SUNY Downstate Medical Center
Long Island College Hospital (LICH)
University Hospital of Brooklyn at Long Island College Hospital is a 506-bed, teaching hospital located in the Brooklyn Heights/Cobble Hill neighborhood.
Founded in 1858 as a medical school as well as a hospital, Long Island College Hospital has made exceptional contributions to U.S. medicine.
In 1860, it became the first U.S. medical school to make bedside teaching a standard part of its medical curriculum, establishing an approach that was subsequently adopted throughout the country. Medical achievements of early LICH faculty include introduction of the stethoscope and early use of anesthesia.
In 1930, the Long Island College of Medicine was incorporated as a separate medical school, with LICH as its hospital affiliate, and the College of Medicine became part of SUNY in 1954.
Today, Long Island College Hospital prides itself on combining the best features of a major medical center with the personal, caring approach of a community-centered hospital.
Patient characteristics: the outpatient psychiatry clinic treats a diverse population. 68% of the patients are female and 32% are male. 3% of the clinic population are minors, 85% are adults between the ages of 18-65 and 12% are older than 65. 41% of the clinic patients are African American, 28% are Hispanic and 18 % are Caucasian. The clinic also serves patients of Asian, Indian and Middle Eastern descent.
Kings County Hospital Center (KCHC)
Kings County Hospital Center has a rich legacy for its pioneering role in medicine. Today, with over 627 beds, the hospital remains on the cutting edge of technology and provides the most modern procedures with state-of-the-art equipment. Kings County Hospital Center operates a world-renowned Level 1 Trauma Center, one of only three in the borough, which serves 2.6 million residents of Brooklyn and Staten Island.
Comprehensive Psychiatric Emergency Program (CPEP) is comprised of four functional units:
- The emergency room (ER): a 24 hours/day psychiatric evaluation service.
- Extended Observation Unit (EOU): a 24 hours/day 6-bed unit located adjacent to the ER. The goal of the EOU is to rapidly stabilize patients and discharge to appropriate settings who do not meet criteria for inpatient hospitalization but are unable to be safely discharged from the emergency room within a 24 hour period.
- The Mobile Crisis Service: a voluntary service committed to helping families and patients maintain compliance with outpatient treatment and or securing higher level of treatment when indicated.
- The Crisis Residence: a total of 26 community beds located at 2 separate locations designed to provide emergency housing for patients who do not require inpatient hospitalization but require additional social services.
Inpatient Child Psychiatry
Hospitalized youngsters are usually 5-18. For the year 2010, there was a total of 629 discharges form the child and adolescent inpatient service. The average length of stay (LOS) in 2010 was 16 days.
Racially they were approximately 75% Black (Afro-American and Caribbean), 20% Hispanic, 5% other (White, Asian). The major diagnoses are Disruptive Behavior Disorder, Conduct Disorder and Attention Deficit Disorder 60%, suicide and Affective Disorder 25%, Psychosis 15%, abuse history 60%. Many of the adolescents have organic deficits, including seizure disorder, cognitive limitations, such as mental retardation and learning disabilities, Pervasive Developmental Disorders, including autism. Most of the children have more than one diagnosis and several co-morbid conditions, including substance abuse. Some of the youngsters are referred from courts for evaluation. Many of the children with the longest stay are children with dual diagnosis.
St. John's Episcopal Hospital (SJEH)
St. John's Episcopal Hospital is the only full service community hospital serving the entire Rockaway and the Five Towns communities providing general adult medical surgical services, pediatrics, obstetrics and psychiatric services. The Hospital's overarching goal has been to combine accessible, medical excellence with the compassionate, caring environment expected from a faith-based community hospital.
The largest hospital on the Rockaway peninsula, it is dedicated to providing post-graduate allopathic and osteopathic medical education as well as clinical pastoral education. It is committed to serving the medically underserved and providing care with ethnic, cultural and religious sensitivities.
St. John's is the cornerstone of Episcopal Health Services Inc.
PGY-1 residents have a required full-time, three-month rotation at St. John's. Two months are spent on the general Adult Inpatient Psychiatry service, an 18-bed unit with 100% occupancy rate. Diagnoses generally include major depression, bipolar, schizoaffective and psychotic disorders. Treatment includes individual, group activity, milieu and cognitive-behavior therapy, ECT and psychopharmacology. One month is spent on Addiction Psychiatry. A PGY4 has an active learning experience in Administration Psychiatry at this site.
