Stony Brook's renowned Child and Adolescent Psychiatry Services provides four major services: outpatient evaluation and treatment of children with psychiatric disorders; inpatient care at the only academic medical institution on Long Island to provide inpatient child psychiatry services; consultation to schools that serve children with severe emotional disability; psychiatric consultation to medically hospitalized children as needed.
In-Depth Evaluation and Assessment
A cornerstone of the Stony Brook program, our outpatient evaluations often are performed as second opinions for schools seeking detailed reports that will help the child obtain the appropriate school services. They sometimes are needed to advise in legal matters. And always, these evaluations and assessment help educate parents, guardians, and the child on the presence, nature and treatment of their condition. A routine evaluation begins with obtaining standardized ratings from parent and teacher, copies of past evaluations and hospital records if relevant, and an interview with the parent/caretaker and child. A detailed evaluation also includes a laboratory assessment of attention and impulsivity as well as a classroom observation.
Many of Stony Brook's services are available on an outpatient basis, including assessment, follow-up care, parent training, case management and therapeutic management. We phone discharged patients to maintain support and guidance during the transition from hospital to home. In addition, our staff is available for one-to-one therapy.
For children and young adolescents ages 8 through 14 with serious psychiatric disorders, we can provide 24-hour inpatient services in our 10-bed, locked unit. Children and young adolescents receive a comprehensive diagnostic evaluation, medications if necessary, and appropriate therapeutic interventions, which may include behavior management programs, coping skills, and therapeutic recreation. Educational services through the BOCES program during the school year are also provided with authorization from the child's school district. A core component of treatment is parent involvement to reinforce inpatient treatment, better manage the child or young adolescent, and give parents a new set of coping skills. The inpatient team includes a psychiatrist, Dr. Samuel Gartner, and a psychologist, Dr. Darla Broberg, who supervise psychiatry and psychology trainees respectively, as well as nurses, social workers, behavioral health specialists, and the teaching team.
Consultation Liaison Service
This provides high quality, thorough and timely psychiatric consultations to pediatric patients throughout Stony Brook Children's. Led by Dr. Crowell and staffed by psychiatrists on the faculty, the consultation service provides evaluation and assistance with the management of psychological conditions and psychiatric disorders occurring in medically ill children throughout the hospital such as complex medical/psychiatric diagnoses including acute stress reactions to medical conditions, self-injurious behaviors or suicidal attempt and ideation, acute decompensation from prior psychiatric or psychological status, procedural anxiety, depression and chronic pain. Assessment consists of talking to the families, outpatient healthcare providers and school counselors of children about their medical and psychological/psychiatric conditions, as well as collaborating with the pediatric team involved in their care.
Stony Brook Child and Adolescent Psychiatry has consulting agreements with Eastern Suffolk Board of Cooperative Educational Services (BOCES) program which provides school services while the child is hospitalized. BOCES teachers help students maintain and develop their educational potential during hospitalization, create a routine, and develop new coping skills. The program is available to both regular and special education students. The BOCES team works closely with the school to assess the child's performance and ease the transition back to school. In addition, child and adolescent psychiatrists work in the Western Suffolk BOCES schools to provide psychiatric consultation within a student's normative functional environment. The doctors not only work as part of the school team, they also provide invaluable consultation to the community psychiatrists and other clinicians caring for these children.