Spokane Training Sites

Sacred Heart Medical Center (SHMC)

Sacred Heart Medical Center is a nonprofit, Catholic hospital founded by the Sisters of Providence in 1886. With 623 licensed beds, it is the second largest hospital in Washington State, and the largest hospital between Seattle and Minneapolis. Sacred Heart employs over 4,000 healthcare professionals and support staff. Its medical staff provides the expertise and skills of over 800 specialists and primary care doctors. Volunteers, who provide support to many hospital services, include 400 women, men and young people.

Providence Health & Services is the parent company of Providence Health Care, of which SHMC is the largest entity. Its primary service area is the Inland Northwest region, which includes Oregon, Idaho, Montana, and Washington.

SHMC Psychiatry services are extensive. The Adult/Geriatric Psychiatry Unit (AGPU) has 48 beds for both voluntary and involuntary patients; this includes two acute care areas. In addition, the Psychiatry Department has the Psychiatric Center for Children & Adolescents (PCCA), with a 6-bed unit for children up to age 12, a partial hospitalization program for children aged 5-12, and an 18-bed unit for adolescents. The numerous support programs for these services include a school with permanent teachers from the local school district, facilities and staff for recreational activities, and a wide variety of rehabilitation programs. 24-hour Psychiatric Triage is available as one of the services of Sacred Heart's large Emergency Department, which had nearly 63,000 patient encounters in 2006.

SHMC has many centers of excellence: Cardiovascular, Children's Hospital, Providence Neuroscience Center, Trauma, Organ Transplant, Providence Cancer Center, Psychiatry, Women's Health Center, Bone and Joint program and more. SHMC also has a JCAHO-certified Stroke center. The wide array of medical services and treatments offered at Sacred Heart is reflective of today's health care advances. In addition, SHMC works collaboratively with other hospitals and organizations in the Spokane area where one program rather than several will more efficiently and economically serve the community. SHMC's commitment to graduate medical education is clear from its involvement in the Inland Empire Hospital Services Association (IEHSA), the governing body over several residency training programs including Family Medicine Spokane, Internal Medicine Residency Spokane, the Sacred Heart Medical Center Radiology program, and the Sacred Heart Medical Center and Deaconess Transitional Year programs. Medical students in the University of Washington WWAMI program routinely do 3rd- and 4th-year clinical clerkships in Spokane, including Psychiatry.

Research at SHMC is conducted through Providence Medical Research Center. Staff, physicians and university researchers affiliated with the University of Washington, Washington State University, Eastern Washington University and other academic institutions blend their knowledge and skills to benefit many ongoing medical research studies based in Spokane.

Spokane Mental Health (SMH)

Since 1970, Spokane Mental Health, a private not-for-profit community mental health center, has served children, families, adults and elders throughout Spokane County. The professional staff provides quality treatment and rehabilitation services for those with mental illness and co-occurring disorders. Services provided for Spokane County residents include Crisis Response Services; psychiatric and psychological services; medication management and consumer education; individual, family and group therapy; community support/case management; vocational rehabilitation and transitional employment opportunities. Services are tailored to the unique needs and strengths of each person seeking care.

SMH works collaboratively with local, state, and federal agencies, organizations, and academic institutions to help ensure the availability of a comprehensive and flexible array of treatment options and services for those in need.

SMH is nationally recognized for its services provided to children and elders; for suicide prevention and intervention programs; and for leadership in training programs. It is through its commitment to excellence that SMH promotes health and quality of life to the community.

Psychiatric Services
SMH Psychiatric Services include diagnostic evaluations, medication management, consultations, and psychotherapy for children, adults, and elders. Psychiatrists (MDs and DOs), Psychiatric Nurse Practitioners (ARNPs), Resident Physicians in the University of Washington Psychiatry Training Program, Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and other mental health professionals are all members of the SMH Psychiatric Services staff.

In addition to routine care for people with a mental illness, an SMH doctor is on-call around-the-clock for urgent and emergent needs, including sharing coverage for Sacred Heart Medical Center's Emergency Department. Psychiatric Services staff members also provide nursing assessments, Crisis Stabilization Services for developmentally-disabled consumers, Expanded Community Services for those being discharged from longer term psychiatric hospitalization, Psychiatric Nurse Consultation services in skilled nursing facilities, and counseling about nutrition, wellness, and overall health education.

Our Psychiatric Services staff members strive to provide evidence-based approaches to properly diagnose and treat mental illness with the goal of achieving mental health.

Crisis Response Services
Crisis Response Services provides emergency response services that are available and accessible to all Spokane County residents, 24-hours a day, 7-days a week, 365 days a year regardless of age, culture, mental health coverage and without need for pre-authorization based on medical necessity criteria. There are several components of Crisis Response Services at Spokane Mental Health which include: First Call for Help, Crisis Respite Services, and LRA Specialists.

