Residency Training Sites

Central Texas Veterans Health Care System

The Central Texas Veterans Health Care System has two medical centers located in Temple and Waco, Texas, a stand-alone multispecialty clinic in Austin, five community based outpatient clinics in Brownwood, Cedar Park, College Station, Palestine and La Grange, two community living centers located at the Temple and Waco campuses, a domiciliary in Temple, a blind rehabilitation unit in Waco, a 40-bed psychosocial residential rehabilitation treatment program in Waco, and a 15-bed residential women’s traumatic rehabilitation unit.

The TAMHSC Psychiatry Residency Program provides training at the Olin E. Teague Veterans’ Medical Center (Teague Medical Center) in Temple, Texas, and the Doris Miller Department of Veterans Affairs Medical Center (Medical Center) in Waco, Texas.

The Olin E. Teague Veterans’ Medical Center

The Teague Medical Center is a full-service, state-of-the-art education and research facility with a 90-bed teaching hospital that serves as the medical/surgical referral center for all CTVHCS campuses as well as providing outpatient services to Veterans across the 39-county service catchment area. Also located at the Temple Campus is a 187-bed domiciliary, a 70-bed Community Living Center which includes a hospice unit. A 160-bed State Veterans Home also resides on the Temple Campus grounds as well as an $11.5 million VA Research Institute which attracts world-class researchers to the Central Texas area.

Residents will complete 2 months of neurology outpatient care at this facility during PGY-1.

The Doris Miller Department of Veterans Affairs Medical Center

The Medical Center became part of the CTVHCS in 1995 and has now been designated as the “VA Center of Excellence” for psychiatric care. This facility supports the needs of the veterans and offers clinical services including inpatient and residential psychiatric levels of care.

Specialty services include programs with a focus on the treatment of the seriously mentally ill and post-traumatic stress disorder.

The Medical Center hosts two unique residential programs, the Women’s Recover in Supportive Environment (RISE) that provides treatment for female victims of military sexual trauma and combat trauma and the Seriously Mentally Ill Life Empowerment Residential Rehabilitation Treatment Program (SMILE RRTP) that provides services to individuals with a severe mental illness using the recovery model and with a goal to improve the quality of life for these veterans and promote independence.

Waco’s psychiatric services consists of 64 intermediate and acute psychiatric beds and 140 beds to provide long term care to geriatric patients, defined as those patients with a psychiatric disorder who are age 65 or older.

Residents will complete 4 months of general psychiatry inpatient care, 2 months on substance use disorder treatment services, 2 months on geriatric psychiatry during PGY-2 at this site.

The Carl R. Darnall Army Medical Center

The Carl R. Darnall Army Medical Center (CRDAMC) is in Fort Hood, Texas and provides medical care to service members, veterans, and their families supported by Fort Hood. CRDAMC consists of a 128-bed hospital, five primary care clinics, four troop medical clinics, and 22 specialty clinics. CRDAMC Department of Behavioral Health (DBH) is comprised of three major sub-departments: SOLDIER Behavioral Health Services (psychological and consultation services as appropriate to maintain the behavioral health of Active-Duty personnel); Hospital Behavioral Health Services, Child and Family Behavioral Health Services and the Family Advocacy Program.

Through these major sub-departments, CRDAMC DBH provides comprehensive behavioral healthcare through flexible, tailored services that support all phases of the Army Force Generation process. These services include: acute/walk-in evaluations, individual therapy, group therapy, medication management, psychological testing, pre/post deployment screening, SRP evaluations, chapter and command-directed evaluations, and command consultations, Medical Evaluation Board evaluations (designed to determine whether a Service member's long-term medical condition enables him/her to continue to meet medical retention standards, in accordance with military service regulations), forensic evaluations, inpatient care, virtual behavioral health (VBH), an Addiction Medicine Intensive Outpatient Program (AM IOP), the Psychological Health Intensive Outpatient Program (PHIOP), an intensive outpatient program for the treatment of Posttraumatic Stress Disorder (PTSD), child/adolescent services, and marriage/couples and family therapy.

This site provides services to more than 42,000 active-duty personnel and more than 145,000 family members and retirees within a 40-mile radius. The Inpatient Psychiatric Service provides acute inpatient psychiatric care for patients on an 18-bed unit. Initial treatment includes thorough interviews by nursing staff, psychiatrists and case managers and 24 hours of observation on the Inpatient ward. Patients attend individual and group sessions and participate in various therapeutic milieu activities. CRDAMC has an onsite medical director who will provide oversight of their clinical and educational experience.

Additional educational opportunities at this site include potential administrative and elective rotations. CRDAMC has a recently approved psychiatric residency and has the necessary infrastructure in place to support resident education.

Psychiatry residents will rotate through CRDAMC during PGY-1 for required rotations in psychiatry inpatient.

St. Joseph Health System

St. Joseph Health is part of the Catholic Health Initiative (CHI) and is one of the nation’s largest health systems. CHI St. Joseph is part of the Common Spirit Health, a nonprofit Catholic health system dedicated to advancing health for all people. Headquartered in Englewood, Colorado, CHI operates in 19 states and comprises 105 hospitals, including four academic medical centers and teaching hospitals; 30 critical-access facilities; community health services organizations; accredited nursing colleges; home health agencies; and other services that span the inpatient and outpatient continuum of care.

CHI St. Joseph Hospital and Medical Center in Bryan, Texas is a 235-bed medical center offering the Brazos Valley’s only Level II Trauma Center. With a widely recognized surgery program, CHI St. Joseph Health is also known throughout the region for its cardiac, cancer and rehabilitation programs. The Center is accredited by the Joint Commission.

Residents will rotate on general medical inpatient services as part of their primary care experience.

The MHMR Authority of Brazos Valley

The MHMR Authority of Brazos Valley (MHMRABV) is a public non-profit community mental health center. Through the Texas Health & Human Services Commission (HHSC), the agency has administrative responsibility and authority to provide a continuum of mental health and intellectual and developmental disability services to eligible individuals who live in Brazos, Burleson, Grimes, Leon, Madison, Robertson, and Washington counties.

Each year, over 7,500 children and adults throughout a seven-county area depend on the outpatient mental health services provided by MHMRABV. MHMRABV provides treatment and assistance to adults with serious and persistent mental health issues and for children and adolescents with serious emotional disturbances. Treatment is compressive and directed toward stabilization in the home, workplace, and community.

This site provides residents with a community mental health experience. Approximately 48% of the adult patients and 22% of the child and adolescent patients are uninsured. The population served is ethnically diverse and residents will care for patients with Serious Mental Illness in both acute and chronic presentations. Services at this site include case management and peer support providing additional educational experiences for trainees.

Psychiatry residents will rotate through MHMRABV during PGY-3 for the following required rotations in specific units within the facility: Child and Adolescent and Adults that includes longitudinal and integrated care components.