A1 Welcome Book 1/2017 WELCOME BOOK Westchester Medical Center ~ C h i l d r e n ’ s I n p a t i e n t U n i t , A 1~ Westchester Medical Center Telephone: (914) 493-7180 Behavioral Health Center Fax: (914) 493-1158 100 Woods Road Valhalla, New York 10595
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A1 Welcome Book 1/2017
WELCOME BOOK
Westchester Medical Center
~Ch i l d r e n ’ s I n p a t i e n t U n i t , A1~
WestchesterMedicalCenter Telephone:(914)493-7180BehavioralHealthCenterFax:(914)493-1158100WoodsRoadValhalla,NewYork10595
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WELCOME TO A1!WewouldliketotakethisopportunitytoWELCOMEyouandyourchildtoA1,theChildren’sInpatientUnitattheBehavioralHealthCenterofWestchesterMedicalCenter.A1isamultidisciplinarytherapeuticmilieu.Thismeansthatwehavemanydifferenttypesofcliniciansandtreatment
providersthatwillworkwithyouandyourchildduringhisorherstay.Werecognizethisisadifficulttimeforyouandyourchild,andhopethatthisbookletanswersmanyofthequestionsyoumayhaveregardingourprogram.Ourgoalistoprovidethehighestqualityofpatientandfamilycenteredcareforourpatients,allowingthemtoworktowardsreturninghomeandtotheircommunityasquicklyaspossible.
UNIT A1 Ourunitisa15bedunit,comprisedofbothboysandgirls,rangingfrom4to13yearsofage.Thereisadiningroomontheunitwherethechildrenwilleatmealsandsnacksasagroup.Wealsohavealargedayroomwherethechildrenparticipateinmanytherapeuticactivitiestolearncopingskills,includingsocialplay,expressiveandrecreationaltherapygroups,andcommunitymeetings.Wealsohavebooks,toys,journals,cards,materialsforartsandcrafts,andgamestouseduringleisuretime.Duringniceweather,wespendplentyoftimeontheenclosedplaygroundthatisconnectedtotheunit.
Groupsandactivitiesoccuroffunitaswell,wherewehaveaseparatewingequippedwithafullgym,arttherapyroom,musictherapyroom,andgameroom.Yourchildwillbeassesseddailyinordertodetermineifheorsheisabletoattendoff-unitactivities.Inaddition,thechildrenattendschoolfortwohoursperday,withinstructionprovidedbyonsiteNYSlicensedteachers.Classesareheldbothonandoff-unit.
WHAT WE DO: MILIEU THERAPY Whatwillyourchilddoallday?Themilieu(pronounced:mill-you)isthecommunitythatyourchildwillbeapartofwhileontheunit.Itisahighlystructuredtherapeuticsettingthatisunderdirectandcontinuoussupervisionbystaff.
Atthetimeofyourchild’sadmission,heorshewillbeintroducedtothemilieuandgivenatouroftheunit.Yourchildwillalsohavetimetomeethisorherstaffandpeers.Shortlyafteradmission,yourchildwillbeseenbythedoctors,nurses,socialworker,andothermembersoftheTreatmentTeamforanevaluation.Wewillalsospeakwithyouandotherimportantpeopleinyourchild’slife,suchasresidentialstaffmembers,schoolpersonnel,outsidetherapistsandproviders,andcaseworkers.Thisisamulti-stepprocesstohelpustogettoknowyourchildandforhimorhertofeelmorecomfortablewithus.Wewillallworktogethertoidentifyyourchild’streatmentgoalsandtocreateacomprehensivetreatmentplan.Youwillbeaskedtoreviewandsignyourchild’streatmentplan,andthetreatmentplanwillbeamendedasnecessarytoreflectyourchild’sneedsandgoals.
