hospital with mica unit?

Question by perfect4chaos: hospital with mica unit?
searching for detox/rehab

Best answer:

Answer by ashleyligon1967
Hope this helps!

Northeast Behavioral Health Services
MENTALLY ILL/CHEMICALLY ADDICTED
The needs of the mentally ill/chemically addicted (MICA) client are unique. Our specialized MICA services, designed specifically for the dually diagnosed individual, are flexible to accommodate individuals with varying functional levels.

Inpatient MICA Unit
Holistic treatment provided in the inpatient unit at Samaritan Hospital includes initial stabilization of psychiatric problems and detoxification from substances. Extensive daily group therapy is complemented by the introduction of self-help groups (AA, NA, Rational Recovery, etc.) to assure ongoing support after discharge.

Continuing Treatment Services
Located in downtown Troy at 1801 Sixth Avenue in Troy, Continuing Treatment Services/MICA, operated by Samaritan Hospital, has been serving the needs of mentally ill, chemically addicted individuals since 1989. The program provides a team approach for the treatment of people with both psychiatric/psychological problems and the challenges of addiction. The program offers a safe and supportive environment for treatment, while providing an opportunity for socialization, skill building and enjoyable activities. The goal is to restore clients to the high level of independence, assuring the appropriate after-care services are in place.

This specialized outpatient program is designed for the mentally ill, chemically addicted individual. provides a safe environment so that clients can maintain a balance between the seriousness of treatment and the enjoyment of a supportive community.

For more information, please call (518) 271-1122

NORTH GENERAL HOSPITAL

North General Hospital (NGH) is the only not-for-profit, private hospital in the New York City community of Harlem.It is the only minority-operated teaching hospital in New York State.We provide high quality medical, surgical, and psychiatric care to residents of East and Central Harlem. Our primary service area includes the six zip codes in Northern Manhattan, extending from East 97th Street to East 144th Street, and from West 110th Street to West 137th Street.

Our service population consists primarily of the disenfranchised poor of New York City, and it a primary part of the hospital’s mission to identify and rectify disparities in health care for minority and disadvantaged populations. According to the 1990 Census, fifty-four per cent (54%) of all children in East Harlem and forty-nine per cent (49%) of all children in Central Harlem live in poverty. The median household incomes in these communities are the lowest in Manhattan, currently $ 16,000 in Central Harlem, and $ 14,600 in East Harlem. Fifty-five per cent (55%) of our population characterize themselves as Black, and an additional thirty-six per cent (36%) characterize themselves as Hispanic. While not officially measured, there has been a notable influx of immigrants to the service area. Growing numbers of West Africans and Central and South Americans have made East and Central Harlem their home.

Our leadership maintains strong ties with the community’s political leadership locally, as well as in Albany and Washington. Past CEO Harold Freeman, MD and current President and CEO Samuel Daniel, MD, have outstanding records as outspoken critics of healthcare disparities and as advocates for equitable healthcare delivery.

The hospital is the site of three ACGME-accredited residency training programs, in Psychiatry and Medicine, both affiliated with the Mt. Sinai School of Medicine; and in Surgery, in a Columbia-affiliated joint program with Harlem Hospital.

DEPARTMENT OF PSYCHIATRY OVERVIEW
The Department of Psychiatry is enjoying continuous expansion under the Chairmanship of Gregory Miller, MD, who is also the hospital’s Medical Director. The daily management of the department is carried out under the leadership of Vice-Chairman Jorge Petit, MD. The residency program was started in 1996, under the leadership of Dr. Miller’s predecessor, founding Chairman Myron Gershberg, MD, who is now retired. Jacob Sperber, MD, became Residency Training Director in 1999.

INPATIENT SERVICES
Inpatient services consist of an inpatient psychiatry unit, an inpatient MICA unit, and two inpatient detoxification units.
Inpatient Psychiatry unit

The 23-bed inpatient unit operates at full capacity throughout the year. Under the leadership of Unit Chief Mehmet Haznedar, MD, the psychiatric inpatient unit is a true therapeutic milieu, with intensive therapeutic program, including evenings and weekends. The Psychiatric Rehabilitation Therapy staff, under the leadership of Valerie Hubbs, ADTR, utilizes creative arts therapy and cognitive-behavioral approaches to the management of serious mental illnesses. This approach increases the efficiency of treatment in general and effectiveness of pharmacological interventions in particular. This treatment program makes our inpatient unit a particularly effective treatment facility and allows us to optimize our services to the surrounding community.

