Claire Dawson
New York City has a number of hospitals that offer Comprehensive Psychiatric Emergency Program (CPEP) services. These hospitals provide psychiatric emergency services to New Yorkers in need of mental health support. One such hospital is Queens Hospital Center, which opened an expanded CPEP unit in 2022 to meet the growing demand for healthcare services in the borough. Another hospital offering CPEP services is NYC Health + Hospitals/Woodhull in Brooklyn, which also expanded its CPEP unit in 2022 to accommodate a larger number of patients and therapist staff. Bellevue is the only CPEP dedicated to children and adolescents in New York City.
| Characteristics | Values |
|---|---|
| Hospitals with CPEP in NYC | Queens Hospital Center, NYC Health + Hospitals/Woodhull, Bellevue |
| Year of expansion | 2022 (Queens Hospital Center, NYC Health + Hospitals/Woodhull) |
| Square feet | 8,500 (Queens Hospital Center), 9,267 (NYC Health + Hospitals/Woodhull) |
| Number of beds | 301 (Queens Hospital Center), 6 (NYC Health + Hospitals/Woodhull) |
| Average daily census | 20 (Queens Hospital Center), 550 monthly (NYC Health + Hospitals/Woodhull) |
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What You'll Learn
Queens Hospital Center's CPEP expansion
The Queens Hospital Center (QHC) recently expanded its Comprehensive Psychiatric Emergency Program (CPEP) unit to meet the growing healthcare needs in the borough. The new unit is almost double the size of the existing CPEP unit, which will soon be phased out. The expansion was funded through a combination of New York State's HEAL NY program and capital funds from HHC, costing $9.3 million and taking 20 months to complete.
The first phase of the project involved the construction of a new 35-bed psychiatric unit on the fifth floor of QHC's Pavilion. The second phase added 40 additional beds to the hospital's medical-surgical complement. The new CPEP unit is 8,500 square feet, almost double the size of the existing 4,500 square foot unit, which will now be converted to expand the hospital's emergency department.
The expanded CPEP unit will be staffed with professionals who can provide individually tailored care plans, focusing on reducing symptoms and helping patients function more independently. The unit will foster coordination between clients, families, and healthcare providers, with the goal of managing patients' care within the least restrictive environment. The expansion reinforces Queens Hospital Center's position as a major community hospital serving neighbourhoods across the borough.
The psychiatric emergency department at Queens Hospital Center is led by a collaboration of staff psychiatrists, internists, nurse practitioners, physician assistants, social workers, nurses, and behavioural health associates. These professionals provide evaluation and acute treatment of psychiatric emergencies, with the goal of stabilizing patients at the least restrictive level of care and helping them return to the community. The CPEP project was designed and built by the Fletcher Thompson architectural firm and constructed by the Gilbane Building Company.
In addition to Queens Hospital Center, other hospitals in NYC that offer CPEP services include Bellevue, Elmhurst, Kings County, and North Central Bronx. Bellevue is the only CPEP dedicated specifically to children and adolescents in New York City.
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CPEP at NYC Health + Hospitals/Woodhull
CPEP, or the Comprehensive Psychiatric Emergency Program, is a hospital-based emergency psychiatric service that provides a full psychiatric assessment, stabilisation, extended observation, treatment, and referral of patients 18 and older. NYC Health + Hospitals/Woodhull expanded its CPEP unit in 2022, more than doubling its size from 4,230 square feet to 9,267 square feet. The expansion also increased the number of extended observation beds from three to six and allowed for a larger therapist staff.
The expansion of the CPEP unit at NYC Health + Hospitals/Woodhull demonstrates the hospital's commitment to providing comprehensive mental and physical care to its patients. The unit's enlargement eliminates overcrowding and provides a safe, therapeutic environment for patients in psychiatric distress. The new unit also enables staff to manage the average daily census of 20 people. Approximately 550 patients seek CPEP care monthly, and the expanded unit is expected to better accommodate this demand.
The CPEP unit at NYC Health + Hospitals/Woodhull offers a comprehensive array of services. Each patient is cared for by a multidisciplinary team, including a psychiatrist, nurse, internist, social worker, and other therapists. Patients can remain in the CPEP unit for up to 72 hours if needed, possibly averting the need for inpatient hospitalization.
The expansion of the CPEP unit at NYC Health + Hospitals/Woodhull reflects the hospital's commitment to serving all New Yorkers, regardless of their ability to pay. The new unit provides much-needed resources to fulfill the growing need for behavioural health services within Central Brooklyn. The expansion is also a response to the community's growing need for behavioural health services and the health system's ongoing transformation, with its focus on increased access to services.