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OUR TREATMENT TEAM
WeareveryproudofourhighlyqualifiedstaffhereattheBehavioralHealthCenter.Wehaveawidearrayofeducatedcliniciansinvolvedinyourchild’scareandourstaffworkdiligentlytogethertoprovidethebesttreatmentavailableforyourchild.UnitChief:GonyWeiss,MD(914.493.1934)Dr.WeissspecializesinChildandAdolescentPsychiatryandisinchargeoftheunit.Shewillassessyourchilddailyanddiscusswithyouthevarioustreatmentmodalitiesthatyourchildwillbenefitfrom.ChildPsychiatryFellowsandResidents:WestchesterMedicalCenterisproudtobeateachinghospitalandassuch,welcomesFellowsandResidentstoourprogramming.ChildFellowsaredoctorswhohavecompletedtheirResidenciesinPsychiatryandhaveelectedtodoatwoyearFellowshiptospecializeinChildandAdolescentPsychiatry.Residentsaredoctorswhohavecompletedmedicalschoolandnowaretrainingtobecomepsychiatrists.AllFellowsandResidentsareunderthedirectsupervisionofDr.Weiss.RegisteredProfessionalNursesandLicensedPracticalNurses:(914.493.7180)StaciisourHeadNurse.SheisinchargeofallofthenursingstaffandPCTsontheunit.Ournursesarehighlyeducatedandmotivated,withtremendousworkexperienceinthefieldofchildpsychiatry.Theywillassessallchildrendaily,dispensemedication,andprovideasafeandtherapeuticenvironmentinwhichyourchildcanthriveandimprove.MentalHealthTherapist:VanessaDePuy(914.493.1817)OurlicensedsocialworkersandmentalhealthcounselorsarecalledMentalHealthTherapistshereatBHC.Vanessaworkscloselywiththefamily,child,andtreatmentteamtoensurethatallaspectsoftreatmentneedsareaddressed.Vanessawillschedulefamilymeetingsassoonaspossibleandprovideindividualandgrouptherapy,aswellasprovideongoingsupporttoyourchild.CaseManager:StephanStern,BA(914.493.5428)Stephanworkscloselywithyou,yourchild,andtheentireTreatmentTeamtoobtaincollateralinformationandcoordinateasafedischargeplan.Thisincludesspeakingwithyou,schoolpersonnel,andoutsideproviderstosecurecontinuedtreatmentandfacilitateyourchild’ssafereturntothecommunity.
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RecreationTherapist:GiovanniMastracchio,MSEd,MPH,CTRSGiovanniisaCertifiedTherapeuticRecreationSpecialist(CTRS)wholeadsdailyRecreationTherapy(RT)groups.ExamplesofRTgroupsinclude,angermanagement,cooperativeskills,andsocialskillsgroup.Allgroupsassistyourchildtoexpresstheirfeelings,workcooperatively,andlearnnewsocialskillswhilebuildingtheirself-esteem.ExpressiveTherapist:JacquelynShoulders,MSJacquieleadsdailyExpressiveandCreativeArtTherapyGroups(ET).ETactivitiesincludearttherapy,journaling,andrelaxationgroups.Jacquiemayalsoworkwithyourchildonanindividualbasistohelpdevelophisorherexpressiveandcreativetalents.Thegoalofthesegroupsistoprovideasafeandalternativemeansofself-expression.PatientCareTechnicians:Inconjunctionwithnursing,PCT’sprovidestructure,reinforceexpectationsofsafeandappropriatebehavior,andhelptomaintainatherapeuticenvironmentwithintheunit.Theyworkcloselywithalldisciplinestoprovidefeedbackoftheirobservations.EachPCTwearsdarkbluescrubs.TheSeniorPCTorShiftLeaderwearslightbluescrubs.Teachers:ThroughourpartnershipwithEducationInc.,weareabletoprovideclassroominstructionaswellasindividualtutoringtothechildrenwecarefor.Ourteacherswillcontactyourchild’sschooltohelpformulateanindividualizededucationplanforyourchildwhileinthehospital.AdministrativeAssistant:SherifaAdeleke(914.493.7180)Sherifaworkscloselywithallstaffmembersandoverseestheunit’sadministrativeresponsibilities,includingmanagingtheunit’smedicalcharts,andcoordinatingadmissionsanddischarges.SpeechandLanguageServices:WehavearelationshipwiththeSpeechandLanguagePathologyDepartmentatNewYorkMedicalCollege’sSchoolofPublicHealth.Ateamofstudentsandtheirsupervisorcomeweeklytocompleteassessmentswithreferredchildrentohelpthemtoimprovetheirsocialskillsandreceptive/expressivelanguageabilities.BHCAdministration:(914) 493-1149DivisionChief,ChildandAdolescentPsychiatry:AbrahamBartell,MD(914) 493-1818 DirectorofNursing:DeniseDavis,RN(914) 493-7775 DirectorofSocialWork:BinaMeyers,LMSW(914) 493-7775 ClinicalSupervisor:MariaBarreto,LCSW-R(914) 493-6473 DirectorofTherapeuticProgramming:MelissaNord,PsyD(914) 493-7129 MentalHygieneLegalServices:(914) 592-4275PatientRelations:(914) 493-8877 MedicalRecords:(914) 493-8803
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A1
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Thisisourweeklyschedule.Doctors,socialworkers,nurses,andRT/ETstaffwillmeetwithyouatdifferentpointsthroughoutthedayandweek.Also,thereareoftenotherunitactivitiesthatoccurduringtheweekandweekend.Thesemayinclude:gymtime,artsandcrafts,movies,board/cardgametournaments,andsports.Youwillbeseenbyadoctoreveryday,evenduring theweekend.
