Adult Psychiatry

Yale Adult Psychiatry services include diagnosis and treatment for major adult psychiatric disorders. Three levels of care - inpatient, intensive outpatient and outpatient - are carefully structured to support a variety of disorders. Services are specifically designed for adolescents, adults, and geriatric patients over the age of 65. Inpatient services offer brief treatment for acute episodes of illness and patients may transition to the intensive outpatient programs which offer more intensive intervention than is readily provided in most outpatient settings. Services are also provided to patients admitted to medical and surgical units at Yale-New Haven Hospital who are experiencing significant psychiatric symptoms or problems. The goal of care is to maximize individual life skills and functioning. 

Levels of Care
Inpatient psychiatric programs at Yale-New Haven Psychiatric Hospital include:

• The General Adult Inpatient Program treats patients in a 25-bed unit for a variety of disorders such as depression, bipolar disorder, psychotic disorders including schizophrenia, anxiety disorders including obsessive-compulsive disorder and other serious psychiatric conditions. The brief, acute program provides a comprehensive psychiatric evaluation and treatment to stabilize psychiatric symptoms.
• The Geriatric Inpatient Psychiatry Program provides acute treatment in an intensive and safe setting designed to address a wide range of psychiatric disorders that require hospitalization.
• The Dual Diagnosis and Detoxification Inpatient Program is for those patients diagnosed with both substance abuse disorders and psychiatric illness. Treatment emphasizes assessment, brief treatment and crisis intervention, clinical case management and the initiation of rehabilitation. Members of the treatment team integrate biological, family systems, psychosocial and life skills approaches in treating the individual holistically and in helping patients achieve their goals.
• The Psychiatric Inpatient Consultation Service, which is for patients admitted for other medical services at Yale-New Haven Hospital, who are experiencing significant psychiatric symptoms or problems.
• The Crisis Intervention Unit provides psychiatric assessment, treatment and referrals for adults who are experiencing a psychiatric emergency with severe symptoms that are difficult to control.

Intensive Outpatient Programs (IOPs) provide treatment for discharged in-patients or patients who need more intensive treatment than traditional outpatient therapy. Participants attend the program fewer than four hours per day and typically fewer than five days per week. Structured group therapy and case management is provided for patients who continue to struggle with psychiatric symptoms or co-occurring disorders and may be at risk for relapse.

Treatment tracks include:

General adult patients with depression, anxiety and psychiatric problems.

Specialized Dialectical Behavioral Therapy (DBT) for patients who struggle with chronic patterns of suicidal or other self-destructive behaviors, including substance abuse

DBT for substance abuse (DBT-S) is for patients who struggle with substance abuse and other self-destructive behaviors

Outpatient Services are offered through Yale Behavioral Health Services (YBHS), an outpatient mental health and substance abuse facility located in Hamden. YBHS offers a comprehensive range of programs focused on addressing presenting problems, maximizing the individuals life skills and improving interpersonal and family relationships.

	Desan, Paul H, MD, PhD	Assistant Professor of Psychiatry; Director, Psychiatric Consultation Service
	Hoffman, Ralph Edward, MD	Professor of Psychiatry; Medical Director, Intensive Outpatient Program at Yale-New Haven Psychiatric Hospital	(203) 688-9723 Appts (203) 688-3596 Fax
	Migdole, Scott J, MSW	Assistant Clinical Professor of Psychiatry; Assistant Clinical Professor, Department of Psychiatry (Social Work); Chief Operating Officer, Yale Behavioral Health	(203) 927-4767 Appts (203) 764-7276 Fax
	Milstein, Robert M, MD, PhD	Assistant Clinical Professor of Psychiatry; Yale-New Haven Hospital, Associate Medical Director	(203) 688-9788 Appts (203) 688-9709 Fax
	Papsun, Alice, MD	Senior Research Scientist in Psychiatry and Assistant Clinical Professor of Nursing; Clinician	(203) 785-2619 Appts (203) 688-9709 Fax
	Powsner, Seth M., MD	Professor of Psychiatry and of Emergency Medicine; Director, Crisis Intervention Unit	(203) 688-1616 Appts (203) 688-6597 Fax
	Sledge, William Hurt, MD	George and Esther Gross Professor of Psychiatry; Psychiatry, Deputy Chair for Clinical Affairs and Program Development; Medical Director, Yale New Haven Psychiatric Hospital	(203) 688-9711 Appts (203) 688-9709 Fax
	Yonkers, Kimberly Ann, MD	Professor of Psychiatry and of Obstetrics, Gynecology, and Reproductive Sciences and Lecturer in Epidemiology (Chronic Diseases); Director, PMS and Perinatal Psychiatric Research Program	(203) 764-6621 Appts (203) 764-6766 Fax
	Zimbrean, Paula, MD	Assistant Professor of Psychiatry

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