Pediatric Medical Psychiatric Program
The Medical Psychiatric Program at Hasbro Children’s Hospital addresses the needs of children and adolescents, ages 6 to 18, who are struggling with both psychiatric and medical illness. Diagnoses may include gastrointestinal illnesses, eating disorders, diabetes, asthma, seizures, pain syndromes, somatoform disorders, and complex presentations needing diagnostic evaluations. It is the only program in the region designed to provide family-based integrated care for this population. Inpatient and partial hospital levels of care are available.
A collaboration between Bradley Hospital, the only hospital in New England dedicated exclusively to children’s mental health, and Hasbro Children’s Hospital, the program is staffed by a rich multidisciplinary team comprised of pediatricians, child psychiatrists, psychologists, an advanced practice psychiatric nurse, social workers, pediatric nurses, mental health workers, and nutritionists. Coordination of care also occurs with hospital-based rehab specialists and pediatric subspecialists as needed.
Patients requiring inpatient treatment are admitted to our newly renovated, secure 16-bed unit located on the 6th floor of Hasbro Children’s Hospital. The typical length of stay varies from several days to weeks; some patients may step down to the partial hospital program upon discharge.
Among our inpatient program’s offerings:
- Multidisciplinary assessment
- Individualized care plan
- Medication evaluation and management
- Individual therapy
- Family therapy
- Daily group therapy
- Daily community meeting
- Continuous milieu therapy, creating a healing environment
- Consultation with pediatric specialists in areas including endocrinology, neurology, oncology and gastroenterology
- Specialty services as needed, such as nutrition counseling or OT/PT services
The safe, comfortable environment offers both private and semi-private rooms and areas for family, group and milieu therapy. The program has the ability to separate patients into smaller, age-appropriate groups as needed.
Partial Hospital Program
Our partial hospital program, which opened in 1998, is the only day treatment program in New England for children with combined medical and psychiatric illness. The program is available as a step down from inpatient care or as a step up from outpatient care. It offers a safe, nurturing environment that allows children and families to participate in activities and therapy in a climate of healing five days per week—while also providing access to the same range of services as those available to patients admitted to our inpatient unit, including consultation with specialists and comprehensive diagnostic testing.
The program is located in newly renovated and expanded space in the Potter Building, on the Hasbro Children’s/Rhode Island Hospital campus. Children spend an average of three to four weeks in the program, arriving Monday through Friday at 7:30 a.m. and leaving at 3:30 p.m. Breakfast, lunch and snacks are served. Children receive daily pediatric and psychiatric assessment and treatment.
- Pediatric and nursing monitoring
- Individual and family therapy
- Nutritional services
- Group therapy
- Instruction in a skills-building curriculum focused on mindfulness, cognitive and behavioral coping strategies, and healthy emotional expression
- 90 minutes daily of educational programming, coordinated with home schools
- Involvement with physical therapy, occupational therapy, speech therapy, and biofeedback as indicated
Our program has a maximum enrollment of 24 patients at any one time. Three separate milieu areas allow us to group patients by age and developmental level.
Both the inpatient and partial hospital programs provide family-based integrated care. We involve families in the creation of an individualized treatment plan, incorporating a balance of medical and psychological support with the goal of the child’s successful transition to full functioning at home and school. Family involvement includes nursing and nutrition education sessions, multidisciplinary team meetings, family therapy, and involvement in multifamily groups.