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Columbia Psychiatry Giving the Frontier Fund Is the Annual Fund of Columbia Psychiatry and Provides Critical Support for Our Core Mission

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Columbia Psychiatry Giving the Frontier Fund Is the Annual Fund of Columbia Psychiatry and Provides Critical Support for Our Core Mission Winter/Spring, 2012 InInPsychPsych The HIV Center: A Legacy of Collaboration in New York City & State Since the emergence of enabling its investigators the AIDS epidemic in to work with critical 1981, New York City and populations including New York State have been children and families, major world epicenters adolescents, at-risk of HIV infection. AIDS- women, gay and bisexual related research at men, the homeless, and Columbia Psychiatry has drug users. Lessons been spearheaded by the learned in our home HIV Center for Clinical and city and state have also Behavioral Studies which proved invaluable for has been directed since Vanessa Shelmadine, Joyce Hunter, Pam Parker & Ginny Apuzzo work overseas, where its founding in 1987 by patterns found early on in Anke A. Ehrhardt, PhD. Due to its location in New York, New York often emerged Dr. Ehrhardt is also Vice Chair for the HIV Center has been uniquely years later in other locations. Faculty Affairs of the Department positioned to be on the “cutting of Psychiatry. edge” of the AIDS epidemic, (continued on page 8) WHCS Eases the Burden of Transitioning to Life in the Community In This Issue For Washington Heights and Inwood residents By virtue of its being a treatment program at a state 2..... Message from the diagnosed with a serious mental illness, many facility, the inpatient unit has the flexibility to work Chairman & Director of whom are discharged from the Washington with patients longer than other acute care units Jeffrey A. Lieberman, MD Heights Community Service (WHCS) inpatient in NYC. Such patients are, therefore, often more 3..... Awards & Recognitions & unit at the New York State Psychiatric Institute, stable psychiatrically and medically once they are Grant News outpatient programs in their communities help transitioned to the Service’s community clinics. 4..... Research News keep them engaged as they transition to greater Patients are assessed to determine whether they independence. For many such patients, that need the intensive follow-up that the day program 5..... Research News journey starts with enrollment in the outpatient or provides or whether regular follow-up in the 6..... New Appointments continuing day treatment programs at the Inwood outpatient component of the two clinics is more 7..... Special Events or Audubon clinics. appropriate. 8..... Research News “Patients will often tell you that the hardest part 9..... Education News for them was leaving the hospital,” said Dianna 10... Alumni News Dragatsi, MD, the newly appointed Director of the WHCS and long-time Director of the Inwood Clinic. 11... Research Studies & “They’re going into this abyss of, ‘Oh, my! I’m Clinical&Research News going to have to jump back into my life. What do I 12... Reading List do?’ So having that transition [to the Inwood and Audubon clinics] is very helpful.” InPysch Editorial Office: The closely linked inpatient and outpatient David Hellerstein, Dacia Morris, Ray Smith Eve Vagg, Rachel Yarmolinsky programs that former director Francine Cournos, MD, developed ensures a continuity of care Questions or comments to that makes the program appealing to referring Music Group of the Inwood Clinic [email protected] physicians: “If they [clinicians] have a patient who’s going to be hospitalized, the first, second Overall health and wellness initiatives are Columbia University and third place they’d want them to be is in our integrated into the WHCS clients’ individualized Department of Psychiatry unit,” said David Lowenthal, MD, JD, the Clinical mental health treatment plans and participants are offered a variety of exercise programs, both peer 1New York State Director at NYSPI. Psychiatric1 Institute (continued on page 2) Message from the Chairman & Director Jeffrey A. Lieberman, MD Back to Main Page Columbia Psychiatry in the Community WHCS Eases the Burden of Transitioning to Living as we for the residents of Washington Life in the Community (continued from cover) do in an ever Heights in our Inwood and Audubon and staff led; individual nutrition counseling and expanding Clinics and our inpatient Washington group nutrition and weight management classes; global Heights Community Service (cover and other therapeutic groups that focus on dual community, article). NYSPI’s Center of Excellence diagnoses, parenting and recreational activities. where the for Cultural Competence serves the An innovative walking group at the Audubon virtual world is needs of Washington Height’s diverse Clinic that began as a Columbia University always on our doorstep, it is refreshing multicultural community, conducting