Caution!

Visiting this web site requires a newer version of Netscape Communicator.

Visit Microsoft's Web site to obtain the newest version of Internet Explorer, or visit Netscape's Web site to obtain the newest version of Netscape Communicator.

Visiting this web site without first upgrading your browser may result in unreliable behavior.













COMPANY



Home


Contact Us


Links.


Privacy Notice


Patient Care / Safety Concerns


Intimidating and Disruptive Behavior


Medical Emergency Team (MET)

Additional Resources



Services


Treatment Team


Psychology Externships

INTERACTIVE



Calendar


Document Folders

COMMUNICATIONS







Sitemap




    Services

Gracie Square Hospital  
420 East 76th Street   
New York , NY 10021  

info@nygsh.org  




Services

View the index page
 

 


Short Term Adult Psychiatry Unit
This adult psychiatric program provides short-term hospitalization to the acutely ill psychiatric patient. Operating under the belief that no patient should spend more time in a hospital than necessary, the Program is characterized by rapid in-depth evaluations and immediate initiation of treatment. The program swiftly and effectively stabilizes acute symptoms thereby making it possible for patients to leave the hospital and continue treatment in a less restrictive outpatient setting.

The expert medical, psychiatric, clinical, and nursing staff at Gracie Square Hospital conduct a thorough evaluation of each patient's physical and psychological condition immediately upon admission into the Program. Past treatment experiences are investigated and family members are interviewed. A comprehensive, individualized multidisciplinary treatment plan is formulated, targeting the most acutely debilitating behaviors and symptoms. Utilizing the most advanced knowledge and techniques, the team initiates focused, goal-directed interventions, which may include psychopharmacology, crisis intervention, and stabilization of acute medical conditions. In order to prepare for a smooth transition to the next phase of treatment, discharge planning is begun at the time of admission. Through our direct and affiliated involvements with partial hospitalization programs, intensive outpatient clinics, and individual providers, we are able to effect the most appropriate and timely referrals, as well as provide comprehensive information about available community resources.

Services Provided

  • Complete psychiatric diagnostic evaluation
  • Comprehensive medical and neurological examination, laboratory and other medical tests as indicated
  • Individualized treatment plan
  • Multidisciplinary treatment of psychiatric symptoms
  • Nutritional evaluation and dietary education
  • Kosher and all special diets
  • Group psychotherapy
  • Therapeutic activities
  • Family interventions when appropriate
  • Medication compliance and relapse prevention groups
  • Comprehensive discharge planning, including partial hospitalization and intensive outpatient referrals
  • 24-hour, seven-day-a-week on-site coverage by an internist and a psychiatrist

Patients are accepted from a variety of sources, including managed care providers, Health Maintenance Organizations, medical hospitals, the community, and private doctors. Private credentialed psychiatrists may admit and treat their own patients in the Program.

Diagnoses Treated:
While all psychiatric diagnoses are accepted for treatment, the most common diagnoses in the program are psychotic, bipolar and major depressive disorders, often accompanied by suicidal ideation, agitation and poor behavioral control. Patients who suffer from concomitant psychiatric illness and chemical dependence may be evaluated for transfer to our inpatient Dual Focus program.

The Multidisciplinary Treatment Team:
The overall structure and orientation of the Program have been specifically organized to meet the needs of the psychiatric patient suffering from an acute psychotic, manic or depressive episode. A Multidiciplinary Treatment Team, trained in the special needs of this population, is integral to each patient's care. Each patient receives an individualized Treatment Plan, based upon evaluations and assessments from members of the Treatment Team, which includes a Board Certified Attending Psychiatrist, a Primary Medical Physician, a Psychiatric Nurse Specialist, a Psychologist, a Psychiatric Social Worker, a Nutritionist and an Activities Therapist. When necessary, consultations with other medical and addictive disease specialists are performed.

Treatment Modalities:
The treatment modalities available include medication, group therapy, milieu therapy, and individual therapy. The individual therapy may be supportive, behavioral, insight-oriented or some combination of these. Psychoeducation, family interventions and relapse prevention training are also provided.

Discharge Planning:
Discharge planning is performed for all patients and includes an assessment of needs, referral for aftercare, and information about appropriate community resources. Many patients benefit from referrals to partial hospitalization programs as a means of reducing time spent in the hospital and providing a firm basis for continued intensive therapeutic interventions and ongoing medication management. Staff works closely with managed care companies to plan aftercare treatment which will most effectively utilize available resources in a cost-effective and productive manner.

