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CURRICULUM VITAE |
Kenneth Joseph Fabian, M.D.
I am a 69-year-old, board-eligible general psychiatrist who was born in Chicago and trained in a VA-UCLA residency. I have dealt with psychiatric patients of all sorts. Clinically, I diagnose patients by a variety of methods, including DSMs II through IV. I also write clear evaluations and prescribe all classes of psychoactive medication. I believe that interpersonal psychotherapy combined with drugs supersedes drugs alone in producing a good treatment outcome. I consult comfortably with other physicians and work well with non-medical professionals. I am somewhat better at outpatient care than inpatient care but I can do and have done both. Perhaps my greatest skill is in the art of clinical supervision. Supervision is never domination; it is quite literally supervision: the ability to see, name and loosen the unconscious constraints that stagnate treatment and frustrate therapists and patients alike. Lastly, I solidly back up other therapists so that they never feel all alone with a difficult patient.
| JURISDICTION | STATUS |
|---|---|
| California | active |
| Indiana | active |
| Arizona | cancelled (at my request) |
| Montana | not renewed |
| Nevada | not renewed |
| New Mexico | not renewed |
| North Carolina | inactive |
| Wisconsin | not renewed |
| New Zealand | expired |
Psychiatrists Only, LLC, Atlanta, Georgia. Locum tenens psychiatrist. I did adult outpatient work one day a week at the Mariposa Counseling Center in Mariposa, California.
Medical Doctor Associates, Inc., Norcross, Georgia. Locum tenens psychiatrist. At the end of June, 1999 I did some outpatient work at the Nevada Mental Health Institute. During February and early March of 1999 I did outpatient work at a Kern County clinic in Bakersfield, California. In December, 1998 I did more outpatient work at the Nevada Mental Health Institute in Reno, Nevada. During 1998 and 1997, I completed two assignments at county inpatient facilities in West Bend and Wausau, Wisconsin. Before that, I completed three assignments in two locations, both of them state-hospital settings: Las Vegas Medical Center, Las Vegas, New Mexico and Southern Nevada Adult Mental Health Services, Las Vegas, Nevada. With the help of a team in all the inpatient locations, I either evaluated patients for admission to, or rejection from, the hospital or I provided inpatient care for patients who had severe and persistent mental disorders.
Mental Health Resource Centre, Porirua (near Wellington), New Zealand. Consultant psychiatrist. I was clinically responsible for outpatient and acute services in a comprehensive community mental health center. Outpatients received psychotherapeutic and psychopharmacological treatment from me. Acute patients required evaluation and disposition, which often included involuntary commitment to Porirua Hospital. On a 7- to 10-person roster, I covered Porirua Hospital at night and on weekends and public holidays.
Nevada Mental Health Institute (State Hospital), Reno (Sparks), Nevada. Senior Psychiatrist. Because of an urgent need, I worked in the busy outpatient clinic for the three weeks before I traveled to New Zealand.
Jackson and Coker Locum Tenens, Atlanta, Georgia. Contract psychiatrist. I served as a temporary or locum tenens psychiatrist in a variety of locations.
Cumberland Memorial Hospital, Cumberland, Wisconsin. Contract or locum tenens psychiatrist. Diffenbaugh and Associates mediated my contract with the hospital.
Touch Therapy Institute, Sherman Oaks, California. Student of Swedish massage. While I learned massage, I taught a two-month course in elementary psychotherapy and I daily helped teach the gross anatomy, physiology and pathology relevant to massage. The Institute strove to make massage medical and keep it from being either mystical or carnal.
Fresno County Department of Health, Fresno, California. Staff psychiatrist. I spent half of my time in Adult Outpatient Services dealing with a wide variety of patients, including Southeast Asian refugees. The rest of my work was teaching staff and reviewing medication in a day treatment setting with three parts: a classical day care center, a prevocational program and an agency that prepared patients for competitive employment. During my last six months in Fresno, I helped open and run a new partial hospitalization program for short-term, intensive treatment as an alternative to inpatient care.
Roanoke-Chowan Human Services Center, Ahoskie (Union), North Carolina. Staff psychiatrist. I cared for patients directly, especially by managing their medications. I worked with a residential substance abuse program and I performed emergency evaluations for commitments to the state hospital (Cherry).
CompHealth, Salt Lake City, Utah. Contract psychiatrist. I served as a temporary or locum tenens psychiatrist in a variety of locations. I worked for 40 (or more) hours per week and remained for one to several weeks in each location.
