Residency Clinical Services
Residency Program Clinical Affiliations
Harris Health System and Ben Taub Hospital
The Harris Health System, primarily through its flagship Ben Taub Hospital, and its 13 Community Health clinics, and 5 pediatric and school based centers, provides mental health care to the Houston community without regard to insurance benefits or financial status. Within Ben Taub, there is a dedicated, 12-bed, psychiatric emergency room, with a similar capacity med psych emergency area, where over 800 patients are evaluated each month. For those in need of more prolonged care, the hospital houses a 20 bed inpatient unit with a focus on care for those with comorbid mental illness and significant physical health concerns. Adult consultation and liaison service is also available to the general hospital patients, and is a very busy service with servicing 300-400 patients a month. Outpatient services are provided for those patients in need of all ages. In the adult outpatient clinic and in the child outpatient clinic, residents are responsible for the evaluation of new patients, maintenance pharmacotherapy, and limited group and/or individual psychotherapy. Ben Taub is also home to intensive outpatient programs for personality disorders, mostly borderline personality disorders. Approximately 1500-2000 patients per month are evaluated in Ben Taub. In addition to the above mentioned hospital based services, district has the Community Behavioral Health Program which provides psychiatric and psychotherapy services as well as limited substance abuse services in an integrated care setting with primary care physicians at 18 primary care community health centers serving between 2000-3000 psychiatric patients per month. All of the services within the Harris Health System present a broad exposure to the full range of mental conditions, to community and public psychiatry, to systems-based care, and to crisis intervention techniques. Additionally, there is an emphasis on research and clinical inquiry throughout all aspects of mental health care delivery within the greater Harris Health Care System.
The Methodist Hospital
Houston Methodist Hospital, formerly known as The Methodist Hospital, ranked among the country's top hospitals in 12 specialties in U.S. News & World Report 2013 America's "Best Hospitals" issue, and again was named the No.1 hospital in Texas.
Houston Methodist Hospital contains a recently remodeled 28 bed psychiatric service. Patients with a wide variety of disorders are admitted for brief and medium term pharmacotherapy and intensive individual or group therapy interventions. The unit is able to treat patients with both general medical and psychiatric disorders. The department also features the services of a clinical neuropsychologist for the treatment of cognitive issues related to brain injury, learning disorders or psychiatric conditions. Two adult psychiatrists, one board certified geriatric psychiatrist and one board certified psychosomatic psychiatrist provide clinical supervision to PGY II, III and IV residents who rotate at Houston Methodist Hospital. In their PGY II and IV years, residents have the opportunity to rotate on the consultant-liaison psychiatry team, consulting on psychiatrically and medically complicated patients throughout the hospital, including surgery, transplant, and oncology patients.
Michael E. DeBakey Veterans Affairs Medical Center
The Michael E. DeBakey VA Medical Center is the largest training site for residency programs at Baylor College of Medicine, including the psychiatry residency program. Approximately 18 psychiatry residents rotate at the MEDVAMC per month. These residents assist staff in the Mental Health Care Line, as well as Medicine and Neurology care lines, in providing care to our veteran patients. The breadth and scope of clinical experience offered at the MEDVAMC is reflected in the following statistics:
- 1,000 admissions/year to 45 acute beds
- 107,000 outpatient visits/year
- 5,000 emergency visits/year
- 600 inpatient consultations/year with
- 2,500 follow-up visits
Residents enjoy a diverse training experience at the MEDVAMC, rotating on a variety of multidisciplinary services that offer exposure to unique patient populations and treatment approaches. In addition to the medicine and neurology rotations required in the PGY I year, the MEDVAMC offers residents excellent training in consult/liaison psychiatry, geropsychiatry, substance dependence, and general psychiatry. Special rotations offering unique training opportunities include neuropsychiatry, psychosocial rehabilitation of patients with severe and persistent mental illness, primary care psychiatry, trauma recovery, assertive community treatment, and women's emotional wellness.
Residents participate in inpatient and outpatient care of patients, gaining experience with a number of treatment modalities such as diagnostic evaluation and multidisciplinary treatment planning; inpatient and outpatient consultation to non-psychiatric services; individual and group psychotherapy; day treatment and partial hospitalization, medication management, and assertive community treatment where the resident - along with a multidisciplinary team - evaluates and treats veterans with refractory mental illness in the community.
