Inpatient Medicine in Psychiatry (IMIP) Unit 19200
Established in 2007, and expanded in 2010, the Inpatient Medicine in Psychiatry Unit (IMIP) is one of a select few of its kind in the country. This unique unit works closely with the Medicine in Psychiatry Primary Care Team and offers high-quality, comprehensive and compassionate care for patients who have both acute medical conditions requiring hospitalization, such as:
- Infections, including pneumonia, that require intravenous antibiotics
- Dehydration and acute kidney failure
- Congestive Heart Failure exacerbation
- Chronic Obstructive Pulmonary Disease (COPD) exacerbation
- Diabetic Ketoacidosis or Hyperglycemia
- Alcohol withdrawal
and who also have psychiatric conditions or mental health needs, such as:
- Schizophrenia and psychosis
- Bipolar disorder or mania
- Severe depression or anxiety
- Delirium or encephalopathy
- Suicidal thoughts
- Acute toxidromes due to medications or drug use
IMIP is not set up as a detoxification unit and does not manage re-feeding for patients with eating disorders.
Information for Medicine in Psychiatry Service (MIPS) Clinic Patients
Individuals who are patients in the MIPS outpatient clinic have first priority for admission to IMIPs. After MIPS patients, those with complex psychiatric or behavioral needs, in addition to an acute medical illness, are the next highest priority.
About Our Staff
The IMIP unit is staffed by a collaborative multi-disciplinary team, that includes:
- Nurses with acute medicine and psychiatry skills
- Nurse Practitioners and Physician Assistants with acute medical care training
- Social Workers experienced in helping patients with complex medical and psychiatric needs
- An embedded Pharmacist focused on medication interactions
- A part-time embedded Psychiatrist who attends bi-weekly team meetings and acts as a bridge between the IMIP unit and the Psychiatry Consultation program
- Hospitalist Physicians board certified in Internal Medicine and Family Medicine
Our unit offers a team-based approach to complex care. In addition to daily patient rounds, team-members also take part in daily a multidisciplinary meeting where patients’ individual needs are discussed from a biopsychosocial perspective. The emphasis of the meeting is to consider each patient’s individual medical, psychiatric and social service needs. Emphasis is placed on discussing risks and benefits of treatment options, challenges that may interfere with progress, and follow-up care.
Innovation on the IMIP Unit
The IMIP team is actively involved in multiple continuous quality improvement projects. This is facilitated by a dedicated leadership team who are focused on developing innovative services for managing complexity in the health care system. To read more about some of these efforts please visit the LISCN lab.
IMIP has been at the forefront of a developing collaborations with similar units across the country that are focused on integrating medical and psychiatric care. To read more about the newly created National Consortium of Medical-Psychiatry Units (aka Complexity Intervention Units). Learn more about the MPU consortium on the Association of Medicine and Psychiatry website.
Clinical Education on IMIP
IMIP is actively involved in training future clinicians:
- URMC Department of Psychiatry Residents. During the first year of their psychiatry residency training, interns spend 10 weeks working on the IMIP unit as part of their required internal medicine rotation
- Nursing Students. IMIP is a favorite capstone elective and group clinical rotation for many nursing students from schools throughout the region
- Pharmacy Residents and Fellows. IMIP hosts Pharmacists from area universities who are completing their clinical residencies and fellowships.
- Social Work Students. IMIP hosts social work students from area universities who are completing their BSW or MSW.
- University of Rochester Psychology Doctoral interns. Two interns in the adult psychology track receive supervised training in integrated care on the IMIP unit, where they function as members of a multidisciplinary team and provide brief psychotherapeutic interventions, behavioral programming, psychological assessments, and didactics.
Below are publications related to the IMIP unit.
- Pudalov LR, Swogger MT, Wittink M. Towards integrated medical and mental healthcare in the inpatient setting: what is the role of psychology? Int Rev Psychiatry. 2018 Dec;30(6):210-223. doi: 10.1080/09540261.2018.1552125. Epub 2019 Mar 1. PMID: 30821187.
- Wittink MN, Cross W, Goodman J, Jackson H, Lee HB, Olivares T, Maeng DD, Caine ED. Taking the Long View in an Inpatient Medical Unit: A Person-Centered, Integrated Team Approach for Patients With Severe Mental Illnesses. Psychiatr Serv. 2020 Sep 1;71(9):885-892. doi: 10.1176/appi.ps.201900385. Epub 2020 May 4. PMID: 32362225.