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Acknowledgement

First and foremost, I express my deepest thanks to the Medical City Psychiatry
Department for a wonderful training experience they have provided each and
everyone of us. I appreciate the fact that the staff and doctors treated us like a part
of the institution. They were all always approachable and made us feel
comfortable in the workplace.
I would also like to thank our supervisors Ms. Alice Yu and Sir Dan De Guzman
for being such considerate, affable, and guiding superiors. How they always make
sure that we learn something out of our everyday tasks, and how they challenged
us to show our skills, I would never forget. I have learned from them that
perseverance, patience, creativity, and a genuine desire to aid mentally sick
patients are most important in the clinical setting.
As always, never-to-be-forgotten is the support and guidance of our beloved
Practicum Coordinator and Area Chair, Ms. Merle Salmorin. I am thankful for
her knowledge of the complexities of the world of psychology because she keeps
us equipped and ready to face obstacles on our own.
Also, my family and friends who stand by me and never lose patience during my
most selfish times deserve due gratitude. Without them, I would not have survived
this taste of the real world.
Last but most certainly not the least, I thank the Lord Almighty for everyday that I
get to wake up and live my life. In the midst of all the hardships, I know that he
always has the best things in store for me.

N.K.D.J

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INTRODUCTION

A common assumption about people who major in psychology is that they are responsible
for treating the mentally ill. Freshman college students who take up psychology usually say that
they chose the course because it is very interesting to them. Some believe that the course can
enable them to understand people and themselves. And most people, when talking to a
psychology major, usually ask “Are you reading my mind right now?”
All of these suppositions, to some extent, have a little truth in them. To put focus on the
first mentioned assumption, a psychology major may indeed treat mental illness. But it is only
after they undergo extensive studying and training, particularly in the field of abnormal
psychology, can they become medical doctors known as psychiatrists.
A mental disorder is described as a syndrome characterized by clinically significant
disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a
dysfunction in the psychological, biological, or developmental processes underlying mental
functioning (Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition). Behavioral
and emotional disorders, on the other hand, are diagnosed and treated by clinical psychologists.
These are individuals who hold a doctoral degree in psychology and are trained in clinical
practice and research.
Even as graduating students of psychology, all of us are still practically neophytes in the
field. That is why training in a psychiatric facility is a very essential experience for us especially
if we wish to pursue a career in the clinical setting.
In junior year, we have had our first tasteof having close contact with children who are
suffering from emotional or behavioral disorders. Despite the very short amount of time allotted
for this immersion, it has prepared us for facing more complex cases of mental disorders
specifically among adults.
Different types of mentally disordered individuals are admitted in the Medical City
Psychiatry Department. They may either be referred by their family or voluntary patients. The
length of time they spend in the facility will depend upon the severity of their disorder. The
patients’ medication and diet are under the prescription of their doctor. Among the patients,
Substance-Abuse Disorder is most common; Schizophrenia, Bipolar Disorder, Depressive
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It is actually a great way of seeing them let loose and have fun with other patients. Also. baking activities are administered while every Thursday. Praises from our supervisor. on the other hand. and even hair spas. shaving. Wednesday. and compassionate towards the patients. they have again their movie time. these activities could help distract them from withdrawal symptoms. the patients have grooming time wherein they do basic hygienic practices such as cutting their nails. during Friday afternoons. non-complaining. there are cooking activities. hand and foot spas. She commended us for being hardworking. for depressive and addictive patients. the patients can have their zumba or tai-chi exercise for atleast 30 minutes accompanied by other trainees. While on Sunday mornings. Ma’am Alice were also a bonus. and Friday they have to participate ineither arts-n’-crafts or group dynamics activities. and Dementia were also evident. Every Tuesday. Ma’am Alice and Sir Dan. Throughout the duration of our training. Binge-Eating Disorder.Disorders. Also. the patients always look forward to their karaoke time. All the necessary equipment is within the O. and could even improve their patience and determination.T. Room. During some Fridays. no incident was ever reported during the time we spent as interns within the facility. Fortunately. 3 . when the interns in-charge are still preparing for the morning activity. on the weekends. it helps them develop their ability to focus on a task. The patients have a set schedule of activities within a week. group dynamics activities can be administered every Saturday morning and during the afternoon the patients have movie time. Then during the afternoon. we were under the supervision of the two occupational therapists of the Psychiatry Department. These types of activities may seem simple and even unsuitable with the age range of the patients. and yet another patient showed symptoms of Language Disorder. Therefore. enhance fine motor skills. most of the activities we administered were in line with the patients’ occupational therapy. But in truth. Finally. One patient even had Psoriasis which is a skin disease. another showed symptoms of Gender Dysphoria. every Monday.