 

 


Dual Focus Unit
This program provides inpatient treatment for patients who have significant emotional or psychiatric problems in addition to being chemically dependant. We provide a single-setting comprehensive treatment experience, utilizing a flexible blend of the psychiatric and substance abuse models in a warm AA-oriented therapeutic milieu. Our staff consists of highly trained, dedicated and experienced psychiatrists, nurses, social workers, activities therapists and chemical counselors, as well as medical, neurological and psychological consultants.

Why do we need a Dual Focus Program?
It has long been recognized that certain chemically dependent patients do not respond to standard substance abuse treatment. We now know that many of these so-called "treatment-resistant" patients are, in fact, suffering from two concurrent illnesses. Often these dually-diagnosed patients were treated either in mental health or addictions systems, or were shuttled back and forth between them. Frequently, this fragmented approach resulted in treatment failure. The Dual Focus Program at Gracie Square Hospital has been specifically designed to provide an integrated treatment program tailored to the needs of this special population. From detoxification to discharge planning, we address both the psychiatric and addiction components, offering a sensitive approach to unique and complex problems.

The following guidelines may be helpful when making a referral or seeking treatment:

Chemical Dependency

  • Substance Abuse (alcohol, heroin, cocaine, crack, sedatives, sleeping pills, opoids, narcotics, psychostimulants, etc...)
  • Recent abstinence complicated by difficulty coping with the stresses of early recovery

in combination with

Psychiatric Disorders

  • Depression
  • Bipolar disorder (manic, depressive or mixed)
  • Anxiety, phobic and panic disorders
  • Schizophrenia
  • Mild organic mental disorders
  • Personality disorders
  • Self-destructive and/or psychotic behavior

The Dual Focus medical and clinical directors are available for consultation, evaluation and assessment.

Inpatient Services
The Inpatient Dual Focus unit is an acute care treatment program with most patients staying approximately ten days. The multidisciplinary treatment team develops a treatment plan for each patient that addresses both psychiatric and addiction diagnoses. Addiction-trained social workers work with patients to assess family difficulties and housing needs, so that patients are discharged to the most therapeutic environment possible.

The program offers a full range of substance abuse and psychiatric services that include:

  • An individualized, comprehensive treatment plan based on a complete psychiatric evaluation
  • Medical, neurological and psychological consultations
  • Medically supervised detoxification
  • Assessment and treatment of psychiatric symptoms
  • Daily psychiatric consultation
  • A complete education program, including the disease concept of addiction and the recovery process
  • Daily community meetings
  • Daily group therapy
  • Therapeutic activities
  • Nightly 12-step meetings, including a Dual Focus "Alumni" meeting, where patients and former patients of the program share experiences while focusing on abstinence and recovery
  • 24-hour, seven-day-a-week on site coverage by an internist and a psychiatrist
  • Full medical backup including X-rays, EKG, EEG, etc...
  • Comprehensive discharge planning that addresses needs determined during treatment
  • Weekend education groups for family members

Private doctors may admit and treat patients on the inpatient unit.


 

 


Asian Psychiatry Unit
The Asian Psychiatry Program at Gracie Square Hospital is designed to meet the specific needs of the Asian psychiatric patient in an inpatient setting. The Program provides culturally sensitive and linguistically appropriate mental health services to the Chinese, Korean and Japanese communities. Recognizing that cultural factors influence the way an individual views the causes and treatment of mental illness, the Program permits patients and their families to work within their own cultural framework to maximize successful treatment outcomes and prevent relapse. By providing staff who can communicate in a patient's own language, the Program truly makes patients and their families active members of the treatment team.

The Multidisiplinary Treatment Team
The Asian Program is directed by Board Certified bilingual/bicultural psychiatrists. With the help of a culturally diverse clinical and support staff who speak Mandarin, Cantonese, Chinese ethnic dialects, Korean, Japanese and other Asian languages, patients and their families can understand treatment options and compliance strategies, and truly be active participants in treatment planning. When patients are ready for discharge, bilingual social workers familiar with all available mental health resources within the Asian communities work with patients and their families to organize realistic, effective and culturally appropriate aftercare plans.

Culturally Appropriate Environment
The unit is designed to provide patients with the comforts of their own culture; it is decorated with Asian art, patients are served Chinese food and Chinese tea. Educational materials and newspapers are provided in English and Asian languages.

