Mount Sinai-based Psychiatry Services
Dr. Arnabh Basu is the new geriatric psychiatrist who spends half his time with the general Psych clinic, managing the non-dementia geri psych cases and the other half at the Deane Center for Cognitive Health where he has a collaborative team with Neurology and Geriatrics.
We have been offered four tiers of care with # 2 & 3 not yet available.
1. Pts that need some psych input and need an easy curbside consult, we can message Dr Basu in Epic . These would be non-urgent and he can respond to them within 48 hrs or so.
2. Geri psych e-consult
3. Possible Geri psych fellow rotation for telehealth or in person visits
4. If the severity of the psych issues needs is higher than that can be managed in this consultative model and would need a long term follow up from psychiatry, here are the ways to refer pts to Dr. Basu:
o For patients with cognitive and memory related behavioral complaints, family, staff or patients can reach out to the Deane Center for Cognitive health at 212-241-7076.
o For all other Geri psych conditions including Psychosis, mood disorders etc. Call 1160 adult outpatient program. Intake line number is 212-241-5947. This line is answered by one of the registrars, Elizabeth Santiago. If insurance is a match and we are taking new referrals, call is transferred to Cassidy Leveritt
Geriatric Psychiatry Fellow Consultations:
Background: The Geri Psych Fellows will be going out to see 1-2 MSVD patients once a week for consultation between 10/4 and 11/29. The patients would be seen 1 to 2 times under this consult service. Dr. Lantz will precept the fellows after they have seen patients. The preference is that the patients who are referred to this service are over the age of 65, but younger patients can also be referred.
How to place referral: Providers (NPs and MDs) can place request for Geri Psych in-home consult by writing a telephone encounter in Epic.
Please inform the patient/caregiver that you are placing request and that this will be a one-time (to two-time) consultation, and that the patient/caregiver will be contacted 1-2 business days prior to date of consultation to confirm visit.
Change reason for call in telephone encounter to "Referral Requests," and in comments - please write "Geri Psych".
Use the dot phrase .msvdpsych in the telephone encounter and route it to Dr. Melinda Lantz and Dr. Sonica Bhatia.
MSVD Geri Psych In-Home Consult Request Form
Name of Person who Agreed to Psych Consult: *** (patient or caregiver/proxy)
Consult question: ***
What has been done so far (therapy, meds tried)? ***
Any issues w/ these interventions: ***
Relevant history (e.g. is this chronic, recurring, other PMH, hearing impairment etc) including Goals of Care if relevant: ***
Is the patient a good historian? ***
If not, who should history be obtained from? ***
Anything else the Geri Psych Consultant needs to know (such as social issues, med adherence, etc)? ***
Language spoken in home: ***
Any safety concerns? (e.g. pets, neighborhood, building, behavior): ***
Additional Comments:
Please change Reason for Call to "Referral Requests" and write "Geri Psych Consult" in comments and route this to Melinda Lantz, MD and Sonica Bhatia, MD.
For Drs. Lantz and Bhatia to complete: ( ) consult entered in Sharepoint by SB ( ) consult deemed appropriate/triaged by ML ( ) SB routed scheduling request to team AA
After consultation: The note will be routed to PCP with recommendations. The geri psych fellow will not place orders. If you would like to reach out to the geri psych fellow after the visit, please reach out to them via Epic Secure Chat.
To make referrals to the Geriatric Psychiatry service at MSBI: email POSIntakecenter@mountsinai.org
Private Psychiatry Services in the home:
Dr. Satish Reddy: 347-675-6723; Charges $500 per visit ; does not take insurance
Dr. Dina Patel: 347-622-3510; does not take Medicare, but reportedly makes house calls.