Community Psychiatry Track

In 2011, we began the Community Psychiatry Track, a PGY4 experience designed to foster the development of residents interested in working with people with severe mental illness. One resident per year is accepted into the Community Psychiatry Track.

Residents’ clinical experience in this track consists of the usual PGY3 Community Psychiatry rotation and seminar series. During the PGY4 year, each resident spends two half-days per week at Program of Assertive Community Treatment (PACT), an assertive community treatment program for the severely and persistently mentally ill in Madison. The resident becomes an integral part of the PACT treatment team, carrying his/her own caseload of medication management patients and collaborating with other members of the interdisciplinary team. The Medical Director of PACT provides daily supervision of the resident’s clinical cases.

PACT first began as a demonstration project to both implement initial research findings of Mendota researchers in the late 1960s and early 1970s, and to further investigate new approaches to providing integrated, long-term treatment to persons with severe and persistent mental illnesses. Since its inception in the 1970s, as well as today, the mission of PACT has been to develop, provide, and investigate innovative mental health treatments, with a recovery-oriented focus, for persons who have not had optimal treatment responses to more traditional forms of treatment. PACT currently provides services to approximately 130 clients with severe and persistent mental illness, most of whom are residents of Dane County. Interdisciplinary staff includes nurses, social workers, psychologists, and a psychiatrist.

The goals of the residents on the Community Psychiatry Track are to:

  • Acquire clinical expertise in caring for the seriously and persistently mentally ill in the community.
  • Gain a comprehensive appreciation of the challenges, including those relating to social functioning, physical and psychiatric health, and day-to-day community functioning, faced by the severely and persistently mentally ill.
  • Develop an understanding of the importance of and skill in serving as a member of an interdisciplinary team in caring for the seriously and persistently mentally ill.

Members of the Community Psychiatry Track

  • PGY4 Cecilia Jefferson is the fourth member of our Community Psychiatry Track. She is currently working at the Program in Assertive Community Treatment (PACT) under the supervision of Dr. John Battaglia. PACT was the nation’s first ACT team, and the birthplace of the assertive community treatment model for chronic, severe mental illness. Because of her interest in chronic and serious mental illness, team-based care and community support programs, this track was a natural fit.