Abstract
The ability of mental health practitioners to work well with persons with serious long-term mental illness has expanded significantly over the past two decades. Learning to do this well involves acquiring a broad base of knowledge and a complex range of skills. Such knowledge and experience must be incorporated into the basic residency curriculum for general psychiatrists, though with some notable exceptions this has not occurred for a number of important reasons, including money and the new image that psychiatry is trying to assume. The key elements of such a curriculum include 1) specific learning goals, 2) working within an effective treatment system with high quality clinical rotations, 3) good role models, 4) high quality psychiatric supervision, 5) a well-grounded didactic program, and 6) high quality clinical rotations. We discuss these elements in detail, and we describe the training program in community psychiatry at the University of Wisconsin Medical School Department of Psychiatry. Our residency training program and supervising faculty are affiliated with and partially funded by the Mental Health Center of Dane County to the benefit of both. This marriage between the public-sector mental health care provider and the academic psychiatric training program has created benefits for both parents plus a fertile environment for training future generations of psychiatrists.
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References
American Psychiatric Association, Committee on Rehabilitation. (1983). Guidelines for psychiatric evaluation of social security disability claimants.Hospital and Community Psychiatry, 34, 1044–1051.
American Psychiatric Association, Division of Government Relations. (1983). Testimony presented before the Subcommittee on Social Security, Ways and Means Committee, U.S. House of Representatives (unpublished reproduction). Washington DC, American Psychiatric Association.
Cutler, D.L., Bloom, J.D., & Shore, J.H. (1981). Training psychiatrists to work with community support systems for chronically mentally ill persons.American Journal of Psychiatry, 138, 98–191.
Davidson, R.E., Factor, R.M., Gundlach, E., & Adler, K. (1988). Roles of psychiatric nurses in a community mental health center.Community Mental Health Journal, 24, 83–86.
Eichler, S. (1982). Why young psychiatrists choose not to work with chronic patients.Hospital and Community Psychiatry, 33, 1023–1024.
Faulkner, L.R., Eaton, J.S., Jr., Bloom, J.D., et al. (1982). The CMHC as a setting for residency eduction.Community Mental Health Journal, 18, 3–10.
Gilman, S.R., & Diamond, R.J. (1985). Economic analysis in community treatment of the chronically mentally ill. In Stein, L.I. and Test, M.A. (Eds.).The training in community living model: A decade of experience. New Directions for Mental Health Services, no. 26. San Francisco: Jossey-Bass.
Goldman, H.H., & Runch, B. (1985). Social Security Administration revises mental disability rules.Hospital and Community Psychiatry, 36, 343–345.
Goodrick, D. (1984). Survival of public inpatient mental health systems: strategies for constructive change. Presented at the Nation Conference of State Legislatures Program, Boston, July 25, 1984.
Krajelski, J., & Lipsett, M. (1987). The psychiatric consultation for Social Security Disability Insurance. In Meyerson, A.T. and Fine, T., (Eds.),Psychiatric disability: Clinical, administrative, and legal aspects. Washington: American Psychiatric Press.
Mirabi, M., Weinman, M.L., Magnetti, M.S. et al. (1985). Professional attitudes toward the chronic mentally ill.Hospital and Community Psychiatry, 36, 404–405.
Nielson, A.D., Stein, L.I., Talbott, J.A. et al. (1981). Encouraging psychiatrists to work with chronic patients: opportunities, and limitations of residency education.Hospital and Community Psychiatry, 32:767–775.
Stein L.I. (1987). Funding a system of care for schizophrenia.Psychiatric Annals, 17:592–598.
Stein, L.I., & Diamond, R.J. (1985). A program for difficult-to-treat patients. In Stein, L.I. and Test, M.A. (Eds.),The training in community living model: A decade of experience. New Directions for Mental Health Services, no. 26. San Francisco: Jossey-Bass.
Stein, L.I., & Test, M.A. (1980). Alternative to mental hospital treatment, I: conceptual model, treatment program, and clinical evaluation.Archives of General Psychiatry, 37, 392–397.
Weisbrod, B.A., Test, M.A., & Stein, L.I. (1980) Alternative to mental hospital treatment, II: Economic benefit-cost analysis.Archives of General Psychiatry, 37, 392–397.
White, H.H., & Bennett, M.B. (1981). Training psychiatric residents in chronic care.Hospital and Community Psychiatry, 32, 339–343.
Wilson, W.H., Diamond, R.J., & Factor, R.M. (1985). An approach to group therapy with severely disturbed patients.Yale Journal of Biology and Medicine, 58, 363–372.
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Factor, R.M., Stein, L.I. & Diamond, R.J. A model community psychiatry curriculum for psychiatric residents. Community Ment Health J 24, 310–327 (1988). https://doi.org/10.1007/BF00752474
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DOI: https://doi.org/10.1007/BF00752474