UCONN Health Center Main Entrance

Training Facilities

The University of Connecticut Health Center and Affiliated Institutions

The University of Connecticut Department of Psychiatry, Correctional Managed Health Care, and affiliated community clinics, are part of an integrated program in psychiatric education. This consortium incorporates the strengths of various clinical settings and assembles a diverse and enthusiastic faculty working together to provide a residency training program that utilizes the best from a vast pool of resources. The consortium is flexible, creative, forward looking, and supportive of education.

The University of Connecticut Health Center is the primary site for the residency program. Residents are active in each aspect of psychiatric clinical services at the Health Center and they also serve a valuable role in other medical settings within the hospital where psychiatric issues are prevalent. The other major home-based site is the Talcott Notch Road Outpatient Clinic, where each resident is allocated their own office and they establish a clinic that continues for two consecutive years. In addition to those two UConn-run sites, the program has contracted with several outside agencies, as detailed below. There are many advantages to training in a structure such as this. The diversity of the academic resources (private and public), the richness of our clinical populations, and a dynamic faculty representing various scientific orientations, offers a wealth of educational opportunities. This training model prioritizes the vitality and quality of education over other competing interests. The collaborations within the community are mutually beneficial, providing a stimulating educational experience while residents and faculty strive to provide first-rate care for these community populations.

UConn-Based Clinical Sites:
The University of Connecticut Health Center
Talcott Notch Road Outpatient Clinic

Major Area Hospitals:
Hartford Hospital
Institute of Living
Saint Francis Hospital
VA Connecticut Health Center, Newington
Connecticut Valley Hospital (CVH) STAR Program

Affiliated Sites and Community Clinics
Connecticut Children’s Medical Center
Hartford Behavioral Health
UHP Child Clinic
Hartford Methadone Clinic
Community Mental Health Affiliates
MacDougall Correctional Facility
York Correctional Institution
Hartford Correctional Center
Garner Correctional Institution
Middlewoods Assisted Living Facility
Hartford Office of Forensic Evaluations

UConn-Based Clinical Sites

The University of Connecticut Health Center, John Dempsey Hospital, 263 Farmington Ave. Farmington, CT - website

John Demspey HospitalThe University of Connecticut Health Center main building is structured as a continuous curvilinear building, located on a hilltop and visible from miles away. As an integral part of the Bioscience Connecticut Initiative that began in 2010, it is a rapidly-expanding health-science complex with a variety of modern facilities which opened over the past few years, and still more buildings destined to open in the coming months. It is within this sprawling Health Complex where teaching, research, and clinical services are elegantly integrated, as reflected by the trio of priorities within the Department of Psychiatry's core mission. Since the 1975 opening of the Health Center in Farmington, the Department of Psychiatry has gained a national reputation for its educational and research programs.

The full range of psychiatric services at the UConn Health Center includes a general adult inpatient unit, an inpatient unit specializing in psychiatric-medicine and geropsychiatry, a consultation liaison service, an electroconvulsive therapy suite, intensive outpatient and partial hospital programs for the treatment of patients with chronic mental illnesses and addictions, and psychiatry emergency/crisis services. We have also established mental health services within a variety of other UConn Health settings including The Huntington’s Disease Clinic, General Medicine Clinic, Cancer/Depression/Fatigue Clinic, and The UConn Center on Aging.

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Talcott Notch Road Outpatient Clinic, 10 Talcott Notch Rd. Farmington, CT - website

Talcott Notch Road Outpatient ClinicThis clinic, fondly referred to as, "10 Talcott", is the hub of outpatient psychiatry at UConn Health, and it is home to third-year psychiatry residents. It is located less than 5 minutes from the main campus, and it serves a diverse patient population including those with serious and chronic mental illness, patients with medical and substance use comorbidities, as well as specialized patient populations such as patients with intellectual disabilities. The clinic structure allows PGY 3 residents to gain experience and develop into independent and responsible clinicians at the conclusion of their outpatient rotations. With outstanding attending supervisors and multidisciplinary team of therapists, APRNs, PhDs, social work, and case management staff, residents learn comprehensive and evidence-driven management of psychiatric illnesses. In addition to providing general adult mental health services, we have a variety of specialty clinics at 10 Talcott, including the Student Health Service, an Urgent Care clinic, a Psychotic Disorders clinic, and a Geriatric Mental Health clinic.

