Public and Community Psychiatry

Mission Statement

“To develop the clinical, management and administrative skills necessary to be effective leaders in public and community mental health settings”

Overview

The Public and Community Psychiatry Fellowship is a one-year program that offers training along a variety of domains aimed at enhancing both clinical practice and leadership capabilities in a broad range of community settings, particularly those that serve individuals with public insurance or in public systems of care. The structure of the fellowship follows the guidelines set forth by The Columbia Public Psychiatry Fellowship in 2008, which includes:

  1. Weekly Didactic Seminars covering a core academic curriculum
  2. Individual Supervision
  3. Year-long clinical/administrative field placements 
  4. Presentations that apply management and leadership concepts to the field placement, including several projects
  5. Presentations by leaders in a variety of public and mental health settings
  6. Lifelong access to mentorship and supervision from faculty and alumni
  7. Site visits to key settings to help solidify core concepts

Functionally, fellows are guided through the process of identifying a job or jobs that will serve as their field placement for the year, which are primarily clinical in nature, but often involve an administrative component. In addition, they attend didactics a half day per week and arrange for one hour of weekly, individual supervision with a core faculty member. 

Academic Curriculum

Approach to Teaching:

The CWRU Public and Community Psychiatry Fellowship utilizes a diversity of approaches to learning and teaching. While some material is presented in a more traditional didactic format, we emphasize an active learning approach, including assigned reading, debates, small group discussion, group projects, immersive project participation, games and exercises, and workshops. 

Along with material covered in class, fellows also participate in a guided leadership development experience that includes developing a personal vision statement and personal changes plan, 360-degree interviews, and Meyers-Briggs testing and analysis, all with the goal of clarifying each fellows’ individual strengths and goals, which will serve as a foundation for building their careers. 

Content

Didactic content covers a variety of topics, across a range of topics that are important for successful clinical practice and leadership in public and community settings, including:

  1. Health Economics and Finance

  2. The History and Structure of Public Mental Health 
  3. Effective, Resonant Leadership
  4. Program Development, Implementation and Evaluation
  5. Change Management
  6. Addictions
  7. The Intersection Between the Criminal Justice System and Mental Illness
  8. Patient-centered, Recovery Oriented Care
  9. Psychosocial Interventions
  10. Role Theory and Key Roles in Public Mental Health
  11. Integrated Care
  12. Advocacy
  13. Poverty, Homelessness, and Social Determinants
  14. Special Populations and Cultural Competency

Field Placements

The Fellowship seeks to help fellows identify jobs that they want that optimize their opportunity to learn. Many of our fellows come to us already occupying the job or jobs they want, others already have something in mind. Many fellows, however, are still unsure, in which case faculty helps guide them through the process of identifying potential placements that make sense for them. 

The field placement opportunities are as diverse as the potential jobs available where the fellow intends to work. With more than 50 fellowship graduates, we have had fellows in nearly 30 different placements throughout the state, and with many other potential sites available. Core to our philosophy around matching fellows with placements is that placements are longitudinal throughout the year, and we encourage fellows to avoid more than 2 different placements. This provides fellows the opportunity to have an immersive amount of time in a small number of environments so that they can better apply concepts learned in didactics.

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Distance Participation

Over the past 4 years, we added the capacity to include fellows from remote around the state of Ohio for whom commuting to didactics every week would be unrealistic. Fellows can participate in didactics from remote sites using high definition video and audio technology. In order to make sure that our distance fellows still get to know the rest of the class, we still require fellows to participate in six live intensive days annually, which are day long seminars that include activities geared toward class interaction and engagement. If you have questions about the distance-learning option, please contact us for more details.

Combined Training Opportunities

In an increasingly complicated world, we regularly encounter fellows with an interest in more than one fellowships. Within the CWRU Public and Community Psychiatry Fellowship, we can adapt the experience to run concurrently with other fellowships. We have had fellows in the past who have concurrently participated in fellowships in: addiction psychiatry, forensic psychiatry, college mental health, and women’s mental health. If you have further questions about combining another fellowship with this one, please contact us for further information. 

Collaborative Practice and Nurse Practitioners

One of our core philosophical principles is that clinicians will increasingly practice in interprofessional teams and their capability around team-based practice and leadership will increasingly drive their value. Yet most training provides only cursory exposure to students from other professions

So, starting in 2011, we opened our fellowship to advanced practice registered nurses as well, who participate in the fellowship side-by-side and equally with physicians. Since that time, we have observed that our fellows have learned tremendously from occupying the same space and wrestling with the same material across professional lines. For those interested in learning more about our collaborative learning model, please do not hesitate to reach out to us.

Core Fellowship Faculty

Patrick Runnels, MD - Fellowship Director, Public and Community Fellowship

Patrick Runnels attended medical school at the University of Missouri, Columbia, completing psychiatry residency at Mount Sinai Hospital in New York City, and the Public Psychiatry Fellowship at Columbia University. He also completed his Executive MBA at Case Western Reserve University Weatherhead School of Management. 

