PATIENT SERVICES

Inpatient Services
Outpatient Behavioral Sciences
Supportive/Blended Case Management Program
(COPAD) Combined Outpatient Psychiatric and Addiction Disorders Program
Clinical Divisions:
Geriatric Psychiatry
Consultation-Liaison Psychiatry
Addiction Psychiatry
Child Psychiatry
Treatment Centers & Specialty Programs:
Center for Anxiety & Post-Traumatic Disorders (Anxiety & Stress Disorders)
Zirinsky Mood Disorders Center
Schizophrenia Spectrum Center
Neurobehavior and Alzheimer's Disease Center
HIV/AIDS Psychiatry Program
Primary Care Psychiatry Program
Brief Psychotherapy Program
Long Term Psychotherapy Center
The Family Center for Bipolar Disorder
Evening/Weekend Programs

Inpatient Services
Located at the Petrie campus of Mount Sinai Beth Israel, our inpatient services consist of a general psychiatric unit, a general geropsychiatric unit, and a nationally recognized dual diagnosis unit that specializes in the treatment of patients with both psychiatric and substance abuse disorders. In total, the inpatient service maintains a 92-bed capacity and is licensed by the New York State Office of Mental Health.

Inpatient psychiatric treatment at Beth Israel focuses on the resolution of acute symptoms. Treatment consists of a wide range of somatic and psychosocial therapies, with a strong multidisciplinary approach. Each unit has two full-time board-certified attending psychiatrists, who coordinate all aspects of the patient care. Upon admission, each patient is assigned an attending psychiatrist, a psychiatric resident, a social worker who coordinates the discharge plan, and an occupational therapist or assistant who provides therapeutic activities seven days a week. Each unit also has a full-time Ph.D. psychologist, who coordinates psychotherapy groups and supervises psychological testing.

Featuring 33 beds, the General Psychiatric Unit is primarily an adult service, but it also maintains several beds for adolescents and treats patients from the ages of 14 to 64. The staff is well trained and experienced in the treatment of acute aspects of psychiatric illnesses such as schizophrenia, bipolar disorder, major depression, severe anxiety disorders, and personality disorders.

Patients in the General Psychiatric Unit are treated by a multidisciplinary team, including an attending psychiatrist, a psychiatric resident, a psychiatric nurse, a social worker, and an occupational therapist. This staff offers patients the most up-to-date treatments for acute psychiatric illnesses, including medications, electroconvulsive treatments, individual and group psychotherapies, family counseling, and a range of both psychotherapy and occupational therapy groups throughout the day. The treatment of adolescents includes an assessment from the Division of Child and Adolescent Psychiatry. In addition, adolescents are provided schooling during the academic year through the New York Department of Education.

A 31-bed unit, which is made up of both an Adult Service and a Geropsychiatry Service, is available to treat those who are 65 years of age and older. Half of the beds on the unit are dedicated to working with geriatric patients who present with disorders such as late-life depression, late onset schizophrenia, delusional disorders, and behavioral disturbances secondary to a dementia. All patients are offered a multidisciplinary approach and the most current psychiatric treatments.

This inpatient unit is part of the geriatric service, which includes a geriatric psychiatry fellow working with the attending psychiatrist and the rest of the multidisciplinary team—all of whom are well experienced in treating geriatric patients. Younger adults are admitted with the full range of psychiatric diagnoses that require inpatient hospitalization, such as schizophrenia, depression, bipolar disorder, and severe personality disorders. As on the general service, all patients are assigned a psychiatric team, including an attending psychiatrist, a psychiatric resident, a nurse, a social worker, and an occupational therapist.

The Addiction Psychiatry Inpatient Unit is a unique and highly specialized service that treats individuals with active drug or alcohol abuse disorders who are also suffering from a serious psychiatric illness. These psychiatric symptoms may be depression, panic, anxiety, or the more serious manifestations of schizophrenia and bipolar disorder. The presence of concurrent drug or alcohol dependence often magnifies the severity of the psychiatric condition and complicates its effective treatment.

