishing such programs. The fellowship
faculty has been consulting with nine developing programs at Yale,
Johns Hopkins, New York University, University of Toronto, Orange
County Behavioral Health Services/UC Irvine, CA, University of
Pennsylvania,
University of Pittsburgh, George Washington/St. Elizabeths
Hospital and Capital Distric Psychiatric Center (CDPC) in Albany,
NY. PPF alumni at New York University, Toronto and CDPC initiated
these contacts.
In
response, Dr. Ranz, with the fellowship faculty, has developed
seven core elements which they view as
essential for such a training program. The felowship's longevity and
the career paths of its graduates suggest these Core Elements represent
a best practice model for fellowship training in public/community
psychiatry. An article describing these elements will be published in
Psychiatric Services in mid 2008.
Research on The Role of The Psychiatrist in The Public Sector
The faculty has undertaken a mission to advance national discourse on
the role of the psychiatrist, an issue crucial to the functioning of
psychiatrists in the public sector. Over the past several years the
Fellowship has conducted two alumni surveys on the role of the
psychiatrist in public sector organizations. The first survey published
in Psychiatric Services in May, 1996, revealed that over 90%
of alumni were working in public sector agencies, with over 75% holding
academic appointments and over 50% having management positions. This
survey revealed that alumni of the Fellowship have made a significant
impact in the development of numerous innovative community
programs at public facilities throughout the region, and have served in
leadership
positions in the New York metropolitan area and beyond.
The second alumni survey, published in Psychiatric Services
in July,
1997, revealed that respondents who are medical directors reported
performing
a wider variety of tasks and significantly higher job satisfaction than
those
who are staff psychiatrists. These results have been the focus of
several
presentations, including a full-day workshop at the Psychiatric
Services
Institute in October, 1997.
A third article, published in Psychiatric Services in
September 1998, examines further the results of the second alumni
survey. Despite respondents' belief that clinical collaboration
activities most contribute to job satisfaction, it is in fact the
performance of administrative tasks that are best correlated with
overall job satisfaction. Most of the medical directors in the survey
had program, rather than agency, level responsibilities. The role of
program medical director can serve as a crucial next step for staff
psychiatrists, offering the opportunity to perform administrative
tasks.
Fellowship articles:
1. Ranz JM, Rosenheck S, Deakins
S: Columbia University's Fellowship
in Public Psychiatry. Psychiatric Services 47:512-516, 1996
2. Ranz JM, Eilenberg J, Rosenheck S: The psychiatrist's role as
medical director: task distributions and job satisfaction. Psychiatric
Services 48:915-20, 1997
3. Ranz JM, Stueve A: The Role of
the Psychiatrist as Program
Medical Director. Psychiatric Services 49:1203-7, 1998
4. Ranz JM, Deakins SM. Guest editors for a section: The
Role
of the
Medical Director in Public Mental Health Organizations. Psychiatric
Quarterly: 78:169-70, 2007. This section consisted of three articles
written by PPF alumni describing their management positions
5. Ranz JM, Deakins SM. Guest editors for a section: The Role
of the
Medical Director in Public Mental Health Organizations. Part II.
Psychiatric Quarterly: 79:1-2, 2008. This section consisted of a second
three articles written
by PPF alumni describing their management positions
6. Ranz JM, Mancini AD. Public Psychiatrists' Reports of Their
Own
Recovery-Oriented Practices Psychiatric Services 2008 59: 100-104
7. Ranz JM, Deakins SM,
LeMelle SM, Rosenheck SD, Kellermann SL: Core Elements of a Public
Psychiatry Fellowship. Psychiatric Services 59: 718-720, 2008
--------------
Surveys of National Psychiatric Organizations
An article published in July 2000 examined the variety of roles
filled by psychiatrists functioning as medical directors in community
settings, through a survey of all members of the American Association
of Community Psychiatrists (AACP). A classification scheme of six types
of medical director positions based on level of operation and breadth
of supervisory responsibility was created. This classification helps
clarify the medical director's role, providing guidance to
psychiatrists and agencies negotiating job descriptions for this
position (Psychiatric Services 51:930-2, 2000, see
full text of article)
The results of the above survey of AACP members, augmented by using
the same survey tool among members of the American Association of
Psychiatric Administrators (AAPA), resulted in two other peer-reviewed
articles. The first (The role of the psychiatrist as medical director:
a survey of psychiatric administrators. Administration and Policy in
Mental Health 27:299-312,
2000) describes comparisons between the AAPA and the AACP. The second
(The
role of the psychiatrist: job satisfaction of medical directors and
staff
psychiatrists. Community Mental Health Journal 37 [6]: 525-539, 2001)
describes
the results of the above surveys regarding job satisfaction. The
findings
were consistent with those reported for Public Psychiatry Fellowship
alumni,
that medical directors experience increased job satisfaction compared
to
staff psychiatrists.
