Behavioral Health

The Department of Psychiatry and Behavioral Health at St. Luke’s and Roosevelt Hospital offers a variety of care by giving an extensive series of behavioral health needs. They offer their services to all ages: children and adolescents, adult and seniors. They also cater to population with specialized needs like women and children. Their services includes treatment of the full range of diagnoses, including, but not limited to, psychosis, character disorders, substance abuse, mood and anxiety and childhood and adolescent disorders.

The Department offer services in different ways consisting of inpatient, outpatient, intensive day treatment and emergency services. Individuals can avail their services at any period of their recuperation. All patients seeking psychiatric care are first evaluated at the Access Center before receiving treatment. The patients undergo a comprehensive psychiatric evaluation that includes a general clinical interview and a regular self-report outcome measure, Basis 24. Only then can a patient be recommended for treatment if the various divisions of the Department of Psychiatry can offer appropriate treatment.

Suggestions are then made for care at other facilities if the programs of the Department of Psychiatry cannot accommodate the patient’s need for care. So many clients had different mental illness and majority of them are diagnose with schizophrenia. Men and women were not together in the same group. The Department had groups for women and groups for men. They had morning groups that meet for 1. 5 hours three times a week. That group was the less impaired clients. The evening sessions involved the more advance clients and require more help. The inpatient psychiatry units at St.

Luke’s and Roosevelt Hospitals offer short term, sensitive psychiatric treatment for adults from the age of 18 and older. Treatment methods consist of group, family, and individual therapy and medication therapy. These services are intended to alleviate and prepare the patient for suitable follow-up healing in an outpatient situation. Personalized healing strategies are developed based on a complete assessment of medical, psychiatric, psychological, social and functional status. Treatment focuses on improving functions and solving problems in order to develop the patients’ aptitude to function.

Treatment programs are applied to assist patients recognize mental illness, increase surviving skills, and uphold self-esteem. The inpatient unit consists of the following: Psycho-pharmacological Management (prescribed medications); Individual and Group Therapeutic Activities; Environment Structuring/Therapeutic Environment; and Patient/Family Education. The services are aimed to embrace the individual needs of patients. A therapeutic environment that encourages healing and can assist the patient functions in the community is provided on all inpatient psychiatric units.

In every unit, the staffs will do their best to make the patients’ stay as comfortable as possible. The patients and their family are encouraged to make inquiries and ask for advice from their knowledgeable and expert staff. With patients’ dynamic involvement in the treatment procedure, they can help and lead the patient towards discharge. They have a team of psychiatrists, nurse practitioners, nurses, social workers, occupational therapists and creative art therapists. The inpatient unit offer specific training to meet the unique needs of the patients.

Their staff closely works together with the major medical, surgical and allied health specialties. 2. What are the major sources of funding? If there are multiple funding sources, choose one and answer these questions: 1) Describe the funding source. 2) How does the funding source influence treatment? Give a specific example. The Department of Psychiatry and Behavioral Health at St. Luke’s and Roosevelt Hospitals receive their funding from charitable donations and support from the community.

They also receive funding from the research projects they conduct. Clinicians in the Department of Psychiatry and Behavioral Health at St Luke’s and Roosevelt Hospitals are actively engaged in a variety of clinical research projects targeting mental health, substance abuse, and other behavioral health problems. Funds for the research come from the government specifically the National Institute of Health (NIH), and other federal agencies. Pharmaceutical companies also participate in funding the research projects.

Patients are offered free or limited-fee care for specific problems in exchange for the patients’ participation in the research. Thus patients whose problems, are not covered by the research projects can not take advantage the free or limited-fee care. The research studies include depression, anxiety, post-traumatic stress disorder (PTSD), attention-deficit hyperactivity disorder (ADHD), alcoholism, “Crystal Meth”, heroin abuse in teens, and drug abuse in medical patients with chronic pain or who require an organ transplant. (cited in http://www.

wehealny. org/psych/index. html) According to the therapist I interviewed, therapists could deliver more care at the hospital if there were more funding. The Therapist is hoping that insurance companies will increase the services that could be covered under their policy. The setting accepts different payments for the services it rendered to its patients: Self payment, Medicaid, Medicare, Private health insurance, and Military insurance. (cited in About. com) 3. Consider the system. Think about the different types of systems discussed in this class.

Where does this setting fit? If you think that this setting fits within more than one system, describe the overlap. If you don’t think this setting fits within any of the systems, how do you think this setting fits in occupational therapy? Where does this setting exist within a continuum of care for clients? Where do clients come from before reaching this setting? Where are they discharged after leaving this setting? Are they getting services simultaneously from another system? If so, which system and how do they work together?

Is CAM used in this setting? If so, how? If not, do you think it could be used? Why or why not? All settings have their own cultures with expectations, beliefs, and rules of conduct. How would you describe the culture of the setting? How does the culture of the setting influence treatment? Do you think it could conflict with any of the cultures of the clients served? Why or why not? The Department of Psychiatry and Behavioral Health at St. Luke’s and Roosevelt Hospitals fits mainly in a mental health system.

Though we could also say that some of the other systems like the school system, private practice, and community based systems may in one way or another fit into the setting. The Department of Psychiatry at St. Luke’s and Roosevelt Hospitals provides training to psychiatrists and psychologist, in clinical practice and research. The objective of which is to give outstanding medical break coupled with thorough direction and an instructive lessons developed to create the proficiency and learning support of their new specialists.