This unit also treats withdrawal symptoms from the full range of substances and of all magnitudes of severity. It offers the advantage of this intensive detoxification while acute psychiatric conditions are simultaneously medicated and brought under control. Careful attention is given to the differentiation of substance-induced disorders from those of primary underlying conditions.

The Addiction Psychiatry Inpatient Unit is staffed by an experienced and highly trained team that includes nurses, social workers, and occupational therapists, and is led by a psychiatrist who is board certified in both psychiatry and addiction psychiatry. There is a well-established post-doctoral addiction psychiatry training program associated with the unit that provides additional resources for patient care. The unit is also connected to our outpatient addiction psychiatry service that provides long-term care for this special group.

For information about admission to the Inpatient Units, please call Aida Ruiz at (212) 420-4650.

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Outpatient Behavioral Services
The Psychiatric Outpatient Service is a comprehensive and innovative ambulatory mental health service located at the Petrie campus of Mount Sinai Beth Israel. Staffed by a large group of mental health professionals, including psychiatrists, psychologists, and social workers, we strive to provide the highest level of care to our patients following a full physical and psychosocial evaluation.

Our services offer a complete array of psychiatric and psychological treatments, including cutting-edge forms of psychopharmacology; innovative types of individual, group, and family psychotherapy; psychological testing; and programs directed at assisting patients with special needs, such as addiction disorders or chronic mental illnesses. As an important service to our patients, we offer specialized divisions of Geriatric Psychiatry, Child and Adolescent Psychiatry, and Addiction Psychiatry, as well as active research divisions in which patients may participate if they so choose.

Our position within Mount Sinai Beth Israel allows us to provide an integrated physical/psychosocial treatment plan whenever possible. We assist patients in obtaining general and specialized medical care within the hospital and from community agencies that match the individual’s needs. In case of crises, psychiatric emergency services are available 24 hours a day.

We accept Medicaid, Medicare, several Medicaid managed care plans, 1199 Union insurance for Mount Sinai Health System employees, and HIP as well as other managed care plans. We are also able to arrange sliding-scale fees under specific circumstances and assist in referrals to other resources and providers as appropriate.

For general information about Outpatient Behavioral Services, please call (212) 420-2400. To arrange an evaluation, please call (212) 420-4135.

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Case Management Program

Supportive Case Management (SCM)

Mount Sinai Beth Israel's Supportive Case Management Program is designed to provide post-hospitalization case management services for patients with serious and persistent mental illness who would otherwise make inefficient use of available resources. Our aim is to ensure that these patients obtain psychiatric and medical care, housing, benefits, rehabilitation etc. Case managers make home visits and liaison with individuals and institutions to connect patients with needed services.

Blended Case Management (BCM)

Mount Sinai Beth Israel’s Blended Case Management program utilizes a team approach integrating the case loads of two intensive Case Managers and one Supportive Case Manager. This approach allows patients to transition from one level to another when appropriate. Services are targeted to the seriously and persistently mentally ill patient who has impairments which seriously interfere with the ability to function independently within the community. Patients receiving ICM services are seen at least once weekly.

Assertive Community Treatment (ACT)

The ACT Program is directed at chronically and persistently ill psychiatric patients and dual-diagnosis patients with psychiatric disorders and substance abuse. Treatment is conducted by a multi-disciplinary team consisting of a psychiatrist, nurse, social worker and mental health workers. The team sees patients primarily in the community and provides direct care to patients and families. Medication compliance is major focus, along with stabilization and maintenance of the patients in the community. Psychiatry residents may elect to work on this service to fulfill their requirements in community psychiatry.

