Abstract
Transforming the mental health system into a recovery oriented, integrated system of care requires a psychiatric work force that understands the relationship between recovery processes and community living. Fellowship programs in public and community psychiatry contribute to this transformation by educating psychiatrists about recovery, system dynamics, leadership, effective administration and community involvement. This paper describes a novel approach to fellowship programming that accomplishes these aims through an organizational strategy that emphasizes community engagement. After describing the administrative background for the program, we describe how the content curriculum and teaching process focus on the engagement of community members—both service users and service providers—as participating faculty. The faculty includes over 100 consumers, family members, advocacy group representatives, clinicians, and administrators. We present evaluation data obtained from 45 of the 100 community and university faculty who participated in the first 2 years’ of the fellowship and conclude with a critique and recommendations for further progress in community engaged fellowship training.
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References
American Association of Community Psychiatrists. (2007). In W. Sowers & K. Thompson (Eds.), Keystones for collaboration and leadership: Issues and recommendations for the transformation of community psychiatry. www.communitypsychiatry.org.
American Association of Community Psychiatrists. (2008). Guidelines for developing and evaluating public and community psychiatry training fellowships. http://www.communitypsychiatry.org/publications/clinical_and_administrative_tools_guidelines/fellowship.aspx.
Cashman, S. B., Adeky, S., Allen, A. J., Corburn, J., Israel, B. A., Montano, J., et al. (2008). The power and the promise: Working with communities to analyze data, interpret findings, and get to outcomes. American Journal of Public Health, 98(8), 1407–1417.
Christopher, S., Watts, V., McCormick, A. K., & Young, S. (2008). Building and maintaining trust in a community-based participatory research partnership. American Journal of Public Health, 98(8), 1398–1406.
Community-Campus Partnerships for Health. (2011). Community-campus partnerships for health. Definitions, tools and resources, web links. Retrieved July 31, 2011, from http://ccph.info/.
Feiner, J. S., & Brown, D. B. (1964). Psychiatric care of the urban poor: An ecological system approach. Einstein Quarterly Journal of Biological Medicine, 2, 126–135.
Hogness, J. R. (1969). The responsibility of the academic health science center to other health education programs in the community. Annals of the New York Academy of Sciences, 166(3), 885–889.
Israel, B. A., Schulz, A. J., Parker, E. A., & Becker, A. B. (1998). Review of community-based research: Assessing partnership approaches to improve public health. Annual Review of Public Health, 19, 173–202.
Pollack, D., & Minkoff, K. (2001). The medical director’s role in organized care delivery systems. Textbook of administrative psychiatry: New concepts for a changing behavioral health system (2nd ed., p. 91). Washington, DC: American Psychiatric Publishing, Inc.
Ranz, J. M., Deakins, S. M., LeMelle, S. M., Rosenheck, S. D., & Kellermann, S. L. (2008). Core elements of a public psychiatry fellowship. Psychiatric Services, 59(7), 718–720.
Ranz, J., Eilenburg, J., & Rosenheck, S. (1997). The psychiatrist’s role as medical director: Task distributions and job satisfaction. Psychiatric Services, 48(7), 915–920.
Ranz, J., McQuistion, H. L., & Stueve, A. (2000). The role of the community psychiatrist as medical director: A delineation of job types. Psychiatric Services, 51(7), 930–932.
Ranz, J., Rosenheck, S., & Deakins, S. (1996). Columbia University’s fellowship in public psychiatry. Psychiatric Services, 47(5), 512–516.
Ranz, J., Stueve, A., & McQuistion, H. L. (2001). The role of the psychiatrist: Job satisfaction of medical directors and staff psychiatrists. Community Mental Health Journal, 37(6), 525–539.
Resource A2: New Freedom Commission. (2002–03). President’s New Freedom Commission on Mental Health. www.MentalHealthCommission.gov.
Rosen, A. (2006). The community psychiatrist of the future. Current Opinion in Psychiatry, 19(4), 380–388.
Rutherford-Stewart, C. Kauper-Brown, J., & Seifer, S. D. (2005). Community-engaged scholarship for health collaborative: Frequently asked questions. Seattle: Community-Campus Partnerships for Health. http://depts.washington.edu/ccph.
SAMHSA. Recovery to practice—project overview. Retrieved July 31, 2011, from http://www.apna.org/files/public/Recovery_to_Practice_Overview.pdf.
Sowers, W. (2005). Transforming systems of care: The American Association of Community Psychiatrists guidelines for recovery oriented services. Community Mental Health Journal, 41(6), 757–774.
Sowers, W., Pollack, D., Everett, A., Thompson, K. S., Ranz, J., & Primm, A. (2011). Progress in workforce development since 2000: Advanced training opportunities in public and community psychiatry. Psychiatric Services, 62(7), 782–788.
Wenger, L., Hawkins, L., & Seifer, S. D. (2012). Community-engaged scholarship: Critical junctures in research, practice, and policy. Journal of Higher Education Outreach and Engagement, 16(1), 171–182.
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Sowers, W., Marin, R. A Community Engaged Curriculum for Public Service Psychiatry Fellowship Training. Community Ment Health J 50, 17–24 (2014). https://doi.org/10.1007/s10597-012-9587-x
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DOI: https://doi.org/10.1007/s10597-012-9587-x