He is currently the Director of Adult Clinical Services in the Department of Psychiatry for the University Hospitals healthcare system, where his focus has been on developing a system-wide strategic plan for addressing issues related to behavioral health access, integrating service-line functionality across inpatient, outpatient, consult, and emergency services, and building a community mental health service arm to serve severely mentally ill, underserved populations. Prior to that, he served as medical director for The Centers for Families and Children where he helped implement one of the original 13 SAMHSA PBHCI grants, developed several embedded clinics within hospital-based primary care offices for both The Cleveland Clinic and University Hospital systems, and helped embed and develop on-site clinical and dispensing pharmacy services.

Academically, he is an associate professor at the Case Western Reserve University School of Medicine, which has included serving as director of the Public and Community Psychiatry Fellowship, which has graduated more than 50 fellows over the past decade, and physician consultant to a community-based Psychiatric Nurse Practitioner Fellowship program and a community mental health pharmacist residency. He is the Chair of the National Council Medical Director Institute and Chair for the American Psychiatric Association’s Council on Government Relations. He has served in the past on the Board of Trustees for the American Psychiatric Association, The National Alliance on Mental Illness (NAMI), Ohio Chapter, and the American Association of Community Psychiatrists.

Farah Munir, DO - Associate Director 

Farah Munir received her undergraduate degree in Psychology from Northwestern University and attended medical school at The University of N. Texas Health Sciences Center. She completed her psychiatry residency at The Cleveland Clinic and has been actively working in both academic and community psychiatry in Northeast Ohio since 2006.  She is the Co-Founder of the University Hospitals/CWRU Psychiatry Collaboration with The Free Medical Clinic of Greater Cleveland, serving uninsured patients with chronic medical, mental health and substance abuse treatment needs in northeast Ohio. 

Dr. Munir currently serves as Director of Psychiatric Services for The Free Clinic and Medical Director for Recovery Resources, a community mental health center in Cuyahoga County.  Having also been a college psychiatrist and resident supervisor for many years, she co-founded the CWRU College Mental Health Training Program and currently serves as director for this subspecialty track of the Public and Community Fellowship. 

Beyond her clinical and academic work, Dr. Munir has served on the Government Relations, Early Career Psychiatrist and Member-in-Training Committees of the Ohio Psychiatric Physicians Association (OPPA). She is a past member of the Committee of Residents and Fellows of the APA, a recipient of the Bristol-Meyers Squibb Public Psychiatry Fellowship Award through the APA, and is President-Elect of the Cleveland Psychiatric Society.

 

Erin Murphy, CNP – Associate Director

Erin Murphy received her Bachelor of Science Degree in Psychology from John Carroll University and received her Master’s degree in Family Psychiatric Mental Health Nursing from Case Western Reserve, and subsequently completed the Public and Community Fellowship at Case Western Reserve University in 2013. 

As a Psychiatric Nurse Practitioner at The Centers for Families and Children, she is the Lead Clinical Mentor for the Psychiatric Nurse Practitioner Fellowship; was appointed to be lead clinician for a high utilizers pilot program, which provides intensive clinical attention to individuals who have demonstrated 1 year of frequent usage of inpatient and emergency medical services; and is the clinician lead for the Stephanie Tubbs Jones integrated care clinic in partnership with the Cleveland Clinic, which stands as among the only successful and sustainable partnerships in the country of direct integrated care between a large medical system and a community mental health center.

More recently, she has taken on work providing integrated care at a Federally Qualified Health Center and is working to help revise clinical workflows to emphasize true clinical and administrative integration.

 

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Fellowship Eligibility and Application

Eligibility is open to both physician and advance practice nurse applicants who plan to pursue careers in community psychiatry. Physician applicants must have completed 3 years of an ACGME accredited general psychiatry training program and be able to obtain a Ohio state medical license by the start of the fellowship (requires successful passage of USMLE Step 3). Advanced practice nurses must have completed an accredited training program with either a masters or doctorate degree and have certificate of prescribing authority valid in the state of Ohio. We strongly encourage board-certified physicians and advanced practice nurses of all specialties and backgrounds who have been in clinical practice and are interested in developing their administrative leadership skills for work in public sector and community mental health settings to apply. Salary is commensurate with number of clinical hours worked, experience level and clinical site placement, but is geared to approximate the salary individuals would earn were they to take a job outside the fellowship. For detailed salary information, please contact Dr. Runnels.

 TO APPLY

Individuals interested in applying or learning more about the fellowship program may contact:

Patrick Runnels, MD
Director, Public Psychiatry Fellowship
Case Western Reserve University School of Medicine - Department of Psychiatry
10524 Euclid Ave,
Cleveland, OH 44106
Patrick.Runnels1@uhhospitals.org

To apply for the Community Psychiatry Nurse Practitioner Fellowship please contact:
Kate Proehl DNP, CNS, Externship Director
katherine.proehl@uhhospitals.org 

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