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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, under the
leadership of Dr. Peter Daniolos, 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.
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 (20 minutes) 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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CENTER FOR MULTICULTURAL HUMAN SERVICES
The
Center for Multicultural Human
Services (CMHS) in Falls Church, Virginia, provides
extensive community mental health services for immigrant and
refugees in Fairfax County, Virginia, a county in which 180
countries and 100 languages are represented in the public
schools. CMHS provides broad programs of social services
including housing assistance, English as second language
classes, job skill training, psychological assessments for
refugees seeking political asylum, and mental health counseling
in 28 different languages. A program for survivors of torture
and severe trauma is funded by the U.S. Office of Refugee
Resettlement and the United Nations.
Psychiatric services for CMHS are provided by GWU faculty,
residents, and medical students as an on-site extension of the
GWU Department of Psychiatry clinical programs. Faculty and
residents treat both patients with post-traumatic disorders
associated with torture, political violence, or war in their
countries of origin, and patients with mental disorders
unrelated to trauma. Most clinical work is conducted with
translators. Currently, five PGY-III residents conduct
outpatient clinics at CMHS under the supervision of GWU
full-time psychiatry faculty.
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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.
GALLUADET 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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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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VIRGINIA HOSPITAL CENTER
Virginia Hospital Center
(VHC) for nearly 60 years has been the major medical center in
Northern VirginiaÕs Arlington County, providing medical,
surgical, mental health, and emergency medical care. As a
general hospital, it has fulfilled a dual mission, supporting
private practices for a broad array of medical specialties,
while also providing care for the medically-uninsured through
the Arlington Foundation. In 2004, VHC moved into its new $150
million dollar, nine-story facility with 334 beds, including a
20 bed general psychiatry unit.
PGY-II
residents at VHC learn inpatient psychiatry with a primary care
patient population in which diagnoses of mood disorders, alcohol
and substance dependence, and disorders of aging predominate.
Residents learn how to utilize electroconvulsive therapy. They
participate in a program for alcohol and substance abuse that
includes both acute detoxification and rehabilitation. They
conduct psychiatric consults on the medical and surgical
services, including liaison rounds in the medical and
respiratory intensive care units. A PGY-IV Chief Resident
teaches and supervises PGY-II residents and GWU medical
students, while also serving as consultation-liaison
psychiatrist for the hospital.
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WASHINGTON PSYCHOANALYTIC INSTITUTE
The
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 MENTAL HEALTH CENTER
The
Woodburn Mental Health Center provides a broad range of
mental health services in Falls Church, Virginia, for the
treatment of mental illnesses and for prevention and early
intervention to reduce the incidence and severity of emotional
and behavioral disorders. Woodburn MHC programs assist children,
adults, and families of the mentally-ill in becoming valued and
contributing members of the broader community. Approximately
2,400 people each year receive assistance through their
services.
Woodburn
MHC provides for the GWU psychiatry residency a weekly half-day
PGY-III community psychiatry rotation that focuses upon the
assessment and treatment of patients with severe mental
disorders. A flexible range of options for training experiences
is offered, depending on the career goals of each resident
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