The Addiction Psychiatry Fellowship at IU School of Medicine aims to help physicians gain mastery of eight components in order to integrate them as leaders of real-world teams. Fellows also learn how to assess clinical programs for fidelity to the 2 x 4 Model Design and to know how to build them.
In line with the 2 x 4 Model, Addiction Psychiatry fellows are expected to
- Diagnose: Become adept with diagnosing all the major forms of addiction(s) and mental illness(s) in whatever combination they may present in an individual patient or across a population of diverse patients
- Treat: Learn to provide (and lead whole teams in providing) comprehensive treatment plans and recovery strategies that involve integration of psychotherapies, experiential therapies, and medication treatment tools for addiction/mental illness combinations
- Train: Acquire skills and expertise in the education of trainees and allied professionals along with communication skills with broader health care and criminal justice officials as needed to protect the integrity and effectiveness of treatment and recovery and to defend patients against dehumanization and stigma
In developing and refining these skills, Addiction Psychiatry Fellows participate in the ‘Triad of Academic Medicine’ as applied to the field of Addiction Psychiatry including:
Conducting longitudinal outpatient care in a variety of settings and across a diversity of demographic groups, spanning the life cycle, and acute (e.g. withdrawal) and chronic phases of substance use disorders.
Gaining experience as a teacher of medical students, psychiatry residents and allied professionals with subject-matter expertise in addiction psychiatry. Co-leading a CME-supported regional academic forum and lecture series (the IU School of Medicine Addiction Psychiatry Symposium).
Pursuit of a research project, study or analysis within the field of Addiction Psychiatry that is expected to result in a peer-reviewed publication. Examples of publications from Addiction Psychiatry Fellowship alumni include:
- Ehret, JC, Day, PS, Wiegand, R, Wojcieszek, J, Chambers, RA (2007) “Huntington disease as a dual diagnosis disorder: data from the National Research Roster for Huntington Disease Patients and Families” Drug and Alcohol Dependence 86: 283-286.
- Chambers, RA, McClintick, JN, Sentir, AM, Berg, SA, Runyan, M, Choi, KH, Edenberg, HJ (2013) “Cortical-striatal gene expression in neonatal hippocampal lesion (NVHL)-amplified cocaine sensitization” Genes, Brain and Behavior, 12:564-575.
- Rao, KN, Sentir, AM, Engleman, EA, Bell, RL, Hulvershorn, LA, Breier, A, Chambers, RA (2016) “Toward Early Estimation and Treatment of Addiction Vulnerability: Radial-arm Maze and N-acetyl Cysteine before Cocaine Sensitization or Nicotine Self-Administration in Neonatal Ventral Hippocampal Lesion Rats” Psychopharmacology, 233:3933-3945
- Sajid, A, Whiteman, A, Bell, RL, Greene, MS, Engleman, EA, Chambers, RA (2016) “Prescription drug monitoring program data tracking of opioid addiction treatment outcomes in Integrated dual diagnosis care involving injectable naltrexone” American Journal on Addictions, 25: 557-564, DOI: 10.1111/ajad.12441
- Arnado, CL, Andraka-Christou, B, Allgood, K (2017). “Psychiatric Co-morbidities in Pregnant Women with opioid use disorders: Prevalence, Impact, and Implications for Treatment”. Current Addiction Reports; 4(1): 1-13.
- Zarse, EM, Neff, MR, Yoder, R, Hulvershorn, L, Chambers, JE, Chambers, RA. (2019) “The Adverse Childhood Experiences Questionnaire: Two Decades of Research on Childhood Trauma as a Primary Cause of Adult Mental Illness, Addiction, and Medical Diseases”, Cogent Medicine, 6: 1581447; https://doi.org/10.1080/2331205X.2019.1581447
Addiction Psychiatry fellows at IU School of Medicine train at four clinical sites that are staffed by fellowship-trained, board-certified addiction psychiatrists who serve as the training site director, enabling fellows to experience different systems and patient demographic groups under the guidance of accomplished experts.
The site directors are trained in or are closely familiar with the 2 x 4 Model, and the training sites emulate the 2 x 4 Model with some degree of site-specific variation or are in the process of building 2 x 4 Model programs.
The training sites are located in the central Indiana region and are geographically close to the IU School of Medicine—Indianapolis campus and other universities with programs in the basic and clinical neurosciences, including Purdue University, Butler University and University of Indianapolis. Most fellows have longitudinal training experiences (at least a year long) at two or more of these sites.
Eskenazi-Midtown Mental Health Center
Adult and Child Health
Valley Oaks Health
IU Neuroscience Center
The IU Neuroscience center is the site for the key lecture series that addiction psychiatry fellows participate in (as both teachers and learners), including the Addiction Psychiatry Symposium, Departmental Grand Rounds, and core medical student and psychiatry residency lecture series in Addiction Psychiatry.