A subsequent survey of members of the AACP, assessing the
changes they have experienced over the past five years, was reported in
two articles published in 2004 in Community Mental Health
Journal: 40 (5), 479-486, 2004 and 40 (5), 487-494, 2004
Programs Started and/or
Run by Alumni
In the past ten years Fellows have participated in the development of
numerous innovative community programs at public facilities throughout
the region. These include the following: (names supplied with approval
of each individual)
- Residential Community Service, St. Luke's-Roosevelt Hospital
Center;
- South Asian Clinic, Dept of Psychiatry, Bellevue Hospital,
- The Open Door (http://www.timeoutny.com/gay/511/511.gay.open.html),
a counseling center for "LGBT folks form all corners of the world" at
Elmhurst Hospital.
- Assertive Community Treatment Team, Pathways to Housing,
- Primary Care Psychiatry Program, Beth Israel Medical Center;
- Shelter Programs for men and women, Project Renewal;
- Mentally Ill Chemical Abusers Day Program, Mental Health
Association;
- Intensive Case Management Teams, Capital District Psychiatric
Center in Albany and Creedmoor Psychiatric Center in Queens;
- Intensive Day Treatment Programs, South Beach and Rockland
Psychiatric Centers;
- Partial Hospitalization Program, St. Luke's/Roosevelt Hospital
Center;
- Homeless Outreach Teams and Community Residential Services,
Project Renewal and Urban Pathways;
- Reception Center for Mentally Ill Homeless, Volunteers of
America;
- Group Treatment for Trauma-related Illnesses, Columbia
University Medical Center and Lincoln Hospital;
- Psychoeducation Programs at Mt. Sinai and St. Luke's/Roosevelt
Hospitals;
- HIV Services, Columbia University Medical Center and St.
Vincent's Hospital and Medical Center of New York.
- Psychiatry Services at the Institute for Urban Family Health
- Department of Guidelines Initiatives,
Division of Strategic Planning, NYS Office of Mental Health
- Homeless Outreach Team, San Francisco
- Various ACT teams throughout New York City
An extraordinary number of
alumni are currently serving in
leadership positions in the New York metropolitan area and throughout
NY State. Here is the
ever expanding list
of management
positions currently held by alumni:
NY State Facilities (16
alumni):
- Director of Guidelines Initiatives,
Division of Strategic Planning, NYS Office of Mental Health (Molly
Finnerty)
- Clinical Director, South Beach Psychiatric Center
(Rosanne Gaylor)
- Clinical Director, Rockland
Psychiatric Center (Mary Barber)
- Clinical Director, Sing Sing Mental
Health Unit (Lynn O’Brien)
- Director of Psychiatry, South Beach Psychiatric Center
(Intikhab Ahmad)
- Director of Psychiatry, Capital
District Psychiatric Center (Lisa Norelli)
- Associate Clinical Director, Manhattan
Psychiatric Center - Supervising Psychiatrist of STAIR Unit (Rose
Yu-Chin)
- Associate Director, Washington Heights
Community Service, New
York State
Psychiatric Institute
(Stephanie LeMelle)
- Director, Inwood Clinic of Washington Heights Community Service
(Dianna Dragatsi)
- Medical Director, Mt. Vernon
Clinic, Rockland
Psychiatric Center (Emeka Efobi
- Medical Director, Outpatient Services, Bronx
Children's Psychiatric Center (Linda Chokroverty)
- Chief Psychiatrist, Residency Training
Unit, Creedmoor Psychiatric Center (Kaj Nevi)
- Associate Director, Residency
Training, Creedmoor Psychiatric Center (Helen Schleimer)
- Unit Chief, Inpatient STAIR Unit, Manhattan Psychiatric Center (Ade Bello)
- Unit Chief, Inpatient Unit, Kirby
Forensic Psychiatric Center (Sheku Magona)
- Medical Field Officer of NYS Office of
Mental Health Psychiatric Services and Clinical Knowledge Enhancement
System - PSYCKES (Matthew Perkins)
Municipal
Facilities (15 alumni):
- Agency Medical Director, NYC
Department of Homeless Services (Dova Marder)
- Chief Restructuring Officer, King County Hospital
Center (Jorge
Petit)
- Director, Inpatient Services, Elmhurst Hospital Center
(Abdullah Hasan)
- Director, Queens
Assisted Outpatient Treatment Team (Danny Garza)
- Director of Psychiatry, Morrisania Neighborhood Family
Care Center (Hector Coll-Ruiz)
- Medical Director, Chemical Dependency
Program, Kings
County Hospital Center
(Page Burkholder)
