As part of The Menninger Clinic, one of the nation’s foremost psychiatric hospitals, the Comprehensive Psychiatric Assessment Service (CPAS) offers a remarkable level of expertise and experience.
In other programs, acute care often focuses on stabilization, crisis management and disposition, often with the goal of reducing symptoms instead of identifying the core problems. Our interdisciplinary team goes beyond looking at symptoms. We partner with each patient to make a more complex and thorough assessment, one that examines the gene and biomarkers that determine what treatments will most likely be effective and that seeks to uncover the underlying issues that are causing problems.
When a person experiences difficulties with behavior, brain functioning, mood, social interactions or ineffectiveness of psychiatric treatment
, a comprehensive diagnostic assessment can clarify the issues and action needed.
The interdisciplinary team at CPAS evaluates and monitors each patient 24/7. The assessment process may include:
- Routine laboratory tests
- Urine toxicology screens
- Genetic testing as indicated
- Psychiatric evaluation
- Neuropsychological screening as indicated
- MRI and other imaging tests
- Psychological testing
- Psychosocial evaluation
- Family system evaluation
- Additional tests as needed, such as PET scans and sleep studies
In compiling a summary and specific recommendations, the team conducts a thorough review of:
- Records of referring and previous clinicians
- Tests performed at Menninger
- Medical and treatment history
- Input from nurses, social workers and psychologists
For patients with acute symptoms that may require medical detoxification, CPAS focuses from seven to 10 days on symptom reduction. While hospitalized, the patient has:
- Biopsychosocial assessments
- Medication management
- Therapeutic and educational groups that develop readiness for further treatment
During this time, the social worker mobilizes the support of the family and collaborates on discharge planning with the patient and family.
When detoxification is needed from alcohol, opiates or other drugs and substances, the process is routinely handled on the unit unless intravenous hydration is required. For these patients, withdrawal can be managed at Menninger’s affiliate, The Methodist Hospital, followed by a transfer back to CPAS.
After stabilization, the patient can elect to have a full assessment on CPAS; continue treatment in another Menninger inpatient program
; or pursue other treatment options, including outpatient therapy