Hospital Based Care at NewYork-Presbyterian/Columbia University Irving Medical Center

Milstein Pavilion 9 Garden North Inpatient Psychiatric Unit

Milstein 9 Garden North (9GN) is a 24-bed psychiatric inpatient teaching unit located on 168th Street in Northern Manhattan. It provides acute, evidence-based psychiatric treatment to adults who suffer from mental illness, with a main focus on complex affective disorders and personality/character disorders as well as psychotic disorders. There is a small exercise room on the unit. The treatment teams include a psychiatrist, nurse, social worker, recreation therapist, and other clinical staff. Each patient is seen by an attending psychiatrist 6 days per week. A full evaluation is performed for every patient including an understanding of the psychopathological symptoms, the psychosocial context, the individual character and psychodynamic aspects and the patient’s current life stressors. Multidisciplinary teams personalize treatment plans for patients with clinically challenging presentations. Nationally and internationally recognized specialists from Columbia University and New York State Psychiatric Institute are available for consultations on each patient. The unit is a teaching site for residents, fellows, and medical students, psychology interns and nursing students from Columbia University and a variety of programs across New York City.

Conditions We Treat

  • Depression
  • Severe Anxiety
  • Personality Disorders
  • Bipolar Disorder
  • Psychotic Disorders

Treatments Offered

  • Medication Management/Psychopharmacology
  • Electroconvulsive therapy (ECT)
  • Cognitive Behavior Therapy (CBT)
  • Ego Supportive Psychotherapy
  • Recreation and Art Therapy

Allen Hospital - 3 River East Inpatient Psychiatric Unit

Allen Hospital 3 River East is a 30 bed psychiatric inpatient teaching unit located in northern Manhattan at 220th Street. It provides acute evidence-based psychiatric treatment to adults who suffer from psychotic and affective disorders. There are specialized substance abuse services for persons with both a mental illness and a substance use disorder. The treatment teams include a psychiatrist, nurse, social worker, recreation therapist, substance abuse counselor, and other clinical staff. Each patient is seen by an attending psychiatrist 6 days per week. A full evaluation is performed for every patient including an understanding of the psychopathological symptoms, the psychosocial context, the individual character and psychodynamic aspects and the patient’s current life stressors. Multidisciplinary teams personalize treatment plans for patients with clinically challenging presentations.

The unit is a teaching site for residents and medical students from Columbia University and nurses students from a variety of programs in the city.

Conditions We Treat

  • Depression
  • Bipolar Disorder
  • Psychotic Disorders
  • Co-occurring Substance Use Disorders

Treatments Offered

  • Medication Management/Psychopharmacology
  • Electroconvulsive therapy (ECT)
  • Cognitive Behavior Therapy (CBT)
  • Ego Supportive Psychotherapy
  • Recreation and Art Therapy

Consultation-Liaison Psychiatry

Peter A. Shapiro, MD

Peter A. Shapiro, MD Medical Director, Adult Consultation Liaison Service

The Consultation-Liaison Psychiatry Service addresses the need for psychiatric evaluation and urgent treatment for adult inpatients on the various medical and surgical services at NewYork-Presbyterian Hospital/Columbia University Irving Medical Center. Generally, consultations are initiated at the request of the primary physician. In addition, its staff members provide outpatient psychiatric services in some of the Medical Center’s primary care clinics and the HIV, solid organ transplant, and stem cell transplant programs, and in conjunction with the Medical Center’s supportive services for cancer patients. Typical problems addressed include delirium, dementia, psychosis, depression, anxiety, substance use disorders, maladaptive adjustment to illness, psychiatric problems arising secondary to medical illnesses and their treatments, evaluations of decision-making capacity, and conflicts between patients and their care providers. Treatments provided in the Consultation-Liaison setting range from brief psychotherapies to behavioral therapies, psychopharmacology, and ECT. Altogether, the Consultation-Liaison Service provides care for over 2000 patients per year.

