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Psychiatric Consultation-Liaison Service

Medical Director:

Michael Privitera, MD

Contact Information:

Linda Viney, Program Secretary
585-275-3592

Location of Service:

Strong Memorial Hospital
Department of Psychiatry 300 Crittenden Blvd., Rochester, NY 14642

Hours of Operation:

A full complement of staff is available M-F 9:00 A.M. through 5:00 PM. Coverage is provided after hours, weekends and holidays through the Psychiatric Emergency Department.

 

Entrance to Strong Memorial Hospital

Mission of Service

The Psychiatric Consultation Service provides timely, efficient, and high quality psychiatric consultation services to the medical, surgical and obstetrical inpatient units at Strong Memorial Hospital. The Psychiatric Consultation Service is the liaison between Strong Behavioral Health Service and the Medical Center. We encourage and facilitate collaboration between the services. The Psychiatric Consultation Liaison Service is also an excellent educational training site for graduate nursing students, medical students, psychiatric and internal medicine and neurology residents, geriatric psychiatry fellows, doctoral students in Pharmacy and other trainees. Furthermore, the service provides opportunities for research in consultation-liaison psychiatry.

Target Population

Consultations are provided to the medically and surgically ill inpatients throughout SMH, as well as a variety of Ambulatory settings.

Types of Services Provided

The Psychiatric Consultation-Liaison Service provides evaluation and assistance with the management of psychiatric disorders occurring in medically ill inpatients throughout SMH. The PCLS provides services to both the Adult and Pediatric Services.

A wide variety of neuropsychiatric, forensic and psychosomatic problems are frequently encountered on the C/L Service, including:

Participating in evaluation and management of altered mental status
Evaluation of cognitive impairment associated with dementia
Capacity to make informed decisions or to delegate those powers
Depression in the elderly or medically ill; as well as working with traditional medical patients with serious chronic illnesses, such as, asthma, heart failure and diabetes
Suicide attempts and suicidality on the medical floors
Somatoform and factitious disorders
Pseudoepilepsy
Anxiety/agitation in the medically ill
Secondary anxiety, mood and psychotic disorders
AIDS-related secondary mental disorders
Substance Abuse/Mental Illness associated syndromes

Our team strives to conduct comprehensive and accurate psychiatric interviews and review of data. We also develop a comprehensive differential diagnosis, case formulation and treatment recommendations. We initiate and sustain effective therapeutic and ethnically sound relationships with patients. A significant portion of time is spent talking to patients' families about their conditions, helping to support the treatment team's role about the suggested clinical interventions, as well as collaborating with treating providers.

Educational inservices and staff debriefings related to critical incidents are available upon request.

Read more about the rich history of Psychosomatic Medicine and Consultation-Liaison Psychiatry at the Medical Center here.

Education and Training Opportunities

As a specialty program, the Psychiatric Consultation-Liaison Service provides a key training experience for medical students, medical residents, psychiatric residents and graduate nursing students in the Medical Center. Most trainees use this opportunity to learn about psychiatric pathology, recognizing medically induced psychiatric symptoms, how to manage each, and when to call for assistance. See sample elective description.

Please contact the service directly if interested in scheduling a training experience on the Adult or Child Psychiatric Consultation Liaison Service or email Michael Privitera, MD.

A Psychosomatic Medicine Fellowship is under development. Please contact the Service directly for more information. Check back at a later date for more information on this web site.

Description of Service Providers

Service Provider

Our service is staffed by psychiatrists on faculty and Psychiatric-Mental Health Advanced Practice Nurses as a combined service, with internal triage to appropriate clinicians.

Psychiatric Consultation-Liaison Service Faculty

Michael Privitera, MD Director, PCLS
Julie Fudge, MD
Gary Horwitz, MD
Mark Nickels, MD (Affiliated with the PCLS)
Michael Scharf, MD

Psychiatric-Mental Health Advanced Practice Nurses

Barbara Olesko, MS, RN, NP Coordinator, PCLS
Beth Goldenberg, MS, RN, NP
Judith Saltzer, MS, RN, CS
Mary Andolsek, MS, RN, NP
Bonnie Strollo, MS, RN, NP (Child Psychiatric Consultation Service)

Strong Behavioral Health

 

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