Inpatient units in the Department of Psychiatry and Psychology evaluate and treat adults, adolescents, and children with a broad range of psychiatric conditions that need immediate attention. In the hospital, psychiatrists work in integrated teams with nursing, social work, pharmacy, and recreational and occupational therapy professionals to provide comprehensive, coordinated care tailored to the needs of each patient.
With Mayo Clinic clinicians from other departments available for consultations as needed, Mayo Clinic psychiatric units are well suited to treat patients with complex, challenging cases.
Psychiatric Acute Care Unit
The Psychiatric Acute Care Unit cares for adults ages 18 to 55 with emphasis on transdiagnostic conditions, including acute suicidality, severe depression, mania or psychosis. A multidisciplinary team reviews each patient's situation and recommends an individual treatment plan. Treatment plans may include medicine, occupational therapy and education about coping strategies including relapse prevention.
Medical and Geriatric Psychiatry Unit
This unit cares for adults ages 18 to 64 with both medical and psychiatric conditions. The unit also provides care for those 65 and older who need hospitalization for psychiatric issues, which most commonly are late-life mood and cognitive disorders. Treatment may include:
- Medicines.
- Physical therapy.
- Recreational therapy.
- Occupational therapy.
- Individual and group-based education on depression, anxiety and aging-related issues.
- Electroconvulsive therapy (ECT).
Mood Disorders Unit
The Mood Disorders Unit treats adults ages 18 to 64 whose depression or bipolar illness is significantly affecting their functioning or safety. A multidisciplinary team reviews each patient's situation and recommends treatments, which may include medicines, group psychotherapies and occupational therapies.
When needed, pharmacogenomics testing and ECT also are available.
Child, Adolescent and Family Treatment Unit
This unit specializes in stabilization and treatment of children and adolescents who are experiencing an acute mental health crisis, such as those who are suicidal or experiencing mania or psychosis.
Treatment involves evidence-based psychosocial intervention and medicine management. The focus of this unit is on improved functioning with a family-based and multidisciplinary treatment approach.
The treatment team includes:
- Child and adolescent psychiatrists.
- Advanced practice providers.
- Psychologists.
- Social workers.
- Specialized nursing staff.
- Child life specialists.
- Occupational therapists.
- Recreational therapists.
Adult Transitions Program
The Adult Transitions Program is a hospital-based intensive outpatient program for individuals who have recently experienced or may be facing a mental health crisis. The overall mission of the program is to:
- Promote recovery.
- Reduce likelihood of a future crisis.
- Rebuild quality of life.
Our program is flexible and personalized to your needs. Our experts use evidence-based psychological and psychiatric practices in a trauma-informed and culturally informed setting. People in the program learn coping skills and process the mental health crisis so that they can successfully return to outpatient care and reduce the need for future emergency department visits and inpatient care. Over the course of three phases of care, participants receive:
- Individual therapy.
- Care coordination.
- Medicine services.
- Group psychotherapy.
- Occupational therapy.
Phase 1: Evaluation and Stabilization. Staff work with participants who are currently receiving inpatient or emergency department care or who are referred by their outpatient provider due to concerns that a higher level of care may soon be needed. Participants receive a thorough psychiatric, psychological and occupational evaluation and collaborate with staff to develop a personalized treatment plan and coping plan.
Phase 2: Intensive Outpatient Program. Participants engage in mindfulness-based cognitive-behavioral therapy and a life skills group program for three-hour sessions a day. They also receive individual or family therapy or both, medicine management, and occupational therapy as needed. Based on need and collaborative understanding of presenting concerns, patients can participate in one of two tracks:
- Morning track: 8:45 to 11:50 a.m., Mondays, Wednesdays, Thursdays via telehealth. The morning track is tailored to people who can safely participate in treatment from home and who are not able to attend or do not need programming for five days a week. Participation is typically 3 to 5 weeks.
- Afternoon track: 12:45 to 3:50 p.m., Monday to Friday, 2W Generose Building. The afternoon track is tailored to people who need more intensive treatment or who are not able to participate in treatment from home or both. Participation is typically 4 to 8 weeks.
Phase 3: Transition and Follow-Up. After completing phase 2, participants may choose to engage in a weekly therapy group for 4 to 8 weeks to receive support in the transition back to outpatient care and daily life and to facilitate ongoing use of skills.
Since many of our participants have suicidal urges and self-injurious behaviors, the Adult Transitions Program implements collaborative assessments to manage suicidality for individuals who need it. Participants work with a primary therapist to develop a stabilization plan and skills to cope with a crisis.
Long-Acting Injectable Clinic
The goal of the Long-Acting Injectable Clinic is to improve access and compliance for patients on long-acting injectable medicines, using primary psychiatric facilities and staff located within the Generose Building.
This is a procedural-based clinic staffed by psychiatric registered nurses with nurse practitioners and physician assistants available.
Clozapine Clinic
The Clozapine Clinic provides clozapine monitoring with the goals of early detection of adverse events, absolute neutrophil count (ANC) monitoring, metabolic monitoring, and improvement of clozapine adherence. Finger capillary draws can be done instead of venipuncture with results in about 10 minutes. Staff members work with the primary psychiatric professional regarding potential interactions, side effects and clozapine dosing. The primary professional continues overall management and can choose whether to implement suggested changes.