As a result, residents, interns, and post-doctoral fellows are fully equipped with tough scientific talents, discernment on present study and know how of analytical and healing process letting them to acquire any professional path they desire. Most of the research studies are clinical. Patients should enroll to receive treatment. Prior to enrolment in a research project; the following is discussed thoroughly with the patient: the study’s goal, the pros and cons of being involved, and the burden connected with being a participant, for instance time commitment.

They must sign an “informed consent form” before the start of the study. They should understand that their participation in the study is strictly voluntary and failure to participate will not affect their routine medical care, but some treatments may not be offered other than through the research study. The major goal of the Department of Psychiatry and Behavioral Health’s Private Psychiatry Services is to serve the clients. It offers therapeutic care to clients of all races and who are coming from different socio economic status.

Their clinicians are experts in an extensive range of healing like Psychotherapy for Adults and Children, Addiction Therapy, and other Behavioral Health Care involvement. They provide services to all ages, adults, adolescents and children, couples, families, and groups. The Child and Family Institute at St. Luke’s and Roosevelt Hospitals is part of the Department of Psychiatry. Its goal is to improve the mental health of every child and adolescent within its community, at the same time giving support for parents, custodian and other members of the family.

The department’s complete neighborhood instruction and medical care courses are proposed to avoid and heal infirmity of the mind. This scheme for well-being of the mind gives a proper range of concern and attention to customers. Its plans and assistance are for a broad variety of requisites for mental fitness. Its supports consist of healing of the complete series of analysis, including but not restricted to psychosis, personality confusion, substance abuse, disposition and nervousness and childhood and adolescent turmoil. Persons can benefit their services at any stage of their recovery.

The cure is focused on developing indications and operating out on the complexities so patients expand their capacity to be useful. Healing plans are meant to aid the patients know sickness of the mind, increase ability to struggle, and up hold self-respect. Services for grown up outpatient are as follows: a) The Acute Outpatient Psychiatry Clinic (OPC). It is available to individuals identified with Axis I or Axis II turmoil whose course are depicted by harsh, forwarding of sickness. This includes disposition disarrays, nervousness disorder, and other behavioral problems.

Age of patients must at least be 18 years old and with DSM IV Axis I or Axis II psychiatric diagnosis. The program also requires the patient’s reaction to the outpatient healing for him to be admitted. Healing for the outpatient may be conducted for a number of times in a week; month or bimonthly depending on the severity of sickness and medical necessity b) The Case Management Clinic provides psychiatric care to grown ups with critical results of an acute sickness of the mind. It may either be with or without including substance abuse. They receive referrals of persons more than 18 years old and are not mentally retarded.

c) The Center for Intensive Treatment of Personality Disorders (CITPD) has specialization on concentrated ambulatory treatment for persons with Personality Disorders or several of its indications. d) The Integrated Psychiatry Services (IPS) presents programs to address to the demand of persons with serious mental problems. e) Integrated Treatment and Recovery Program (ITRP) is a long-term day treatment plan for grown ups with critical psychological illness. Its service is to answer the needs of people with various psychiatric and substance abuse problems.

People who are more than 18 years old with a diagnosis of grave and frequent sickness of the mind are welcome. It also receives patients co-occurring substance abuse, however mentally retarded are not welcomed. f) Residential Community Services (RCS) serves to over 1 thousand of individuals suffering from grave mental sickness in 15 neighborhood housing associations. It works together with staff in the housing locations, sanctuaries, other programs for the community to expertise healing strategy to reach the individuals’ aspiration of being cured.

g) The Mobile Crisis Team (MCT) at St. Luke’s and Roosevelt Hospitals is program for disaster interference. They serve 18 years old and older persons. To assure a range of concern for mental wellness other services are provided by the site like Women’s Health Project, for Child and Adolescents, Child and Adolescents: Child and Family Institute, Evaluation and Crisis Services, Child and Adolescent Psychiatry Outpatient Clinic, Children’s Community Mental Health Services, and Comprehensive Adolescent Rehabilitation and Education Services, and for Senior, the Inpatient Neuropsychiatry

The setting does not employ Complementary and Alternative Medicine (CAM). I do not think that the use of (CAM) in the setting is feasible. It is because it would not be fair to one of the setting’s major benefactors. These benefactors are the drug companies who shouldered the funding of almost all of their investigative studies. The setting is located in New York City and the largest since 1954 that provides mental wellness and dependence services The Department of Psychiatry and Behavioral Health at St.

Luke’s and Roosevelt Hospitals offers complete services that let individuals to enhance their value of life. It has the status of being proficient on psychological well-being and addiction in the course of its lengthy practice in assisting with all crisis in mental health whether psychiatry, substance addiction, or both. Their assignment is to present excellent health concerns and to respond to the needs of mental health of New York City.

It is devoted to give the most excellent services on psychological fitness to the residents in their neighborhood. They effect alteration in the environment through customer instruction, outreach and neighborhood teamwork. In conclusion, they shape the future through landmark research and the improvement of practiced professional work force in serving individuals and their locality

I consider the setting’s background could not disagree with any of the customers served since the background of the setting is toward excellent and successful cure. Furthermore, the customers are well appraised and informed on the setting’s sort of treatment that they have to experienced. The customers are correctly appraised and with full comprehension on an array of cure that they have to experience. The customers have fully comprehended the procedure before any treatment is applied. (cited in http://www. wehealny. org/psych/index. html)

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