The Division of Addictions is composed of elements which include Research, Education, Training of Addictions Track residents and fellows, and Clinical Services.
Research: The Division has a strong concentration of Addictions research ongoing with alcohol, smoking, gambling, methamphetamines, and other drugs.
Education: The Division is responsible for developing both medical student and general psychiatric resident training around addictions issues. These include elements in core medical student courses such and Introduction to Clinical Medicine, Pharmacology, and during the Psychiatric Clerkships. In the Psychiatric residency these functions include the 7 week core addictions course for R2’s, and hosting the required addictions core clinical rotations at Harborview and the Seattle Veteran’s Hospital. The core addictions rotations include training in evidence base addictions practices including medically supervised withdrawal from substances and opiate agonist strategies, various forms of group therapies, Motvational Interviewing and 12 step facilitation.
Training of Addictions Track Psychiatrist Residents and Fellows: Our Psychiatry Residency is the only one in the country known to have an Addictions Track. This unique track recruits R1’s (1-2/year) interested in addictions, then supplies them addictions faculty preceptors over the 4 years of residency, and bimonthly addictions track dinners, which include in-services and facilitates meeting faculty and other residents in the track. The goal of this track is to recruit and support the best quality residents coming to our program, and it has been functioning this way for the last 10 years. Further it is expected that most Track residents will become Addictions Fellows ( 1-2/year) funded through the Seattle VA ( Dr Saxon). Track residents often get involved in research during their 3rd and 4th years. Fellows are based at the Veterans Hospital but may also spend time at Harborview, or other community programs. Graduated Fellows have become faculty, community clinicians, and director of the Washington Physicians Health Program. Most recently one of our Fellows , Dr. Ray Hsaio, who is also a child psychiatrist has become one only a few academic child psychiatrists with addictions training and certification and is a faculty member of our Child Division at Childrens Hospital. Dr. Hsiao now offers a rotation in adolescent addiction to fellows. In addition Dr Marlatt and others from the upper campus Addictive Behavior Center often attends track meetings. The UW School of Medicine Addictions Programs were ranked 8th in US News.
Clinical Services: The Division has experienced physicians at all sites, but a majority are located at HMC and VAPSHCS. Harborview Addictions Program was recently honored with the HMC CARES Service Excellent Award.