Wyoming Behavioral Institute (WBI) has been the behavioral health anchor for an entire state for more than 30 years. As the only freestanding psychiatric hospital in Wyoming, WBI fills a gap no other facility in the region can. When a child in Sheridan, a teenager in Gillette, or a family in rural Montana reaches a crisis point, this is where they come. Stepping into this Child and Adolescent Psychiatry role means joining an institution that carries genuine weight in the lives of the patients and families it serves, and doing so within a structure that is built to support you.
This is a full-time, on-site employed position on WBI's 30-bed Child and Adolescent unit, which currently runs at a census of 34 due to high regional demand. The unit has the capacity to care for up to 38 children and adolescents, and WBI has already expanded physical capacity to meet that need. You will carry a panel of approximately 15 patients per day, a mix of follow-ups and new evaluations, across three levels of care: acute inpatient, residential, and outpatient. That breadth matters. Physicians who work only in acute settings burn out. Physicians who work only in outpatient miss the acuity that drew them to psychiatry. Here, you move between all three, following patients through their full arc of care from admission through discharge and beyond.
WBI's reach extends well beyond Casper city limits. The hospital draws patients from across all of Wyoming and pulls regularly from Montana, Nebraska, and Colorado. Smaller communities throughout the state have inpatient psychiatric units, but they are typically eight beds or fewer and designed only for emergency stabilization. WBI is where those patients come when stabilization is not enough. The child and adolescent unit in particular stands alone in the state. There is no comparable facility. The physician who fills this role is not one option among many for the families they serve; they are the option.
You will join a team that has already earned its loyalty to this place. Medical Director Dr. Martirano has been with WBI for approximately 15 years. That kind of tenure is not accidental. It reflects a practice environment where physicians are treated well, schedules are respected, and the administration is invested in physician quality of life. This is an institution that wants you to make it to your kid's school play and take a long lunch on a beautiful Wyoming afternoon.