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He was the first Chairman of the newly founded Department of Psychiatry from 1971 up to 1978 and then served for another term from 1980 to 1987. 000 out-patients annually. Company History The Psychiatry unit was established in 1965 at the ABM Sison Hospital. TMC has a medical staff of over 1. A Psychiatry 11 . Perlas. Its history boasts of the collective aspiration and learnings of its forerunners that have laid the foundation in molding the character of the institution and in staying the course towards its vision and mission. 200-strong human resource complement. it has learned to integrate the science of medicine with that of business management. At the heart of TMC’s service philosophy are new paradigms of hospital care addressing the entire continuum of health needs. 000 physicians who are established experts in their various fields of specialization. (PSI). TMC is accredited by the Joint Commission International (JCI). It was administratively under the Department of Medicine at that time. informed and empowered partner in the pursuit and preservation of health. and has been operational since 1967. 000 in-patients and 400. The unit became an independent department in 1971 under the chairmanship of Dr. Inc. This core of professionals is complemented by a 2. Through the years of its corporate existence. It had an open spacious garden where patients had their sports and recreational activities. The unit was established in response to the need of the community for hospital-based treatment of individuals suffering from severe psychiatric disorders. The unit was located in the Lower Ground Floor of the hospital to ensure patient safety. now known as The Medical City.Company Profile The Medical City (TMC) is a tertiary care hospital with over forty years’ experience in hospital operation and administration. Antonio P. and the patient as an equal. the world’s most prestigious accrediting body for international health care organizations. TMC is owned and operated by Professional Services. Its world-class health care complex serves some 40. administrative and support services. TMC is one of the financially sound health care institutions in the country. engaged in allied medical. Hence.

Dr. Dr. Lourdes V. Jon Ortiz. Outside rotations in Child Psychiatry (UP-PGH).2001) were integrated into the 12 . Dr. Doris PrimeroCarillo in 1994 and Dr. Dr. called "We Care Support Group" in June 2000. aides). Carolina Lacson and Dr. However in 2001. Dr. the ward floor area was reduced and the bed capacity was consequently reduced to 32 beds to accommodate the hospital’s newly-acquired Magnetic Resonance Imaging (MRI) unit. The graduates of the residency program under Dr. Barangay Maybunga . The first full-fledged Resident graduate was Dr. and the Program for Detoxified Patients (PDP) in October 2000. Ilugin Elementary School . The Section of Consultation-Liaison Psychiatry started its affiliation with the Renal Unit in 1999. The Psychiatry Residency program had full accreditations in 1995. The department also had Ward Administrators until 1979. Rene Yat in 1996. The nursing staff was increased to 35 (nurses. an Out-Patient Department was established to provide the Residents with adequate training in handling outpatients and doing psychotherapy. Elizabeth De Guia. Paz Zabala. Lourna Laraya. innovations in the training program were initiated to pave the way for better clinical and community learning experience. The ward was later expanded to a 60-bed capacity unit in 1980. Imelda Batar and Dr. Patricia Lichauco-Pagkalinawan in 1989. Those who started residency training at the Department but continued their training in other institutions were: Dr. Ocampo include: Dr. 1996. Angela Halili-Jao. The department also launched a support group for the relatives of chronic psychiatric patients. Dr. Dr. Nora Avila in 1988. Despite this condition. Batcagon. to supervise department staff and services and these were: Dr. The Section of Addiction Psychiatry was gradually developed with the introduction of its programs: Detoxification Package for substance abusers. the Department continued its growth.Godino in 1982. In 1998. Philip Jaojoco and Dr. the Unit’s bed capacity was increased to sixty-two (62). Out Patient (NCMH).Residency program was started in the same year when the Department of Psychiatry was recognized as an independent department. On the same year.2000. Efren Reyes. Since then. 1998 and in 2001. Lapuz was appointed Chairman of the department on August 4. Mentally Ill & Chemical Abusers (MICA) program in December 1999. occupational therapists. Teresito Ocampo took over as the Department Chairman. and its clinical services became extensive. Dr. Dr. Dulce Lizza Sahagun in 1990. Neurology (St Luke’s Medical Center) and Community Psychiatry (DOH 1998. From 1987 to 1996.

