IU School of Medicine



Substance abuse and other mental illness are highly comorbid in the adult as well as the adolescent population. This elective will provide medical students with experience in the diagnosis, pychosocial intervention, and pharmacologic management of children and adolescents with both substance abuse and mental illness (dual diagnosis). During the elective, the student will work toward developing a solid knowledge base derived from their preceptors, observation, and participation in patient interaction, and independent literature searches. There will also be an opportunity for the student to learn about clinical research. The student will meet with the course director at the beginning of the rotation to discuss areas of interest and review goals and expectations for the elective. Time will be spent in preceptorship with the course instructors while participating in outpatient follow-up within the medication management and psychotherapy clinics.

Elective Details:

Primary Contact for Add/Drops: Tiffany Hatfield (thatfld@iu.edu)

Director: Leslie Hulvershorn, M.D.

Campus: Indianapolis

Location: Riley Hospital for Children at IU Health (Indianapolis)

Learning Objectives

    1. Explain diagnostic criteria for substance use disorders and the common comorbid psychiatric diagnoses affecting the child and adolescent population through working closely with faculty who specialize in the field (PC2)
    2. Gather a mental health and substance use history and formulate a differential diagnosis and treatment plan (PC2)
    3. Demonstrate compassionate interaction and communication with patients and their families (ISC2)
    4. Discuss potential treatment plans pertinent to this population (MK5)
    5. Discuss the physician-patient family relationships and their importance to patient care (ISC1)
    6. Conduct relevant literature searches and present current literature on a relevant topic of their choice (PBLI1)


  • Clinical Performance Evaluation Form; (Observation, discussion with faculty. Their final project could be oral or written, so it will be assessed accordingly).

Enrollment Information

Prerequisites: 3rd or 4th year status ; completion of Third year Psychiatry Clerkship

Availability with Max Students per Month:


Duty Hours: 30

Time Distribution: 75% Clinical; 25% Research Project

Elective Type Category: CP - Clinical Practice

Notes and Enrollment Information:

Add/Drop Contact Person: Tiffany Hatfield (thatfld@iu.edu) Please contact Vicki Anderson (vpetrou@iupui.edu) & Tiffany Hatfield (thatfld@iu.edu) before scheduling to determine availability and contact faculty a minimum of 4 weeks prior to start of elective.

Third Year Elective? Yes

Interprofessional Skills and Service Learning

Interprofessional Collaborative Skills: Yes

Skills Description: Yes, social work, psychology

Service Learning Included: None