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Active SI / HI / Psychosis

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Assess for Active SI/HI or Active Psychosis

For SI, complete the .SUICIDEIMASCREEN in Epic and a PHQ9.

For HI/Psychosis, complete a violence risk assessment and a PHQ9.

If yes to questions 4, 5 or 6, in suicide screen:

  • Preceptor must evaluate patient.

  • If ACTIVE SI/HI with intent and/or plan or recent behaviors OR Active psychosis with imminent danger to patient or others : Call Psych ED: (212) 241-5637 or IMA psychiatrist for guidance on decision to send to ED.

Appropriate for Psych ED Eval

If patient in imminent danger, follow the directions here.

Not Appropriate for Psych ED Eval

** Consider referral to IMA Behavioral Health

Alternative Mental Health Options

  • IMA SW Triage: assistance in identifying resources and making appointments for mental health and substance use. IMA has Social Work Triage Walk-in hours on Mondays-Fridays 9am-4pm. Services are first come, first serve. Please register at your primary care firm front desk to see Social Work during walk in hours.
  • MSH Outpatient Adult Psychiatric Clinic Diagnostic Evaluations, Medication Management, Individual and Group Psychotherapy; Clozapine Clinic 20 East 106th Street, 9th Floor Or 1160 5th Ave New York, NY (bet. 5th and Madison Ave) http://www.mountsinai.org/patient?care/serviceareas/ psychiatry/areas?of?care/ambulatory?psychiatry?services General information, intake, and referrals: (212) 241- 5947

  • MSH Partial Hospital Program Short term (2-3 weeks) intensive treatment (4-5 days per week) to prevent psychiatric hospitalization or to step down from psychiatric hospitalization 20 East 106th Street, 9th Floor New York, NY (bet. 5th and Madison Ave) http://www.mountsinai.org/patient?care/serviceareas/ psychiatry/areas?of?care/partial?hospital?program For Referrals Contact: Julia Siegel, LCSW Phone: 212 241-3170 Fax: 212-426-5107 Email: phpreferrals@mountsinai.org

  • Mount Sinai St. Luke's Outpatient Adult Psychiatry Diagnostic Evaluations, Medication Management, Individual and Group Psychotherapy; Clozapine Clinic; First Onset Psychosis services 411 West 114th Street, 3rd & 5th Floor New York, NY (off Amsterdam Ave.) http://www.stlukeshospitalnyc.org/Adult_Mental_Health.aspx If you are seeking services for yourself, a friend, or family member, please contact the Access Center at (212) 523-8080. If you are a mental health provider from the Mount Sinai Health System, please call (212) 523-5384

  • The Center for Intensive Treatment of Personality Disorders (CITPD) Short term DBT-based intensive group therapy 1000 10th Avenue, 6th Floor New York, NY (bet. 58th & 59th St) http://www.roosevelthospitalnyc.org/Services/Psychiatry/CITPD/ To arrange for treatment at CITPD, patients, families and providers can call the Comprehensive Assessment Center at 212-523-8080 to schedule an evaluation.

  • Institute for Family Health, Center for Counseling and Family Health Center of Harlem 1824 Madison Avenue 2nd Floor New York, NY 10035 (Ph.) 212-423-4200 , (Fax) 646-770-8401 Center for Counseling of Harlem hours: Monday- Friday: 8:30am-8pm Saturday-Sunday: 9am-5pm Walk-Ins receive same or next day appointment

  • Union Settlement 2089 3rd Ave (at 114th St) NY, NY 10029 212-828-6144 (Intake Coordinator)

  • Upper Manhattan Mental Health Center 212-694-9200 Located on Amsterdam between 145th and 146th For substance use must request Chemical Dependence Program

  • Metropolitan Hospital 1900 2nd Ave 1st Floor New York, NY 10029 212-423-6645 Mon-Fri: Clients seeking individual treatment who are not being referred by an inpatient unit or clinician must walk-in for their initial appointment and arrive by 7:45 am

To explore alternative referral options for this patient one may

  • visit www.hitesite.org

  • call or visit 1888-NYC-well (1-888-692-9355) NYCwell.cityofnewyork.us/en/ and provide insurance info and zip code