Affiliated Instituations
CHILDREN'S HOSPITAL NATIONAL MEDICAL CENTER (CNMC)
The Institution
Children's National Medical Center(CNMC) is a leading pediatric training hospital located in the heart of the nation's capital. It is nationally recognized for its high level of training, clinical practice, and research in all areas dealing with infants, toddlers, school-age children, adolescents, and their families. The hospital attracts patients and their families from the District of Columbia and the adjoining states of Virginia and Maryland. These sources provide rich clinical experiences with youth from multiple cultures and ethnic backgrounds.
The CNMC Department of Psychiatry
The CNMC Department of Psychiatry is one of the oldest child psychiatry departments in the nation. All faculty members hold appointments in the GWU Department of Psychiatry and Behavioral Sciences. The current Chair is Dr. Paramjit Joshi, a leading figure in psychiatric research and training. Dr. Joshi is committed to developing the research mission of the department and to providing research training opportunities for child psychiatry residents.
The CNMC child and adolescent psychiatry training program is especially strong in the treatment of severely disturbed children and youth, family therapy, infant and toddler psychiatry, pediatric consultation-liaison psychiatry, and public sector psychiatry. From its inception, the training program of the Department of Psychiatry has promoted comprehensive clinical service and advocacy for child and adolescent mental health. Faculty members are active in child and adolescent mental health affairs nationally. Many are involved in regional and local mental health committees as well.
Superior faculty, diverse cultural and socioeconomic populations, a broad spectrum of clinical problems, the most modern pediatric facilities, countless research opportunities, and one of the most attractive and exciting urban centers in the nation all contribute to making Children's National Medical Center a superb training site.
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NORTHERN VIRGINIA MENTAL HEALTH INSTITUTE (NVMHI)
The Northern Virginia Mental Health Institute (NVMHI) is a 127 bed, JCAHO approved psychiatric hospital administered by the Virginia Department of Mental Health, Mental Retardation, and Substance Abuse Services. As the prototype for Virginia's regional psychiatric facilities, the NVMHI provides a continuum of patient care, including:
- A 25 bed, limited access, acute treatment unit
- Two intermediate units, with a total of 58 beds
- A community re-integration unit of 44 beds
- An active, on-site rehabilitation program.
The average length of hospitalization is 39 days for acute to subacute patients but can be longer for forensic patients mandated by the courts. Patients who are admitted reflect the multi-ethnic populations of Northern Virginia. Treatment discourages institutional dependence and emphasizes early, gradual resumption of family and community responsibilities with outpatient treatment. The hospital is located on the grounds of Fairfax Hospital, which provides medical and surgical support. The facility is accessible to GW by car and by public transportation via train and bus lines.
The Northern Virginia Mental Health Institute is a key component of inpatient psychiatry training during the PGY-II year, offering training on interdisciplinary teams with intensive treatment of patients diagnosed with psychotic, dissociative, mood, and severe personality disorders. Residents participate in forensic evaluations involving involuntary commitments for hospitalization, including court proceedings. A PGY-IV resident can serve as Chief Resident, directing a multi-disciplinary treatment team, treating psychiatrically complex disorders, and teaching junior residents and medical students.
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THE GEORGE WASHINGTON UNIVERSITY
INSTITUTE FOR SPIRITUALITY AND HEALTH
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The George Washington Institute for Spirituality and Health (GWISH) is a university-based organization that is working towards a more compassionate system of healthcare. The research, educational, and advocacy programs of GWISH bring increased attention to the spiritual needs of patients, families, and the healthcare professionals. GWISH has sponsored the John Templeton Foundation Curricular Awards that have supported the implementation of spirituality and health in the curriculum of numerous medical schools and psychiatry, family medicine, and OB-GYN residencies throughout the United States. GWISH is collaborating with the American Association of Medical Colleges (AAMC) in development of ethical guidelines for teaching spirituality, end-of-life, and cultural issues in medical education. Dr. Christina Puchalski, Director of GWISH, is co-convener of the spirituality task force for the Robert Wood Johnson Foundation's Last Acts Campaign and Associate Course Director for the Harvard Medical School and Mind/Body Institute's annual Spirituality & Healing in Medicine Conference. The GWU Department of Psychiatry and GWISH collaborate closely in multiple educational and clinical research endeavors.