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Bellevue Hospital's CPEP for children and adolescents
In May 2022, the New York City Health and Hospitals Corporation and Bellevue Hospital Center announced the opening of a new Children's Comprehensive Psychiatric Emergency Program (CPEP). This is the only CPEP in New York City dedicated to children and adolescents. The unit serves individuals up to 18 years of age and provides an optimal environment for the evaluation and treatment of psychiatric crises, including suicidal or aggressive behaviour, depression, psychosis, and serious family conflicts.
Bellevue Hospital Center has seen a significant increase in the number of children and adolescents seeking psychiatric emergency care. Between 1995 and 2009, the number of visits increased fivefold, from 155 to over 1,000. The new CPEP unit is designed to address this growing need for psychiatric emergency services among young people. The unit is equipped to provide a range of services, including extended observation, psychiatric assessment, stabilization, treatment, and referral to appropriate inpatient or outpatient care.
The CPEP unit at Bellevue Hospital provides follow-up care that includes immediate access to outpatient services at their Interim Crisis clinic. Patients may also be referred to short-term Home-Based Crisis Intervention (HBCI) services or ongoing outpatient care at Bellevue or other community programs. Additionally, mobile crisis services and inpatient care options are available, with dedicated units for children and adolescents. The adolescent psychiatry unit has 15 beds, and another 15-bed unit is planned.
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CPEP's psychiatric emergency services
New York City's public healthcare system offers Comprehensive Psychiatric Emergency Programs (CPEP) for psychiatric emergency services. CPEP is a hospital-based emergency psychiatric service that provides psychiatric assessments, stabilization, extended observation, treatment, and referrals for patients 18 and older.
CPEP services are available at several hospitals in NYC, including Bellevue, Elmhurst, Kings County, North Central Bronx, and Queens. Bellevue is the only CPEP facility in the city dedicated specifically to children and adolescents.
The CPEP program includes an Emergency Unit, extended observation beds, a Mobile Crisis Team, and crisis beds in the community. The Emergency Unit is part of the Medical Emergency Department and provides psychiatric evaluations to determine if inpatient hospital intervention is necessary. If inpatient intervention is required, the team assists with admission to an inpatient psychiatric unit.
Upon visiting the CPEP, patients and their families meet with a team of experts, including a psychiatric nurse and a psychiatrist. The nurse takes vital signs, medical history, and gathers relevant information, while the psychiatrist performs an emergency psychiatric evaluation, including past mental health history, other health history, family history, social environment, and current status. After the evaluation, the psychiatrist makes patient care recommendations, which may include admission to the hospital's psychiatric unit or transfer to an alternate facility. Children under 12 will be transferred to a specialized facility.
CPEP programs are designed to provide emergency mental healthcare for individuals of all ages, including adults, children, and adolescents in crisis. They offer a safe, private, and comfortable environment for patients seeking emergency psychiatric treatment.
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CPEP's hospital-based psychiatric services
New York City offers Comprehensive Psychiatric Emergency Programs (CPEP) as part of its hospital-based psychiatric services. CPEP provides emergency psychiatric services, including full psychiatric assessments, stabilisation, extended observation, treatment, and referrals for patients over 18.
CPEP services are available at several hospitals in NYC, including Bellevue, Elmhurst, Kings County, North Central Bronx, and Queens. Bellevue is the only CPEP in the city dedicated specifically to children and adolescents.
The CPEP program at NYC Health + Hospitals offers extended observation for individuals of all ages who require emergency mental health services. This includes children, adolescents, and adults who may be experiencing suicidal or aggressive behaviour.
The ECMC Hospital in Buffalo, New York, also offers a CPEP program. This program is open 24 hours a day, seven days a week, serving adults, children, and adolescents in crisis. The ECMC CPEP program includes an Extended Observation Unit, Mobile Crisis Outreach, and Crisis Residency, providing short-term emergency housing for patients with mental illness who can care for themselves.
The CPEP process typically begins with patients visiting the regular hospital emergency room, where they are then directed to the appropriate section of CPEP for psychiatric evaluation. This evaluation is conducted by a psychiatrist, who assesses the patient's current episode, mental health history, other health histories, family history, social environment, and current status. Following the evaluation, the psychiatrist develops a care plan, which may include admission to the psychiatric unit, extended observation, or discharge with outpatient services.
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Frequently asked questions
As of my knowledge cutoff in May 2022, at least three hospitals in NYC have CPEP: Queens Hospital Center, NYC Health + Hospitals/Woodhull, and Bellevue.
CPEP stands for Comprehensive Psychiatric Emergency Program.
CPEP provides psychiatric emergency services, including evaluation, treatment, and stabilization of patients with psychiatric emergencies. The program offers extended observation for children, adolescents, and adults who need emergency mental health services.
CPEP services are available to anyone in the public regardless of their ability to pay. The program serves individuals 18 and older, as well as children and adolescents.
Yes, NYC offers a range of mental health services, including Assertive Community Treatment, Partial Hospitalization Programs (PHP), and Outpatient Mental Health programs that provide treatment services such as individual and group therapies.
