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”


About the Fellowship

 The Public and Community Psychiatry Fellowship is a one-year training program that was originally founded in 2000 as a collaborative program between Case Western Reserve University (CWRU) and University Hospitals in Cleveland. As the host of the biennial “All-Ohio Institute on Community Psychiatry” and a Coordinating Center for Excellence for Integrated Dual Diagnosis Treatment, the community psychiatry program at CWRU is known as one of Ohio’s leading institutions for clinical and academic training and work in public community psychiatry. 

Drawing from a network of more than 20 community mental health agencies in the greater Cleveland area, fellows devote up to four days a week to clinical work, a half-day per week for program development or administrative work at one or two host sites, and a half day per week of didactics.

Each fellow works with faculty to match their site placement with their career interests; popular areas of interest include: homelessness, serious and persistent mental illnesses, forensics, substance abuse, state hospitalization, veteran affairs and/or other treatment programs funded by county or state mental health boards. As an alternative to local sites in Cuyahoga and neighboring Northeast Ohio counties fellows may choose to arrange a placement in several areas throughout the state of Ohio, including Akron, Cincinnati, Columbus, Dayton, and Toledo.

Dual-Track Fellowship Opportunities

Fellows may choose to combine their community fellowship training experience concurrently with fellowship training in Addiction Psychiatry, College Mental Health, or Geriatric Psychiatry.

Fellowship Curriculum

Didactic Education

Each weekly, half-day didactics session covers a diverse array of topics consistent with guidelines published by both the American Association of Community Psychiatrists and the Columbia University Public Psychiatry Fellowship, including:   

  • History of Modern Public Psychiatry
  • Funding for Public Human Services: Federal, State, Local
  • Administration and Fiscal Management of Behavioral Health Services
  • Regulation and Accreditation of Public Sector Programs
  • Comprehensive Elements of Systems Design
  • The Role of the Psychiatrist in Community Based Services
  • Collaborative practice between physician and non-physician prescribers in Community Mental Health Settings
  • Recovery Focused Care and Psychosocial Rehabilitation
  • Practical Program Analysis and Evaluation
  • Special Populations and Cultural Factors Impacting Clinical Practice
  • Homelessness and Housing Policy
  • Providing Leadership and Facilitating Collaboration
  • Interface of Primary Care and Behavioral Health
  • Transformation in the Structure of Public Behavioral Health
  • Community Based Research and Scholarship
  • Public Mental Health Advocacy


Scholarly Activity and Administrative Supervision

To compliment didactics, fellows are expected to make five presentations throughout the year that address the clinical or administrative aspects of their field treatments. Fellows will also meet for weekly administrative supervision with core fellowship faculty. 

Site Visits and Immersive Learning

Several site visits are made throughout the year, including visits with heads of state and local government agencies, shelter and supported housing, jail and forensic/re-entry programs, and a yearly visit to meet with public mental health officials and programs in Toronto, CA.

Videoconferencing and Collaborative Learning Experiences

In addition to distinguished guest lecturers from other areas of the country, collaborative learning experiences are offered throughout the year with other community psychiatry fellowship training directors and fellows through videoconferencing.

Mentorship and Networking

Fellowship alumni are strongly encouraged to remain actively engaged following completion of training, and frequently serve as guest lecturers, returning to present real-life management issues and clinical challenges they face in their careers. A mentorship program exists for all current and former fellows of the program.

Core Fellowship Faculty

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

Patrick Runnels attended medical school at the University of Missouri, Columbia, completing his general psychiatry residency at Mount Sinai Hospital in New York City and the Public Psychiatry Fellowship at Columbia University, during which he worked in public policy both at the New York City Department of Health and Mental Hygiene and the New York State Office of Mental Health.

Since moving to Cleveland in 2008, he has worked clinically and administratively at several community mental health agencies. Dr. Runnels has directed the homeless and psychiatric outreach rotation for the past four years through Mental Health Services. He is the co-founder of the Carriage House clinic at Magnolia Clubhouse. He has served as the Medical Director for The Centers for Families and Children for the past 3 years, where, among other things, he helped implement one of the original 13 SAMHSA integrated care grants.