Professional Telephone Triage provides an access point for initial triage and assessment services for children, adolescent, adult, and older adult services at Spokane Mental Health, other mental health providers and other healthcare providers. Site-based Walk-in Services are provided to individuals who come to Spokane Mental Health with or without an appointment for on-site emergent response, Monday through Friday from 8 a.m. to 5 p.m. Mobile Crisis Outreach/ITA Services are provided for crisis intervention/resolution and voluntary or involuntary treatment, as needed.

Multicultural Services
Multicultural Services provide specialist evaluations to SMH consumers as well as to consumers who receive their primary services at other agencies. These evaluations are provided to all consumers who self-identify as Asian, African-American, Hispanic, or Native American. Specialist consultations are also provided to people who are deaf and hard of hearing, those who are developmentally disabled, and those of advanced years (or elders).

Multicultural services staff are from diverse ethnic backgrounds and many are bilingual. For those who are not bilingual, an interpreter can be made available for mental health care consumers.

Multicultural staff members in this service also provide individual therapy, case management, and group therapy services to people of ethnic minorities as well as to other consumers who request services.

Adult Services
Adult Services provide an array of mental health services and a continuum of care for adults experiencing mental illness. All services focus on recovery including symptom reduction, the restoration of self-esteem, and the attainment of functional and meaningful roles in the community.

Adult Services provides a wide-range of mental health care options which include individual therapy, group therapy, psycho-educational classes, rehabilitative case management, employment services, clubhouse services, co-occurring services for mentally-ill consumers with substance abuse and dependency problems, psychological testing, specialist evaluations, and homeless case management services, and psychiatric services.

Adults entering services at SMH participate in a comprehensive intake evaluation. Each consumer is linked to a Mental Health Care Provider (MHCP) in one of the primary service delivery systems within Adult Services that include the Adult Outpatient Program, Intensive Outpatient Program, Community Support Services, and the Evergreen Club, a certified clubhouse program.

Child and Family Services
Child and Family Services provide a wide array of mental health services to children, adolescents, and their families. SMH works to identify and clarify pertinent issues at the beginning of treatment so that their interventions are delivered in the most effective and efficient manner consistent with evidenced-based clinical practices. A high priority is placed on cultivating a collaborative working relationship with consumers, parents, other agencies, and family support systems.

SMH assists families with children and adolescents whose mental or behavioral health issues prevent them from reaching their potential at home, in school, or in the community. Examples of treatment options include: brief intervention, individual therapy, family therapy, rehabilitative case management, group therapy, day support, psychological testing, and psychiatric services.

Elder Services
Launched in 1978 as a partnership between the mental health and aging communities, SMH's Elder Services serves as a "Focal Access Point" for services/resources that promote independence and enhanced quality of life for older adults, especially at-risk, isolated elders. Elder Services provides seamless, cost effective, and consumer oriented services that include in-home interdisciplinary clinical case management and psychiatric/medication management; telephone information/assistance; caregiver support/respite care; volunteer escort special transportation; and specialized case management.

Elder Services is internationally recognized for its "Gatekeeper" model. We have been honored for Gatekeepers with five national awards including the John F. Kennedy School of Government at Harvard University and Ford Foundation's "Innovations in State and Local Government Award" and Hospital and Community Psychiatry's "Achievement Award". In June 2002/04, Elder Services was recognized as a model program at the University of Rochester Medical Center's "Suicide Prevention" conferences. Spokane Mental Health's Elder Services is also recognized as a "Best Practice" model for services to home dwelling at-risk elders.

Through collaborations with local universities, Elder Services offers on-site training opportunities for Masters in Social Work students, and College of Pharmacy Candidates, as well as excellent volunteer opportunities.

Evergreen Club
The Evergreen Clubhouse, which is certified by the International Center for Club House Development, provides both rehabilitation and vocational services for members with a severe psychiatric disability. It uses work as central to the rehabilitation process. The member first participates in an assessment to determine employment history and interests and then chooses one of three discrete work units in which to work. These units consist of the café, thrift store, and the business unit. The members are able to develop meal preparation skills, organizational and budgeting skills, clerical skills, and to participate in and learn administrative tasks.

Most consumers/members at the Evergreen Club have Mental Health Care Providers at SMH or other SCRSN agencies. The MHCP's and the Rehabilitation Specialists collaborate with one another initially and on an on-going basis.

Education is available for those members who are interested in independent or transitional employment. This education consists of assistance in learning how to write resumes, fill-out applications, and interview for and locate jobs.

The Evergreen Club is open to its members Monday through Friday from 8:30 - 4:30. In addition, it is open on Wednesday evenings and Saturdays for drop-in activities, socialization and special events in the community. The clubhouse is also open four holidays per year.

Psychology Internship
The SMH pre-doctoral internship program is fully accredited by the American Psychological Association (APA). The primary goal of our internship program is to provide an intensive and professional learning experience leading to the development of focused clinical and professional skills. The psychology internship program adheres to a scholar-practitioner/public mental health training model. As a result, interns are exposed to a rich array of clinical, consultative, teaching, and training experiences within a public mental health framework. By the end of the internship, psychology interns should possess both a breadth and depth of clinical/public mental health experience that enables them to move smoothly into a post-doctoral position or into a job in the field of psychology.