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UNIVERSITY MENTALHEALTH CENTER
The Mental Health Center (MHC) at Gallaudet University is located on the campus of the world's only four-year liberal arts university for deaf and hard of hearing undergraduate students. Gallaudet University offers graduate-level programs available to deaf, hard of hearing, and hearing students. In addition, summer and continuing education coursework, as well as sign language classes, are offered.
The Gallaudet University MHC's primary goal is to serve the mental health needs of a wide range of clients, both the students of Gallaudet University and deaf and hard of hearing adults in the Washington metropolitan area. Mental health services are provided by an interdisciplinary team of psychotherapists, counselors, and psychiatrists. Gallaudet MHC is a training site for graduate student-trainees in psychology, social work, and other mental health disciplines. A program of clinical research furthers an understanding for how mental health services can best respond to the problems of deafness.
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GREEN DOOR, INC.
Green Door, Inc. is a District of Columbia core service agency that provides community psychiatric treatment for patients with severe and persistent mental illnesses. Since 1976, Green Door has helped nearly 3,000 District of Columbia residents move from institutions and homeless shelters, to lead fulfilling, independent lives. Green Door has been recognized nationally for the success of its program, which in 2007 achieved a remarkably low re-hospitalization rate of only 7% among its patients. Housing services, community support services, and job training and placement are provided, in addition to psychiatric treatment and case management. PGY-III and PGY-IV residents learn community psychiatry and mental health services delivery through their work on interdisciplinary treatment teams at Green Door.
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INOVA FAIRFAX HOSPITAL
Inova Fairfax Hospital and the George Washington University School of Medicine are primary academic partners across all medical and surgical specialties. Inova Fairfax Hospital, located in Falls Church, VA, is a 950-bed regional medical center with a nationally renowned medical staff, highly skilled nurses, and a full range of medical, surgical, and support services. The hospital includes Northern Virginia's only Level 1 trauma center. Inova Fairfax Hospital is one of only six community hospitals in the nation offering the full spectrum of organ transplantation. The Inova Heart and Vascular Institute houses 156 beds as the region's only facility dedicated exclusively to heart and vascular care. The 153-bed Inova Fairfax Hospital for Children is the only children's hospital serving critically ill children in Northern Virginia. The obstetrics program is the fifth busiest in the nation.
The Department of Psychiatry at Inova Fairfax Hospital is nationally renowned for its leadership in consultation-liaison psychiatry and psychosomatic medicine. GWU psychiatry residents complete rotations during their PGY-I, PGY-II, and PGY-IV years on the 30-bed INOVA Fairfax psychiatric inpatient unit, Comprehensive Addiction Treatment Services (CATS), day treatment, and consultation-liaison services.
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The McClendon Center
The McClendon Center is a District of Columbia Core Service Agency that serves the needs of approximately 700 adults diagnosed with serious and persistent mental illness. Its individualized, multidisciplinary programs seek rehabilitation of patients as persons, by fostering creativity, friendship, stability, independence, emotional growth, and greater participation in the community. The Center provides day programming, case management, psychiatric care, and counseling at two sites. McClendon Center is the only Washington, DC community mental health agency with accreditation from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). PGY-III and PGY-IV residents learn community psychiatry and mental health services delivery through their work on McClendon Center interdisciplinary treatment teams.
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Northern Virginia Family Services
The Multicultural Human Services Program of Northern Virginia Family Services (NVFS) in Falls Church, Virginia, provides extensive community mental health services for immigrants and refugees in Northern Virginia, a region in which 180 countries and 100 languages are represented in the public schools. NVFS provides social services such as housing assistance, English as second language, job skill training, psychological assessments for refugees seeking political asylum, and mental health counseling. For over a decade, the Program for Survivors of Severe Trauma and Torture (PSTT) has been one of our nation’s major treatment programs for survivors of political torture. The PSTT program is funded by the U.S. Office of Refugee Resettlement and other humanitarian organizations.