Beyond his clinical and academic work, Dr. Runnels serves as Communications Director for the American Association of Community Psychiatrists, has served on the Council for Advocacy and Government relations of the APA, is a past board member of the APA, and a recipient of the Bristol-Meyers Squibb Public Psychiatry Fellowship Award through the APA, and is currently serving on the Board of Trustees for NAMI Ohio.


Rosa Ruggiero, CNP - Associate Director 

Rosa Ruggiero received both her Bachelor’s and Master’s degrees in Nursing from Kent State University, after which she completed the Public and Community Fellowship at Case Western Reserve University. Beyond extensive clinical experience in community mental health as both a psychiatric nurse and a clinical nurse practitioner, her work has focused on the cultural hurdles to successful integration of primary care into community mental health settings.

Additionally, she pioneered the inclusion of clinical nurse practitioners into community psychiatry fellowship training, and her work with the fellowship has led to the development and study of collaborative training models for psychiatrists and advanced practice nurses. She is an active clinical educator of both physicians and advanced practice nurses and coauthor of several publications and presentations.

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.


Community Psychiatry Division Advisors and Leadership

Robert Ronis, MD, MPH

Dr. Robert Ronis is the Douglas Danford Bond Professor and Chairman of the Department of Psychiatry at University Hospitals Case Medical Center/CWRU School of Medicine, and Co-Director of the Center for Evidence Based Practices at Case Western Reserve University.

A CWRU School of Medicine graduate, Dr. Ronis completed his Residency in Psychiatry at University Hospitals.  As a National Health Services Corps volunteer, he was the first full-time psychiatrist in southeastern Ohio before returning to Case to develop its Community Psychiatry program in 1990.  He was Residency Training Director and Vice Chair from 1996 – 2004, and Interim Chair in 1999-2000 and from 2005 until his selection as permanent chair in 2007. In 2009 he was named "Psychiatrist-In-Chief" for University Hospitals Health System.

Dr. Ronis was co-founder of the Public Academic Liaison (“PAL”) Program, a collaboration for clinical service and community-based research with Cuyahoga County Community Mental Health Board (now Alcohol, Drug Addiction and Mental Health Services Board of Cuyahoga County).  He is the PI on a Medicaid Technical Assistance and Policy Program (MEDTAPP) Healthcare Access Initiative grant, and Co-PI on several grants from the Ohio Departments of Health, Mental Health, and Alcohol and Drug Addiction Services in support of the Center for Evidence Based Practices.  Among Dr. Ronis' other innovations are the biennial All-Ohio Institute on Community Psychiatry, and the Mental Health Executive Leadership Program in collaboration with the Weatherhead School at CWRU.

Among his many honors, Dr. Ronis was awarded the Kathleen Burton Memorial Award from the Cuyahoga County Community Mental Health Board in 2000, and was named as an Exemplary Practitioner by the National Alliance on Mental Illness (NAMI) in 2002.  In 2003, Dr. Ronis was named the first “L. Douglas Lenkoski Professor of Psychiatry” at Case Western Reserve University, in honor of his contributions to community psychiatry and public academic collaboration. His PAL Program was honored as the Mental Health Program of the Year by the National Alliance for the Mentally Ill (NAMI) Metro Cleveland in 1998, and by the Centers for Families and Children in 2005.  In 2006 he received the Woodruff Prize for his contributions to the community mental health community. In January 2010 he was named Psychiatry Director for the American Board of Psychiatry and Neurology Inc., a member organization of the American Board of Medical Specialties. He received the Bronze Key Award from Recovery Resources in 2012.

Kathleen Clegg, MD

Dr. Kathleen A. Clegg has a long history of service and leadership to the field of community mental health in Cleveland. She is an Associate Professor of Psychiatry, currently serving as Director of the Division of Public and Community Psychiatry and Director of Medical Student Education in Psychiatry at the School of Medicine, Case Western Reserve University.

