The University Hospital Inpatient Psychiatric Unit (4B) admits both voluntary and involuntary patients eighteen years and older with a wide variety of psychiatric and substance use disorders. While such problems are the primary reason for admission, many patients have additional medical needs. 4B is a 23 bed, acute care unit with an average length of stay of 5 days.
Patients may be referred from:
Patients are offered an individualized plan of care consisting of individual, group, and family psychotherapies, medications, electroconvulsive therapy (ECT), and recreation and occupational therapies with a strong emphasis on skill development through psycho-educational programming.
Our unit is devoted to being a safe and secure environment. Therefore, we value that our patients and staff interact with each other with respect and that patients express feelings in words rather than in hostile verbal or physical actions. We strive to provide treatment that is free of addictive substances and utilize behavior agreements for safety of patients and staff. Our unit works closely with the Addiction Psychiatry program lead by Dr. Brian Johnson.
The unit is an important site for the training of junior residents, who receive extensive experience in application of the Biopsychosocial model, and is coordinated with the efforts of an interdisciplinary treatment team. In addition, we utilize psychological testing conducted by a psychologist to obtain a better understanding of our patient's diagnosis, strength and weaknesses, and personality organization.
Close supervision is provided by the unit attendings for all aspects of care. However, 4B residents are encouraged to function as independently as possible and are considered to be primary therapists for their patients. Continuity of care is fostered at all levels. House staff have the option of continuing to follow patients after discharge in the hospital's Psychiatric Outpatient Clinic. Conversely, residents and faculty psychiatrists are encouraged to follow their patients when re-hospitalization on the inpatient unit becomes necessary.
We also supervise medical students, some of whom return for Acting Internships, and we greatly value their input and dedication to our patients.
Lastly, a research program is an important component of the unit's mission. Investigations are conducted in an effort to understand better and to treat more effectively the many complex diagnostic and management cases admitted. Residents have the opportunity to participate in and to gain experience from this important endeavor. Many choose to do so and are further supported to present their findings at national conferences. Below are 4B research publications:
Awareness of treatment needs and length of stay amongst psychiatric inpatients (2015). Megna JL, Aneja A., Sauro M., Ahmad N., Simionescu, M., Mustata G., Herrera Rojas M., and Wade M. Comprehensive Psychiatry.
Changes in cognition in response to depression treatment during inpatient psychiatric hospitalization (2014). Presented at APA 2014, NYC, in process of publication. Luba Leontieva, Sergey Golovko, Aadhar Adhlakka, Lyuba Polinkovski, Charles Harris, Donald A. Cibula, Thomas Schwartz, and James L. Megna.
A retrospective study of weight changes and contributing factors in short term adult psychiatri inpatients (2006). Megna, JL, Kunwar AR, and Wade M. Annals of Clinical Psychiatry, 18 (3): 163-167.
Attendings Luba Luba Leontieva, M.D., Ph.D, Medical Director
James L. Megna, M.D., Ph.D., Associate Director
Interim Nurse Manager
Barbara Bennett, B.S.N., R.N.
Clinical Training Specialist
Brian Butler, R.N.
Geralda Borgard, LMSW
Maureen Williams, LMSW
Gerald Santoferrara, OTR/L
Laurel Bennett, M.S.
Patient Service Coordinators