Addiction Psychiatry at IU
Addiction is the greatest root cause of accidental injury, medical disease and premature death in the United States. While nicotine addiction alone is responsible for half of all deaths that happen before the average life expectancy, there are more people dying from prescription drug overdoses than suicide or car accidents. Considering the vast social costs of untreated addictions in terms of incarcerations and criminal justice burdens, not to mention poverty and homelessness, it is clear that addiction is our nation’s central public health challenge.
An addiction psychiatry fellowship is the only way a physician of any kind can be formally trained and certified by the American Board of Medical Specialties in the diagnosis and treatment of substance use disorders and addictions. In becoming this type of specialist, it is appropriately mandatory for trainees to have first successfully completed a general psychiatry residency training program. After all, majorities of patients suffering with addictions will also have a co-occurring mental illness of some kind, and likewise, people with mental illness characteristically also suffer with addiction. While these “dual diagnosis” patients actually represent the mainstream of all behavioral health patients served, we also know that the best standard and most effective treatment we can deploy for them is an approach that integrates both psychotherapeutic and pharmacological modalities—for both addiction and mental illness—simultaneously. Thus, we view the addiction psychiatrist as being more than a highly trained specialist in addictions; he or she is a particularly capable and well trained psychiatric generalist equipped with the expertise needed for treating the dual diagnosis spectrum.
Philosophy, Goals and Expectations of Addiction PsychiatryTraining at IU.
The Addiction Psychiatry training program at Indiana University expects that the future of psychiatry and the advancement of behavioral health care in the U.S. will depend on a strong ABPN- certified addiction psychiatry physician workforce that is expertly capable of delivering and leading integrated dual diagnosis care. Accordingly, IU Addiction Fellows are trained how to deliver care within, lead, and potentially build fully integrative treatment programs following the 2 x 4 Model of Integrated Dual Diagnosis care developed here at IU. As delivered by one treatment team, under one roof, the 2 x 4 Model describes an evidence based- program design that can be flexibly tailored for individuals needing diagnosis and treatment of any addiction, co-occurring in any combination with any mental illness. Analogous to the well known 2 x 4 wooden beam recognized for being the basic universal building block of building construction, the 2 x 4 Model of Integrated Dual Diagnosis care is considered as representing a basic building block of the behavioral health care system of the future. As illustrated below, the conceptual dimensions of the 2 x 4 Model, represent the illness domains and treatment tool components that the addiction psychiatrist at IU is expected to master, lead, integrate and execute.
2 X 4 Model of Integrated Dual Diagnosis Treatment
Excellence in Research, Education and Clinical Care
Toward achieving expertise in addiction psychiatry, the IU fellows are expected to pursue professional development across researcher, educator, and clinician roles, while refining a knowledge base that reflects translational fluency between neuroscientific and clinical domains of understanding addictive disorders. Research projects performed in a mentored collaboration with addiction psychiatry faculty may involve basic, clinical, health services or epidemiological projects. Educational work will include multiple opportunities for the fellow to teach other doctors, residents, medical students, allied health care professionals, graduate level scientists, undergraduates and/or the public about the science and clinical care of addictions. A core responsibility of fellows within the education domain is organizing and hosting the CME accredited addiction psychiatry symposium. Finally, clinical training and care, representing the back-bone of the fellowship experience, will involve duties at our core rotation sites at the Roudebush VA Medical Center and/or Midtown Mental Health Center. Clinical duties will encompass psychotherapeutic and pharmacological management of addiction and dual diagnoses with special opportunities for involvement in the treatment of adolescents, pregnant women, and substance disorders in persons with a multitude of forms of mental illness including PTSD, schizophrenia, bipolar and borderline personality disorders.
Requirements for Candidates, and Program Parameters
Qualified candidates for the IU Addiction psychiatry Fellowship will be graduates of an U.S. ACGME certified general psychiatry training program. Candidates will be eligible for, and will be planning on reaching (or will have already acquired) ABPN certification in General Adult Psychiatry (as a required pre-requisite for ABPN Addiction psychiatry certification). Fellowships may be pursued following either a one year (full time) plan or a two year (half-time) plan, with the latter being reserved for candidates pursuing research or clinical activities related to but outside the domain of the fellowship. A more detailed description of eligibility requirements can be found here:
View requirements for the Addiction Fellowship below.
Download the Universal Application for Residency here: Universal Application (PDF)
Substantial loan repayment programs are now available with this fellowship through the State of Indiana, FSSA, Division of Mental Health and Addictions. Information about this program can be found at: http://www.in.gov/fssa/dmha/2892.htm
IU Addiction Psychiatry Program application requirements
Applications to the program should be submitted no later than March 31 preceding the July 1 start date. Please note that acceptance into the fellowship program does not preclude approval from the loan repayment program; that program is operated solely by the State of Indiana, FSSA, Division of Mental Health and Addiction. Interested applicants should submit a Universal Application along with a statement of interest and career goals, CV, summary of relevant clinical, teaching and research experience and 3 letters of recommendation to:
R. Andrew Chambers, M.D.
Director, Addiction Psychiatry Fellowship
c/o Kellie Hindman
Department of Psychiatry
Indiana University School of Medicine
355 W. 16 St. Suite 2800
Indianapolis, IN 46202
Institutional Assets of the IU Addiction Psychiatry Training Program
The IU addiction psychiatry fellowship program provides stipends for up to 2.5 fellows (e.g. 2 full time 1 half time) per year. Loan repayment programs for well-qualified addiction psychiatry fellows are currently under consideration. Ample professional development opportunities are available at the IU School of Medicine, which by medical student class size, is the second largest medical school in the U.S. The IU School of Medicine is host to one of the world’s leading multidisciplinary alcohol research centers, having produced internationally recognized science and scientific leaders, including the alcohol preferring (P-rat) line of genetically pre-disposed rodents, and a Chief of the NIAAA (National Institute of Alcoholism and Alcohol Abuse, Dr. TK Le.). The IU Department of Psychiatry, based at the IU Neuroscience Center, alongside allied brain specialties Neurology, Neurosurgery and ENT, is composed of clinical and basic neuroscience faculty who rank among the medical school’s leaders in terms of NIH funding portfolios. By 2014, IU Psychiatry will enjoy a full array of state-of-the-art clinical, research (including clinical and basic neuroscience laboratories) and educational facilities, all located under one roof the Neuroscience center. Fellows in addiction psychiatry also benefit from institutional resources and opportunities beyond the medical school including the Graduate and Undergraduate Programs at the IUPUI campus in Indianapolis and IU Bloomington.
Core Faculty IU Addiction Psychiatry Training Program:
Ayesha Sajid, MBBS
At large Faculty
Addiction Psychiatry Administration