 Dr. Clegg serves as chair of the biennial “All-Ohio Institute for Community Psychiatry” and is recognized for her leadership in the Public Academic Leadership (PAL) Program. She has expertise and has taught courses about psychosocial issues in disasters, particularly burnout, compassion fatigue and secondary trauma in disaster workers. In addition, Dr. Clegg has completed advanced training in Gestalt Therapy and has served on the faculty of The Gestalt Institute of Cleveland since 2007.

 Among Dr. Clegg’s many contributions to the field of academic medicine, she has contributed to the development of the national medical licensing examination, service as an examiner for the American Board of Psychiatry and Neurology (ABPN), and as a member of ABPN’s Maintenance of Certification (MOC) Committee.  She has been recognized with membership in the American College of Psychiatry and the Group for the Advancement of Psychiatry.

Specialty Fellowship Faculty

Christina Delos Reyes, MD

Christina Delos Reyes earned her medical degree from the Northeastern Ohio Universities College of Medicine (NEOUCOM) in 1996, and she completed her psychiatry residency and Addiction Psychiatry Fellowship at University Hospitals Cleveland Medical Center. Dr. Delos Reyes is board certified in both adult psychiatry and addiction psychiatry. 

Dr. Delos Reyes is an Associate Professor of Psychiatry and Director of The Fellowship in Addiction Psychiatry at University Hospitals, Case Western Reserve University School of Medicine. Following a decade of work in a community mental-health center in Cleveland, she was named Chief Clinical Officer of the Alcohol, Drug Addiction, and Mental Health Services (ADAMHS) Board of Cuyahoga County in 2009. She is also medical consultant for the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University and its two Ohio Coordinating Center of Excellence (CCOE) initiatives—the Substance Abuse and Mental Illness (SAMI) CCOE and Supported Employment (SE) CCOE.

Dr. Delos Reyes' training has included psychopharmacology both for mental illness and substance use disorders, individual therapy, group therapy, psychoeducation, and working with interdisciplinary teams. She is a member of the Motivational Interviewing Network of Trainers (MINT), an international association of trainers in motivational interviewing. She has authored and co-authored numerous publications related to implementation of evidence-based practices, including a chapter about Integrated Dual Disorder Treatment in Evidence-Based Mental Health Practice: A Textbook. 

Theodore Parran, MD

Dr. Ted Parran is a 1978 graduate with honors in Medieval History from Kenyon College and a 1982 graduate of Case Western Reserve University School of Medicine. He completed a residency in Internal Medicine at the Baltimore City Hospital of Johns Hopkins University School of Medicine.

Dr. Parran is a nationally recognized expert in the practice of Addiction Medicine. He has written extensively on the subject for major medical journals and has been a frequent lecturer at forums across the country.

Certified by the American Society on Addiction Medicine, Dr. Parran currently serves as Medical Director in Continuing Medical Education at Case Western Reserve University. In 2008, he was named as the Carter and Isabel Wang Professor of Medical Education at CWRU School of Medicine. For more than two decades he has been Associate Medical Director at St. Vincent Charity Hospital’s Rosary Hall.


Public and CommunityFellowship Alumni Network

Youssef Mahfoud, MD

Youssef Mahfoud completed the Public and Community Psychiatry Fellowship in 2010, having combined this experience with concurrent fellowship training in Addiction Psychiatry. Dr. Mahfoud completed his residency training at Cleveland Clinic and has completed fellowship training programs in both Addiction Psychiatry and Community Psychiatry at UH/CWRU School of Medicine. He is the immediate past President of the Cleveland Psychiatric Society and currently serves as Clinical Faculty for UH/CWRU students at The Lewis Stokes VA Hospital.

Past, Current and Future Presidents of Cleveland Psychiatric Society

           Past, Current and Future Presidents of Cleveland Psychiatric Society


Jaina Amin, MD

Jaina Amin is a graduate of the fellowship class of 2011 and a former MEDTAPP Scholar who has since joined the Department of Psychiatry at UH/CWRU School of Medicine as part-time faculty. A Senior Instructor, Dr. Amin is a PAL Program supervisor who is actively involved in resident and medical student education in community mental health. She currently works at Connections, a community mental health center in Cleveland, Ohio. She works with at-risk peri-natal mothers with severe and persistent mental illness and is the current President of the Cleveland Psychiatric Society.