- Director, Comprehensive Psychiatry
Emergency Program, Elmhurst
Hospital Center (Mark
Nathanson)
- Director, Quality Assurance, Bellevue Hospital Center
(Rose Yu-Chin)
- Unit Chief, Residency Training Unit, Bellevue Hospital Center (Serena Volpp)
- Unit Chief, ADEPT Unit, Dept of
Psychiatry, Bellevue
Hospital
(Osman Ali)
- Director, Medical Education, CPEP, Bellevue Hospital Center (Megan Poe)
- Unit Chief, Continuing Day Treamtnet
Program, Bellevue Community Support Services (Gertie Quitangon - as of
8/8/08)
- Director of Ambulatory Psychiatry, Harlem Hospital Center
(Charita Hoyle-Parr)
- Director, Mental Health Services at
Incarnation Children's Center and the Family
Care Center at Harlem Hospital
(Warren Ng)
- Medical Director, Community Outreach
Team, Westchester
Medical Center (Silviu Burcescu)
- Inpatient Unit Chief, Westchester Medical Center
(Jay Draoua)
VA
Facilities (3 alumni):
- Director, Primary Care Based Mental
Health, New York VA
Medical
Center (Brian
Bronson)
- Associate Director, Evaluation and
Health
Services Research, Mental Illness Research Education and Clinical
Center, Bronx VA
Medical
Center (Claire
Henderson)
- Unit Chief, Substance Abuse
Residential Rehab
Treatment Program, New York VA Medical
Center
(Anwarul Ahad)
Nonprofit
Hospitals (25 alumni):
- Chair, Department of Psychiatry, Mount
Vernon Hospital and Division Chief of Psychiatry, Department of
Medicine, Sound Shore Medical Center (Esther Langer)
- Vice-Chairman, Department of
Psychiatry, Maimonides
Medical Center (Andrew Kolodny)
- Director, Division of Integrated
Psychiatric Services, Dept of Psych, St. Luke's Roosevelt Hospital
Center (Hunter
McQuistion)
- Director, Residential Community
Services, St. Luke's Roosevelt
Hospital Center (Ralph Aquila)
- Medical Director, Children’s Community
Mental Health Services, Child
and Family Institute, St. Luke's Roosevelt Hospital Center
(Rob Andrews)
- Medical Director, Trinity House
Comprehensive Addictions Treatment Program, Addiction Institute of NY, St. Luke's Roosevelt Hospital
Center (Daniel
Posner)
- Unit Chief, Inpatient Detoxification
Unit, Addiction Institute of NY, St. Luke’s Roosevelt Hospital
Center
(Anna Skiandos, as of July 2008)
- Director of Psychiatry, Wyckoff Heights Medical
Center (Arkady
Bilenko)
- Chief, Division of Consultation
Liaison Psychiatry, North Shore University Hospital/Manhasset
(Joseph Weiner)
- Unit Chief, Inpatient Dual Diagnosis
Unit, Beth
Israel Medical Center
(James Wolberg)
- Advisory Dean, Columbia College of
Physicians and Surgeons and Director, Intensive Outpatient
Program, Columbia
University Medical Center;
(Mary Sciutto)
- Director of Medical Communications,
Columbia University Department of Psychiatry (David Hellerstein)
- Director, Mobile Crisis Services, Columbia University Medical
Center and
Co-Director, Minority Faculty Development Initiative, Columbia
University Department of Psychiatry (Adriane Birt)
- Director, Special Needs Clinic, Columbia University Medical
Center (Warren
Ng)
- Medical Director, Adult Psychiatry
Outpatient Clinic, New York Presbyterian Hospital,
Columbia
University Medical Center
(Bella Schanzer)
- Medical Director, Tavares Clinic, Columbia University Medical
Center
(Nicholas DuMont)
- Director of the Child and Adolescent
Public Psychiatry Fellowship and Director of New
York Child and Adolescent Telepschiatry at Columbia University, Division of Child
and Adolescent Psychiatry (Matthew Perkins)
- Medical Director, Mental Health
Services, School Based Clinics, Center for Population and Family
Health. Columbia
University Medical Center
(Stewart Adelson)
- Co-director, Center for Bioethics, Columbia University Medical
Center (Robert
Klitzman)
- Director of Emergency Psychiatry
Services, St. Vincent's Hospital, NY
(Nina McGowan)
- Medical Director, Alcohol and
Addictions Outpatient Program, St. Vincent's
Hospital, NY (Henry Cheng)
- Director, Consultation and Liaison
Psychiatry, Residency Education in Psychosomatic Medicine, NYU (Brian
Bronson)
- Inpatient MICA Unit Chief, Mt. Sinai Medical
Center (Anna
Filova)
- Medical Director, Psychiatry ER, Ellis
Hospital, Albany, NY
(Aliya Saeed)
Community
Based Agencies (17 alumni):
- Senior Vice President for Clinical
Services, PSCH (Pam Weinberg)