Services provided:

  • Psychiatric assessment and treatment by bilingual psychiatrists
  • Comprehensive medical and neurological examination, laboratory and other medical tests as indicated
  • Individualized treatment plan
  • Multidisiplinary treatment of psychiatric symptoms, including detoxification from addictive substances
  • Coordination of concurrent medical and psychiatric treatment
  • Nutritional evaluation and dietary education
  • All special diets
  • Group and individual therapy and activities geared toward relapse prevention and medication compliance
  • Comprehensive discharge planning, by bilingual staff, including referral to culturally and linguistically appropriate outpatient providers
  • 24-hour, seven-day-a-week on-site coverage by an internist and a psychiatrist

Patients are accepted from a variety of sources, including referrals directly from the community, managed care providers, Health Maintenance Organizations, medical hospitals, nursing homes/extended care facilities, community centers, and private doctors.

Treatment Modalities/Interventions
Interventions utilized may include psychopharmacology, crisis intervention, group therapy, and stabilization of acute medical symptoms.

Discharge Planning
When patients are ready for discharge, bilingual social workers familiar with all available mental health resources within the Asian communities work with patients and their families to organize realistic, effective and appropriate aftercare plans. Through our direct affiliations with Asian mental health and medical outpatient providers, community centers, and extended care facilities, we are able to effect the most appropriate and timely referrals.

Admissions
For information regarding insurance and admission to the Asian program, please contact the Asian Program at:

  • Phone: (212) 434-5577
  • Fax: (212) 434-5578

Patients may be admitted to the inpatient Asian Program 24 hours a day.

 


   
 

 


Geriatric Psychiatry Unit
This program is designed to treat individuals 65 and older who have a primary psychiatric disorder which requires acute inpatient treatment.

The expert medical, psychiatric, clinical and nursing staff will thoroughly evaluate each patient's physical and psychological condition. Based on our findings, we will treat and stabilize all current acute problems. In addition, we will work to provide our patients with an individualized aftercare plan designed to maintain the improvements achieved here. Among the many Areas included in our Aftercare Plan are psychiatric and non-psychiatric medication management, recommendations for psychotherapeutic interventions, information about available community resources, and concrete help with securing public benefits and extended care facilities placement.

The overall structure and orientation of the Program has been specifically designed to meet the needs of the older patient. A Multidisciplinary Treatment Team, trained in the special needs of the geriatric population, is integral to each patient's care. Each patient receives an individualized Treatment Plan, based upon evaluations and assessments from the members of the Treatment Team.

Services Provided:

  • Complete psychiatric diagnostic evaluation
  • Comprehensive medical and neurological examination
  • Laboratory, radiographic, and other appropriate medical tests, including EKG, EEG, etc.
  • Individualized treatment plans
  • Multidisciplinary treatment of psychiatric symptoms
  • Coordination of concurrent medical and psychiatric treatments, including medication management
  • Nutritional evaluation and dietary education
  • Kosher and all special diets
  • Group and individual activities which maximize independent functioning
  • Comprehensive discharge planning, including nursing home/extended care facility placement and community resource determination
  • 24-hour, seven-day-a-week on-site coverage by internist and a psychiatrist

Patients in all Gracie Square Hospital programs have direct access to the medical and surgical specialists at The New York Presbyterian Hospital

Diagnoses Treated:
While all psychiatric diagnoses are accepted for treatment, the most common disorders in the program are the dementias- vascular and Alzheimer types. Concomitant symptoms of agitation, psychoses and depression are addressed in the context of the severe memory loss and other significant cognitive and behavioral disabilities secondary to dementia. Other factors affecting treatment are cultural considerations, language barriers and physical debilitations.

Special Medical Needs:
The safe and effective use of medication in this Program usually requires lower dosing at a slower rate to accommodate the increased sensitivity of the patients. In addition, the physicians on this Unit are aware that many of these individuals are being treated concurrently with other medications for medical illnesses associated with aging and are attentive to drug interactions. Comprehensive education about the use of medication is provided to patients. Their family members, and caregivers.

Treatment Modalities:
Available treatment modalities include medication, group therapy, milieu therapy and individual therapy, which may be supportive, behavioral, insight-oriented or some combination of these. Family education and interventions are provided when appropriate.

Discharge Planning:
All patients remain in the hospital until medically and psychiatrically stable. Social workers provide discharge planning for each patient that includes an assessment of needs, referral for aftercare, and information about appropriate community resources. Special needs for patients in this program include arranging for legal guardians, securing benefits, and placement in nursing homes and extended care facilities. Social workers work with patients' families to obtain secure placement that is mutually acceptable.










For further information Contact Us at Gracie Square Hospital
212-988-4400 or Email Us at info@nygsh.org


Home  |  Contact Us  |  Links.  |  Privacy Notice  |  Patient Care / Safety Concerns  |  Intimidating and Disruptive Behavior  |  Medical Emergency Team (MET)  |  Services  |  Treatment Team  |  Psychology Externships  |  Calendar  |  Document Folders  |   | 



Sign In