Psychiatric Care at Houston Methodist
Comprehensive treatment in a hospital with a mission to provide the best medical care in the world is the difference that sets Psychiatry Services of Houston Methodist apart from mental health hospitals. Our patients receive tailored, personalized treatment under the care of their individual physicians.
The staff of Psychiatry Services consists of multidisciplinary teams of doctors, nurses, social workers, occupational and physical therapists, dietitians and others. Leading the teams are internationally renowned psychiatrists who are closely affiliated with Baylor College of Medicine and can apply the newest discoveries from medical research for the safest, most effective care of the patient's concurrent psychiatric symptoms. In addition, Houston Methodist doctors from non-psychiatric specialties, among the best in the world in their respective fields, are also available to treat the patient's concurrent physical ailments. Together the team members work to develop comprehensive, customized, therapeutic treatments plans to help our patients recover mentally and physically.
Our reputation for integrity, quality, and results has been proved time and again during our 40 years of service in a hospital that has grown to be the largest private, nonprofit hospital in the world.
We understand the patient's need for privacy when being admitted for psychiatric care. Admission to Houston Methodist is handled discreetly and enables each patient to receive private and individual care from doctors who are among the top specialists in their fields.
Assessment and Treatment
Treatment begins after an accurate diagnosis is made. Specialized outpatient and inpatient services are available to treat a broad range of conditions and disorders, including the following:
- Mood Disorders. Including depression, manic depression, and seasonal affective disorders.
- Anxiety Disorders. Including generalized anxiety, performance anxiety, phobias, panic disorder, obsessive/compulsive disorder, and post-traumatic stress disorder.
- Life Crises. Emotional conditions associated with grief and loss, abuse, major stress, and suicidal thoughts or attempts.
- Schizophrenia. Specialized diagnostic assessments and access to the most recent and effective pharmacological advances.
- Dual Diagnoses. Psychiatric disorders, complicated by alcoholism and substance abuse.
- Medical/Psychiatric Problems. Psychiatric disorders associated with traumatic brain injury, stroke, neurosurgery, cardiac diseases, orthopedic disorders, chronic pain, cancer, gastrointestinal disorders, and the full range of chronic mental conditions.
- Eating Disorders. Anorexia nervosa, bulimia, and obesity.
- Personality and Characteriological Disorders. The full range of psychological conditions that interfere with the individual meeting his or her full potential interpersonally, emotionally, and occupationally.
- Geriatric Disorders. Alzheimer's disease, memory loss, mood disorders, psychiatric side effects of medications, agitation, and irritability.
The Houston Methodist General Psychiatry Unit philosophy is to provide short term comprehensive psychiatric care to patients 18 years of age and older in a safe caring environment which fosters change and growth. Each patient will receive individualized care from an interdisciplinary team of licensed mental health professionals. A system approach to treatment is in place incorporating family members and/or significant friends of the patient. Consideration is also given to the importance of the appropriate discharge environment and their resources. At all times, the needs and rights of the patient, and the patient's family, to information, confidentiality, privacy and dignity, will be respected.
Scope of Service
Psychiatry is located on the 7th floor of the main building. It is a locked unit of 31 private and semiprivate rooms providing general psychiatric and chemical dependency treatment. Only adults 18 years and older are admitted to the inpatient of the Partial Hospitalization Outpatient Program. The average length of stay is 7.6 days. Voluntary patients who have signed a "Voluntary Consent for Psychiatric Treatment" and court ordered involuntary patients are admitted to the unit. The Baylor College of Medicine is affiliated with the unit and assigns residents to the attending Baylor physicians.
The psychiatric facility is designed to provide comprehensive evaluation and treatment of patients with acute psychiatric disease. A multidisciplinary team approach is used with the attending psychiatrist in charge of the team. The psychiatrist collaborates with Nursing, Social Service, Occupational Therapy, Therapeutic Recreation, and Care Management, to complete assessments within the scope of their practice and formulate a multidisciplinary treatment plan. The team is assisted by these auxiliary services, - Pharmacy, Pastoral Care, Dietary and Nutritional Department, Physical Therapy, and any other department identified in the individualized treatment plan. Treatment plans are formulated by a multidisciplinary process that identifies focused and measurable objectives to address the individual needs of each patient while addressing the bio-psychosocial, spiritual, environmental, educational and discharge planning needs of each patient.
Patients are encouraged to participate in a variety of unit activities. The physician evaluates the patient to determine which activities are appropriate. Although all treatment is individualized and flexible, there are two levels for the physician to choose from:
(1) General Psychiatry Track: (a) Expressive Level and (b) Focus Level
(2) Chemical Dependency Groups
Electroconvulsive therapy (ECT) is an accepted form of treatment for those patients with psychiatric disorders that meet the clinical indications for ECT. An anesthesiologist administers anesthesia and is in attendance during the full treatment course. ECT is performed on inpatients and in appropriate circumstances can be performed on outpatients.
This is a secured, safe environment that includes a belongings search on admission and whenever the patient re-enters the unit. On admission the psychiatrist indicates the status condition and level of privilege required for the patient.
- Privileges - Status Conditions
- Floor with precautions - Strict Supervision
- Floor without precautions - Progression of precaution status
- Hospital Privileges - Accompanied by responsible adult
- Hospital Privileges - Independent
- Home Evaluation Visit - Independent
Patient Care Services
24-hour patient care services are delivered by professional and auxiliary nursing staff with experience and training in psychiatric nursing. The Team Nursing Model is used as the method of patient care delivery on the unit. However, each patient is assigned to a primary nurse on the day and evening shifts. The nursing staff consists of:
- Nurse Director
- Patient Care Coordinator
- Licensed Vocational Nurse
- Ward Clerk
- Manager, Evening/Nights
- Registered Nurse
- Mental Health Technician