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COPAD
The Combined Outpatient Psychiatric & Addictive Disorders (COPAD) program began in 1990 as an NIMH grant-funded study to treat persons with schizophrenia spectrum disorders and comorbid addictive disorders.
The program provides clinic based medication management as well as supportive psychotherapy, relapse prevention and psychoeducation in a small group format. Manual driven service components are delivered in low intensity (2 times per week/1.5 hrs per session) by a psychiatrist and social worker skilled in addiction treatment. The goals of therapy are to enhance retention, reduce drug and alcohol use and avert hospitalization, as well as improve adaptive skills and socialization. An assertive community treatment arm was added in 1995 with additional funding from NIDA to further the same goals.

With the end of both grants, patients have remained in treatment under the umbrella of the addiction psychiatry clinic. Given the established reputation of the COPAD program, various community agencies continue to refer dually diagnosed patients to this clinic, where they can avail themselves of this unique service.

The program also serves as fertile training ground for up to five PGY-3/4 residents who each co-lead a group. Supervision is provided weekly by experienced faculty, and includes the review of videotaped material from groups.

For more information on COPAD, please call (212) 420-2900.


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Clinical Divisions:

Geriatric Psychiatry
The Division of Geriatric Psychiatry of Mount Sinai Beth Israel is committed to improving the lives of seniors with emotional and cognitive difficulties. We offer comprehensive evaluation and treatment, including inpatient geropsychiatry, outpatient geropsychiatry, nursing home consultations, and house calls to homebound patients.

Currently, the division has two major initiatives. First, we are working with other departments in the hospital to make sure that elderly patients receive comprehensive, integrated treatment. Our staff psychiatrists and geropsychiatry fellows are available to patients in a variety of settings so that people with medical and neurological problems have easy access to our services. Secondly, we are working closely with a number of community organizations including the Jewish Association for Services for the Aged and the United Jewish Council to reach seniors with depression and dementia who otherwise would never receive appropriate care.

We are also involved in research to examine the benefits of providing seniors with home-based psychiatric treatment. Clinical trials are being conducted in collaboration with the Center for Clinical Research.

Our training program includes an accredited fellowship for psychiatrists who have completed their residency. We also provide education in geropsychiatry for psychiatric residents.

For more information on Geriatric Psychiatry, please call (212) 420-2400.
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Consultation-Liaison Psychiatry and Psychosomatic Medicine
The Division of Consultation-Liaison Psychiatry and Psychosomatic Medicine at Mount Sinai Beth Israel provides comprehensive psychiatric evaluation and management to patients who are admitted to the hospital for a variety of medical and surgical conditions.

Psychological reactions to illness such as depression or anxiety are not uncommon, and the Consultation-Liaison division is available to help the patient’s primary doctor address these problems. In addition, some illnesses can cause certain psychiatric symptoms that the Consultation-Liaison division can help diagnose. Finally, the division can also help manage patients with long-standing psychiatric conditions when they are admitted to the hospital for medical/surgical treatment.

The liaison aspect of the division’s work often involves teaching non-psychiatric hospital staff how to better address the psychosocial needs of their patients as well as educating them about different coping styles of the patient’s care and discharge planning. We are also able to provide support for hospital staff to help them cope with the intensity of inpatient hospital work.

Our staff is comprised of three full-time, board-certified attending psychiatrists who have each received additional training and experience in Consultation-Liaison Psychiatry and Psychosomatic Medicine. Our division also provides such training to two Psychosomatic Medicine fellows each year, as well as training psychiatry residents in the specialty of Psychosomatic Medicine. Other attending psychiatrists associated with the division have expertise in areas of cancer and HIV/AIDS, and we also work closely with the HIV/AIDS Psychiatry Program and the Primary Care Psychiatry Program.

For more information on Consultation-Liaison Psychiatry, please call (212) 420-4230.

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Addiction Psychiatry
The Addiction Psychiatry Division is a specialized service for patients who require simultaneous treatment of both a psychiatric condition and a substance-related disorder. Each of these disorders can serve as a barrier to effective treatment of the other. Psychiatric medications and therapies may be rendered ineffective by coexisting drug or alcohol abuse. Conversely, untreated psychiatric illness can hinder efforts at overcoming addiction problems. Concurrent treatment of these disorders is the mission of the division and requires specialized training and specific clinical strategies.

