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The Division of Social & Community Psychiatry

Residency Education

EDUCATION
We provide clinical and research education of medical students, psychiatric residents and post-doctoral research fellows in public mental health services.

Psychiatry Residency Education
PGY-III Social and Community Psychiatry Series – Duke Psychiatry residents in PGY-III participate in a weekly seminar series.  Part I focuses on the social context of and systems of care for seriously mentally ill individuals.  Part II focuses on forensic psychiatry.  Topics include areas of forensic psychiatry encountered in general psychiatry practice.

Seminars for 1999-2000

Part 1:Organization and Financing of Care

History of Care for Individuals with Severe & Persistent Mental Illness (SPMI)
The Journey of Sylvia Frumkin in the Mental Health System
Psychiatric Rehabilitation
The Voice of the Consumer in the Mental Health System
The Role of the Family in Caring for Adults with SPMI
Crisis Services
Case Management for Patients with SPMI
The Role of Advocacy
Financing Mental Health Care
Latino Cultural Issues in Mental Health
Financing Health Care II
Substance Abuse Treatment in a Managed Care World
Issues in Psychiatric Epidemiology
Violence and Psychiatric Disorder
Mental Health Financing & Reform
SPMI: The Experience of the Minority

Part 2: Law and Psychiatry:
Introduction to the Law & Legal System
The Psychiatrist as Expert Witness
Child & Family Forensic Issues
Psychiatric Malpractice
Violence Risk Assessments
Competency to Stand Trial
Personal Injury/Disability
Insanity Defense/Criminal Responsibility
Capital Punishment & Psychiatry

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Community Psychiatry Placements

PGY-III or IV residents spend 6 months or a year in a practice setting in a community treatment site supervised by Duke faculty members.

Community Sites for 1999-2000

1)      Sandhills Mental Health Center (West End, NC) – Sandhills Mental Health Center is one of the best in the AHEC system.  John Wagnitz, M.D., is dynamic, aggressive and enthusiastic about community psychiatry.  We have shared significant resources in the Division with Sandhills with great success. They are leaders in the provision of group services to the severe and persistent mentally ill.  They have a very strong case management program and strong clinicians in general.  Residents generally stagger their 6-months rotation here.  The commute to Sandhills is about an hour and 30 minutes.

2)      Cumberland County Mental Health Center (Fayetteville, NC) – Cumberland County Mental Health Center is also an excellent rotation with a wide range of treatment services.  Residents here can select a child experience with Dr. George Martin. Cumberland County also just began an intensive treatment program for patients with HIV and co-occurring mental health and substance abuse disorders, which is part of a federal demonstration project.  Dr. Martin is eager to provide an excellent experience for residents.

3)      Lincoln Community Mental Health Center (Durham, NC) – Lincoln Community Mental Health Center is one of the few remaining free-standing community health centers in the state caring for minority populations medically and psychiatrically. They have a growing Hispanic population as well. Those of you with an interest in consultation/liaison work should seriously consider this placement.  Carolyn Thornton, MSW, is the director of the placement and supervision would be by Jim Carter, M.D.  Both are well-known in the area for their work at Lincoln.

4)      Wake County Human Services (Raleigh, NC) – Wake County Human Services placement is supervised by Christine Lengowski, M.D.  Wake County is considered innovative in its programming and in its service to public sector psychiatry.  They have an excellent range of outreach and crisis services.

5)      Durham County Mental Health Center (Durham, NC) – Durham County Mental Health Center is the shortest commute for anyone wanting to stay close to home. It is characterized by an innovative area director, Steve Ashby, Ph.D., as well as a medical director committed to public sector work, Bryce Reynolds, M.D.  Outstanding supervision has been provided by Drs. Paul Koscis and Peter Daniolos as well.

6)      Central Prison (Raleigh, NC) – The Central Prison rotation is supervised by Jim Smith, M.D and colleagues.  They have a long history of supervision within the prison system and have gotten good reviews from residents on the rotation.  A number of residents have enjoyed it a great deal.

7)   Federal Correctional Institution (Butner, NC) – For those of you who are interested in a more formal placement in forensic work, FCI is probably a very good choice, along with Central Prison.  FCI is notable for supervision by a number of excellent teachers, including Sally Johnson, M.D., Jean Zula, M.D., Bruce Berger, M.D and others.  In general, you should know that in order to give the people at FCI a sense of continuity, they generally ask for a commitment of a full day for half a year.

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