Skip to main content
Sign In

Department of Psychiatry

Department of Psychology
 

Addiction Psychiatry Fellowship

Curriculum


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. ​​

 

 Core Rotations

 

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 experience including:

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 the program.

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 opportunities.

 1. Adolescent services (www.denverhealth.org/step). 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 floors.

 

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 withdrawal.
 

 

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.