Monforte. Cayetano in 2009. 1 visiting/interview area and an ECT/Treatment room. Sanchez and Dr. Gatlabayan in 2008. Genuina Ranoya nd Dr. Wendell Holmes C. a double-bed is segregated into another area for Residents and interns on 24-hour duty. Vincent John M. Jr. Lising. Dr.87 sq. the Department also started accepting Neurology Fellows from St. Luz Casimiro-Querubin became Training Officer in 2004. Luke’s Medical Center to have their Psychiatry rotation in the department. Daplas in 2002. Christian Irving C. Dr. Herman Sanchez in 2000. Ma. an interview room and Out-Patient Rooms are located outside the Nursing Unit of the Department. Dr. Dr. The Fellowship Program for Consultation-Liaison Psychiatry was first offered in 2006. Ruby G. and the Staff area. Cainghug in 2001. and Dr. Aura Lee-Antonio in 1999. 2 landline phones and 1 fax machine. Bautista. There is 1 nurses’ station and work area. Eleonor E. The Chairman’s Room. It has a 21-bed capacity in-patient ward with 1 isolation room. Dr. became the chairman of the department in 2001. Banaag’s term are: Dr. Dr. Dr. Sylvestra Freita P. Sheheraza de Binag-Directo in 2003. Cornelio G. Vanessa B. Lopez and Dr. Dr. Divino.training program. The Residents’ area includes a conference room. Dr. Dr. Additional rotations for Out Patient at East Avenue Medical Center and Forensic Psychiatry at the National Center for Mental Health (NCMH) were established. Monica Cardinez-Tan and Dr. Dr. 13 . Michelle Marie Magtalas-Marinas. Josephine I. Theresa Lirio in 1998. with Dr. The Department of Psychiatry is currently located at the lower ground floor of The Medical City with a floor area of 650. Dr. Pasig City in 2004. Robina Pascual and Dr. The graduates of the residency program under the leadership of Dr. Geraldine Anne C. Jannel G. Lapuz’s Chairmanship. Dr Anna Katrina N. Under his leadership. 2 computers with printers. The Residency Program has been given full accreditations in 2004 and 2007. Myra Dee G. The unit also features an Occupational Therapy Room. Maria Racelle C. an indoor fitness room. Manalastas as Training Officer. The graduates of the Residency program under Dr. Candice Vera Sia in 2005. Dr. and Dr. Felipe Francisco. Tristan J. Hilario in 2006. the Patient’s area. and an outdoor activity area for patients. In the year 2000. The unit has 3 separate areas: the Working area. Dr. Lu in December 2007. Gatdula. the Department of Psychiatry transferred to the new hospital site of The Medical City at Ortigas Avenue. Dr. June Anne L. Cleto Manongas in early 2007. Dr. Dr Angela Aida Halili-Jao was the Training Officer under Dr. Dr. Lapuz were: Dr. Banaag. Valdecantos in 2004. m.