Nursing Students’ initiative based on The Walk, and heartwarming to take stock of our research designed to provide an evidence Address, Learn and Cue (WALC) Intervention physical community, our relationships base for culturally-relevant interventions for Schizophrenia Spectrum Disorders has been with Washington Heights, Columbia in health and mental health. (page 11). adapted as a peer-led group.1 University Medical Center, New York City, The remarkable work that Carol Caton and New York State, and the NYS Office of The Inwood Clinic will soon start a peer-to-peer colleagues have done through the years smoking cessation program and the Audubon Mental Health. Partners, collaborators, to establish evidence-based interventions stakeholders, we work together in so Clinic is close to initiating a smoking cessation to address chronic homelessness (page group for those interested in quitting or reducing many ways to reduce the burden of 5), and the extraordinary achievements of mental illness for the people of New York. their smoking. It has been well-established that the HIV Center for Clinical and Behavioral serious psychiatric disorders like schizophrenia Since 1896, PI has been part of the Studies in their many collaborative and bipolar disorder are correlated with high state system, first providing a central studies throughout New York City and smoking rates. Patients with schizophrenia are pathology laboratory for the entire State (cover article), all demonstrate thought to smoke at three times the rate as the state system of care for the mentally the committment, effort and concern for general population.2 ill, then swiftly growing into a larger others that are a hallmark of the staff, tri-part role of researching the causes, faculty and researchers of Columbia Research initiatives are well-embedded in the treatments and cures of mental diseases, Psychiatry. WHCS clinics as well. A pilot project that was developed several years ago is indicative of this: providing clinical care, and educating the Our residents are no less committed. The Ganguli Method for Weight Loss (developed psychiatric researchers and psychiatrists In the Residents Corner (page 9) by Rohan Ganguli, MD at the University of of the future. 4th year residents Matt Ehrlich and Pittsburgh) served as inspiration for the Inwood In 1925 an affiliation agreement between Sharat Parameswaran report on their clinic’s HEALTH Project. HEALTH, as in Healthy the Trustees of Columbia University, the collaboration with OMH to improve Eating and Activity Among Latinos Treated in Managers of Presbyterian Hospital and the lives of patients with an innovative the Heights, started in 2008 when Christina New York State Hospital Commission program to change the prescribing of Mangurian, MD, adapted the protocol for low- created the unique circumstances that antipsychotic medications. income Hispanics (most of whom are Dominican- embedded the Psychiatric Institute into I am very proud that a tradition of caring for American), in part, to address the weight gain Columbia University Medical Center, and the most vulnerable in our community, a issues related to antipsychotic medications. brought PI into the upper Manhattan tradition begun 114 years ago, continues “People don’t have access to traditional grocery neighborhood of Washington Heights. to make major contributions to the health stores in our neighborhood so what can you find Today, we see that the ongoing results and well-being of our neighborhood, city that’s healthy in a bodega that you can use for of that early collaboration are truly and state. a meal or a snack,” said Dr. Dragatsi. This type astounding. As documented in this of ethnocultural intervention is not limited to current issue of InPsych, Columbia patients but family members are encouraged Psychiatry is an integral part of care to learn along with their loved ones. Actively engaging family is a model embraced by both outpatient clinics. (continued on page 5) 1 Find us on Facebook, Follow us on Twitter Feasibility of the Walk, Address, Learn and Cue (WALC) Intervention for Schizophrenia Spectrum Disorders. Archives Facebook.com/ColumbiaPsychiatry of Psychiatric Nursing, Vol 24, No 1 (Feb), 2010:pp 54-62. 2 Twitter.com/ColumbiaPsych de Leon, J., Dadvand, M., Canuso, C., White, A. O., Stanilla, J. K., & Simpson, G. M. (1995). Schizophrenia and smoking: An epidemiological survey in a state hospital. Am J Psych, To find out more about participating in research, please call our research referral 152(3), 453 – 455). line at 212-305-6001 or visit us on the web at ColumbiaPsychiatry.org. 2 www.columbiapsychiatry.org Awards&Recognitions Back to Main Page Susan Essock, PhD, The House I Live In, a established a lasting basis, concept, procedure, (Mental Health Services documentary by director- or movement of comparable benefit. Dr. Medalia & Policy Research) was screenwriter Eugene Jarecki, received nomination letters
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