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CONFIDENTIALITY Forconfidentialitypurposes,youareNOTpermittedtotakepicturesontheunit(thisincludesbothwithcamerasandwithcellphones).Wealsoaskthatyourespecttheprivacyofothers.Forexample,youmayseesomeoneyouknowfromyourneighborhood-pleasekeepthisinformationtoyourself.
Confidentialityalsohasitslimits.Allstaffmembersworkcollaborativelyandshareinformationtoensurethatwearemeetingallofyourchild’stherapeuticneeds.Additionally,wewilltakethenecessarystepstoprotectyourchildifheorshesharesinformationregardingabuseandpotentialthreat(toselforothers).
UNIT RULES AND SAFETY Inordertoprovidethesafest,mosttherapeuticenvironmentontheunit,wehavesomebasicrulesandexpectationsthatallchildrenareexpectedtofollow.Someruleswillbefamiliartoyou,suchasrespectingtherightsofothers.Wehaverulesagainstfighting,stealing,destructionofpropertyandharmtoselforothers.Somerulesmaybenewforyourchild,suchascurfewandmealtimes.Westronglyencourageparticipationinallasepctsoftreatment.Uponarrivaltotheunit,oneofthenurseswillmeetwithyourchildindependentlytocompleteanIndividualizedCrisisPreventionPlan.Thisplanhelpsustogettoknowyourchildandbepreparedfordifficultsituationsthatmayarise.Forexample,yourchildandthenursewilldiscusstriggersandemotionalwarningsigns,aswellasthevariouswaysthatourstaffcanprovidecareandsupporttoyourchild.TheIndividualizedCrisisPreventPlanwillbeutilizedthroughoutyourchild’shospitalizationandhelpstomaintainthesafetyofyourchildandothersontheunit.Ourtrainedstaffemploysmanytechniquestoassistyourchildinfollowingunitrulesandmaintaininggoodbehavioralcontrol.Someexamplesofthesetechniquesare:verbalde-escalationwhentheyareupset,redirection,distraction,calmingtechniques,positivereinforcementofhealthybehaviors,anduseofour“comfortroom.”Ourcomfortroomisasmallroomwithsoftcomfortobjectsthatyourchildmayutilizetoregaincontrolwhentheyareupset.
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PERSONAL ITEMS Webelievethatallchildrendobetterphysicallyandemotionallywhenabletohavesomeofthecomfortsofhomewiththemwhileinthehospital.Ifyouhavespecificquestions/requestsaboutitemsnotnotedhere,pleasefeelfreetocallthenursingstationat(914)493-7180forfurtherclarification.Note:laundryiscompletedwiththehelpofourPCTstaffmembers.
AllowedNotAllowed
PlayclothesRadios,CDs,DVDsPajamasElectronicdevicesUnderwearandsocksToyguns/weaponsSlippersBeltsSneakersSweatshirts/pantswithstringsFavoritebookortoySharpordangeroustoysStuffedanimalGlassbottlesPictures(notinaframe)PlasticbagsBlanketorpillowGum*Thislistisintendedasaguidelineandthus,isnotcomprehensive.Allitemsbroughttothehospitalfortheeachchildwillbesearchedandassessedforsafetyontheunit.Pleasefeelfreetocalltheunitifyouhaveanyspecificquestionsregardingitemsyouwouldliketobringforyourchild.*Mealsandsnacksareprovided,butintheeventyouwouldliketobringyourchilda“specialtreat,”youofcoursemaydoso.Weaskthatthisbeeatenduringthetimeofyourvisit.Anyuneatenorleftoversnackisexpectedtobetakenhomebyyouafteryourvisit.Thereisnofoodallowedtobestoredaftervisitationontheunit.Ifthereisaparticularcuisineneededbecauseofmedical,religious,orculturalpractices,pleasebringittoourattentionandwewilldoeverythingtoaccommodateyourchild’sneeds.Pleasenotethatweareapeanutandtreenut-freeunit.