Each year three interns are selected to work within the SMH psychology services division. While all three interns are placed in the psychology services division, one intern will be selected to spend time within our adult services track and two interns will spend time within our child and family services track. For more information please see our full brochure, psychology faculty and application process.

Eastern State Hospital (ESH)

Established in 1891 in Medical Lake, a small community 20 miles southwest of Spokane, Eastern State Hospital is a state psychiatric hospital fully accredited by the Joint Commission on Accreditation of Healthcare Organizations and certified by the Centers for Medicare and Medicaid Services. ESH provides a complete range of services for persons with mental illness.

Eastern State Hospital is a partner with individuals, families, advocates, community healthcare providers, regional support networks, employee organizations, educational organizations, and local and state government systems to provide services to individuals in 21 eastern Washington counties.

The hospital provides inpatient treatment to adults on three treatment units. The Adult Psychiatric Unit serves adults who are experiencing acute or chronic psychiatric illness. The Geropsychiatric Unit serves adults age 50 and over and those who have special medical and/or physical needs. The Forensic Services Unit provides evaluation and treatment for adults referred to the hospital by the judicial system and runs the Community Competency Evaluation Program.

Eastern State Hospital participates with the Washington Institute for Mental Illness Research and Training, Washington State University, Eastern Washington University, North Idaho College, Community Colleges of Spokane and the University of Washington to provide training for a variety of disciplines.

Eastern State Hospital Fact Sheet
HOSPITAL CAPACITY

• Adult Psychiatric Unit 121 beds
• Forensic Services Unit 95 beds
  
• Geropsychiatric Unit 101 beds
  = Total 317 beds

AVERAGE DAILY CENSUS

• Adult Psychiatric Unit 96
• GeroPsychiatric Unit 101
• Forensic Services Unit 90

CLINICAL STAFF

• Psychiatrists/Physicians/Physician Assistants/Nurse Practitioners
• Audiologist/Speech Pathologist
• Clinical Nurse Specialists/Registered Nurses/Mental Health LPNs/Mental Health Technicians
• Radiology Technologists
• Laboratory Technologists
• Dentist/Dental Hygienist/Dental Assistant
• Occupational Therapists
• Social Workers
• Psychologists
• Certified Therapeutic Recreation Therapists
• Recreation Specialists
• Physical Therapists
• Clinical Dietitians
• Pharmacists
• Chaplain
• 750 average budgeted employee positions
  All supported by a variety of clinical and administrative support staff

MAJOR TREATM ENT COMPONENTS

• Psychotropic medications
• Group/Individual therapy
• Drug & Alcohol Education

Deaconess Medical Center

Deaconess Medical Center is an acute care, not-for-profit hospital located in downtown Spokane, Washington. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), Deaconess is a level II Trauma Center with 388 licensed beds. In the past several years, Deaconess has been identified four times as one of the Top 100 Heart Hospitals in the United States by Solucient, a leading healthcare information and research firm. In addition, Deaconess' overall cardiac, vascular and gastrointestinal services ranked among the top 10 percent in the nation for 2006 by HealthGrades, the nation's leading provider of independent hospital ratings.

For more than 100 years, Deaconess Medical Center has provided the Spokane community and the Inland Northwest region with exceptional quality healthcare services and the latest in diagnostic and patient care technology. Deaconess is recognized as a national leader in the treatment of heart and vascular diseases, cancer as well as services for mothers and their newborn babies.

With an active 650-member physician and allied health professionals team, state-of-the-art medical technology and nationally recognized patient care programs, Deaconess provides a broad spectrum of healthcare services.

Founded in 1896, Deaconess Medical Center was one of the first hospitals in Spokane. Established by a compassionate and generous Spokane couple, the hospital originally had 29 rooms and was staffed by a small number of Deaconesses and nurses.

As Spokane and the surrounding areas grew, so did the hospital. Even in its earliest inception, the hospital was known for its patient care and advanced treatment procedures including infectious disease control, surgery and orthopedics.

The progress and medical advancements made during those early years set a high standard that has guided Deaconess and will continue to do so well into the future-continuous, compassionate improvements in its services and quality of patient care.

Residents fulfill part of their Consultation-Liaison Psychiatry requirement at Deaconess Medical Center, and further elective time in Consultation-Liaison Psychiatry is also available.

Gonzaga University

Gonzaga University is a well-respected, private, liberal arts university located on the outskirts of downtown Spokane. In its affiliation with the University of Washington Psychiatry Residency Program, the Counseling and Career Assessment Center has referred undergraduate and graduate students for psychotherapy, broadening the variety of patients available. Senior residents may, as an elective, choose to work one-half day each week in the Student Health Center as a psychiatry consultant. In this capacity, residents also have the opportunity to serve as an advisor to the administration of the University on issues such as suicide prevention and management of students with behavioral problems.