The division is under the supervision of attending psychiatrists who are board certified in both addiction psychiatry and general psychiatry, and have extensive experience working in both areas. The division staff is also composed of psychologists, post-doctoral fellows in addiction psychiatry, psychiatric residents-in-training, psychiatric nurses, addiction counselors, and psychiatric social workers with comprehensive experience in addiction treatment. There is a postgraduate training program for board certification in addiction psychiatry, as well as an active research program.

The major components of our addiction psychiatry services are the 28-bed inpatient unit—the first such service established in New York City—and the busy outpatient service. In addition, a wide range of treatment modalities are offered that utilize the services of the Department of Medicine, the Stuyvesant Square rehabilitation programs, the Department of Pain and Palliative Care, and the Beth Israel methadone maintenance treatment programs.

The services offered include:

Acute inpatient psychiatric care with concurrent substance disorder treatment
Inpatient detoxification in both psychiatric and non-psychiatric settings
Outpatient addiction psychiatry treatment
Outpatient detoxification
Intensive inpatient 28-day drug/alcohol rehab treatment
Intensive outpatient partial-hospital drug/alcohol rehab program
Part-time and evening outpatient rehab program
Referrals to methadone maintenance

For more information on these addiction services, please call the following numbers:
Inpatient addiction psychiatry/Admissions (212) 420-4650
Outpatient addiction psychiatry (212) 420-4135
Inpatient /Outpatient Stuyvesant Square Rehabilitation programs (212) 420-2966
Methadone maintenance (212) 726-6800

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Child & Adolescent Psychiatry
The multidisciplinary Child and Adolescent Psychiatry service provides clinical assessment and treatment to children and adolescents in the department’s outpatient service. Our services are provided by a team of experienced clinicians. The treatment includes psychiatric evaluation, individual psychotherapy (including play therapy), parental counseling family therapy, group therapy and pharmacotherapy. Group therapy services have been expanded and we continue to provide social skills training for children. We have groups for adolescent boys and girls to improve their ability to adjust to the demands of adolescence and their specific developmental tasks. In addition we have parenting groups to improve guardians’ ability to deal with a variety of childhood behavioral problems. Consultation/Liaison is an important part of our service and we have close relations with our pediatric and psychiatric inpatient units. The staff of the division also participates in training psychiatry residents and fellows, as well as psychology interns and externs and pediatric residents.

For more information on Child and Adolescent Psychiatry, please call (212) 420-2699.

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Treatment Centers & Specialty Programs:

Center for Anxiety & Traumatic Disorders
As a whole, anxiety disorders are an extremely prevalent group of disorders that constitute a major health burden on the population. Even prior to the events of September 11th, Post-Traumatic Stress Disorder alone occurred in up to 5 percent of all men and 10 percent of all women in the United States. Risk factors for this and other anxiety-related disorders include a personal history of sexual or physical abuse and direct exposure to trauma and poverty.

Our Center is located at Beth Israel’s Psychiatric Outpatient Services. Our patients come to us from a broad array of social and cultural backgrounds. However, a large percentage of our patients have a history of childhood abuse, and up to 50 percent suffer from a severe anxiety disorder. Furthermore, given our location, we serve a patient population highly in need of increased psychiatric services. The Lower East Side of Manhattan is officially designated a medically underserved area by the federal government.

At the Center for Anxiety & Traumatic Disorders, it is our mission to provide the most advanced psychopharmacological and psychotherapeutic treatments, based on well-founded research and clinical experience. The Center is staffed by psychiatrists in close alliance with psychologists and social workers, many of whom have extensive research and clinical experience in treating patients with anxiety and histories of childhood and adult trauma.

