Who we treat
We have 4 broad missions of clinical service:
- We provide inpatient psychiatric care for patients who are receive outpatient services at our Depression Center/Ambulatory Psychiatry clinic and/or UMHS primary care clinics.
- We are a general community psychiatric unit.
- We are a partner of Washtenaw Community Health Organization (WCHO)/ Community Support and Treatment Services (CSTS) and, with other area hospitals, share responsibility for admitting patients who, in other parts of the country, might be cared for in a city or county hospital.
- We are a tertiary/quaternary referral center. This means we admit patients from across Michigan and around the United States for treatment of severe and treatment-resistant mood disorders, psychosis, and catatonic syndromes.
U-M Adult Inpatient Psychiatry offers state-of-the-art treatment to patients ages 18 and over for a variety of psychiatric illnesses. We have specific specialized treatment tracks for the most common illnesses, including mood disorders (e.g. depression, bipolar disorder, and borderline personality disorder), thought disorders (e.g. schizophrenia), and psychiatric disorders of older age.
Treatment always includes a full interdisciplinary assessment of a patient’s symptoms, strengths, weakness, and functional status. Since we consider a patient’s whole situation – not only brain chemistry but psychological state, social functioning, interpersonal relationships, ability to live independently, self-care, and disease management – interventions involving nursing, occupational therapy, activities therapy, and social work are at least as important as those provided by the psychiatrists. Therefore, a patient’s willingness and ability to participate in several types of therapeutic interactions is an important consideration when our staff assesses whether admission to the unit is appropriate.
Our unit does not have specific expertise in, or programming for, autistic spectrum disorders, severe anxiety disorders (such as Obsessive Compulsive Disorder), eating disorders, dissociative disorders, or severe dementia. Referrals to our unit for patients with these illnesses are considered on a case-by-case basis by the Medical Director and nursing management. For patients who cannot be admitted, our staff will advise them and/or their loved-ones regarding appropriate alternatives, calling on the expertise of UMHS colleagues as needed. This might involve referral to a different facility or to a different clinic/program within UMHS.
We are not licensed as a “Med-Psych” unit. Although we are able to care for patients who have other illnesses (such as diabetes or high blood pressure) that are well managed, patients who need more intensive medical interventions or evaluations are evaluated case-by-case. Patients who require treatments or medical devices that we cannot safely manage on our unit cannot be admitted, but our staff can often assist with a referral to a more appropriate UMHS department or outside facility. Admission to our unit might be possible in cases where we are able to partner with UMHS colleagues to provide appropriate care.
U-M’s Child and Adolescent Inpatient Psychiatry program provides care to children 17 years and younger.