St. Joseph's Behavioral Health Center (SJBHC) serves as the primary training site for inpatient psychiatry. It is a licensed, not-for-profit facility offering comprehensive behavioral health services in Stockton, CA. The inpatient center features 35 adult beds dedicated to crisis stabilization, medication monitoring and stabilization, and medically supervised detoxification. Additionally, the center provides daily programs that include classes, group therapy, recreational therapy, and Dialectical Behavior Therapy (DBT) skills training. SJBHC is staffed by an accredited team of physicians, nurses, social workers, and mental health professionals, all of whom are committed to delivering compassionate, high-quality care and fostering an atmosphere conducive to communication and personal growth. During rotations at SJBHC, residents have the opportunity to work alongside Touro medical students and residents from neurology and family medicine.
St. Joseph's Medical Center (SJMC), the largest hospital in San Joaquin County, serves a diverse and underserved patient population in Stockton and its neighboring rural communities in the Central Valley. Consequently, residents have the opportunity to learn from the varied and advanced pathology with dedicated administrative and academic support from its faculty and clinical staff. St. Joseph's Medical Center has 355 licensed beds and tertiary services for multiple residency programs as well as a teaching partnership with Touro University. At SJMC, residents will rotate through the Consult & Liaison, Neurology, Internal Medicine, Family Medicine and Emergency Medicine rotations.
Department of State Hospitals-Napa is situated in the town of Napa, home of the wine country. It is the training site for:
- Inpatient Psychiatry (second site for Inpatient Psychiatry, PGY1 & PGY2)
- Geriatric Psychiatry (PGY2)
- Forensic Psychiatry (PGY2 & PGY4)
- Addiction Psychiatry (PGY2)
- Electroconvulsive Therapy (ECT) (PGY2)
Founded in 1875, it is the oldest state hospital in California. It is still in operation with approximately 1300 beds. While it is primarily a forensic facility, the focus for resident education is general adult psychiatry while immersed in a forensic milieu. The residents will have the opportunity to evaluate and treat the patient's under:
- Civil Commitment under the Lanterman-Petris-Short Act
- Incompetent to Stand Trial, PC1370
- Offenders with Mental Health Disorders, PC 2972, and
- Not Guilty By Reason of Insanity, PC1026
In addition, residents will have the opportunity to provide specialized treatments including:
- Dialectical Behavior Therapy (DBT)
- Treatment for polydipsia
- Sex offender specific treatment, and
- Intensive substance recovery
All the clinical rotations noted above are available for electives (PGY4) also. DSH-Napa is the hub of psychiatric research and academic publications. Residents will have opportunities throughout their training to participate in clinical research and author academic publications.
Napa State Hospital's clinical staff includes psychiatrists, psychologists, social workers, rehabilitation therapists, psychiatric technicians, and registered nurses. There is administrative and academic support via 24/7 off site-coverage by the inpatient faculty and 24/7 in-house backup coverage. Housing is provided during rotations in Napa.
The Adult Outpatient Psychiatric Clinic of Touro University Medical Group in Stockton, CA serves as one of the main sites for the adult longitudinal outpatient clinical training experience. Here, residents receive comprehensive training in conducting initial outpatient psychiatric assessments, administering continuous assessments and follow-up care throughout the year, and developing treatment plans that encompass biological, psychological, and social perspectives. This clinic offers residents a diverse exposure to an array of psychiatric disorders, including but not limited to depressive disorders, anxiety disorders, obsessive-compulsive disorders, bipolar spectrum disorders, schizophrenia spectrum disorders, and attention deficit disorders. The patient population spans a wide demographic spectrum, encompassing young adults to a significant geriatric cohort.
Trainees will also work in the General Mental Health Service of the U.S. Department of Veterans Affairs Northern California Health Care System (VA NCHS). Trainees will provide a variety of mental health services to Veterans across Northern California via in-person and telehealth care in a robust educational environment. The VA is the largest unified training platform of physician trainees in the country; approximately 70% of US physicians have trained at some point at the VA. Trainees will carry a panel of their own outpatient Veterans and develop towards becoming independent providers while having close access to 1:1 supervision with experienced psychiatrists. Additional areas of focus are training in psychotherapy, with weekly 1:1 supervision with clinical psychologists, working in specialty services, such as the Addiction Recovery Treatment Service (ARTS) and the Primary Care Mental Health Integration (PCMHI), and learning to leverage the extensive resources of the VA system, such as, but not limited to, Compensated Work Therapy (CWT), the PTSD Clinical Team (PCT), Neuropsychology, and Peer Support to enhance Veteran care.