Inpatient MICA unit

The opening of the new psychiatry inpatient mentally ill, chemical abusing (MICA) unit in January 2001 allowed us to increase our expertise in the treatment of patients with psychiatric disorders and co-occurring addictive disorders. Founding Unit Chief Robert Freeman, MD has led the unit’s program and staff development, and the creation of the recovery therapeutic milieu. Along with Training Director Jacob Sperber, MD, he has created a comprehensive residency addiction curriculum, ranging from neurophysiology to spirituality. He is assisted by new attending Junnun Choudhury, MD, who graduated in the second NGH residency class in 2001. The psychiatric rehabilitation services on the MICA unit were highly praised by the auditors from the NYC Department of Mental Health, during their recertification process. The MICA unit has remained at close to 100 percent capacity since it opened and has been a major addition to our ability to provide the community with a much-needed resource.

Inpatient Detoxification Services

The department operates two 12-bed Inpatient Detoxification Units. The Detoxification Evaluation Office, on the first floor is fully staffed with a specialized team which financially and medically/psychiatrically screens all patients requiring detoxification, relieving the Emergency Department from these tasks during regular working hours. A Health Care Interviewer, a Nurse, a Nurse Practitioner, an internist and an Intake Coordinator staff this area. All patients seeking detoxification, except those emergency patients coming to the E.D. at night, are referred to and are admitted directly from the Screening/Evaluation area to the Inpatient Detoxification Unit. The Administrative Director, Roosevelt Dixon, has been successful in doing community outreach, establishing alliances and linkages with outside providers. Additionally, we operate a dedicated van for pick-up and transportation of clients in need, which ensures that our capacity to treat addiction reaches out to all corners of our community.

Therapeutic Activities Program

The inpatient psychiatric services stress quantifiable, outcome based, psychotherapeutic interventions. The program has successfully incorporated the setting, staff and patients as sources of therapeutic community interventions, while individualizing interventions. The approach is now formally operationalized around comprehensive functional assessment and measurable improvements in patient functioning.

Noteworthy recent accomplishments:

Outcome monitors indicate four out five patients show marked improvement in level of functioning.
On average 200 sessions were conducted each month, resulting in approximately 1600 monthly patient contacts
Over 100 patients completed anonymous programmatic review surveys and reported only positive experiences.
The model has become a teaching magnet for the training of interns in creative arts therapy, successfully graduating numerous clinicians
Performance Improvement

The Inpatient Division has an active Performance Improvement Team chaired by Valerie Hubbs, Director of Psychiatric Rehabilitation Therapy. Multiple data streams are continuously monitored. The main initiatives continue to address improving behavioral crisis intervention. Non Violent Crisis Intervention Training continues for hospital wide clinical staff and security. Data being monitored to evaluate the success of these interventions include the restraint and seclusion rates, use of security, use of one-to-ones, incidence of disruptive events, falls, and contraband. Quarterly comparisons to the national benchmarks (MQIP) indicate that rates are within control.

DIVISION OF OUPATIENT SERVICES
The Division of Outpatient Services is composed of the Outpatient Mental Health Service (OMHS), the Alcohol Treatment Center, and Project Liberty Services, which are operated jointly with the hospital’s Department of Community Outreach.
Outpatient Mental Health Services

Dr. Eleanor Burlingham, Director of Child and Adolescent Services, has also recently been appointed Director of the entire Outpatient Mental Health Service. PGY3 and PGY4 residents, staff psychologists and social workers, and psychology externs see adult and child/adolescent patients five days and two evenings per week. Specialized therapeutic modalities are offered to patients in conjunction with the residency training program’s curriculum for multiple psychotherapy competencies. Residents conduct therapy groups under the supervision of Associate Training Director Mark Anderson, PhD, who also trains and supervises them in cognitive-behavioral therapy methods. Brief and Psychodynamic therapies are carried out under the didactic guidance of Dr. Sperber and Columbia Training Analyst Mark Mankoff, MD. Each resident has two psychodynamic psychotherapy supervisors drawn from the psychiatry faculty at North General and at Mt. Sinai. Residents receive an unusually rich family therapy training experience from Peggy Papp, MSW, senior faculty member at the Ackerman Institute, and Director of Family Therapy at North General. Residents treat families under her direct supervision, and participate in two collaborative Ackerman/NGH research projects and on family therapy for families with medical illness and families with a depressed adolescent.

Adult

Adult cases are seen individually, with family, and in group by residents and permanent staff. Resident caseloads are carefully monitored to assure diversity of experience.

Vera Beato-Smith, Ph.D., founding Director of the Psychology Externship Program, recruits and supervises psychology externs from doctoral programs such as Adelphi, Fordham, and Columbia. Externs under her supervision provide psychological testing for residents’ treatment cases and see outpatients in the OMHS.

Psychiatric services are provided in Spanish to the many East Harlem patients who speak only Spanish.Outpatient Social Worker Carmen Ramos anchors the bilingual treatment programs, and currently three of the residents in the program are also bilingual.