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Major Area Hospitals

Hartford Hospital, Hartford, CT - website

Hartford HospitalWith 819 beds, Hartford Hospital is the largest general hospital in the State of Connecticut. It serves as a major affiliated training site for house officers in psychiatry, medicine, and has a reputation for the excellence of its patient care and teaching programs. Hartford Hospital is one of two sites where UConn psychiatry residents rotate on the internal medicine service. It is the only site for the neurology rotation during the first year. It also serves as the location of HIV clinic as a fourth year elective.

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Institute of Living, Hartford, CT - website

Institute of LivingFounded in 1822, The Institute of Living was one of the first mental health centers in the United States, and the first hospital of any kind in Connecticut. Today, as part of Hartford Hospital, it is one of America's leading not-for-profit centers for comprehensive patient care, research, and education in the fields of behavioral, psychiatric, and addiction disorders. This center serves as the location for second year inpatient rotations in child and adolescent psychiatry.

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Saint Francis Hospital, Hartford, CT - website

Saint Francis HospitalEstablished in 1978, the Saint Francis Foundation is the fundraising and resource development organization for Saint Francis Hospital and Medical Center. The Saint Francis Hospital and Medical Center Foundation operate exclusively to advance the charitable, scientific, and educational purposes of the Hospital through relationship building, community visibility, and fund raising. At Saint Francis, a full range of medical and surgical treatments, as well as specialized, acute and rehabilitative services are offered throughout a 617- bed multi-facility center. Saint Francis has a long established partnership with the University of Connecticut Schools of Medicine and Dentistry, and provides participant training and clinical rotations in Internal Medicine, as well as integrated and supplemental residency programs. First year psychiatry residents rotate alongside internal medicine residents at this facility for two of their required four months of internal medicine.

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Saint Francis Mount Sinai Campus, Hartford, CT - website

Saint Francis Mount Sinai CampusBehavioral Health Services include a full range of mental health and substance abuse treatment programs for all ages. This is a facility where one month of addiction psychiatry is completed in the second year of psychiatry residency.

 

 

 

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VA Connecticut Health Center, Newington, CT (including Nicotine dependence and PTSD clinics) - website

VA Health CenterThe Substance Abuse Treatment Program at the Newington VA offers a range of clinical services including assessment, outpatient detoxification, an intensive 15 day substance abuse day program, and general substance abuse outpatient treatment. Patients served in this treatment program present with a range of substance abuse and dependence diagnoses, including alcohol, cocaine, opiates, benzodiazepines, etc. Approximately 75% carry co-morbid psychiatric diagnoses, while nearly half of the patients are homeless. Residents will have an opportunity to gain exposure to in-depth substance abuse assessment, treatment disposition and planning, and opiate and alcohol detoxification. They will conduct complete substance abuse-psychiatric evaluations to develop biopsychosocial case formulations that will drive treatment planning. They will work with addiction psychiatrists to learn pharmacological management of substance abuse, including Buprenorphine, Acamprosate, Naltrexone, Antabuse, etc, and to manage psychiatric co-morbid diagnoses. They will work with clinical psychologists with expertise in addictions to gain exposure to cognitive-behavioral therapy, motivational enhancement, 12-step facilitation, and community reinforcement models. Furthermore, working within a multi-disciplinary team, they will become familiar with a multi-disciplinary rehabilitation approach, and will hone skills of team leadership and team direction. Residents will work within the Smoking Cessation Treatment Program to learn evidence based pharmacological and behavioral treatments of nicotine dependence and tobacco use disorder.

An attending psychiatrist directly supervises residents’ clinical care of Veterans with a diverse group of diagnoses with an emphasis on combat PTSD. In the Mental Health Clinic (MHC), residents will follow their own caseload of newly diagnosed veterans just back from the current wars in Iraq and Afghanistan, as well as older veterans of the Vietnam, Korean, and WWII eras. An effort is made to match up individual residents with particular types of patients that interest them. In addition, the residents follow patients in the Primary Mental Health Care Clinic (PMHCC), a walk-in psychiatric clinic that works in a modified Collaborative Care Model with Primary Care. Emphasis in this part of the rotation is on integrating the medical and psychiatric care of the patient and communicating with multi-disciplinary staff. The rotation is supplemented with evidence-based literature on the diagnosis and treatment of PTSD with medication, psychotherapy, and social treatments. Residents are also introduced to concepts of Cognitive Processing Therapy (CPT), Prolonged Exposure Therapy, and other treatment options. An opportunity for an independent literature review and presentation of this review to an interdisciplinary audience is encouraged if the resident is interested.

