General Psychiatry Training Sites
Jail Psychiatric Services
The Sacramento County Main Jail is located in the heart of downtown Sacramento. The Jail houses 2,400 inmates with an 18-bed inpatient psychiatric unit. Approximately 20% of the inmates in the Jail have a prior psychiatric history. During this clinical experience, residents are part of the clinical team providing care on the inpatient psychiatric unit. Psychiatry residents rotate at the Sacramento County Main Jail in their PGY1 year with PGY4 residents playing a team leadership role with attending supervision. Opportunities are available for selective experiences starting the PGY2 year in the jail outpatient clinic, intensive outpatient program, and Jail Based Competency Treatment program for inmates who have been found incompetent to stand trial.
The forensic psychiatry resident provides psychiatric evaluations for the jail outpatient clinic. Residents also consult with general medical physicians regarding the interface of alcohol and drug withdrawal with potential suicidality. Educational opportunities include bi-weekly case conferences and individual supervision. Assigned supervisors have added qualifications in forensic psychiatry and provide ongoing supervision. For more information about forensic psychiatry at UC Davis, call the Division of Psychiatry and the Law office at (916) 734-0870.
UC Davis Medical Center Psychosomatic Medicine Service
The psychosomatic medicine service provides expert psychosomatic medicine (PSM) consultation services to medical/surgical patients in a wide variety of clinical settings. Inpatient consultations are conducted at the 528-bed UC Davis Medical Center, a Level 1 Trauma Center, and the major tertiary care medical center for inland northern California. Residents rotate on the PSM service during their intern year and lead the PSM team during their PGY4 year with selective opportunities to serve as acting attendings and to learn bedside psychotherapy for hospitalized patients. Educational programs on the PSM service opportunities include case conference, process/support group, and individual supervision with PSM faculty.
The psychosomatic medicine fellow may be assigned to the Bioethics Consult Service. Outpatient consultations are conducted at the Sacramento County Primary Care Clinics and the UC Davis Medical Center departments of Internal Medicine, Transplant Surgery, and Gastric Bypass Surgery. Patients may also be evaluated in various rural clinics via telepsychiatry.
Sacramento County Adult Psychiatric Services Clinic
The Sacramento County Adult Psychiatric Services Clinic (APSS) is an adult community mental health clinic that serves the economically disadvantaged including uninsured patients, undocumented patients and those insured through California’s Medicaid program. Approximately 30% of the patients are non-English speaking, primarily Hmong, Mien, Vietnamese, Eastern European and Latinx. The most common disorders are depressive, anxiety, bipolar, PTSD, and psychotic disorders. PGY2 psychiatry residents spend three months working full time in the clinic. The psychiatry residents provide psychopharmacologic therapy and group psychotherapy. The educational program includes individual supervision and case conference.
Sacramento County Mental Health Treatment Center
The Sacramento County Mental Health Treatment Center (SCMHTC) is a 50-bed inpatient facility combined with an intake unit. SCMHTC is run by Sacramento County, but staffed by UC Davis psychiatrists. Most patients are uninsured or publicly-funded with primary diagnoses of psychotic disorders (45%), mood disorders (40%) and others. The inpatient unit receives 140-170 admissions per month with an average length of stay of 15 days and a median length of stay of 4.5 days. There are two inpatient treatment teams, each with an attending psychiatrist, two PGY-2 residents, three psychologists/social workers, two third-year medical students, elective fourth-year medical students, and others.
VA Sacramento Medical Center (Psychiatric Inpatient Care Unit)
The Mather VA psychiatric inpatient care unit (PICU) is part of the Northern California VA Health Care System, which serves a population of about 70,000 veterans annually, scattered over 17 counties and 40,000 square miles. The unit operates a 16 bed locked, acute psychiatric facility, meeting the latest strict VA environment of care standards. Our mission is to provide comprehensive, compassionate and effective treatment to veterans with mental health needs, with the goal of empowering them to live meaningful, self-determined lives in their communities while striving to achieve their full potential. We have a vision to enhance veteran well-being through the use of high quality, innovative interdisciplinary care. Our treatment team, each of whom plays a vital role in working alongside the patient in assisting their recovery, consists of addiction therapists, chaplains, dietitians, health technicians, nurses, nurse practitioners, nursing assistants, occupational therapists, psychiatrists, psychologists, and social workers. This is a very patient-centered unit with the veterans expected to be active participants in managing their recovery effectively.
UC Davis Behavioral Health Center Outpatient Clinic
The UC Davis Behavioral Health Center (BHC) outpatient clinic is the heart of the psychiatry department’s outpatient clinical services. The BHC outpatient clinic also houses the RESTART (Resilience, Education and Supportive Tools for Adults Recovering from Trauma) and EDAPT (Early Diagnosis and Preventive Treatment) programs. Residents conduct psychotherapy and medication management visits here throughout the PGY3 year carrying mostly adult patients with one half day a week of child and adolescent clinic. Residents also have the opportunity to choose from various selective continuity experiences for another half day per week including Reproductive Psychiatry, RESTART, EDAPT, VA, JPS, and ADHD Clinic at the MIND Institute. Educational programs include individual supervision, psychodynamic psychotherapy case conference, cognitive behavioral therapy case conference, and others.