- Medical Director, Bowery Residents'
Committee (Bryan McGreal)
- Medical Director, Pathways to Housing,
New York, NY (Alexa
Whoriskey)
- Medical Director, Westchester
ARC (Claudia Sickinger)
- Medical Director, Project Hospitality,
Staten Island, NY (Maxine Ain)
- Founding
Medical Director of Center CARE Recovery at The Lesbian, Gay, Bisexual & Transgender
Community Center. (Shane Spicer)
- Medical Director, Lower East Side Harm
Reduction Center (Regina LeVerrier)
- Medical Director, The Crossroads
Program, Center for Community Alternatives (Robert Doty)
- Director, Integrated Health, ICL
(Jeanie Tse)
- Director of Psychiatry, Project
Renewal (Elizabeth Oudens)
- Associate Director of Psychiatry,
Project Renewal, and Director of Psychiatry, New Providence Women’s
Shelter, Project Renewal (Michelle Williams)
- Associate Medical Director and
Director of Psychiatry, Premier Health Care, YAI National Institute for
People with Disabilities (Peter Della Bella)
- Senior Psychiatrist, Premier
Health Care, YAI National Institute for People with Disabilities (Maren
Langer)
- Executive Deputy Chief Psychiatrist,
JBFCS (Richard Gersh)
- Director of Training and Professional
Development, Director of Martha K. Selig Educational Institute
and Director of Center for Trauma Program Innovation, Jewish Board of
Family and Childrens’ Services (Paula Panzer)
- Senior
Psychiatrist, Comunilife Inc, Bronx
NY (Mercedes Brito)
- Associate Medical Director, Putnam
Family and Community Services, Carmel,
NY (Pablo Sadler)
Others
(2 alumni):
- Assoc Med Dir for Behavioral Health -
Amerigroup (Juliana Ekong)
- Founder and Medical Director, North Shore Biofeedback
Center (Neil
Berliner)
A number of alumni have leadership positions
beyond the New York
metropolitan
region as follows (16 alumni):
- Area Medical Director for the Metro
Suburban Area of DMH of MA (Kenneth Mitchell)
- Vice Chairman and Residency Training
Director, Department of Psychiatry, Caritas St. Elizabeth Medical
Center, Boston, MA (Zamir Nestelbaum)
- Clinical Director, Baycove Mental Health Center, MA
- Medical Services Director, Northeast Center
for Youth and Families in Easthampton,
MA (Anne Bauer)
- Director, ACT team, Providence Center,
Providence, RI (Kevin Baill)
- Coordinator of Geriatric Services, University of Medicine and Dentistry, NJ
- Acting Chair and Outpatient Behavioral
Health Medical Director, Monmouth
Medical Center, Long Branch, NJ.
(Steve Theccanat)
- Health Medical Director, Monmouth Medical
Center, Long Branch, NJ.
- Medical Director, Friends Research
Institute, Baltimore,
MD
(Robert Schwartz)
- Medical Director, Baptist Behavioral
Health Service, MS (William Cook)
- Medical Director, Adapt of Texas, Dallas
TX (John Bennett)
- President and CMO, JSA Health, Houston, TX
(Avrim Fishkind)
- CEO, Relay Health, San Francisco, CA (Giovanni Colella)
- Medical Director, Magellan Behavioral
Health Services, Farmington Hills, MI (Stan Golec)
- Medical Director, Addiction Treatment
and Consult Team, VA Palo Alto, CA (Vanessa de la Cruz)
- Director of SF FIRST (San Francisco Fully-Integrated Recovery Services
Team, San Francisco,
CA (Raj Parekh)
- Associate Medical Director, Public
Sector, NW Care Advocacy Center - OptumHealth Behavioral
Solutions (John Bischof)
Finally,
alumni are providing leadership in other countries (8
alumni):
- Clinical Director, Greater Western
Area Health Service, New South Wales, Australia
(Scott Clark)
- Director, WHO Collaborating
Center for Psychosocial Rehabilitation and Community Mental
Health, Yongin Mental Hospital, Seoul, Korea (Tae-Yeon Hwang)
- Associate Director, WHO
Collaborating Center for Psychosocial Rehabilitation and
Community Mental Health, Yongin Mental Hospital, Seoul, Korea
(Jonggook Lee)
- Clinical Director, ACT Team, Mt. Sinai
Hospital, Toronto, Canada (Sam Law)
- Coordinator, Postgraduate Education,
St. Michael's Hospital, Toronto,
Canada
(Julie Maggi)
- Medical Head, Substance Abuse and
Mental Illness Program, St. Michael's Hospital, Toronto, Canada (Adam
Quastel)
- Chief of Inpatient Psychiatry, Centre
Hospitalier de l'Université de Montréal, Montreal, Canada (Olivier Farmer)
- Clinical Director, Free Mental Health Clinic, Pakistan
Association for Mental Health Karachi,
Pakistan.
