Forensic psychiatry fellows work predominantly at Mendota Mental Health Institute in Madison, Wisconsin. This is a state psychiatric hospital, which primarily serves a forensic population. Fellows are provided a diverse experience involving treatment of patients in a maximum security setting, conducting risk assessments for patents found not guilty by reason of mental disease or defect, and completing competency to stand trial evaluations.
Fellows who have completed a fellowship in child psychiatry are offered an additional rotation on the Mendota Juvenile Treatment Center (MJTC). MJTC is a 29-bed secure treatment facility that delivers comprehensive mental health services to teen boys whose highly disruptive behavior and failure to respond to standard treatment has warranted their transfer to the facility from Wisconsin's juvenile corrections system. MJTC seeks to rehabilitate youth by focusing on helping participants understand interpersonal processes, acquire social skills, and improve normative social connections.
Fellows are provided a year-long experience of providing psychiatric care in the Wisconsin prison system. In this setting, psychiatrists work alongside psychological services and medical staff to provide psychiatric care to inmates.
Fellows spend one day per week for six months in Milwaukee. In this setting, they work at the Milwaukee County Behavioral Health Division’s psychiatric crisis unit. This is a psychiatric emergency room where fellows conduct evaluations focused on risk and assessment of mental health concerns to determine disposition for patients present with mental health crises. Fellows also rotate on the consultation liaison service at the VA Hospital in Milwaukee where they provide consultation on the issue of mental capacity pertaining to medical decision making.
Fellows conduct independent outpatient evaluations of competency to stand trial in jails throughout Wisconsin. Fellows also have the opportunity to work with clinical faculty in their private forensic psychiatric practice settings.
Fellows are required to participate in a research activity, provide a Grand Rounds on an educational topic in forensic psychiatry, and/or a quality improvement project during their 12 month fellowship. Fellows are paired with appropriate administrative or research staff at Mendota Mental Health Institute for mentorship of this project.