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Psychiatry Residency Training Program
  Applicants Department GME Office Home School of Medicine UW UWHA

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Collaborative Care Rotation

Rotation Description:
UWMC has several Collaborative Care programs in which faculty provide psychiatric consultation. The Mental Health Integration Program (MHIP) provides collaborative stepped care to treat common mental disorders in primary care settings. The Behavioral Health Improvement Program is a similar program that is in place in the UW Neighborhood clinics and other UW primary care clinics.  In this rotation, residents will work closely with a consulting psychiatrist and participate in weekly phone consultation with a care coordinator and/or work in a clinic setting providing caseload consultation. Resident will be responsible for developing formulations and treatment plans for patients to be implemented in a primary care setting by a Collaborative Care team.

Learning Objectives Mental Health Integration Program Rotation:
At the conclusion of this rotation, the resident will ...

  • be able to define the key components of a Collaborative Care program.
  • be familiar with the evidence-based literature about integrated mental health programs.
  • be able to describe the different roles and providers in a ¬†Collaborative Care program and the ways they support clients.
  • be familiar with developing a Collaborative Care workflow (including triaging patients to appropriate level of care) and systems.
  • be able to demonstrate that they actively participated in and provided psychiatric consultation in a Collaborative Care team.
  • recognize benefits and limitations in using screening questionnaires to aid in diagnosis and treatment of common mental health disorders.
  • be familiar with the evidence-based literature about providing mental health care in a primary care setting.
  • be able to formulate patient presentation and develop treatment plans (including stepped-care) to be delivered by a Collaborative Care team.
  • be able to work effectively with a care manager including being able to identifying skill set, knowledge, attitudes of individual care manager and tailoring consultation hour consultation to their education.
  • be aware of strategies to effectively communicate with primary care providers.


  • Participate in weekly consultation with care coordinator (either over the phone or on site depending on assignment)
  • Notes from consultation completed within 1 day and sent to attending
  • Weekly supervision with attending about consultation cases
  • Observing consultation with at least one other consulting psychiatrist


Anna Ratzliff, MD, Ph.D.
Phone: (206) 540-1904
Cell: (206) 550-6811

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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560