(Uzma Ambareen)
Core Faculty
Jules Ranz
, M.D. (Director) has almost forty years experience as
clinician-administrator in the public sector. He was Director of
Training at the Tremont Crisis Center (an innovative three year social
and community psychiatry residency program), Clinical Director of Bronx
Psychiatric Center (a state-run inner-city inpatient and outpatient
facility), and Director of the Huguenot Center (a comprehensive
community service that specialized in systems-oriented care of adults
with severe and persistent mental illness). He was President of the New
York Chapter of the American Association of Psychiatric Administrators
from 1995-96. He is currently a member of the Board of Trustees of
Project Renewal. He is a Clinical
Professor of Psychiatry in the Department of Psychiatry at Columbia
University Medical Center. He is
the
principal author of three articles reporting activities of fellowship
alumni published
in Psychiatric Services published in the late 1990s, and five
articles reporting surveys conducted among the members of the American
Association
of
Community Psychiatrists and the American Association of Psychiatric
Administrators (AAPA). In 2007 he was presented with the Award
for Excellence in
Administration, New York Regional Chapter of AAPA, “In Recognition of
Leadership and
Inspiration, in Training a Generation of Public Psychiatrists and
Psychiatric Administrators
Susan Deakins, M.D. (Associate Director) specializes in the
treatment of both substance abuse and schizophrenia. Before switching
from internal medicine and endocrinology to psychiatry she was for six
years Medical Director and Treatment Service Coordinator at the
Smithers Treatment and Training Center of the Roosevelt Hospital, one
of the first major alcoholism programs in New York City. She was senior
supervisor of treatment in a large scale study of psychoeducational
multiple family group management of schizophrenia conducted by the
Biosocial Treatment Research Division at the Psychiatric Institute.
Subsequently she was involved in the dissemination of this model
throughout New York State and in the investigation of the efficacy of
its combination with intensive case management and vocational
rehabilitation for adults with severe and persistent mental illness.
She is Assistant Clinical Professor of Psychiatry in the Department of
Psychiatry at Columbia University Medical Center.
Stephen Rosenheck, Ph.D., was one of the original founders
of the
Public Psychiatry Fellowship. A former historian, he specializes in
public policy in mental health and has published articles on the
history of de-institutionalization. He is currently doing cross
national research on government health insurance programs and
outpatient mental health care. Mr. Rosenheck also teaches
in the Department of Child Psychiatry at Columbia University. He is an
Assistant Clinical Professor of Psychiatry (in Social Work) at Columbia
University Medical Center.
Sara L. Kellermann, M.D. was Commissioner of the New York
City Department
of Mental Health, Mental Retardation and Alcoholism Services from 1980
to
1990. In 1987 Dr. Kellermann received the Distinguished Psychiatric
Administrator
Award from the New York Regional Chapter of the American Association of
Psychiatric
Administrators. She has published papers on teaching mental health
administration,
the homeless mentally ill, the mental health aspects of AIDS, and
mental
health services in the correctional system.
Voluntary Faculty
Lewis Opler, M.D. is Director of the Research Division, of
the New York State Office of Mental Health. Widely known as a clinical
researcher, Dr. Opler has conducted studies and published extensively
in the areas of schizophrenia, psychopharmacology and public
psychiatry.
He developed and co-authored the Positive and Negative Syndrome Scale
(PANSS).
An advocate for the rights of patients with severe and persistent
mental
illness, Dr. Opler is an Honorary Member of the National Alliance for
the Mentally Ill of New York State (NAMI-NYS). He is Clinical Professor
of Psychiatry at New York University School of Medicine and Adjunct
Professor
of Psychiatry at the Columbia University College of Physicians and
Surgeons.
Ezra Susser, M.D. is Professor of Epidemiology and
Psychiatry and head of the Department of Epidemiology at the
Mailman School of Public Health of Columbia University, and head of the
Epidemiology of Brain Disorders Department at the New York State
Psychiatric Institute. His primary research has been on the
epidemiology of psychotic disorders. He has studied the
interrelationships between homelessness and psychotic disorders;
compared psychotic disorders in low and high income countries;
and related prenatal exposures to the risk of schizophrenia in
adulthood. Starting from his early work on homelessness, and later work
on HIV, Dr. Susser has also focused on the health of inner city urban
populations, and was formerly director of the Center for Urban
Epidemiologic Studies at the New York Academy of Medicine. He has
published on the development of epidemiology as a discipline:
genetic epidemiology, psychiatric epidemiology, and epidemiology more
generally.
Mindy Fullilove, M.D. holds a dual appointment in the
Departments of Clinical Psychiatry and Public Health at Columbia
University. She has had extensive research experience in the
epidemiology of HIV infection in minority communities and in
investigating the role of trauma as a co-factor in substance abuse.
