DEPARTMENT OF PSYCHIATRY LAS VEGAS: FACILITIES
UNIVERSITY MEDICAL CENTER
University Medical Center is Southern Nevada’s major acute care, not-for-profit teaching hospital providing inpatient and outpatient health care services. The Medical Center is licensed for 508 beds as well as a free-standing Rehabilitation Unit of 34 beds. The hospital serves as the state’s major clinical campus, training doctors who someday will staff hospitals and clinics throughout the state. Because of its alliance with the University of Nevada School of Medicine, and other affiliated university programs, UMC is recognized as providing the most extensive and complete teaching programs for physicians and nurses in Southern Nevada. Residents spend two months in family practice, two months in neurology, one month in Internal Medicine, and one month in Emergency Medicine in PGY-1. In PGY-2, they spend six months on consult/liaison psychiatry. In PGY-4, they spend three months on an administrative rotation where they supervise the 2nd year resident on the consult/liaison service.
SOUTHERN NEVADA ADULT MENTAL HEALTH SERVICES
SNAMHS Hospital is an 86-bed facility, providing acute short term and long term psychiatric inpatient treatment for adults with serious mental disorders. Psychiatric emergency services are available 24 hours a day, 7 days a week with a 10-bed Observation Unit for people who may require extended evaluation. Outpatient counseling services are also provided to people in crisis or experiencing acute stress. The Medication Clinic provides outpatient adult psychiatric, nursing, and direct medication services, including prescribing and dispensing both injectable and oral medication. Other available programs: Psychosocial Rehabilitation - provides outpatient assistance to obtain and maintain quality of life through employment and consumer advocacy; Case Management – case managers support individuals in managing symptoms of their mental disorder as well as linking and referring them to appropriate community resources; Residential Programs – provide a range of community housing and assisted living options for individuals with serious mental disorder; C.A.U.S.E. – Consumers Against Unfair Stigma Through Education, a non-profit consumer run organization providing support and advocacy for people with mental disorders. Residents spend six months on Inpatient Adult Psychiatry during PGY-1, and 50% of their time in PGY-3 outpatient clinics, as well as three months in PGY-4 on the psychiatric emergency service.
V.A. SOUTHERN NEVADA HEALTHCARE SYSTEM
The Mental Health Service Line/Psychiatry Service (MHSL/PS) of the VA Southern Nevada Healthcare System (VASNHCS) consists of the following program components: Mental Health Clinic (Outpatient Services), Arville House Day Treatment Center, Alcohol Dependence Treatment Program (ADTP), the Inpatient Psychiatry Unit 3F at The Mike O’Callaghan Federal Hospital, Community Based Outreach Clinic for Homeless Veterans, and the Chaplain Service. Linkage is also maintained with the Veterans Outreach Center. Services provided by these programs include but are not limited to: diagnostic services, treatment, consultations, rehabilitation, referrals, and other dispositions. There is an adequate number of qualified staff, appropriate facilities and equipment to enable eligible veterans to receive the necessary and appropriate level of care. 5% of the patient population is WWII cohort, 5% from the Korean War, 5% post-Korean, 15% from Vietnam, 20% Vietnam Era, 30% post-Vietnam, 10% first Gulf War, 5% post-Gulf War (first), and 5% Iraq/Afghanistan. Women veterans comprise 7% of the patient population enrolled in Mental Health Programs. Residents spend three months on Inpatient Adult Psychiatry during PGY-2 and 50% of their time in PGY-3 outpatient clinics.
MONTEVISTA HOSPITAL
Montevista Hospital is an 80-bed acute private psychiatric hospital providing inpatient and intensive outpatient services for psychiatric illnesses and addictive diseases. There are approximately thirty active attending and consulting physicians on the medical staff of the hospital. Montevista Hospital provides inpatient services to children (10 beds), adolescents (18 beds), adult psychiatric patients (36 beds), and adult chemical dependency patients (16 beds). The hospital averages about 280 inpatient admissions per month and 3,500 admissions per year with an average occupancy rate of 85%. The hospital has been a community resource for over 21 years. Residents spend three months on Inpatient Child and Adolescent Psychiatry during PGY-2.
CLARK COUNTY DETENTION CENTER
Clark County Detention Center is a county jail providing complete mental health services, including emergency psychiatric services, outpatient evaluation and treatment and discharge planning to 3,800 inmates in the Las Vegas, Nevada area. The majority of inmates are males 20 to 50 years old with 2% to 5% over 50 and a small percentage under 18. Women constitute 10% of the population. 20% of the population is on psychiatric medications, and there are two specialized psychiatric units within the detention center that house inmates with all major mental illnesses.