Kingsboro Psychiatric Center (KPC)
Kingsboro Psychiatric Center provides:
- comprehensive, integrated services 24 hours per day for hospitalized patients,
- 24-bed Crisis Residence for patients who had been discharged but need to have arrangements completed for residence placement,
- 48-bed Transitional Residence,
- 65-bed Family Care Program with certified homes in the community.
Kingsboro Psychiatric Center's community-based outpatient clinics located in Canarsie and Williamsburg neighborhoods provide: assessment and treatment planning; health screening and referrals; discharge planning; verbal therapies; medication therapy; medication education; symptoms management; psychiatric rehabilitation readiness determination; case management; crisis management; clinical support; mobile outreach; family support service.
Kingsboro Psychiatric Center provides a one month Adult Inpatient Psychiatry experience to PGY1 and 1 month C&L for PGY2 residents and has one PGY 4 resident assigned six months half time to the service as a team leader. Kingsboro is an OMH (Office of Mental Health) facility that provides continuous care to the chronic and persistently mentally ill patients of Brooklyn. Since SUNY Downstate Department of Psychiatry has a long-standing commitment to community psychiatry and serving the disenfranchised populations within our community, we have partnered with Kingsboro Psychiatric Center to provide an educational experience at their site.
Brooklyn Veterans Affairs Medical Center (BVAMC)
VA New York Harbor Healthcare System
The NY Harbor Healthcare System is always improving the health of the men and women who have so proudly served our nation. We consider it our privilege to serve your health care needs in any way we can. Services are available to veterans living in the 5 boroughs of New York City.
PGY 2 residents have a 1 month rotation in Addiction Psychiatry. Each PGY2 rotates through the Detox Unit, 21 day Rehab unit and Outpatient Services for Addiction. PGY 3 residents work one day per week for 6 months in a Post Traumatic Stress Disorder (PTSD) clinic with veterans, predominantly, but not exclusively with war trauma. They perform initial psychiatric evaluations and follow-up as well as participate in group therapy.
Kingsbrook Jewish Medical Center (KJMC)
Kingsbrook Jewish Medical Center, located in the East Flatbush section of Central Brooklyn, was founded in 1925 as a chronic care facility to serve the then Jewish Community within a cultural context. As the community has evolved and diversified, Kingsbrook has expanded its services and programs, to meet the needs of the large culturally diverse communities that it now serves.
Kingsbrook is an 864-bed medical training institution, comprised of a 326-bed acute care hospital and a 538-bed adult and pediatric skilled nursing long-term care facility.
In addition to its celebrated Kingsbrook Rehabilitation Institute, Kingsbrook's Centers of Excellence include Brooklyn's only NYS licensed Traumatic Brain Injury and Coma Recovery Unit, and a Geriatric Inpatient Psychiatry service, a premiere program serving the mentally challenged elderly throughout the borough.
The Kingsbrook Rehabilitation Institute is a comprehensive, acute-care program, one of the oldest and finest on the East Coast. The professional staff is committed to maximizing function and quality of life for individuals of all ages who are physically or cognitively challenged.
PGY-2 residents have a required one month, full-time rotation at Kingsbrook. The rotation is spent on the Inpatient Geriatric Psychiatric Service, a 30-bed locked unit. Diagnoses are varied and include, but are not limited to, dementia, affective disorders, schizophrenia and delirium. Treatment includes admission assessment, formulation and implementation of a treatment plan, ongoing interaction in a multidisciplinary team, and discharge plans. There is exposure and opportunities to learn and use ECT. In addition, residents do psychiatric consultation on geriatric patients in the general hospital setting.
Project for Psychiatric Outreach to the Homeless (PPOH)
PPOH addresses many homeless people suffer from mental illnesses that impair their ability to seek and maintain housing, they are often not able to access psychiatric services in traditional treatment settings. gap by placing on-site psychiatrists at community-based programs serving homeless or formerly homeless people providing an opportunity for consumers to access treatment that may enable them to seek and maintain housing, benefits and services. Many of New York City's outreach teams, drop-in centers, homeless shelters and supportive housing programs are not able to afford psychiatric services nor are they equipped to recruit, support and supervise the psychiatrists who provide these services. PPOH provides an opportunity for psychiatrists to commit to community work in non-traditional settings that offers robust support and opportunities for professional development.