Child

Dr. Eleanor Burlingham came to North General Hospital in June 2001, as Director of Child and Adolescent Psychiatry, before which she was an inpatient unit chief at Bronx Children’s Psychiatric Center and a member of the teaching staff of the Albert Einstein College of Medicine’s Child and Adolescent Psychiatry Department.

Dr. Burlingham has pursued community outreach, including a project to introduce family therapy and individual psychiatric treatment into local schools in the East Harlem area. Dr. Burlingham has been collaborating with Peggy Papp’s program to expand family therapy treatment available in the outpatient mental health clinic. The child and adolescent outpatient department continues to provide hospital-wide consultation-liaison services to the NGH Pediatric outpatient clinic and inpatient service.

In addition, Dr. Burlingham coordinates the PGY-3 psychiatry residents’ training in Child and Adolescent Psychiatry. She has recruited experienced child psychiatric social worker Judith Knutson to expand our capacity for services to children. In addition, staff therapists Betsy Hamilton, CSW, Glenn Humphrey, PhD, and Dr. Smith provide expert individual and group therapy to children and adolescents, and participate in didactic and clinical training of residents for child and adolescent psychiatry.

Alcohol Treatment Center
The Alcohol Treatment Center is an ambulatory day treatment program under the medical leadership of Kenneth Song., MD. New Clinical Director Vincent Minniti, PhD, is leading the reorganization of the ATC to adapt its services to the changing treatment needs of the alcoholic and polyaddicted patients in our community. The reorganization seeks to expand the competencies of the program to include MICA issues, therapeutic community methods, and polysubstance dynamics.

PROJECT LIBERTY
In the wake of the events of September 11th, 2001, our department demonstrated its strength, resilience, and community involvement. Our department quickly responded to the internal as well as the external needs of that day and the days following. All of our faculty, staff and residents became very involved in many of the outreach efforts and direct services that were organized by different agencies in response to the event. All department staff and trainees attended training programs in disaster intervention given by FEMA and the NYC Department of Mental Health, and most then participated in emergency counseling teams at the Family Assistance Center for survivors and family members of victims of the World Trade Center Disaster. More recently, grant writer Linda Pasachnik has successfully authored two proposals which have won grants expanding our disaster response capacity. One, from the Greater New York Hospital Association, expands Project Liberty Outreach services by the Department in collaboration with the Community Outreach Department. The other grant, from the United Hospital Fund, establishes, in collaboration with the Director of Pastoral Care, an emergency outreach capacity based on volunteer clergy trained and organized by the project.

DIVISION OF RESIDENCY TRAINING
The Residency Training Program is headed by Jacob Sperber, MD, assisted by Mark Anderson, PhD, the Associate Program Director, and Jacqueline Rivas, the Residency Coordinator.

The Mt. Sinai/ North General Hospital Psychiatry Residency Program is currently in its seventh year of operation. The Division has an Education/Curriculum Committee that meets regularly and oversees the application and selection process, curriculum evaluation, resident evaluation and faculty evaluation.

The program’s December 2000 ACGME RRC visit was followed by full accreditation for three years, and the next review will be in 2004.

Of the six recent program graduates or transfers to child fellowships who took part in of the American Boards of Psychiatry and Neurology, four have become Board-certified on the first attempt.

The program enjoys a close affiliation with the Mount Sinai Department, which offers full access to all residency courses at Mt. Sinai, as well as innumerable research and elective opportunities. The Mt. Sinai department provides NGH residents with several psychotherapy supervisors, as well as many lecturers for courses at North General..

With the reorganization of inpatient services to include a separate MICA unit, there has been extensive development of an addiction curriculum on MICA for PGY2 residents. Our residents additionally attend a Mount Sinai addiction course (10 hours).

On inpatient and MICA, resident supervision consists of morning rounds, weekly interdisciplinary team meeting, biweekly case conference with off-service discussants, individual supervision with attending team leader one hour / week minimum, a second supervisory hour with an off-ward supervisor, afternoon rounds, and milieu therapy group supervision.

All residents are assigned a minimum of 2 hours per week individual supervision for individual adult patients, as well as additional hours of supervision for child, group, and family therapy . Additional outpatient supervision consists of weekly individual supervision with outpatient team leader, weekly adult team meeting, weekly child/adolescent team meeting, ongoing psychotherapy case seminar (group supervision of an ongoing case), group supervision of group therapy, and group supervision in the ongoing family therapy case seminar.

The PGY4 year includes training rotations in community, forensic, geriatric, and administrative psychiatry, as well as elective and research experiences.

