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  • Adult Inpatient Rotation

    Dr. Bagge (Primary Supervisor), Dr. Williams, Dr. Coffey, Dr. Schumacher

    The goals of this rotation are to learn how to assess and provide brief individual and group interventions among individuals with severe mental illness housed within an acute care psychiatric unit, the emergency department, or a medical floor (e.g., ICU).

    There is a special emphasis on the assessment of mood and substance use disorders specifically, and emotional and behavioral dysregulation broadly (e.g., suicidal behavior, borderline personality disorder). Intervention training focuses on the use of empirically-supported acute intervention (e.g., suicide safety planning, behavioral activation, and brief skill-based intervention which includes dialectical behavioral therapy skills and problem-solving skills for depression) and brief interventions for substance use disorders. Interns will learn how to use motivational interviewing strategies to increase outpatient treatment engagement post-discharge and reduce problematic substance use. Interns will also learn how to conduct a suicide safety plan (including means restriction) and how to document these activities in the medical chart.

    The intern will have the opportunity to interact with mental health providers from a variety of disciplines (e.g., psychiatry, social work, and internal medicine). By participating in rounds on the psychiatric inpatient units, the intern will learn how to engage in a multidisciplinary treatment team with professionals from a variety of backgrounds. Interns will have opportunities for program development (with an emphasis on developing new acute intervention services and expanding the outcome assessments incorporated into the treatment). In addition, interns may provide (although not required) in-service trainings to health care providers (e.g., a collaborative approach to suicide safety planning prior to discharge).

    The primary sites of this rotation are the two locked adult psychiatric units at UMMC (7-East and 7-West). The intern will also have the opportunity to assess and treat psychiatric patients within the emergency department and medical floors through the psychiatry consult liaison service. At these sites, the intern will have the opportunity to work with underserved populations.

    Potentially unique experiences that this rotation provides include:

    • Exposure to acutely psychotic patients;
    • Specialized training in the acute assessment, management and intervention of suicidality (e.g., behavioral chain analysis, suicide safety planning);
    • Specialized training in assessment and brief interventions (motivational interviewing and cognitive behavioral therapy) for substance use disorders;
    • Provision of dialectical behavioral therapy skills training and acute interventions (problem-solving therapy, behavioral activation) to individuals in a short-term care facility;
    • Participation in rounds on psychiatric inpatient units;
    • Participation in the Psychiatry Consult Liaison Service

    This rotation is offered either as a full or half-time four-month rotation.