Graduation Night, Public and Community Fellowship, June 2011 (From L to R: Dr. Jaina Amin, Dr. Patrick Runnels, Dr. Kirk Carruthers, Dr. Andrew Hunt)

                  Graduation Night - Public And Community Fellowship 2011


Andrew Hunt, MD

Andrew Hunt is a 2011 graduate of the Public and Community Psychiatry Fellowship and a former MEDTAPP scholar who has since joined the Department of Psychiatry at UH/CWRU School of Medicine as part-time faculty. A Senior Instructor, Dr. Hunt is a PAL Program supervisor who is actively involved in resident and medical student education in community mental health. He received training at the Cleveland Psychoanalytic Institute and is the Co-Founder and Medical Consultant for The Dialectical and Behavioral Therapy (DBT) program at The Centers for Families and Children. In addition to his community and academic work, Dr. Hunt also maintains a busy private practice.

Michelle Romero, DO

Michelle Romero is a graduate of the fellowship class of 2012 and a current MEDTAPP Scholar who has since joined the Department of Psychiatry at UH/CWRU School of Medicine as full-time faculty.  She was the first CWRU College Mental Health Fellowship graduate and is currently associate director of training for this specialty track of the Public and Community Psychiatry Fellowship. A Senior Instructor, Dr. Romero is a clinical supervisor for residents who rotate in College and Community Mental Health. Specializing in transitional age and college/university mental health issues, she has continued her work at The College of Wooster, which was one of her fellowship placement sites. She is also consulting psychiatrist for Cleveland State University and Oberlin College Counseling Center and maintains a busy private practice of predominantly transitional age outpatients at University Hospitals Cleveland Medical Center. 


APA Annual Meeting Post-Workshop Celebration, May 2012 

(From L-R: Dr. Susan Kimmel, College MH Fellowship Supervisor & Forensic Psychiatrist; Dr. Molly McVoy, APA Trustee & Asst. Director of CWRU Child and Adolescent Psychiatry Fellowship; Dr. Farah Munir, College MH Fellowship Director & Associate Director CWRU Public and Community Psychiatry Fellowship; Dr. Michelle Romero, 2012 Fellowship Graduate & Asst. Director, College MH Fellowship)


2012-2013 Class of Public and Community Fellows

  • Vincent Caringi, MD – Child and Adolescent Psychiatrist, The Centers for Families and Children and Senior Instructor, Department of Child and Adolescent Psychiatry, UH/CWRU School of Medicine
  • Blessing Igboeli, MD – Adult Psychiatry (PGY-4) Resident, UH/CWRU School of Medicine. Clinical rotations at Murtis Taylor, Care Alliance and Visiting Nurse Association (VNA) Homeless Outreach
  • Lila Jenkins, CNP – Psychiatric Nurse Practitioner, Consultation-Liaison Psychiatry Service, Akron General Hospital and Coleman Behavioral Health
  • Erin Murphy, CNP- Psychiatric Nurse Practitioner, The Centers for Families and Children
  • Priti Purushothaman, MD – Dual Training as Fellow (PGY-5) in Child and Adolescent Psychiatry, UH/CWRU School of Medicine. Clinical rotation at Beach Brook.
  • Maureen Sweeney, CNP – Psychiatric Nurse Practitioner, The Centers for Families and Children and The Center for Evidence-Based Practice, CWRU
  • Megan Testa, MD – Forensic and Adult Inpatient Psychiatrist, Northcoast Behavioral Healthcare and Senior Clinical Instructor, UH/CWRU School of Medicine
  • Solomon Zaraa, DO - Director, Child and Adolescent Psychiatric Inpatient Unit, University Hospitals/Rainbow Babies and Children and Senior Instructor, Department of Child and Adolescent Psychiatry, UH/CWRU School of Medicine
                                        2012-13 Fellowship Class Picnic Photo

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.


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
Phone: 216-983-4862

To apply for the Community Psychiatry Nurse Practitioner Fellowship please contact:
Kate Proehl DNP, CNS, Externship Director