To address the needs of our patient population, several of our existing programs will be expanded. In addition, several research initiatives will be started to further improve and expand treatment options for our patients.

Some examples of current programs in expansion or development include:
Program for Trauma-Related Group Psychotherapy, including Hispanic Women’s Anxiety Management Group, Eating Disorders Group, and Survivors of Childhood Sexual Abuse Groups.

Programs for Advanced Biological Therapies for Anxiety, including both ongoing clinical treatment and research trials into novel medication strategies for anxiety, are conducted in collaboration with the Center for Clinical Research.
Program for Advanced Training in Trauma Treatments, which focuses on the creation of expert, rapid-response mental health specialists capable of providing emergency counseling to disaster victims in and around New York City.

For more information on the Center for Anxiety & Traumatic Disorders, please call (212) 420-4135.

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Zirinsky Mood Disorders Center
The center specializes in the treatment of mood disorders using state-of-the-art approaches, including pharmacotherapy, psychotherapy and electro-convulsive therapy. Center staffs are actively engaged in teaching psychiatry and psychology trainees in all of the currently used modalities of treatment. In addition, center staff are developing and conducting a number of research projects in depressive and bipolar disorders.

For more information on the Zirinsky Mood Disorders Centers, please call (212) 844-1253.

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Schizophrenia Spectrum Disorders Center
The schizophrenia spectrum disorders, including the subtypes of schizophrenia and schizoaffective disorder, affect over 1 percent of the American population during their lifetime. Hospitalization rates are high; it is estimated that at least 50 percent of all mental hospital beds are occupied by schizophrenic patients. In addition, over 15 percent of all outpatients in treatment carry this diagnosis. This high prevalence, with its attendant psychosocial repercussions, make the Schizophrenia Spectrum Disorders Center critical among the new programs in the Department of Psychiatry at Mount Sinai Beth Israel.

Both inpatient and outpatient services—with expert staff and special strategies that ensure continuity of care—are required for treatment of these illnesses.

Special programs within the Center address the following issues which are highly relevant to the Beth Israel patient population:

Use of Novel Treatments in Schizophrenia Spectrum Disorders: Our Center, in collaboration with the Clinical Research Center, is interested in assessing the use of novel treatments (including new medications, psychotherapies, rehabilitation options) for the schizophrenia spectrum disorders.

Treatment Compliance Program: Our Center is working on the development of improved methods of identifying both barriers to compliance in the population and innovative strategies to overcome them.

Issues in Competency in Consent to Research: Our Center is interested in assessing the capacity of schizophrenia spectrum disorder patients to consent to research. Little is known in this area, and we believe that expanding this knowledge base would have important and wide-ranging implications.

For more information about the Schizophrenia Spectrum Disorders Center, please call (212) 420-4135.

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Neurobehavior and Alzheimer’s Disease Center
The Betty and Morton Yarmon Neurobehavior and Alzheimer’s Disease Center is a consultation and treatment service headed by a psychiatrist who is board certified in both psychiatry and neurology. The division cares for patients who have neurological disorders and who have concurrent symptoms or behaviors of neuropsychiatric origin. Staff members also evaluate patients with primary psychiatric disorders in whom an organic etiology is suspected.

The division conducts ongoing research in Alzheimer’s disease and is studying the effects of right hemisphere pathology on personality, awareness, and psychological defense. Other members of the department are collaborating to study the relationship between brain pathophysiology and behavior using SPECT and PET scanning. The division also has special interests in mind-brain interaction. Staff members are currently investigating the relationship between the anatomy and physiology of the brain, consciousness, and epistemological theory.

For more information on the Neurobehavior and Alzheimer’s Disease Center, please call (212) 420-4111.

