Atlanta VAMC serves over 440,000 veterans residing in metropolitan Atlanta and northern Georgia. The medical center is dedicated to providing acute medical, surgical, intermediate, and psychiatric care, and both primary and specialized outpatient services with almost all major specialties and subspecialties represented.
Atlanta VAMC is a dean’s committee, tertiary care facility comprised of 191 operating hospital beds and 100 operating nursing home care unit beds. The facility is located east of Atlanta, Georgia, on the northeast edge of Emory University’s Campus. Atlanta VAMC serves as a primary teaching hospital of the Emory University School of Medicine with a major, highly active research program.
The Substance Abuse Treatment Program (SATP) of the Atlanta VA Medical Center treats over 1,500 veterans each year with a variety of addictive disorders. In order of prevalence, they include nicotine dependence, alcohol dependence, cocaine dependence, cannabis dependence, opioid dependence, benzodiazepine dependence, and others. Over one-third of veterans in the SATP have co-occurring mental disorders including post-traumatic stress disorder, mood disorders, other anxiety disorders, and psychotic disorders.
Grady Memorial Hospital has been in the heart of downtown Atlanta for over 100 years, located approximately seven miles from the Atlanta VA Medical Center and Emory University. With 1,000 inpatient beds, Grady is a primary teaching hospital of the Emory University School of Medicine and Morehouse School of Medicine. Grady Memorial is the primary hospital for inner city and medically indigent populations in the two largest counties of metro Atlanta. Construction of a $350 million renovation of the physical plant was completed in 1995. Total patient volume in the Emergency Care Center is approximately 100,000 patients per year.
Addiction Psychiatry Residents are required to participate in a full-time, two-month rotation at Grady. The residents split their time between:
Residents work with psychiatrists, clinical psychologists, social workers and clinical nurse specialists provide multidisciplinary clinical supervision and collaboration.
MARR, Inc., is a private, nonprofit community-based residential addiction treatment program that provides several levels of care. These include intensive outpatient/partial hospitalization, high-intensity residential, low-intensity residential, aftercare, family services, and services for recovering professionals. MARR owns and operates more than 35 recovery residences that offer a therapeutic “community” in which each patient progresses through the recovery process in a family-type environment.
The organization operates four gender-specific residential primary addiction treatment programs:
Addiction Psychiatry residents rotate through all four of these treatment programs. The main treatment and administrative facility is located in northeast metropolitan Atlanta about 10 miles from the Atlanta VAMC.
Patients include men and women with primary addictive disorders; depending on the patient population, at least half of the patients have co-occurring psychiatric disorders. The most common psychiatric diagnoses include mood disorders, anxiety disorders, and personality disorders. Treatment approaches include individual and group psychotherapy, psycho-education, 12-step facilitation, behavior modification, therapeutic community, psychopharmacology, recreation therapy, and family therapy. Residents have shared responsibility with other staff for 12-15 outpatients and have three hours per week of individual and group supervision.
Talbott provides state-of-the art treatment programs designed to treat the whole pateint and family. Patients are provided comprehensive, individualized treatment of addiction (alcohol, drug use, and other addictive disorders) and its related medical, psychological, spiritual and work-related problems, along with a thorough immersion in the twelve step fellowships.
Residents rotate through these services at Talbott:
One of Talbott's strengths is their success at treating professionals, such as medical doctors and airline pilots.