informed participation.systematically creating opportunities for active engagement. providing them with the requisite technology. Client partnership We forge sustainable partnerships with enlightened and empowered clients .Vision To always be a leader in shaping how Filipinos think. Primacy of the human resource We invest in the personal and professional development of our staff. Integrity We uphold personal and institutional integrity. life and development. and shared responsibility. decisions and actions that we pursue. O R G A N I Z AT I O N A L C H A R T 14 . capacity and voice to exercise their primacy as a resource in serving our customers and creating value for our shareholders. consistently seeking alignment between the values that we espouse. our professional staff and our shareholders with the interests of those we serve. and to use such leadership to serve equity in health. feel and behave about health and how health services are accessed by and delivered to them. and in the process of carrying these out. align the interests of our employees. Mission The pursuit of our vision is animated by a passion to always keep our patient on center stage and deliver service of greater worth.our patients. engaging strategic partners who share our vision and passion. achieving increasingly superior performance through organizational synergy and continuous innovation. Core Values Excellent and compassionate service We aspire to excellence and compassion in the provision of our services. physicians and payors . and the strategies. constantly proceeding from what we do best.

The Medical City NSO-Psychiatry Department P R O C E SS O F A D M I SS I O N O F C L I E N T S 15 .

If a patient is deemed to have violent or aggressive tendencies. Hence. if prescribed by their doctor. treatment. The client is first brought into the visiting area/treatment room where doctors interview them. As interns. but in cases where the client is incapable of making sound judgments for himself. In some cases. diet. First.T. they undergo a series of steps care of the psychiatry department’s doctors and staffs. activities is also required for most patients. If deemed necessary that a client be admitted to the ward. and length of stay is also under their doctor’s discretion. we are able to see that before a client is admitted to the ward. still undergoes an out-patient program after they have been released. Just outside of the ward is an interview room where the assessment takes place.The actual process of admission of clients of the institution is kept highly confidential. Just as in other cases of confinement. The patient’s medication. we do not have access to this kind of information. is not disclosed. After this. All in all. But based on observations. they are to stay in the isolation room for as long as their doctor sees fit. They are to have weekly or monthly consultations with their doctors so as to ensure that they are re-adjusting well into their community. patients who are already treated and ready to be discharged are forced to stay longer because their family have not yet been able to settle their financial obligations to the institution. Some patients. Participating in O. this was the process of admission of clients that was observable for interns. the doctor in-charge certainly has to inform the family of the client’s case. Evidently. Consent shall be obtained from the client. paperwork is needed to ensure the legality of the admission of the client. the limited aforementioned assumptions. the closest family or guardian shall be the one to grant permission. the patient is free to roam around the ward and mingle with other patients. this has detrimental effects on the patients as it may trigger negative emotions that may cause them to relapse into their past behavior. Essential details of the process such as what type of questions are asked on assessment interviews or how it is decided that a client must be admitted into the ward. Once all the necessary paperwork is accomplished. 16 . a client may either be self-referred or involuntarily brought for assessment of psychiatrists within the institution. the client is then brought into the ward.

Documentation 17 .

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Time Cards November December 20 .

Outputs WELCOME PAPER BASTEMOSAIC MAKING MOTTO MO 'TO 3D CHRISTMAS TREE WHITE CHIRISTMAS Clinic Location and Facilities 21 .Pictures Patients’ O.T.

ALICE YU CO-INTERNS FROM OLFUDR. PAUL UNIVERSITY CAREGIVERS CO-INTERNS FROM PLM CO-INTERNS FROM AU AND NEW ERA UNIVERSITY 22 . SAGUN.Pictures with Supervisor and CoInterns MS. RESOURCE SPEAKER CO-INTERNS FROM ARELLANO VALENZUELA FOR THE SEMINAR CARING FOR THE UNIVERSITY CO-INTERNS FROM OLFU-AC CO-INTERN FROM ST.

C L I N I C L AY O U T ALL INTERNS 23 .