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HIV/AIDS Psychiatry Program
Beth Israel has a long history of providing comprehensive care to people with HIV/AIDS since the beginning of the epidemic. The AIDS Psychiatry program was one of the first programs in New York City dedicated to the evaluation and management of the neuropsychiatric manifestations of HIV. We currently have two full-time psychiatrists and two full-time psychologists working on-site at the Peter Krueger Clinic for the Treatment of Immunologic Disorders with the full support of social work and nursing staff. In addition, a Ryan White funded program, Stepping Up, provides mental health and case management services to methadone patients with HIV/AIDS.

For more information on the HIV/AIDS Psychiatry Program, please call (212) 420-4230.

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Primary Care Psychiatry Program
The Primary Care Psychiatry Program at Mount Sinai Beth Israel attempts to integrate psychiatric care into the medical mindset and clinical setting. We offer high-quality psychiatric consultative, referral, educational, administrative, research, and supervisory services at Phillips Ambulatory Care Center (PACC) to the residents and attending physicians of Beth Israel’s Departments of Internal Medicine and Pain and Palliative Care. This results in medical providers being better suited to address the emotional illnesses found so frequently in the average primary care and medical practices.

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Brief Psychotherapy Program
The Brief Psychotherapy Research program offers specialized treatment for adults who suffer from the following: depression, anxiety, low self-esteem, and/or interpersonal problems. Designed to shorten the therapy process, brief psychotherapy focuses on very specific problem areas and involves high levels of therapist activity.

If thorough evaluation indicates that short-term treatment is appropriate, a therapist is assigned to the patient. Treatment consists of 30 psychotherapy sessions and involves an integration of cognitive/behavioral and interpersonal/relational principles. If short-term treatment is rendered inappropriate, we assist the patient in finding alternative treatment.
After each session, patients are required to fill out a brief questionnaire. In addition, all sessions are videotaped with patient’s consent for research purposes only. Patients have to pay a fee for each session, but the fee is based on an income-sensitive sliding scale.

For more information on the Brief Psychotherapy Program, please call (212) 420-3819.

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Long-Term Psychotherapy Center
The Long-Term Psychotherapy Center provides patients with a dynamic psychotherapy experience as part of a training program for senior psychiatry residents. Patients with interpersonal problems often accompanied by anxiety and depressive disorders are recruited from the community.

Each patient is given two to three hours of intake interviews, so that a thorough evaluation can be made. Following the intake evaluation, patients are given treatment recommendations. The majority of patients are assigned to long-term psychotherapy with a senior resident who is supervised by an attending psychiatrist. All intake evaluations and psychotherapy sessions are videotaped. Fees are based on ability to pay using a sliding scale arrangement.

For more information on the Long Term Psychotherapy Center, please call (212) 844-1543 for an evaluation.

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Evening/Weekend Programs
The Psychiatry Department’s Evening/Weekend Programs provide psychotherapy and medication treatment after 5 p.m. on weekdays, and medication treatment during the day on Saturday. We offer treatment in English, Spanish, Hebrew and other languages.

Our clinicians are capable of treating patients with a wide range of psychological difficulties. Our psychotherapists are licensed psychologists, certified social workers, and psychology graduate trainees who have completed our Department’s Psychology internship program. Our psychiatric services are provided by board-certified psychiatrists on staff at Beth Israel and by residents in their final year of training at our hospital. We accept a large number of insurance policies, as well as self-paying patients for whom we have some ability to adjust fees depending on income.

For more information on our Evening/Weekend Programs, please call (212) 420-2400.

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The Family Center for Bipolar
The Family Center for Bipolar is dedicated to the compassionate support, treatment and understanding of bipolar illness within the context of the family. Recognizing that preserving family health and stability is an essential part of successful bipolar illness treatment, the Center's clinical program is unique in that it is the first ever to systematically focus on including caregivers and family members at every step along the patient's way to wellness. Under the direction of Igor Galynker, MD, PhD, founder, the program is designed to both improve patients' outcome and quality of life, and also protect family members - including children - from the pain, frustration, isolation, and misunderstanding that are associated with dealing with a family member's bipolar illness.

For more information on the Family Center for Bipolar, please call
(212) 420-2302.

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