Hospital and Acute Care Service

Located within the busiest emergency room in the state, emergency psychiatric services at IU Health Methodist Hospital are housed within a five-bed observation and assessment area for patients who have been medically stabilized and extend into the main ER for patients presenting with complex medical and psychiatric needs. Patients are assessed by licensed social workers and mental health counselors and all cases are discussed with a psychiatrist, with full psychiatric assessment available as appropriate.

The Adult Inpatient Psychiatric Unit at IU Health Methodist Hospital cares for patients from ages 18 through senior age with a wide range of psychiatric diagnoses and presenting concerns. Faculty psychiatrists lead teams of residents and medical students and collaborate closely with experts and trainees in social work and mental health counseling, pharmacy and nursing.

Due to the accessibility of medical specialty consultation and resources such as dialysis, providers are able to care for more medically complex patients. The unit is also a referral center for patients in need of electroconvulsive therapy or further tertiary assessment and management from around the state. The unit can accommodate up to 15 patients and has space specially designed for the care of behaviorally complex patients, facilitating a trauma-informed approach to their care.

IU Health University Hospital offers psychiatric consultation-liaison (CL) services to all patients admitted to the hospital with an order from the referring service. Frequently, patients include those with general medical conditions on hospitalist services as well as hematology, oncology, bone marrow transplant, organ transplant, renal, ENT, thoracic surgery, general surgery and urology. Coverage has recently expanded to adult patients on the obstetric service at Riley Hospital for Children.

Clinicians

David Diaz, MD

Emily Holmes, MD, MPH

Chad Baughman, PA-C

The Adult Consultation-Liaison Psychiatry at IU Health Methodist Hospital is located at the largest hospital in Indiana that serves both as a community hospital in a busy downtown setting and as a tertiary referral center for patients from around the state. The consultation-liaison service collaborates with our many medical and surgical teams to care for the myriad psychiatric needs of this population.

The service manages patients with common presentations such as suicidality, delirium, psychosis, anxiety, decisional capacity and adjustment to complex illness. Psychiatric care for less common concerns is also provided, including catatonia, rare genetic and metabolic disorders with neurobehavioral manifestations, neurodegenerative diseases, autoimmune encephalitides and many others.

Housed in the Riley Emergency Department, the BHAC is a 4 bed unit which provides assessment and brief interventions for youth presenting with behavioral health needs. The Collaborative Assessment and Management of Suicidality (CAMS) model is utilized in the BHAC. The BHAC is staffed throughout the day and night with Behavioral Assessment Clinicians, Psychiatric Nurses and Child and Adolescent Psychiatrists.

Kristen Schroeder, MD, Medical Director

Ruthie Cooper, MD

Erin Henneberry, MD

Melissa Nice, NP

The program at the Simon Skjodt Child and Adolescent Behavioral Health Unit at Riley Hospital for Children offers inpatient psychiatric treatment for children and adolescents (5-17 years of age) with complex disorders related to mood, anxiety, development and behavior. Admissions can be from the emergency department through the Behavioral Health Assessment Center (BHAC) or medical floors at Riley Hospital for Children and other hospitals. This closely supervised environment allows for observation, evaluation and intervention with a team-based approach.

The inpatient team is comprised of highly qualified mental health professionals, including board certified child and adolescent psychiatrists, a child and adolescent psychologist, social workers, nurses, pharmacist, mental health technicians, art, music and recreational therapists and trainees who utilize a multidisciplinary collaborative model for assessment and treatment. Treatment includes individual and group-based therapy with dialectical behavioral and cognitive behavioral therapy skills, family interventions, medication management, and school related services. Safety planning is a core component of the structured program. The individualized approach for treatment includes collaboration with families and caregivers, outpatient providers and teams and members of other supportive programs.

Clinicians

Priyanka Reddy, DO, Medical Director

Ronald Stachler, MD

Tamika Zapolski, PhD

The Consultation Liaison (CL) Service at Riley Hospital for Children is a multidisciplinary team that includes psychiatrists, psychologists and licensed clinical social workers. The team provides psychiatric and psychological consults to patients who are hospitalized at Riley Hospital and receives consults from more than 20 medical specialty services. Psychiatry CL providers will complete psychiatric evaluations and provide treatment to assist patients with a variety of concerns including: • Comorbid psychiatric conditions or symptoms (e.g., depression, anxiety, psychosis)

• Coping with chronic illness or painful medical procedures

• Challenges with adherence to complex medical treatment plans

• Safety evaluations (suicidal or homicidal thoughts/behaviors)

• Somatic symptoms or somatization disorders

• Neuropsychiatric conditions or symptoms (e.g., catatonia, delirium, anti-NMDA receptor encephalitis, neuropsychiatric lupus

• Treatment interfering or disruptive behaviors

• Transplant evaluations

Treatments provided by the CL service include:

• Medication management

• Psychotherapy (cognitive behavioral therapy, acceptance and commitment therapy, parent management interventions, dialectical behavior therapy)

• Biofeedback

Clinicians

Lydia Fischer, MD, Medical Director

Amy Williams, PhD, Clinical Director

Michele Tsai Owens, PhD

Katie Schwartzkopf, PhD

Tamara Stanley, LCSW

Offered as a state-of-the-art adolescent autism services unit within the larger Indiana NeuroDiagnostic Institute and Advanced Treatment Center (NDI) on the campus of Community East Hospital, the Unit is a partnership for stabilization and transition of youth between the ages of 12 and 17 years old diagnosed with autism and related disorders with sights on sustainability and prevention of re-admission as well as true integration within the community. The service is overseen by the Indiana Family and Social Services Administration (FSSA), Division of Mental Health and Addiction (DMHA).

The partnership in this endeavor includes Damar Services, Inc., as the operational lead for the state contract and both the HANDS in Autism^® team and selected faculty within the Department of Psychiatry at IU School of Medicine as subcontracted entities. Overall roles of the partners include the following:

• Damar Services Stabilization & Treatment: Day-to-day operation of the NDI Unit with provision of daily care and behavioral services for stabilization of patients and support of families from pre-admission to discharge.
• IU Department of Psychiatry: Medical, psychiatric and psychological assessment, as well as intervention consultation support.
• HANDS in Autism^®: Pre-hospitalization assessment and waitlist support, team (i.e., family, school, and community) training and resources, and intensive post-hospitalization programming, team facilitation, coaching, and support for community integration & sustainability.

Collaboration across NDI partners occurs progressively while building on the strengths and roles of each partner respectively across the different stages of patient, family and team engagement.

Clinicians

Jill Fodstad, PhD

Amber Hunt, DO

Tiffany Neal, PhD

Kristen Schroeder, MD

Naomi Swiezy, PhD