The Ohio State University offers an ACGME approved fellowship in forensic psychiatry. In conjunction with Ohio’s only maximum security forensic hospital at Twin Valley Behavioral Healthcare and the world renowned Nationwide Children’s Hospital, this fellowship offers specialized training in the intersection of psychiatry and the law. Fellows will have the unique opportunity to be involved in many different aspects of forensic patients’ assessment and evaluation. Fellows will aid in evaluation of defendants’ competency and sanity at the time of the act both in jail and hospital settings. Treatment opportunities will be available in the maximum security forensic unit as well as on an outpatient basis for mentally ill offenders who have worked their way through the hospital system. Juvenile evaluations will consist of both bind-over to adult court and recommendations to the court for treatment. Civil cases will include a mix of fitness for duty, disability, malpractice, and consults to other physicians on challenging patients. Additionally, there are opportunities for interested fellows to become involved in advocacy and policy matters at the state level through the Ohio Department of Mental Health also located in Columbus.