FHP (a health maintenance organization), Anaheim, California. Staff psychiatrist. I cared for psychiatric outpatients who belonged to FHP. Elderly persons made up a quarter of my case load. I provided backup and consultation for six social workers who served the same outpatient population. Prescribing antidepressants was an important part of my work. I also evaluated patients for inpatient care, which was handled by other psychiatrists.
Las Vegas, Nevada. Private practice of psychiatry. My practice emphasized psychotherapy of individuals, treatment of children and work with families. My treatment method dealt primarily with emotions.
Southern Nevada Adult Mental Health Services, Las Vegas, Nevada. Senior psychiatrist. About one half of each day, I cared for 9 to 12 subacute and chronic adult patients on the inpatient unit (B Building). During the other half of the day, I treated and followed more than 200 outpatients. In both areas of my work, I acted in concert with a wide variety of mental health, medical, administrative and legal professionals.
Montana State Hospital, Warm Springs, Montana. Staff psychiatrist on the Extended Treatment Unit. I cared for about 70 patients who had chronic and severe mental illnesses. My treatment approach included a hopeful attitude, a sophisticated theory of psychosis, broadly based diagnosis, painstaking psychopharmacology and interpersonal psychotherapy.
Merced County Mental Health Services, Merced, California. Consultant psychiatrist. I directed a ten-bed, free-standing inpatient unit called the BRITE for Brief Residential Intensive Treatment Experience. I also followed chronic patients in the day treatment and aftercare programs. I prescribed medications for some outpatients: Antabuse® for alcoholics and a detoxification regimen for heroin addicts.
Mental Health Resources, Incorporated, Portales, New Mexico. I was the only psychiatrist at a mental health center that served a catchment area of 18,000 square miles. I treated psychiatric outpatients in Clovis, Portales and Tucumcari. In Clovis I also cared for patients on a children's living unit, an alcohol treatment unit, a transitional living (shelter care) unit and a day care program. Sometimes I saw patients at outreach centers in Santa Rosa, Fort Sumner, Clayton or Roy. In all these places, I diagnosed patients, prescribed medications, consulted with physicians and other caretakers, sharpened the clinical skills of staff, wrote evaluations, testified in court, and committed patients to New Mexico State Hospital.
Northeastern Center, Incorporated, Kendallville, Indiana. Clinical Director. I backed up, supervised and trained about 30 mental health professionals. I performed some direct patient care: evaluation, consultation, medication management and individual psychotherapy. In time I found that the staff had been bickering with each other for years, so I left.
San Bernardino County Department of Mental Health, San Bernardino, California. Staff Psychiatrist II. Mostly I worked as the consultation-liaison psychiatrist at the County Medical Center. I consulted not only with the traditional medical-surgical departments but also with the special-care units: burn, renal dialysis, respiratory care and intensive care. Also, I mediated some conflicts between medical and psychiatric services. In addition, I followed a few long-term patients in individual psychotherapy.
Much of the time I taught Family Practice residents the fundamentals of psychiatry: simplified diagnosis, moderate-dose psychopharmacology, informal psychotherapy, psychosomatic correlations, and the psychosocial aspects of medical illness. In the spring, I participated in a psychiatry course for medical students: lectures on the rudiments of psychiatry and a laboratory for implementing interviewing skills.
Prior to July 1, 1980, I did consultation-liaison psychiatry about 40% of the time. I spent the rest of the time doing outpatient psychiatry in San Bernardino, Barstow and a neighborhood outreach center; biofeedback treatment using temperature and EMG; the psychiatric care of inmates at Glen Helen Rehabilitation Center; and some team leadership on the inpatient service (Ward B).
Roanoke-Chowan Mental Health Service, Ahoskie (Union), North Carolina. Consultant Psychiatrist. I backed up clinical staff members in the Adult and Geriatric, Day Treatment, Childrens, Substance Abuse, and Mental Retardation programs at the service. I taught and demonstrated several methods of psychotherapy. I cared for patients directly, especially by managing their medications. I evaluated patients for therapeutic, diagnostic and administrative reasons. I performed emergency evaluations for commitments to the state hospital (Cherry).
Rockingham County Mental Health Center, Wentworth, North Carolina. Clinical Director. I backed up ten clinical staff members. I often taught and demonstrated the techniques of psychotherapy. I cared for patients directly, mostly individual therapy and psychopharmacological management. I evaluated a lot of patients: for the center itself; for courts, schools, social services and vocational rehabilitation; for local hospitals and nursing homes; and for commitments to the state hospital (John Umstead).
