INPATIENT PSYCHIATRIC CARE

All patients admitted to the child and adolescent psychiatric inpatient unit receive a comprehensive multi-disciplinary evaluation which includes medical and psychiatric evaluation as well as nursing, activity therapy, social work and educational assessments. Consultations from other disciplines are obtained as indicated. Many of our patients have been abused or neglected and the majority are screened for history of abuse and symptoms of Post Traumatic Stress Disorder and depression related to abuse. We collaborate closely with the Bellevue Child Protection Clinic, the New York City Administration for Children’s Services, and the court system.

Our multidisciplinary evaluation culminates in specific treatment plans individually defined for each patient. The treatment plan is reviewed with the multidisciplinary team in daily staff rounds and weekly treatment team meetings. Treatment modalities include medication management, individual therapy, group therapy, family interventions, and therapeutic activities. Patient and family psycho-education is an important component of our program and is individualized to address the patient and families particular strengths and needs.

There is an on-site school which all patients are expected to attend on all scheduled school days. There are daily community meetings involving all the patients and representatives from multiple disciplines of staff. In addition, there is a robust group and activity schedule in addition to the school schedule on the unit.

Prior to discharge, a comprehensive treatment plan for ongoing care is developed and implemented. Children are referred to our emergency service from other hospital centers, community agencies, neighborhood schools, other emergency rooms and the Administration for Children’s Services. Treatments are tailored to the individual child’s needs. Treatment modalities include milieu, individual, group, and family therapy, medications and therapeutic activities as well as psycho-education. Special emphasis is placed on the continuum of care the patient receives from the time they are referred to the time they are discharged. Comprehensive assessment begins in the emergency room, are followed up on and reassessed throughout the child’s hospitalization by an interdisciplinary team of psychiatrists, psychiatric nurses, technicians, psychologists, social workers, teachers, and child life specialists. Child and family education are individualized, taking into account their strengths, religious and cultural issues, possible barriers to education and cognitive challenges.