A myriad of research experiences are available through the MHCL's association with the South Central VA Mental Illness Research, Education, and Clinical Center for which the MEDVAMC serves as a "anchor site" for research in schizophrenia, functional neuroimaging, and geropsychiatry.
In addition to the vast array of clinical and research experiences, the MEDVAMC also offers important training for senior residents in administration, quality management, and education of medical students and physician assistant students.
Baylor Psychiatry Clinic
The Baylor Psychiatry Clinic is an outpatient clinic located in the Baylor College of Medicine Medical Office Building and offers a wide range of outpatient psychiatric services. Residents have a broad range of experiences within the clinic including individual psychotherapy, group psychotherapy, medication management, and specialized assessment of a wide variety of patients. All third year residents participate in a weekly psychodynamic psychotherapy case conference with the clinic faculty leadership. This clinic case conference is consistently rated as one of the residents' favorite seminars. Experience with multidisciplinary care is another advantage of the clinic. In addition to psychiatry residents, psychology interns and social work trainees participate in the care of patients and didactic activities.
The clinic offers a unique opportunity for residents to care for a wide range of patients and severities of psychopathology. The clinic allows residents to follow patients for the duration of their training and even beyond, encouraging the resident to experience a long term treatment relationship. Residents are expected to carry between 4 and 8 long term therapy cases during their third and fourth years. Faculty members offer specialized clinics in mood disorders, anxiety and OCD, eating disorders, transplant patients, and children and adolescents.
Texas Children's Hospital
Texas Children's Hospital is the largest children's hospital in the country. With 715 licensed beds, over 20,000 children are hospitalized here each year. Over 75,000 visits are made to the Emergency Center and over 425,000 out-patient visits are made annually. The Psychiatry Service provides round-the-clock consultation services to the Emergency Center, as well as to the in-patient and out-patient services. Both psychology and psychiatry personnel participate in consultations. In addition, liaison activities are an important part of our relationships with many of our pediatric colleagues.
Out-patient activities for the Psychiatry Service include working with families with a wide range of mental health and medical conditions. After a comprehensive evaluation, patients who have neuropsychiatric conditions that may be ameliorated by the use of psychotropic medications are followed in the clinic. Limited psychotherapy services are also available. In general, these services are directed toward patients seen by other services at Texas Children's Hospital. The focus of many interventions is on the adjustment to serious medical disorders. Several different models of therapy are utilized as patient needs dictate..
The Menninger Clinic of Houston
For nearly 90 years, The Menninger Clinic’s mission has included training mental health professionals in addition to providing quality patient care and research. Located approximately 10 minutes from Baylor College of Medicine in the Texas Medical Center, Menninger operates a 120-bed inpatient hospital as well as assessments, step-down and outpatient programs on its 50-acre campus that opened in 2012.
Menninger patients come from Texas and across the nation seeking comprehensive assessment and treatment of complex and co-occurring psychiatric disorders. Two-thirds of patients have substance abuse or other conditions. Most of Menninger’s inpatients have had at least two prior hospitalizations and enter a specialty treatment program as a self-pay patient.
Second-year General Psychiatry Residents complete a two-month rotation in one of Menninger’s adult specialty treatment programs – Compass program for young adults, Hope program for adults or the Professionals in Crisis program. These rotations give the resident the opportunity to be an active member of an interdisciplinary treatment team and work with patients over the course of their six- to eight-week stay to identify and treat core issues and co-occurring disorders simultaneously. Residents benefit from clinical work within a team environment, supervision and seeing the rewards of patients making use of various treatment modalities and progressing toward recovery.
Fourth-year Residents choose elective and selective rotations that may include the Professionals in Crisis program or the three-week Comprehensive Psychiatric Assessment Service (CPAS). CPAS provides an alternative to typical acute programs for stabilization and also provides customized diagnostic workups.
The hospital offers tracks for addictions and eating disorders when adult or adolescent patients need to address these issues. Clinicians in these two fields may join the treatment team, which is comprised of a psychiatrist, psychologist, social worker, nurse and rehabilitation specialist. In addition, a variety of research opportunities are available for clinical and basic neuroscience research.”
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