In addition to its clinical service functions, the Division of Consultation-Liaison Psychiatry contributes to research, in collaboration with partners in other divisions of the department of psychiatry and in other departments in the Medical Center.  The Service also plays an important role in training for medical students and psychiatry residents and offers subspecialty ACGME-accredited fellowship training in Psychosomatic Medicine.  Members of its staff also work with nurses, therapists, and other physicians to help them understand and address psychological aspects of illness.

For additional information, please call the number above or send an email to our office manager, Jerome Snyder, at snyderj@nyp.org or our administrator and fellowship coordinator, Lucia Sanchez, at Lucia.Sanchez@nyspi.columbia.edu.

Comprehensive Psychiatric Emergency Program (CPEP)

Ryan E. Lawrence, MD, Director, Comprehensive Psychiatric Emergency Program (CPEP)

The Comprehensive Psychiatric Emergency Program (CPEP) is the Psychiatric Emergency Program, located at 168th Street. It is comprised of 18 psychiatric emergency beds and 6 Extended Observation Beds. Other components of the CPEP include the Mobile Crisis Team and Crisis Bed Residence program. The CPEP provides culturally sensitive psychiatric emergency services to all members of the community, and also to people from other boroughs and states, seeking admission to our inpatient units for expert consultations and treatment. It is staffed by Psychiatric Attendings, residents, Registered nurses, licensed social workers and admission personnel. The CPEP is also an active teaching unit, with 2nd- and 3rd-year Psychiatry residents rotating throughout the year. We offer emergency services compassionately, where patient choice and safety are key determinants of care. Our CPEP has about 6000 individual visits a year.

 

Adult Outpatient Psychiatry Clinic

The Adult Outpatient Psychiatry Clinic offers comprehensive mental health treatment for patients 18 years and older.  Our clinic excels in the management of a wide range of diagnoses including anxiety, bipolar disorder, depression, psychosis, personality disorders, grief and bereavement, and trauma.  We provide individual therapy, group therapy, couples therapy, and medication management matched to patients’ treatment needs.  Our clinical staff is trained in a range of short-term and long-term techniques including cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, supportive therapy, and psychodynamic psychotherapy. 

Our clinic provides specialty clinical treatment in the following areas:

  • Women's mental health with a focus on the care of women through pregnancy and the reproductive years, including grief associated with neonatal complications and/or perinatal loss, post-partum depression, and menopause; medication management is offered with the additional considerations associated with pregnancy and breastfeeding
  • Mentally Ill and Chemically Addicted (MICA) services providing additional adjunctive substance use disorder treatment
  • Specialized treatment for members of our LGBTQ community including support around gender identity, stigma, and the coming out process
  • HIV-related mental health care supporting patients affected by HIV and AIDS
  • Culturally sensitive treatment for patients experiencing emotional stress associated with immigration and acculturation

Behavioral Health Crisis Stabilization Program

The Behavioral Health Community Crisis Stabilization Program (BH Crisis) is comprised of 2 primary components: 1) the BH Crisis HUB is a centralized, telephonic triage and referral program with the ability to determine level of care and assist providers to avoid emergency department usage when possible; and 2) the Critical Time Intervention Team (CTI) which provides community-based wrap-around services to high utilizers of emergency department services and are struggling to follow-up with aftercare planning. 

Integrated Mental Health-Primary Care Program (IMP)

The NewYork-Presbyterian/CU Campus Ambulatory Care Network (ACN) is a network of six community-based primary care clinics that provide primary care, pediatrics, OB/GYN, mental health, and specialty care. Housed within the ACN, the Integrated Mental Health-Primary Care Program (IMP) aims to improve patient outcomes and experiences by addressing behavioral health care needs within the primary care practice setting.  Each ACN practice has onsite mental health specialty clinicians, such as psychiatrists, psychologists, nurse-practitioners, depression care managers, and behavioral healthcare managers. These specialty providers are part of the patient-centered medical home care team, offering collaborative care to patients. Clinical services range from psychiatric consultation, brief psychotherapy, psychopharmacology, substance abuse interventions and collaborative care interventions for depression (e.g., IMPACT model).