University of Pennsylvania 
School of Medicine

The University Of Pennsylvania Department Of Psychiatry through The Center of Excellence and Innovation in Public Psychiatry offers one-year post residency fellowships annually. The fellowship was created as a cooperative program with community mental health agency partners and the Commonwealth of Pennsylvania, and is designed as subspecialty training for psychiatrists who plan leadership careers in the public sector.

The core of the fellowship consists of supervised work at collaborating public sector agencies in Philadelphia. These field placements are complemented by an academic curriculum that teaches clinical, leadership and administrative/management skills that will provide fellows with the tools and expertise to become part of the next generation of leaders in public psychiatry.

A major part of this program is the ongoing support of a community of previous fellows in the mentoring and supervision of the new fellows.  The fellowship is designed to immerse fellows in clinical team leadership experiences and wide exposure to the range of services in the system in Philadelphia. Philadelphia is a particularly rich environment for community psychiatry opportunities with a unique funding structure for behavioral health services.

The active participation of the city Department of Behavioral Health Services provides opportunities for fellows to be involved in a variety of public policy experiences.  Each fellowship experience is individually designed to enhance the skills of the fellow and provides a range of clinical practice sites and academic opportunities. We strive to create a creative learning environment with didactic and experiential learning experiences. Fellows are expected to complete an independent research or organizational project as part of the fellowship.

Fellows receive $90,000 plus benefits. Additional funding is available for conference and educational activities. Fellows receive a minimum of one hour ofsupervision each week with a staff psychiatrist. Additional supervision is available as needed. For more information please refer to

For more information, please contact:  

Larry Real, M.D.
Program Director
Phone: 215-386-3838 ext. 12121

Rachel Talley, M.D.
Associate Program Director
Phone: 215-386-3838 ext. 12122

Graduated Fellows  

Duncan Wright (2008-09) - Retired from psychiatry; now works with the Earth Quaker Action Team.

Sheri Hollander (2008-09) - Dr. Hollander has been an ACT team psychiatrist in Delaware County since graduation.

Ruiza Yee (2010) - Dr. Yee is currently Medical Director of The Reading Health System’s ACT Program

Holly Valerio (2011-12) - ACT team psychiatrist in Philadelphia since graduation.  

Christopher Tjoa (2012-13) – Physician Advisor at Community Behavioral Health (CBH).  Dr. Tjoa also works in integrated care (primary care psychiatry).

Katya Tatarchuk (2013-14) - CMHC psychiatrist, part-time, Philadelphia.  

Branden Youngman (2015) - Graduated from Penn's program in June 2015 and is currently working at COMHAR Inc. with the outpatient and CIRC programs.

Erin Torday (2015)

Maria Yee,  Reading Hospital Mental Health Center

Sheri Hollander, Horizon House  

Yekaterina Tatarchuk, Horizon House  

Aminata Cisse, Horizon House  

Charles Stanfa, Horizon House

Current Fellows   

Andrew Migliaccio - Dr. Andrew Migliaccio received his undergraduate degree in nutrition from the University of Florida and his medical degree from the University of Pennsylvania. During his residency in psychiatry at Penn, he served as Chief Resident of inpatient services. Dr. Migliaccio has completed additional training with the Indian Health Service in Arizona, an early intervention psychosis program in Philadelphia, the Penn Center for the Treatment and Study of Anxiety, as well as in Dialectical Behavioral Therapy. His professional areas of interest are in public psychiatry, recovery-oriented care, prevention, policy/advocacy, gender/sexuality, and addiction. He is currently a fellow in Community Services Psychiatry at the University of Pennsylvania.

Jasmine Sawhne


Trevor R. Hadley, Ph.D.
Co-Director, Center of Excellence in Public Service Psychiatry

Dr. Hadley is the founder and former Director of the Center for Mental Health Policy and Services Research.  He is currently a Professor of Psychology in Psychiatry at the Perelman School of Medicine, University of Pennsylvania. A senior mental health services researcher and public policy expert, he formerly served in public sector positions as commissioner and deputy commissioner in several state mental health agencies and currently serves as a management and systems change consultant to several states and national organizations.  He is responsible for conducting research projects focusing on utilization, cost, benefits and staffing of mental health programs. Collaboration with public mental health systems in managing a mental health services research program is essential and poses many logistical and organizational difficulties that require long-term maintenance of public-academic relationships.  Dr. Hadley's ability to initiate, foster, and maintain such relationships between the Center and public mental health institutions and the academic community is one of the unique strengths of the Center. Internationally, his work has included consultation with mental health programs in England, Canada, Japan, Turkey and with the World Health Organization.

Dr. Larry Real
Co-Director, Center of Excellence in Public Service Psychiatry

Dr. Larry Real recently returned to Horizon House to again serve as its Medical Director and as Co-director of the Public Psychiatry Fellowship at the University of Pennsylvania’s Department of Psychiatry, after three years as the Chief Medical Officer for Philadelphia’s Department of Behavioral Health and IntellectualdisAbility Services (DBHIDS).  He spent much of his career at the Belmont Center, formerly known as the Philadelphia Psychiatric Center, where he served in several leadership positions, including Medical Director from 1997 to 2010.

He is a past president of both the Philadelphia and Pennsylvania Psychiatric Societies, and a Lifetime Distinguished Fellow of the American Psychiatric Association. Dr. Real has been honored by his peers, by family advocates,  and by consumer groups for his career-long dedication to public service psychiatry, family advocacy and the recovery movement,  including receiving the Righteous Person Award from TIKVAH/Advocates for the Jewish Mentally Ill in 2011, the Southeastern Pennsylvania Mental Health Association’s  2012 Bell of Hope Award, several Exemplary Psychiatrist Awards from local,  state and national NAMI, and most recently,  the Paul J. Fink Leadership Award from the Philadelphia Psychiatric Society.

Rachel Talley, M.D.
Assistant Professor of Clinical Psychiatry in the Department of Psychiatry, University of Pennsylvania

Dr. Talley is Associate Director of the University of Pennsylvania Fellowship in Community Psychiatry. She is a staff attending at Horizon House, Inc, providing direct clinical services in a range of programs for adults with behavioral health needs and participating in quality improvement activities administratively. Dr. Talley received her M.D. from Stanford University School of Medicine and completed both her residency training in adult psychiatry (including chief resident year) and a post-residency fellowship in public psychiatry at Columbia University/New York State Psychiatric Institute.

Dr. Talley served as resident-fellow representative to the Board of the American Association for Community Psychiatry from 2016-2018 and was an American Psychiatric Association Public Psychiatry Fellow 2016-2018. She has several publications in peer-reviewed journals examining the integration of physical health services into behavioral health settings.