Psychiatric services for NVFS are provided by GWU psychiatry faculty, residents, and medical students. Faculty and residents treat both refugees with posttraumatic symptoms from political violence, war, or torture in their countries of origin, and immigrants with mental disorders unrelated to traumatic stress. Most clinical work is conducted with translators.
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Pathways to Housing DC
Pathways to Housing DC is a unique community agency that specifically targets homelessness among people in the District of Columbia who are disabled by mental illnesses. Pathways for Housing has received numerous awards and commendations for the effectiveness of its innovative program, including the Gold Award from the American Psychiatric Association. Most Pathways patients have been both homeless and dually-diagnosed with mental illnesses and substance use disorders. The "housing first" Pathways model provides housing first, then supportive treatment services for mental and physical health, substance abuse, education and employment. Housing is provided in apartments scattered throughout the community. Psychiatric care is supported by ten ACT teams that make home visits and respond to crises. A walk-in psychiatric clinic is provided at the Q Street NE center. PGY-III and PGY-IV residents learn assertive community treatment and the "housing first" model at Pathways for Housing DC.
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Unity Health Care, Inc.
Unity Health Care, Inc. is the major provider of primary care of medical services for working poor, immigrants, and homeless patients in Washington, DC. Unity clinicians provide medical care for 82,000 patients through 530,000 return patient visits. Unity has a network of 29 neighborhood health centers covering all eight wards of the city. These include Women, Infants, and Children (WIC) Centers, specialty medical clinics, mobile outreach vans for homeless and substance abusing patients medical services for the city jail, and medical and dental services for homeless shelters. It provides medical and dental services for the 1,350 bed Community for Creative Non-Violence Shelter, one of the nation’s largest sheltered living program for homeless people. PGY-III and PGY-IV psychiatry residents work on interdisciplinary treatment teams alongside internists, pediatricians, family physicians, obstetricians, and other medical specialists treating psychiatric problems in Unity’s primary care settings.
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WASHINGTON PSYCHOANALYTIC INSTITUTE
The Washington Psychoanalytic Institute (WPI) trains mental health clinicians for careers in psychoanalytic practice, teaching, and research. The WPI was founded in 1914 at St. Elizabeths Hospital, with William Alanson White as its first Chairman. Frieda Fromm-Reichmann and Harry Stack Sullivan were founding faculty. From its Freudian origins, the WPI has gone on to integrate object relations and self-psychology approaches, as well as more recent intersubjective and constructivist views. The WPI provides a broad range of conferences, workshops, and lecture series on topics relevant to psychoanalysis and psychoanalytically-informed psychotherapy, including a popular "Psychoanalytic Perspective on Theater" with post-performance discussions of plays at metropolitan area theaters by a psychoanalyst.
The GWU Department of Psychiatry and the Washington Psychoanalytic Institute formalized an educational and research partnership in 2002. WPI classes and administrative meetings are conducted within the facilities of the GWU Department of Psychiatry. The Department of Psychiatry and WPI co-sponsor scientific and educational conferences, such as the 2003 conference on "The Psychology of Terrorism. " GWU psychiatry residents with specific interests attend WPI classes, and selected residents train jointly in psychiatry residency and psychoanalytic training. Many WPI members teach medical students and psychiatry residents or supervise residents' psychodynamic psychotherapies.
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Woodburn and Mt. Vernon Mental Health Centers of
the Fairfax County Community Services Board
Woodburn and Mt. Vernon Mental Health Centers of
the Fairfax County Community Services Board, operated by the Fairfax County Community Services Board, each provides a broad range of mental health services in Fairfax County, Virginia, for the treatment of mental illnesses and for prevention and early intervention to reduce incidence and severity of emotional and behavioral disorders. Their programs include emergency services, crisis intervention, forensic services, outpatient psychotherapy, medication management, community support programs, day treatment, and residential treatment. Well-funded and staffed with seasoned clinicians, they serve as model community mental health systems. GWU psychiatry residents can elect PGY-IV advanced level community psychiatry rotations at Woodburn and Mt. Vernon Mental Health Center.
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