C O M M E N T S AND INSIGHTS 24 .O B S E R VAT I O N .

e. There were several instances when they disagreed about the interns’ tasks and even things like the date when the Christmas party should be held. Ms. All of the aforementioned were discussed to us during our orientation. They were particularly mindful of female interns. E VA L U AT I O N A N D R E C O M M E N D AT I O N S 25 . But at the same time. Alice has just a more tender approach in saying no to patients’ when needed. necklaces. a lot of the interns would not have anything to do. They joke around with the interns and are easy to be comfortable with. Alice. Still. So even if we wished to report for duty everyday. not wearing nail polish or too much make-up. it was evident that the two supervisors have very opposing ideas. white uniform. constantly reminding us to watch ourselves around male patients. and no earrings for boys. when it came to decision-making. However. employees. particularly about tardiness and letting some of us report for duty on days not in our schedule in order to make up for late or absences. they still are strict and rightfully disciplinarians. I believe that the two supervisors did the best they can with the interns’ schedules. She also is more considerate to interns. certain days had to be allotted to each school. In terms of being approachable. the supervisors cannot allow this because it would result to over-crowding of the ward and could possibly overwhelm the patients. the supervisors ask us from time to time how we are doing with the patients and our co-interns. Sir Dan is a bit sterner and firm than Ms. nurse staffs. they are both relatively easygoing. wearing proper attire (i. Furthermore. white shoes and socks).Being under their supervision. doctors. more than one pair of earrings. in terms of organizing. especially when it comes to the interns’ punctuality. tying up hair for girls. And aside from this. This is very helpful for us especially since we are graduating students who will soon be working in the real world. In dealing with some difficult patients. and patients whenever deemed necessary. Examples of which are: greeting supervisors. It was a bit confusing on the part of the interns not knowing whose decision among the two should be followed. no bracelets. people we regularly see in the ward are the two Occupational Therapists. The two supervisors also have different ways of handling both the patients and the interns..They both also never fail to remind us of the simple rules and regulations for interns. Since there were so many of us interns.

many interns end up with little to do during their time of duty. a lot of the interns do not anymore get the opportunity to conduct a case study of a particular patient since there were so many students and very few patients.The Medical City is one of four hospitals in the Philippines accredited by the Joint Commission International (JCI) which is internationally recognized as a premier credential for hospitals and other medical institutions. It is a gold standard for quality patient care. and organization management for health care facilities worldwide. Another effect of too many interns is that the supervisors could not possibly monitor every single trainee they have and thus evaluating the students’ performances would most likely be affected. It would be stressful for a patient if they will be the subject of numerous case studies as this would require talking about the reason they were admitted into the ward over and over again. Because of this. In terms of the facilities. The ward also has one isolation room for patients who might be aggressive and harmful to others or themselves. Facilities-wise. students must really utilize their creativity to think of activities that would suit the patients’ conditions and yet are still enjoyable and would have something to reflect upon in the end. TMC can boast of its state-of-the-art rooms and equipment for patients. state-of-the-art bedrooms and bathrooms for the patients. The bathrooms were particularly impressive because the faucet and showers system were risk-preventive in that the patients would not have anything to harm themselves 26 . particularly in the Psychiatry Department of TMC. However. it is no wonder that the psychiatry department of the hospital shows only prime service to their patients. With this under their belt. is that there are too many hired interns while there are only very few patients and therefore only a handful of tasks to do. Also. the ward has excellent. safety. In such cases. One of the treatments they offer for patients particularly with major depressive disorder is the electroconvulsive therapy (ECT). One of the noticeable issues however. patients may be restrained to the bed to avoid any incidents. this could simply be seen as a challenge for the interns to really showcase their knowledge and skills so as to make a mark on the supervisors. That is why when proposing to the supervisors certain activities to be administered.

materials for O. However. this should be addressed. The same thing goes for the nurse station/work area. the dining area.. For one.with. and office equipments such as computers. facilities for the ward staffs and therapists are not as striking. and phones. Although it is less of a problem since the ward only has one clerk and nurse staffs do spend more time in the lounge. the O. Office is very crowded even for two people.T.T. The space is very small and not enough for all the files. or as doorkeepers. 27 . This is very helpful especially since many of the patients are depressive and bipolar and thus have suicidal tendencies. printers. But still.

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