The Department of Psychiatry at the Emory Wesley Woods Hospital is the base for the Division of Geriatric Psychiatry. This service provides mental health care to geriatric patients in the greater metropolitan Atlanta area as well as a tertiary referral source throughout the southeast.
1. Inpatient Services: two inpatient units with 22 beds each (44 total). The Neuropsychiatry unit features a program focused on managing behavioral disturbances in cognitively impaired patients. The unit has averaged ~450 admissions per year (475 last year) with an average length of stay =10.4 days and average daily census =13. The Mood disorders unit focuses primarily on treatment refractory depression, and pharmacologic management of cognitively intact patients. The average annual number of admissions =450, (last year =448). The average daily census =12, and ALOS=10.4 days.
2. Outpatient Services include:
a) ECT: This service provides ECT for inpatients both at Wesley Woods and Emory University Hospital, as well as an active outpatient ECT program. Currently we average approximately 200 ECTs per month and approximately 80% of these are outpatients. The ECT service is both a training program for our residents, fellows, and is the training site for CME course offered annually by Drs. Thompson and McDonald. In addition it is the principal source of recruitment for an NIMH-funded grant studying maintenance ECT (Dr. William McDonald, PI). Outpatient services are comprised of the JB Fuqua Center, and the general outpatient evaluation clinic. The Fuqua Center is described elsewhere in this report. Overall the division had approximately 2,056 outpatient encounters in the last fiscal year.
b) Partial Hospitalization Program: The PHP had 2056 patient visits last year, with average daily census of 6-10 patients. The primary focus of this program is depression, psychotic disorders. Mildly demented patients are occasionally included.
c) Outpatient Clinic: In addition to the outpatient ECT Services, the Emory faculty had 2160 outpatient visits in the last fiscal year. These include clinical programs in Mood Disorders (Fuqua Center) and Geriatric Neuropsychiatry Assessment
3. Nursing Home/Assisted Living Facility (ALF) Consultation Services: Two separate, developing programs have been initiated over the last two years. Dr Tune oversees a nursing home consultation service that includes 6 nursing homes, with plans to expand to 10-15 in the next year. Dr. McDonald oversees a program focusing on assisted living facilities that includes 8 ALF’s.