Consultation and Liaison Services for Children and Adolescents

The Pediatric Psychiatry Consultation-Liaison (C-L) Service at the Mount Sinai Health System provides inpatient and outpatient psychiatric consultation, evaluation, and treatment related to the psychological adjustment of children and families with acute and chronic mental illness. Consultations are provided to all pediatric inpatient services across the Health System, including general pediatric inpatient services, pediatric intensive care units, neonatal intensive care units, pediatric neurology and neurosurgery, and other pediatric subspecialty services. Outpatient C-L services provide consultation and treatment for pediatric patients who present with psychiatric complications of a medical illness or a primary psychiatric disorder complicating a medical illness.

The service encounters many types of presenting problems, including non- compliance with medical treatment, child abuse/neglect/maltreatment, complex medical and/or neuropsychiatric syndromes, medical illnesses presenting with psychiatric symptoms, chronic pain, failure to thrive, and emotional adjustment to medical illness. The C-L team works closely with pediatricians, nurses, child life specialists, pediatric nutritionists, and other team members with the goal of facilitating the medical care of the child and the psychological well being of the child and family.

The C-L service also provides consultations to four Emergency Rooms across the Mount Health System, including at The Mount Sinai Hospital, Mount Sinai St. Luke’s, Mount Sinai Roosevelt, and Mount Sinai Beth Israel. Emergency services for children and adolescents are provided in consultation with both the Psychiatric emergency rooms and the Pediatric emergency rooms across sites, depending on the age of the child. The Mount Sinai Hospital site has a dedicated Psychiatric Emergency Room that provides evaluations and stabilization for patients 13 years and older. Patients 12 years old and younger under are evaluated and stabilized in the Pediatric Emergency Room in consultation with psychiatric staff.

At the Mount Sinai St. Luke’s, Roosevelt, and Beth Israel sites, Comprehensive Psychiatric Emergency Programs provide emergency evaluation and stabilization to acutely ill children and adolescents. The St. Luke’s and Beth Israel sites have one Extended Observation Bed each for pediatric patients which allow for a 72-hour period of stabilization and extended evaluation as a possible alternative to inpatient psychiatric hospitalization. Once stabilized, patients are referred for intensive outpatient follow-up through the Crisis Service at Mount Sinai St. Luke’s, or they may be admitted to the Child and Adolescent Psychiatry Inpatient Unit.