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DAILY VISITING HOURS 1:30pm-3:00pm6:30pm-8:00pm
Wehaveafewrulesaboutvisitingthatwewouldliketosharewithyou:• Allvisitorsmustbe21yearsofageorolderinordertovisitontheunit.• Intheeventthatparentswishtobringyoungersiblingstovisit,special
permissioncanbegiventovisitinourplayroomjustoutsidetheunit.Thisdecisionwillbedeterminedforeachindividualcase,basedlargelyonsafetyconcernsandmustbearranged24hourspriortotheplannedvisit.
• 2visitorsperpatientallowedontheunitatanytime.• Duetoourhighlystructuredprogram,weaskthatyoucomeduringour
scheduledvisitinghourssoastonotdisruptyourchild’streatment.Intheeventofextenuatingcircumstances,pleasecontactyourchild’sdoctorinadvancetodiscussthis,andeveryeffortwillbemadetoaccommodateyouandyourchild.
PHONE CALLS Weencourageyourcontactwithyourchildduringhis/heradmission.Pleasekeepinmindthatyourchildwillbebusywiththerapygroupsandprogrammingthroughouttheday.Forthisreason,weaskthatyoulimityourphonecallsto10minutessoastoassistusinkeepingyourchildengagedinallactivitiesand
treatmentgroups.Ifhe/sheisinvolvedinagroupwhenyoucall,staffwillbehappytotakeamessageandyourchildmayreturnyourcallwhentheyarefree.Ifyouhaveanyupsettingnewstosharewithyourchild,pleasecallthenurse’sstationfirstsothatwecanbepreparedtoprovidesupporttoyourchildshouldhe/shebecomeupset.Inaddition,ifyourchildsharessomethingwithyouthatyoufindupsettingorareconcernedabout,pleasecallusimmediatelysothatwemayworktoresolvetheissuetogether.Thenumbertothenurse’sstationis(914)493-7180.
BUDDY BENCH The“BuddyBench”isachairontheunitthatchildrencanchoosetositinwhentheyarefeelinglonelyorareinneedofsomeextrasupport.Sittingonthe“BuddyBench”isaneasywaytosignaltoothersthatyouwouldliketochat,evenifyouhaveahardtimesayingitoraskingforhelp.
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YOU’RE A STAR Yourchildwillbemonitoredandgivenfeedbackdailyontheirparticipationintheirtreatment.WedothisthroughourSTARprogram,whichawardsstarstoeachindividualchildforaccomplishedtasksthroughouttheirday.Someexamplesofhowtocollectthestarsinclude,attendingandparticipatingingroupsandschool,cooperatingwithothers,usinggoodmanners,andmanagingangerappropriately.Thissystemwillallowachildtoseehisorherprogressdaily.Thesestarsareaddedupweeklyandchildrenwillberewardedfortheirsuccesses!Therewardsinclude:beingabletoattendour“LevelA”PizzaPartyonFridaysandusingtheiraccumulatedpointsfromtheweekendtogo“shopping”onMondaysinourunittoystore.YourchildcanalsobecomeaBUDDY!Apeerbuddyissomeonewhoisselectedtohelpyournewestpeergettoknowtheunit,staff,peersandrules.
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ContactNumbers
Wehopethatourhandbookhasbeenhelpfulandansweredmanyofyourquestions.Wearecommittedtoprovidingyouandyourchildwiththebestpossiblepatientandfamilycenteredcareavailable.Pleasedonothesitatetocontactusatanytimewithanyquestionsorconcerns.
UNITA1GonyWeiss,MD (914)493-1934UnitChief,A1 VanessaDePuy,LMHC (914)493-1817MentalHealthTherapist,UnitA1 StephanStern,BA (914)493-5428CaseManager,UnitA1 NursingStation,UnitA1 (914)493-7180SherifaAdeleke (914)493-7180AdministrativeAssistant,UnitA1
ADMINISTRATIONAbrahamBartell,MD (914)493-1818Chief,ChildandAdolescentDivision DeniseDavis,RN (914)493-7775DirectorofNursing BambinaMeyers,LMSW (914)493-7381DirectorofSocialWork MariaBarreto,LCSW-R (914)493-6473ClinicalSupervisor,Child&AdolescentUnits MelissaNord,PsyD (914)493-7129DirectorofTherapeuticProgramming,BHC
StevenDickstein,MDProgramDirector,Child/AdolescentPsychiatryFellowship
(914)493-7343
BHCAdministration (914)493-1149MentalHygieneLegalServices (914)592-4275PatientRelations (914)493-8877MedicalRecords (914)493-8803
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