Previously she served as director of Multicultural Inquiry and Research
on AIDS (MIRA), a component of the University of California (San
Francisco) Center for AIDS Prevention Studies. Her recent publications
are on the long term consequences of urban renewal for African
Americans.
The following voluntary faculty members are all graduates of the
Public Psychiatry Fellowship:
Paula Panzer, M.D., is Deputy Chief Psychiatrist and
Associate Director, Center for Trauma Program Innovation at the Jewish
Board of Family and Children's Services, New York, NY. She is on
the Editorial board of Psychiatric Quarterly and was recently chair of
the American Psychiatric Association Scientific Program Committee for
the Institute on Psychiatric Services. She is also former
President, New York Regional Chapter, American Association of
Psychiatric Administrators (1998-99).
Julia Eilenberg, M.D is Assistant Clinical Professor of
Psychiatry in the Department of Psychiatry at Columbia University
Medical Center. She is in private
practice in Rhinebeck, NY, and consults to various local agencies,
including the Astor Services for Adolescents in Poughkeepsie, NY.
Hunter L. McQuistion, MD, is Director, Division
of Integrated Psychiatric Services, Dept of Psych, St. Luke's Roosevelt
Hospital Center. Prior to that, he was Chief Medical
Officer, Division of Mental Hygeine, NYC Department of Health and
Mental Hygeine, and formerly Medical Director, Project Renewal, Inc., a
nonprofit agency serving homeless people in New York City.
Dr. McQuistion is an Associate Clinical Professor of Psychiatry at the
Mount Sinai School of Medicine. He is on the Board of Directors
of the American Association of Community Psychiatrists, Chair of the
APA Committee on Poverty, Homelessness and Psychiatric Disorders,
and on the advisory board of NAMI-NYC Metro, a local affiliate of the
National Alliance for the Mentally Ill.
Molly Finnerty, MD. is Director of Guidelines Initiatives,
Division of Strategic Planning, NYS Office of Mental Health. She is APA
New York County District Branch Assembly Representative, President,
Picnic for Parity, NYS MHA Board Member, NAMI-FACT Board Member, and
Director of First Break Program. She is an Assistant Clinical
Professors of Psychiatry in the Department of Psychiatry at
Columbia University Medical Center.
Juliana Ekong,
MD is Associate Medical Director for Behavioral Health
of Amerigroup and Assistant Clinical Professor of Psychiatry in the
Department of Psychiatry at Columbia University Medical Center.
Warren Y.K. Ng, MD is
the Director of the Special Needs
Clinic, a family based HIV mental health program at Columbia Universtiy
Medical Center of NY Presbyterian Hospital. He is also the director of
the mental health services at Incarnation Children's Center and the
Family Care Center at Harlem Hospital. He is the President of the New
York Council on Child and Adolescent Psychiatry and a delegate to the
American Academy of Child and Adolescent Psychiatry. He is
Assistant Clinical Professor of Psychiatry in the Department of
Psychiatry at Columbia University Medical Center.
Stephanie LeMelle, MD is
Associate Director of Washington Heights Community Service at New York
State Psychiatric Institute and Associate
Clinical Professor of Psychiatry at Columbia
University
Physicians and Surgeons. She is the Chairperson of the Board of
Directors for Pathways to Housing. She is also a Mac Arthur
Foundation Fellow, working on their Network on Mandated Community
Treatment.
She is particularly interested in how housing is used as leverage
to engage people in psychiatric treatment.
Elizabeth Oudens, MD is
Director of Psychiatry at Project Renewal, Inc. and Secretary of the
Executive Committee of the New York Regional Chapter of the American
Association of Psychiatric Administrators.
Andrew Kolodny, MD is Vice
Chair for Psychiatry at Maimonides
Medical Center.
Dr. Kolodny has a longstanding interest in mental health and
substance
abuse policy. He was previously the Medical Director for Special
Projects in
the Office of the Executive Deputy Commissioner for the New York City
Department of Health and Mental Hygiene. Dr. Kolodny is a past
recipient of the
Daniel X. Freedman Congressional Health Policy Award. Dr. Kolodny is a
former
President of the American Association of Psychiatric Administrators New
York
Regional Chapter and is presently Chair of the American Psychiatric
Association
New York County District Branch Public Psychiatry Committee.
Mary Barber, MD is Director of
Community Services, Rockland Psychiatric Center, after having served as
Clinical Director, Ulster County Mental Health Department. She
was president of the Association of Gay and Lesbian
Psychiatrists (AGLP) from 2001-5. She is Co-Editor of the
Journal of Gay and Lesbian Mental Health (AGLP's journal), co-chair of
the Group for Advancement of Psychiatry (GAP) Committee on LGBT Issues,
and a distinguished fellow of the APA. She also co-chaired the
production team of the documentary, “Abomination: Homosexuality
and the Ex-Gay Movement,” directed and produced by Alicia Salzer, MD,
now in distribution by Frameline.
