Our mission is to advance the mental and physical health of our communities, and to become an internationally recognized pioneer of clinical excellence through the dedicated integration of education, discovery and recovery.
What will psychiatry look like in the years ahead? At Carilion, the Department of Psychiatry and Behavioral Medicine is not only transforming the way care is conceived of and delivered for our patients, but we are working to train and shape the physicians and thought leaders of tomorrow through our work with the Virginia Tech Carilion School of Medicine and the Fralin Biomedical Research Institute at VTC.
By integrating our services into specialty clinics, primary care offices and community-based agencies, we are able to hone in on the best ways to treat mental illness and substance abuse disorders within our region.
In addition, Carilion’s vast network allows us to reach out to those in rural communities through our tele-psychiatry program via emergency psychiatry, inpatient psychiatry, ambulatory care, consultation and tele-therapy.
As we prepare to meet the challenges of the future of medicine, we are actively recruiting new faculty. If you’re interested in learning about the possibility of joining us in this endeavor, please contact us. You will find a warm welcome and an opportunity to grow an extraordinary career.
Robert Lee Trestman, Ph.D., M.D., joined Carilion in April 2017 as chair of Psychiatry. Dr. Trestman is a nationally recognized expert in psychiatry and population health and has an extensive background in education and research.
Dr. Trestman previously was a tenured professor of medicine and psychiatry at the University of Connecticut School of Medicine, with a joint appointment as professor of nursing. He served as executive director of Correctional Managed Health Care (CHMC), a division of the University of Connecticut Health Center. In this role, he led a health system that provided global health care to all inmates within the Connecticut Department of Correction. Prior to that, he served in numerous academic and leadership roles at the University of Connecticut, Mount Sinai Medical Center and the Bronx Veterans Affairs Medical Center.
Dr. Trestman has authored more than 180 peer-reviewed articles and other publications, and is the senior editor of the first textbook in the field of correctional psychiatry, the Oxford Textbook of Correctional Psychiatry. Dr. Trestman is the co-developer of START NOW, a skills-based psychotherapy in use in five countries. Dr. Trestman has given over 150 regional, national and international invited presentations. He is the chair of the APA Council on Healthcare Systems & Financing, chair-elect of the American Hospital Association’s Behavioral Health Council, chair of the Research Committee of the American Academy of Psychiatry and the Law Institute for Education and Research, and chairs of the American Association of Chairs of Departments of Psychiatry’s Clinical Enterprise Committee.
Education and Training
- Mount Sinai Medical Center: Internship and Residency
- University of Tennessee: M.D.
- University of Tennessee: Ph.D.
- Carnegie Mellon University: B.S.
* Carilion Medical Center (Roanoke, Va.)
* 35 adult beds
* 14 child and adolescent beds
* Carilion New River Valley Medical Center (Christiansburg, Va.)
* 36 adult beds
Our faculty numbers more than 60 individuals housed in multiple locations in the Carilion Clinic system and at the Salem Veterans Affairs Medical Center (VAMC). Our residency program focuses on research competence and scholarship, key elements in developing the skills necessary for the future psychiatric physician. Our work incorporates evidence-based psychotherapy training and decision support in psychopharmacology. We foster an interprofessional approach to care delivery and work closely in the development and implementation of evidence-based practice as a standard of care. We’re at the beginning of a transformative process: Carilion Clinic has committed major funding to help build new facilities for our department.
Educational research and scholarly activity focus on development and implementation of new curricula, assessment tools and methods of tracking outcomes and career choice.
The department remains active in clinical trials with community volunteers and Carilion Clinic patients from child to geriatric individuals. Clinical areas of compound/product development include autism, mood disorders, substance use disorders, dementia and psychosis on both an inpatient and outpatient basis.
The department is also actively involved in adapting existing models of psychotherapy to new populations with particular goals of identifying predictive markers of success.
Finally, population health research strategies and continuous latest-treatment algorithms are the ultimate goal as the department seamlessly seeks to combine measurement-based care (MBC)/patient-rated outcome measures (PROMs).
CONNECT is the section within the Carilion Clinic Department of Psychiatry and Behavioral Health that provides assessment, triage and referral services for those in need of psychiatric and substance abuse assistance. A 24-hour service, CONNECT comprises experienced psychiatric nurses and licensed, master’s-level psychiatric social workers and counselors. Assessments are performed for all patients in the Emergency Departments of the extended Carilion Clinic system, either face-to-face or through video technology. Recommendations for appropriate levels of care are screened with a psychiatrist, and CONNECT facilitates the disposition.
CONNECT receives over 8,000 calls per month, including requests for resources, crisis calls and bed requests from all over Virginia. It is responsible for managing the admissions and throughput of patients to the psychiatric units at Carilion Roanoke Memorial Hospital and the Carilion New River Valley Medical Center, facilitating telepsychiatry consults and performing chemical dependency consults on medical inpatients.
START NOW integrates research, theory and clinical experience. It is designed to be a strengths-based approach, focusing on an accepting and collaborative clinical style. At the same time, this approach places the primary responsibility for change on the participant. This intervention was also designed to take into account the pragmatic factors of a variety of care delivery settings, which frequently face limited treatment resources. Learn more.
The Carilion Clinic Addiction Task Force
Vision: A vibrant and healthy community free of health-impairing addictions.
Mission: To coordinate and facilitate Carilion's efforts to address the health-impairing addictions in our communities.