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Connecticut Valley Hospital (CVH) STAR Program

The STAR Program (Sisters Together Achieving Recovery) is a PGY-2 rotation. Clinically, it addresses gender specific treatment needs of women with substance use disorders. For example, women may present distinct epidemiological and clinical, psychosocial and psychiatric features that may influence evaluation and treatment approaches. Residents will gain experience in treatment of addictions and psychiatric conditions in a rehabilitation unit including pregnant women and those on methadone or buprenorphine maintenance. They will assist in management of a range of conditions associated with substance use and psychiatric disorders, including medical problems, homelessness, unemployment, domestic violence, etc. Education is further enhanced by the resident’s active involvement with the multi-disciplinary team. Participants include the attending psychiatrist, attending medical physician, addiction counselors, nurse, insurance liason, social worker, psychologist, unit director, and other students.

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Affiliated Sites and Community Clinics

Connecticut Children’s Medical Center - website

Connecticut Children’s Medical CenterConnecticut Children’s Medical Center (CCMC), located in the city of Hartford, is a 187-bed not-for-profit children’s hospital serving as the primary teaching hospital for the University of Connecticut School of Medicine Department of Pediatrics. Our residents work there for one month during their second year Child and Adolescent Psychiatry rotation. It is consistently named among the best in the nation for several of its pediatric specialties in the annual U.S. News & World Report “Best Children’s Hospitals” rankings, and it has been a valued rotation for us since its inception.

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Hartford Behavioral Health, 1 Main Street Hartford, CT - website

Hartford Behavioral HealthThis is a non-profit, federally qualified community adult clinic in the only minority-run behavioral health clinic in the State of Connecticut. It serves as a site for third year rotations. The patient population is a very different one from that seen in Talcott Clinic. This is a chance to do what can best be described as “Primary Care Psychiatry” for the indigent. Patients seen most often have depression, PTSD, psychosis, substance abuse/dependence.

 

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UHP Child Clinic, Kane Street, West Hartford, CT (including Child Depression Clinic, ADHD Child Clinic, Child Trauma/Psychotherapy Clinic)

UHP Child ClinicThis is an outpatient child and adolescent psychopharmacology clinic serving children 6 to 17 years old and their families. The clinic emphasizes a team approach to early-onset mental health disorders. A team meeting occurs with clinic staff every Thursday from 12 noon to 1:30 pm. Residents who participate in the clinic are asked to attend these meetings once monthly. The clinic is a rich experience in the evaluation and treatment of early-onset ADHD, depression, bipolar, substance abuse, and trauma disorders. Specific learning objectives include understanding the evaluation and treatment of child and adolescent mood disorders, the evaluation and containment of suicidality in the young, and the intergenerational transmission of affective disorders and its link to depression and bipolar disorder in adults. Residents will learn the use of common rating scales to assess symptom severity and how to recognize and treat comorbid psychiatric conditions in depressed children and adolescents.

ADHD clinic provides an excellent learning experience in the assessment and treatment of Attention Deficit Hyperactivity Disorder. Learning objectives include: assessment of ADHD and management of rating scales in children, adolescents, and families, evaluation of co-occurring psychiatric conditions such as opposition defiant disorder, conduct disorder and learning difficulties, as well as anxiety disorders. Another goal for the residents is to feel comfortable in the proper psychopharmacological treatment of ADHD. This experience will enhance ultimately the history taking and diagnostic skills in child and adolescent psychiatry, by allowing the rotating residents to be in the place of a child and adolescent professional and experience calling parents, teachers, and dealing adequately and effectively with the systems. It is a rewarding experience to see how comprehensive treatment improves response to medication. Room for research is always available and the volume of patients is constantly growing, due to the dire need for these services. Team approach is encouraged and in fact due to the high prevalence of comorbid disorders there is a Parenting Group that residents can eventually participate in. A team meeting occurs with clinic staff every Thursday from 12 noon to 1:30 PM. Residents who participate in the clinic are asked to attend once monthly.

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Methadone Clinic, Hartford, CT

Patients seen have dual diagnosis issues in addition to their maintenance on methadone. There is also a small Suboxone clinic. This clinic also provides onsite primary care services for the clients.