Dianna Dragatsi, MD is
Director of the Inwood Clinic of Washington Heights Community Service
at New York State Psychiatric Institute and Assistant
Clinical Professor of Psychiatry at Columbia University Medical Center.
She is also a voluntary clinical supervisor for the Addiction
Psychiatry Research Fellowship of Columbia University.
Fellowship Headquarters and Field
Placements
The headquarters of the Fellowship is in the Department of Postgraduate
Education of New York State Psychiatric Institute. The Institute's
library and other educational facilities, as well as the expertise of
its internationally recognized professional staff, are readily
available to the Fellows.
Through work in field site placements, Fellows have the opportunity
to develop themselves as leaders in team-based clinical settings and to
explore the approaches that have proven effective in the public sector.
These
include ACT Teams, clubhouses, day treatment programs, partial
hospitalization, and psychiatric rehabilitation. Following is a list of
field sites selected by the Fellowship in recent years:
1) St.
Luke's-Roosevelt Medical Center, Department of Psychiatry, New York, NY
. A comprehensive public sector mental health service system in a
prominent medical center on Manhattan's West Side. Opportunities
include working in the following programs: Integrated Psychiatric
Services (run by a fellowship graduate who is reconfiguring the service
to emphasize recovery-oriented practices), Child and Adolescent
Psychiatric Services, the Addiction
Institute of NY and the Residential Community Service (developed and
run by another of our graduate). This latter service includes a number
of
joint
ventures with Fountain House,
the protyptical clubhouse, and Urban
Pathways, a unique experience with the homeless mentally ill,
utilizing
a network of service and residential alternatives, and several other
supportive residential programs in the neighborhood.
2) Project Renewal ,
New York, NY. A not-for profit community based rehabilitation
agency providing residential,
counseling and social services to homeless adults who are suffering
from substance abuse, mental illness and/or AIDS. In recent years
Fellows have worked in an SRO residence, alcohol residential treatment
programs, men's and women's shelters and a mobile van. The director of
psychiatry is a fellowship graduate.
3) NYS Office of Mental Health Facilities:
South
Beach Psychiatric Center, Staten Island, NY . A model
state psychiatric facility, providing comprehensive community and
inpatient service to the predominantly middle class borough of Staten
Island and a major portion of Brooklyn. The clinical director is a
fellowship graduate.
Manhattan
Psychiatric Center, Wards Island, NY providing inpatient and
outpatient services, including the innovative STAIR program , a
structure environment for
patients with a history of interpersonal
violence.
Bronx Psychiatric Center, The Bronx, NY, affiliated with Albert
Einstein College of Medicine, providing inpatient and outpatient
services, including an ACT team.
Rockland Psychiatric Center, Orangeburg, NY, specializing in
intermediate and extended inpatient treatment, RPC also provides
supportive residential care a Residential Care Facility for Adults and
a State Operated
Community Residence on campus. In addition, RPC provides varying levels
of
community based mental health services in Rockland, Westchester, Orange
and Sullivan counties and a
specialized statewide service for people who are deaf and mentally ill.
Both the clinical drector and director of community services are
fellowship graduates.
Kirby
Forensic
Psychiatric Center, Wards Island, NY, a maximum security hospital
providing secure treatment and evaluation for the forensic patients and
courts of New York City.
4) Ulster
County Mental Health Service, Kingston, NY . A county-run
agency located in the Hudson River region of New York State, it serves
as the primary mental
health facility for a largely rural area. Comprehensive outpatient
mental
health services are provided for adults and children with acute and
long-term
psychiatric illnesses. This model agency has a record of innovative
services
and collaborates extensively with county vocational rehabilitation
services.
5)
The Bridge
Inc., New
York, NY. A voluntary agency on Manhattan's Upper West Side
providing comprehensive services for adults with severe and persistent
mental illness. Services include a continuing day treatment program,
prevocational training and a supported work program, nursing and
medical support services, group and individual counseling and a number
of
supportive community residences.
6) Washington
Heights Community Service (WHCS) , Audubon and Inwood Clinics, New
York, NY . A state-run comprehensive treatment program for the
severely and persistently mentally ill living in the inner city. WHCS
was founded in the 1970s as a model state-university collaboration
using research-based treatment and has continued on that basis for over
20 years. The clinical director of WHCS is a fellowship graduate, and
the Inwood clinic is run by another graduate.
7) The Project for Psychiatric
Outreach to
the Homeless (PPOH) , New York, NY. A not-for-profit agency
which
recruits psychiatrists to work on-site at outreach programs, shelters,
drop-in
centers and transitional and permanent residences for mentally ill
homeless
persons. Psychiatrists provide evaluations, on-going treatment and
staff
education, working closely with case managers at these sites as
consultants
to treatment teams. Each psychiatrist consults with the same program on
a weekly basis throughout the year.