In conjunction with Mount Sinai’s training division, we have developed a comprehensive plan for demonstrating and documenting resident competency throughout all years of training

Through our Grand Rounds Speaker Program, we have supplemented the scholarly capacity of teachers from North General and Mt. Sinai with additional speakers of national prominence, including Nancy Andreason, Gabrielle Carlson, Eliot Gardner, Diana Fosha, George Alexopoulos, Alan Roland, Lewis Opler, Jack Gorman, Arieta Slade, Juan Mezzich, and Carol Caton.

PGY3 residents have often transferred to child psychiatry programs. To date, interested applicants have been admitted as child fellows to:

University of California San Diego
North Shore University Hospital
New York Presbyterian Hospital Westchester Division
Westchester County Medical Center
Elmhurst Hospital.
Graduating PGY4s have gone on to fellowships in:

Geriatric Psychiatry
Einstein/Montefiore Hospital
Harvard/Cambridge Hospital
Community psychiatry
Columbia
Addiction Psychiatry
Bronx Lebanon Hospital
The department has twice been chosen to host the American Board of Psychiatry and Neurology – Oral Boards, most recently in May, 2002.

RESEARCH and COMMUNITY-BASED ACTIVITIES
The department is very active in pursuing research opportunities. Dr. Haznedar carries out research at Mt. Sinai under an NIH grant to correlate PET scan findings and cognitive functioning in schizophrenia. Hospital Research and Grants Consultant Linda Pasachnik has successfully written and submitted, in conjunction with faculty members, grants that have enhanced our services in key areas of departmental expertise. After the events of September 11th, we became one of the participating sites for Project Liberty. A grant written by Ms. Pasachnik won funding from the Greater New York Hospital Association to create a coordinator position for Project Liberty Community Outreach Activities. The coordinator hired, Dr. Oscar Lewis, has been organizing and implementing Project Liberty community outreach activities from the Department of Community Outreach, headed by Guedy Arniella, CSW. So successful has this program been that Project Liberty has just awarded NGH a much larger grant to continue this important response to the emotional distress our community is suffering in the wake of September 11. A second grant, written by Ms. Pasachnik and Hospital Chaplain Reverend Carlos Alejandro, has won funding from the United Hospital Fund for NGH-HOPE, (Harlem Outreach Program for Emergencies), which will be an emergency team of crisis-intervention trained community clergy on-call to provide immediate crisis intervention to traumatic emergencies in the community.

The Department has implemented two research projects jointly with the Ackerman Institute for the Family. Dr. Miller at North General Hospital and Drs. Evan Imber-Black and Peter Steinglass at the Ackerman Institute have established the Healthy Families Project to address the needs of patients with diabetes, asthma, cardiac illness and HIV, as well as the needs of their families. Using Multiple Family Discussion Groups (MFDG), in which families with similar issues discuss their needs with the guidance of Ackerman-trained family therapists, the program attempts to increase family involvement in medical care, increase adherence to treatment, assist families and patients with the complexities of new medical technologies, and work with families experiencing chronic illness in a context of poverty. NGH residents and psychology externs receive MFDG training from Ackerman faculty and co-lead groups.

In a second joint project, Ackerman’s Peggy Papp, with research consultation from NGH’s Linda Pasachnik, is looking at the way adolescent depression is expressed in families and is affected by gender. NGH residents participate in family therapy with research families.

Residents participate in a joint medicine-psychiatry Research Methods Course, and all complete an original research project for submission to hospital-wide Research Day before graduating.

A departmental research committee, consisting of Dr. Miller, Ms. Pasachnik, Dr. Petit, and Dr. Sperber, meets regularly to identify new grant opportunities and to foster research activity by the entire faculty and trainees.

The Department of Psychiatry is the recipient of a large, competitive grant by the Division of Homeless Services to provide enhanced, comprehensive, on-site mental health services at two local men’s shelters. Herminia Hermogenes, MD, a graduate of our residency and of the Columbia Community Psychiatry Fellowship, in her role as Director of Community Psychiatry at NGH, leads this initiative. We staff these shelters with a full-time psychiatrist, a full-time nurse practitioner, two full-time nurses and four full-time psychiatric social workers. This grant is a culmination of our growing efforts to provide specialized mental health services in the community as a way of addressing the multiple barriers to access to care for our most disenfranchised populations.

The Department is actively involved in the collaboration of Schering Plough Pharmaceuticals and North General Hospital in the creation of a Hepatitis C Center of Excellence. The Department also provides psychiatric participation in the NGH Aids Service, and in its Pain and Palliative Care Service.

The department is continuing to reach out to the community and to community based providers. Dr. Petit is very involved in community-based affairs, serving on the Advisory Board of Casita Unida, the first and only Latino Clubhouse in the world, which is part of Weston United Community Renewal, Inc.

Please direct any inquiries to [email protected]

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