The fellowship consists of twelve months of clinical training for PGY-V addiction residents. Residents have an option of spreading the clinical training over two years at 50% time and having 50% time for research.
The curriculum prepares fellows to be well-rounded addiction
psychiatrists who are competent in both pharmacotherapy and psychotherapy.
Fellows finish the program prepared to pursue careers in administration,
clinical work and/or research.
Trainees meet with the program director before their
training to tailor the broad opportunities the program has to offer to their
specific interests. The three main experiences are as follows:
Addiction Research and Treatment Services (ARTS)
(www.artstreatment.com). ARTS is the clinical program for the University of
Colorado Division of Substance Dependence. ARTS was founded in 1972 and currently
provides care to about 3,000 people per year. ARTS offers a very broad
1. Adolescent outpatient and residential services (http://www.artstreatment.com/our-services/adolescent-services).
This experience offers training in outpatient and residential care including
assessment and interventions such as multi-systemic therapy.
2. Women’s services and infant psychiatry (http://www.artstreatment.com/our-services/women-s-residential).
The Haven House is a residential treatment for women with addiction and young
children. Fellows learn to provide holistic care to the families involved in
3. Medication-assisted treatments (http://www.artstreatment.com/our-services/medication-assisted-therapies).
Fellows gain experience prescribing buprenorphine, methadone, naltrexone and
other pharmacotherapies for addiction.
4. Therapeutic community (http://www.artstreatment.com/our-services/men-s-residential).
Fellows work in the therapeutic community, Peer 1, and learn the structure and
purpose of behavioral therapeutic communities.
Center for Dependence, Addiction and Rehabilitation (CeDAR)
(www.cedarcolorado.org). CeDAR is a premier residential substance treatment
that attracts athletes and professionals from around the world. Fellows hone
their skills in assessment, psychotherapy (group and individual),
psychopharmacology, 12-step and overall management of patients with addiction. Elective
experiences during this experience include addiction consults for medical
services at the University of Colorado and the pain service.
Denver Health and Hospital Authority (www.dhha.org). Denver Health is a large, urban
safety-net hospital that provides care to over 20% of Denver residents. The
hospital has a large addiction service that offers the following broad training
Fellows rotate through the outpatient adolescent program where they are trained
to competence in the assessment, psychotherapy and pharmacotherapy of youth
with psychiatric and substance use disorders.
2. Opioid replacement therapy (http://www.denverhealth.org/medical-services/mental-health/our-services/opiate-replacement-therapy).
Fellows rotating through this clinic are trained to competence in the use of
buprenorphine and methadone.
3. Women’s services (http://www.denverhealth.org/medical-services/mental-health/our-services/women-and-family-mental-health-services).
This experience is embedded within a high risk OB clinic and trains fellows in
the care of pregnant women with addiction. This experience also provides an opportunity
to manage neonatal withdrawal.
4. Involuntary commitment and petitions at Denver CARES (http://www.denverhealth.org/medical-services/mental-health/our-services/denver-cares).
Fellows gain experience in evaluating patients in a detoxification facility and
providing recommendations for treatment.
5. Medical consults service. Denver Health has a busy
medical consult service that provides opportunities for assessments and brief
interventions for patients in the emergency department and medical inpatient
Additional Program Requirements:
Didactic: Fellows have didactic on Wednesday afternoons.
Experts in a wide variety of fields present in a small group format to provide
fellows with a broad field of knowledge. Examples of topics include:
adolescents, genetics, HIV, neuroimaging, opioid replacement, twelve step and
Psychotherapy training: Fellows have an in-depth training in
motivational interviewing including a review of audio-recording with
constructive feedback. Fellows also have a 2-day didactic training in
cogntitive behavioral therapy for adolescents and young adults with psychiatric
and substance use disorders.
Scholarly project: At the beginning of the training, fellows
meet with the program director to plan their scholarly project. Fellows are
matched with one of expert faculty to carry out the project, which culminates
in a presentation to the department.