Nevada Mental Health Institute (State Hospital), Reno (Sparks), Nevada. Senior Psychiatrist. I was in charge of outpatient and partial hospitalization services, psychiatric consultation on the Alcoholism Unit (a long-term treatment program), and the creation and administration of a 14-bed crisis and stabilization unit which was closed on June 30, 1976. After that, I led one of three inpatient treatment teams and did limited outpatient work, mostly the follow-up of discharged inpatients. Patients were admitted in rotation to the three neuropsychiatric wards of the Institute. So there was no chance for specialization and each ward team had to deal with all kinds of psychiatric and social problems: psychosis, chronic schizophrenia, depression, acute alcoholism, vagrancy, organic brain syndrome, forensic cases, mania, mental retardation, uncontrollable juveniles, and so on. These responsibilities ended on January 31, 1977.
Throughout my time at the Institute, I was in charge of the full psychiatric care and limited neurological care of about 60 mentally retarded residents. This task included psychiatric evaluation, diagnosis, consultation and treatment along with the full range of care for all types of epilepsy, most of it severe.
While at the Institute, I designed medical records that were simple, easy to use and truthful. I also became familiar with the problem oriented medical record (POMR) in both mental health and mental retardation settings.
Mono County Mental Health Services, Mammoth Lakes, California. Clinical Director. I treated outpatients, inpatients, people in crisis, alcoholics, drug users, and children. I also did psychopharmacology, forensic psychiatry, staff development and community psychiatry. Mono is a mountainous county that had a small number of rural residents (about 6,000 at that time) and a highly variable number of resort residents (sometimes in the tens of thousands), the latter mostly from Los Angeles.
Riverside County Mental Health Services Outpatient Clinic, Indio, California. Clinical Director. I supervised the psychiatric clinical services rendered by the outpatient clinic, a day treatment program, a treatment program for drug users, a methadone maintenance program, and an aftercare agency for people discharged from psychiatric hospitals. Because a good deal of program expansion occurred, I interviewed and hired the new professional staff. I also planned and implemented programs, trained staff, participated in community consultation and education, and cared for patients directly. The geographical area served covered much of the low desert in Riverside County and extended to a satellite clinic 100 miles away in Blythe, California. The cultural patterns of the desert were varied: upper- to lower-class White, Chicano, Mexican immigrant and Cahuilla Indian.
Golden State Community Mental Health Center, Pacoima, California. Director of Psychiatric Inpatient Services. The inpatient unit was originally a six-bed area of the medical floor of Pacoima Memorial Lutheran Hospital. After an earthquake (2-9-71), the psychiatric unit was separated from the main hospital and expanded first to 28 beds and later to 38 beds. I ran the inpatient unit during this period of change, controlled the cultural milieu, trained and supervised the professional and paraprofessional therapists, and administered psychopharmacological treatment, electroconvulsive treatment, and detoxification from alcohol, barbiturates, heroin and other drugs. Pacoima is a poverty area of Los Angeles and has multiple cultures including African-American, Chicano, Cuban, poor White and middle-class White.
Granada Hills, California. Private practice of psychiatry in the North Central San Fernando Valley of Southern California.
Veterans Administration Hospital, North Hills (Sepulveda), California. Three-year residency in psychiatry. The residency program was affiliated with the University of California at Los Angeles (UCLA). Most of the instructors were professors there: for example, Keith S. Ditman, MD for one year of training in psychopharmacology and Philip R.A. May, MD for six months of training in research design. The residency included rotations at the Los Angeles Psychiatric Service (LAPS) and at the San Fernando Valley Child Guidance Clinic.
United States Penitentiary, Atlanta, Georgia. Staff Medical Officer and unofficial psychiatrist. United States Public Health Service, Lieutenant Commander.
Federal Correctional Institution, Texarkana, Texas. Chief Medical Officer. United States Public Health Service, Lieutenant Senior Grade.
Gorgas Memorial Hospital, (Panamá) Canal Zone. Intern. I completed a rotating internship on June 30, 1965.
Stritch School of Medicine, Loyola University, Chicago (Maywood), Illinois. Medical student. Degree: Doctor of Medicine, cum laude, June 9, 1964.
Loyola University, Chicago, Illinois. Undergraduate student. Degree: Bachelor of Science, Physics, June 10, 1959.
Loyola Academy, Chicago (Wilmette), Illinois. High school student, Honors Program. Graduated in June, 1955.