Child and Adolescent Psychiatric Unit

Unit serving patients age 17 and under, including 18 if still actively enrolled in high school, with a psychiatric disorder and in acute crisis: risk of harm to self or others, or unable to fulfill age appropriate responsibilities. Eighteen beds total with eight beds belonging to the teaching service and are divided between two residents with responsibilities for four patients each. Residents will work under the supervision of a child and adolescent psychiatrist as part of a multidisciplinary team including psychiatric nurses, child psychologists, social work, child-life professionals, occupational and recreational therapists, and advanced practice providers to delivery family-centered care to patients and their family systems.

Acute Care Psychiatry Unit

Unit serving patients age 18-55, accommodating involuntary and voluntary patients with a psychiatric disorder and in acute crisis: risk of harm to self or others, or unable to fulfill age appropriate responsibilities. Twenty-five beds total with 10 beds belonging to the teaching service and are divided between two residents with responsibilities for five patients each. Under the supervision of an attending psychiatrist, residents will work collaboratively as a member of the multidisciplinary team delivering comprehensive psychiatric treatment including medication and psychosocial interventions.

Medical/Geriatric Psychiatry Unit

Unit serving patients age 18-55, accommodating involuntary and voluntary patients with a psychiatric disorder and in acute crisis: risk of harm to self or others, or unable to fulfill age appropriate responsibilities. Serves cognitively intact patients with significant medical problems who are at imminent risk to harm themselves or others, and geriatric patients (age 65+) who are cognitively impaired patients whose dementing illness is associated with concomitant psychiatric and behavioral difficulties impairing safety in their current living arrangement. Fourteen beds total with seven beds belonging to the teaching service with a resident responsible for seven patients each. Under the supervision of an attending psychiatrist, residents will work collaboratively as a member of the multidisciplinary team delivering comprehensive psychiatric treatment including medication and psychosocial interventions.

Mood Disorders Psychiatry Unit

Unit serving patients age 18-65, accommodating involuntary and voluntary patients with a psychiatric disorder and in acute crisis: risk of harm to self or others, or unable to fulfill age appropriate responsibilities. Sixteen beds total with four beds belonging to the teaching service with a resident responsible for four patients each. Under the supervision of an attending psychiatrist, residents will work collaboratively as a member of the multidisciplinary team delivering comprehensive psychiatric treatment including medication and psychosocial interventions. Residents rotating on this service later in their training will serve in a junior attending role, directing the treatment team with greater autonomy and independence.

Assertive Community Treatment (ACT)

We are fortunate to have two ACT options available — one in Owatonna, MN and the second a partnership between Mayo Clinic and Olmsted County. The ACT rotation provides residents with exposure to some of the central pillars of Community Psychiatry such as: public health and prevention, recovery and person-centeredness, and advocacy. During this rotation, residents participate in treatment of persons with serious and persistent mental illness in an interdisciplinary, community based setting using the Assertive Community Treatment (ACT) model of care. Besides familiarizing residents with various options to meet patients’ needs individually, this rotation will provide exposure to the various systems of care which our patients must navigate.

Hazelden Betty Ford

Residents gain first-hand experience working with adolescents (and their families) who are struggling with and trying to recover from substance use disorders. They will have the opportunity to better understand and recognize chemical dependency as a treatable illness that causes problems in many life areas while working within a program based on the principles and practices of the 12-step program, designed to aid the recovery of the whole person — physical, mental, social, spiritual — in the least restrictive environment possible.

Federal Medical Center (FMC)

At FMC-Rochester, residents gain a better understanding of psychopathology as it presents in federally committed and sentenced inmates in order to gain a greater appreciation for their bio-psycho-social needs. This lends to residents understanding the complex relationship between mental illness and criminogenic risk factors, the complex systems and interactions between mental health care and custody within the Bureau of Prisons, and become more familiar with medical and psychological approaches to mental health treatments in the Bureau of Prisons. Additionally, residents learn processes for release and discharge planning as inmates return to the community.

Good Samaritan — Salvation Army Clinic

The Good Samaritan Clinic is a weekly evening free clinic for the community of Rochester generally facilitated by a Mayo psychiatrist. Residents have the opportunity to provide care to an ethnically diverse and underserved patient population while gaining competency of cost-effective medication management in patients with economic hardship. This is not only a rotation option but residents often volunteer on their own time as well.

VA Medical Center (VAMC) — MSP

Residents have the opportunity to rotate at the VA in order to gain further experience and knowledge in general psychiatry as it pertains to the VA patient population including but not limited to: competence in treating veterans with PTSD; assessing TBI injury extent, likely prognosis, determining appropriate pharmacological treatment, recommending necessary behavioral interventions, and learning social interventions for ensuring safe progress in the community; as well as compare and contrast methods of treatment as well as logistical processing of cases between the Minneapolis VA and Mayo Clinic to gain a wider base of experience with these systems.