Rotations: Adolescent Inpatient Psychiatry, Pediatric C&L, Pediatric Emergency Psychiatry, Pediatric Neurology, BEST (child IOP/PHP), RISE (adolescent IOP/PHP)
Sacred Heart Medical Center and Children’s Hospital (SHMC) is a mission-based, not-for-profit health care system in Spokane, WA. At 644 beds, it is the largest medical center in the Inland Northwest and the largest between Seattle and Minneapolis. It is a referral center for much of the region and has a catchment region extending 300-400 miles. SHMC serves an ethnically and socioeconomically diverse population that is representative of the community and region. All major psychiatric and medical diagnoses are represented given the large catchment. Regarding medical care, only burns, extensive trauma, and certain organ transplants are referred to Seattle, otherwise all major medical conditions are served at SHMC.
Rotations: Continuity Clinic, Collaborative Care Clinic, Telepsychiatry, Psychotherapy
Spokane Teaching Health Clinic is a state of the art, interprofessional clinic, fulfilling two main aims; a focus on excellent in clinical care, and true integration in primary care specialties embedded with pharmacy, legal aid, physical and occupational therapy, social work, and on-site laboratory and imaging services. Psychiatry residents and fellows work along residents in Family Medicine, Internal Medicine, and Rural Family Medicine, as well as medical, pharmacy, and social work students.
Nearly 60% patients have either medicaid or medicare insurance: 30% patients have medicaid insurance, 27% have medicare insurance. They are often patients who are not eligible to receive services in other settings, such as the community mental health clinic (because they have moved to medicare insurance) or in the private practice setting. The clinic provides an Integrated Behavioral Health to Family Medicine and Internal Medicine Spokane Residencies whose outpatient clinics are also located at this site.
Rotation: Child and adolescent ambulatory clinic, electives.
Frontier Behavioral Health (FBH) is a Community Mental Health Center. It is a non-profit organization serving the Spokane region for more than 100 years. FBH has approximately 500 staff at 13 service sites throughout Spokane County and serves over 12,000 individuals and families each year. It is the Lead Service Provider in the Spokane County Regional Support Network (SCRSN) and collaborates with over 100 other organizations, mental health, and substance abuse treatment providers throughout the community. FBH provides comprehensive, multidisciplinary community mental health care for children, adults, and elders with complex mental health problems for a broad range of patients in all diagnostic categories. The majority is of lower socioeconomic status and minorities are over-represented relative to the community. 95% of the patients served by this organization have Medicaid or Medicare insurance. It provides case management, individual, group and family therapy and psychiatric and psychological services.
Rotations: School Based Psychotherapy
Spokane Public School District is the largest school district in Eastern Washington and the second largest in Washington State, with ~30,000 students and 1,800 teachers. The district includes 34 elementary schools (preschool-6th grade), 6 middle schools (7-8th grade), and 7 high schools (9-12th grade).There are ~1,400 English Language Learners, speaking 56 different languages. 25% of students are considered an ethnic minority and 57% of students qualify for federal free / reduced meals. Spokane Public School District is also a Licensed Mental Health Clinic and employs several dozen therapists and leadership team of PhD psychologists. It sponsors several psychology interns each year for their practicum experience. The Mental Health Clinic provides comprehensive behavioral and psychotherapy clinics to all students in the district.
Rotations: Early child development / intellectual disability
Beginning as Spokane Guilds’ School &U Neuromuscular Center in 1960, Joya is a comprehensive program offering early intervention for children ages birth to 3 and serves 300 children in Spokane County each year. A multidisciplinary team of social workers (family resources coordinator, social workers, pediatricians) therapists (occupational, physical, speech, cognitive), teachers, and medical professionals (pediatricians) work together to provide individualized comprehensive, and developmentally appropriate treatment plans.
Rotation: Electives
Excelsior Wellness Center is a community-based nonprofit organization dedicated to helping youth and families achieve wellness by living improved lives. Excelsior offers behavioral health, education, and specialty services. Behavioral health services include outpatient (health and wellness education, substance use services, assertive community services, and outpatient psychiatric care) and inpatient services (acute stabilization, recovery housing, intensive outpatient for substance use, transition age housing, and extended foster care housing). Education services include middle school, high school, GED preparation, online learning, and vocational training.
Rotation: Forensics
Spokane County Juvenile Court Services is committed to providing a system that is free of bias based on gender, race, ethnicity, and for other marginalized communities, and by promoting public safety, accountability, and positive change for delinquent, dependent, at-risk children, and their families. The Juvenile Detention is a 39-bed facility with 51 full time staff and 54 volunteers. In 2018, there were 1,173 bookings and 821 detained at Juvenile Detention.
Rotation: Electives
The mission of LTHC is to raise the health status of the Lummi people, other American Indiana and Alaska Natives to the highest possible level. To care out this mission, the LTHC provides comprehensive health care such as outpatient medical, dental, physical therapy, mental health, preventive healthcare and public health services. LTHC offers a wide range of services including: family medicine, pediatrics, gynecology and reproductive care, psychiatry, dental and orthodontics, physical therapy, counseling, pharmacy and onsite lab and xray.