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Community Mental Health Affiliates - website

Community Mental Health Affiliates, CMHA, is a not for profit behavioral health care agency based in New Britain, CT. The Adult Outpatient Clinic serves as a site for 3rd year UConn residents. Residents work on the substance abuse team where they see clients across the broad diagnostic spectrum of dual diagnosis including depression, anxiety, PTSD, psychotic disorders, and personality disorders. Working with the team psychiatrist, residents complete initial psychiatric evaluations, and they follow patients for medication management. The interdisciplinary team model at CMHA fosters direct collaboration with a psychologist, social workers, a recovery specialist, and a vocational specialist.

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MacDougall - Walker Correctional Facility, Suffield, CT - website

Macdougall-Walker Correctional FacilityOne of the largest high security prisons in Connecticut, this facility serves as a site for third year rotations. The rotation takes place on the mood disorders unit, a subacute care unit (as opposed to inpatient level care). This is not a hospital unit but is a residential unit for prisoners with specific disorders. A wide variety of psychopathology is seen including dual diagnoses, personality pathology, mood pathology, and pathology related to medical/drug related conditions. Malingering is commonly seen. Biopsychosocial management is stressed with emphasis on relevance to prescribing. Case management and therapy are available to the clients; this provides substantial support to the prescribing clinician. There is no insurance paperwork or disability paperwork on this rotation. Coverage of patients is limited to hours in clinic. Other issues that might arise between clinics are handled by on site staff. Discharge planning is handled by social work. This rotation offers a unique experience with the correctional system and with inmates with substantial psychiatric disorders.

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York Correctional Institution - website

York Correctional Institution is the only State of Connecticut correctional facility for female offenders. As such, it houses women representing a wide spectrum of mental health issues, levels of criminal offense (with minimum security and maximum security areas), and houses sentenced and un-sentenced offenders. The mental health team at York includes psychiatrists, psychologists, APRN’s, LCSW’s, and more, and is able to provide high quality clinical supervision and instruction, drawing from their extensive experience. They provide many innovative mental health services and programs, and given that York inmates are retained throughout their incarceration within one facility, there are excellent opportunities to follow clinical cases as they move through the incarceration process. In 2008, York was awarded the Facility of the Year by the National Commission on Correctional Health Care, placing as the top facility among 500+ facilities reviewed for credentialing.

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Hartford Correctional Center - website

New inmates in high turnover jails (Hartford, Bridgeport, New Haven) are screened and triaged for transfer to other “hub” facilities (Garner, Osborn). Hartford Correctional Center (HCC) is among the jails where pre-trial, in-trial, and short-term sentenced inmates are housed. With the continued closing of state mental institutions and fragmented system of outpatient care, the trend for the increased arrest and incarceration of the mentally ill continues, and Connecticut is no exception to this phenomenon. For the UConn psychiatric resident, an HCC elective provides exposure to the unique aspects of risk determination, clinical assessment, management, confidentiality, and legal knowledge involved in the care of the criminal inmate with mental illness. Morevoer, the resident will receive didactics covering an overview of correctional psychiatry. The resident will work in “South Block”, the mental health portion of HCC under the clinical guidance of HCC’s Director of Mental Health Joseph Nowinski, PhD, and Sohrab Zahedi, MD, a double-boarded adult and forensic psychiatrist who is a 2008 graduate of UConn’s Psychiatry Residency Program.

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Garner Correctional Institution - website

Garner C.I. is the correctional facility that houses the most severely/chronically mentally ill inmates within Connecticut. As a 600 bed high security facility, it has a 28 bed acute care psychiatric unit, in addition to housing up to 360 inmates with intensive mental health needs, thus providing acute psychiatric care for the most acutely ill inmates throughout the state. Offenders from throughout the system, both pretrial and sentenced, are assigned here. The facility is staffed with three psychologists, five psychiatrists, social workers, nurse clinicians, rehab therapists, internists, and nurses. The lead supervising Psychiatrist is Dr. Ginny Gerbino, formerly an Associate Professor at Albert Einstein School of Medicine, and Dr. Maurice Lee (a 2006 UConn Psychiatry Residency Graduate) directs treatment for the chronically ill inmates on the lower functioning units. Psychologists are available to teach risk assessment instruments and they regularly lead sex offender groups. All of the psychiatrists and psychologists are available to provide supervision to residents rotating at this facility.

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Middlewoods Assisted Living Facility - website

Located near the UConn Health Center in Farmington, CT, this site provides an ideal setting in which residents can refine their skills working with a growing outpatient geriatric population.

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