8) Pathways
to Housing, Manhattan and
Brooklyn teams, NY . Founded in 1992, Pathways to Housing offers
scattered site permanent housing to homeless individuals with
psychiatric disabilities and addictions. Despite the challenges this
population presents, Pathways is unique in what it does not require of
its residents: "graduation" from other transitional programs, sobriety,
or acceptance of supportive services. The vast majority of clients are
moved directly from the streets into permanent, private market housing.
The program then uses Assertive Community Treatment (ACT) teams to
deliver services to clients in their homes. The ACT teams help clients
to meet basic needs, enhance quality of life, increase social skills,
and increase employment opportunities. The director of psychiatry is a
fellowship graduate.
9) The
Institute for Community Living (ICL) is a not-for-profit
organization that provides a variety of living options to disabled New
Yorkers. ICL
assists adults and children with mental and developmental disabilities
who need
opportunities to improve their quality of life and to participate in
community living by providing a variety of high quality health, mental
health, vocational and residential services and supports.
10) Bowery
Residents' Committee (BRC) provides outreach to homeless people
living on the streets or in the subway,
drug treatment, mental health care, comprehensive medical services,
vocational services, and supportive communities in which to live. The
medical director is a fellowship graduate.
Alternate Field Sites. In consultation with Fellowship
faculty, Fellows may choose an alternate site in a public mental health
facility in the Metropolitan New York area. Sites may operate under
federal, state, municipal, or non-profit auspices. Fellowship faculty
will evaluate proposed sites with regard to their potential for
relevant clinical and administrative work, availability of a field site
supervisor, training and research opportunities, and value as an
educational experience. Final site selection will be made jointly by
faculty, the incoming Fellow, and field site supervisors. In recent
years many Fellows have requested placements focusing on specific
topics. Following are examples of such placements:
- Homelessness - St. Luke's-Roosevelt Medical Center/Open Door,
The Project for Psychiatric Outreach to the Homeless
- Residential Services - St. Luke's-Roosevelt Medical Centers's
Residential Community Services, Project Renewal, The Bridge, ICL
- AIDS - AIDS clinics at St. Vincent's Hospital and Medical
Center, St. Luke's-Roosevelt Medical Center and New York Presbyterian
Hospital
- Comprehensive Psychiatry Emergency Programs (CPEP) - New York
Presbyterian Hospital, Bellevue and Elmhurst Medical
Centers
- Primary Care Psychiatry Programs at Beth Israel Medical
Center,
Long Island Jewish Medical Center and St. Vincent's Hospital and
Medical Center.
Applications
Candidates for the Fellowship must have completed an accredited
residency program in psychiatry or child psychiatry. In addition, the
candidate must have, or be eligible to obtain, a New York State Medical
License prior
to entry into the program. Of primary importance in the selection
process
will be the candidate's demonstrated interest in public mental health
issues, especially those concerned with achieving better care for poor
and otherwise disadvantaged adults with severe and persistent mental
illness. Other factors considered in the selection process include the
candidate's interest and ability in a) working as part of an
interdisciplinary team, b) psychiatric leadership, c) internal program
evaluation and d) other academic endeavors. The selection committee
complies with the intent of the Affirmative Action Program and
the Americans with Disabilities Act.
Applicants to the Fellowship are helped to find top quality public
sector positions which serve as fellowship placements. Alternatively,
psychiatrists who already have 3-5 day per week clinical and/or
management positions can use the fellowship training program to become
more productive in their roles. The agency or hospital salary is
supplemented by a stipend for the 1½ day per week academic
curriculum and faculty supervision at New York State Psychiatric
Institute.
Fellows receive appointments as Post Doctoral Clinical Fellows
in
the Department
of Psychiatry, College of Physicians and Surgeons of Columbia
University.
Upon successful completion of the program they are awarded a
certificate
by Columbia University. The position is a full-time commitment for the
academic
year (July 1 to June 30), and candidates are expected to comply with
that
requirement.
The stipend for the academic year starting July 2009 is expected to
be at least $82,000 for Fellows at the PGY5 level, and $88,000 for
Fellows at the PGY6 level. Approximately 2/3 of that stipend
is paid by the field placement agency, and 1/3 by New York State
Psychiatric Institute (NYSPI). For those who already have 3-5 day per
week positions, the supplementary stipend paid by NYS PI is
approximately $27,000 - $29,000 depending on PGY level.
Communication can be sent to the fellowship director:
Jules, M. Ranz, M.D.
Box 111
New York State Psychiatric Institute
1051 Riverside Drive,
New York, New York 10032
Dr. Ranz can also be contacted by telephone (212- 543-5655)
or e-mail
(jmr1@columbia.edu).
This brochure was last updated on March 20, 2009