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SBUMC Breaks Ground On New Comprehensive Psychiatric Emergency Program Annex

Originally Posted: June 14, 2010

Breaking ground for the new CPEP Annex at Stony Brook University Medical Center are, from left, Art Flescher, Suffolk County Department of Health Services, Dr. Peter Baigent, Vice President of Student Affairs at Stony Brook University, Robert E. Detor, President & CEO, South Oaks Hospital, Dr. Mark Sedler, Chairman, Department of Psychiatry and CPEP Director, Dr. Steven L. Strongwater, CEO, Stony Brook University Hospital, Robin Krajewski, NYS Office of Mental Health, John Kennedy, Suffolk County Legislator, and Dr. James L. Tomarken, Commissioner of the Suffolk County Department of Health Services. (SBUMC)

Stony Brook - With more than 150 in attendance including faculty, staff and community members, Stony Brook University Medical Center (SBUMC) broke ground on its new Comprehensive Emergency Psychiatric Program (CPEP) Annex, a 10,000 square foot state-of-the-art patient care facility that will replace 2,050 square feet of outdated space. The new space will be located adjacent to the Emergency Room on the east side of the Medical Center, and is expected to be completed by Fall 2011.

SBUMC's CPEP provides hospital-based, round-the-clock, daily emergency psychiatric care. The program provides an organized system for responding to psychiatric emergencies for evaluation, intervention, treatment and referral for individuals who need emergency psychiatric evaluation or treatment. The staff is comprised of specially trained psychiatrists, social workers, nurses, and nursing assistants who are committed to providing the best emergency psychiatric care.

"The new CPEP Annex will help to meet a growing demand for psychiatric services in Suffolk County and will triple the patient care space available in the existing facility, which has 6,000 visits annually," said Dr. Mark Sedler, Chairman of the Department of Psychiatry and Behavioral Health at Stony Brook. "The new CPEP design emphasizes an enhanced psychiatric care environment to meet the needs of our patients."

Those with a shovel to participate in the official groundbreaking ceremony were Dr. Steven L. Strongwater, CEO, of Stony Brook University Hospital, Dr. Mark Sedler, MPH, Chairman, Department of Psychiatry and CPEP Director, John Kennedy, Suffolk County Legislator, Robin Krajewski, NYS Office of Mental Health, Art Flescher, Suffolk County Department of Health Services, Dr. Peter Baigent, Vice President of Student Affairs at Stony Brook University, Robert E. Detor, President & CEO, South Oaks Hospital, and James L. Tomarken, MD, MSW, MPH, MBA, FRCPC, FACP, Commissioner of the Suffolk County Department of Health Services.

Rendering of new facility.

Comprehensive Psychiatric Emergency Program (CPEP) At Stony Brook University Medical Center Fact Sheet

Name: Comprehensive Psychiatric Emergency Program (CPEP)
Location: Stony Brook University Medical Center
Established: 1989
Medical Director: Mark Sedler, MD, MPH, Chairman, Dept. of Psychiatry
Staffing: 24/7, 365; 94 clinical providers including physicians, nurses, social workers.
Patient Evaluations: Approximately 6,000 annually
Budget: $2.2 million
Current Size: 2,050 square feet - Clinical space
Future Size: 10,000 square feet - Annex
Expected date of completion: Fall 2011

 • The Comprehensive Psychiatric Emergency Program (CPEP) at Stony Brook is a clinical program of the Stony Brook University Medical Center.

 • Mark Sedler, MD, MPH is the Director of CPEP. Dr. Sedler is Chairman of the Department of Psychiatry and Behavioral Science at Stony Brook University.

 • The Stony Brook CPEP is one of 18 CPEPs in New York licensed by the New York State Office of Mental Health pursuant to § 9.40 of the New York State Mental Hygiene Law.

 • CPEP was established in 1989 for the purpose of improving emergency psychiatric services in Suffolk County.

 • The function of CPEP is to provide a psychiatric assessment, crisis intervention and acute treatment where indicated, and to arrive at a disposition which may include admission to an inpatient psychiatric service at SBUH or another community facility, or referral to a variety of outpatient mental health and substance abuse programs. Referrals for housing and other social services are also provided where needed.

 • CPEP is staffed 24/7, 365 days of the year by the medical staff of the Department of Psychiatry and Behavioral Science, and by specially trained nurses, social workers and therapy aides employed by the hospital.

 • There are 19 board certified psychiatrists, 24 psychiatry residents, 43 nursing staff, 8 social work staff, and other trainees assigned at various times to the CPEP. The current annual hospital budget for the CPEP is approximately $2,200,000.

 • CPEP evaluates and treats approximately five to six thousand patients a year.

 • Approximately 20 percent of patients seen in CPEP are under 18 years of age. Approximately four percent are 65 or older.

 • About a fourth of patients seen in CPEP are admitted to an inpatient hospital service, either at Stony Brook University Hospital or in one of the other hospitals in the region.

 • In most cases, a decision about whether or not to admit the patient for psychiatric care is made within a few hours. In some cases patients may be admitted to extended observation beds in CPEP for up to 72 hours in order to provide a more extensive evaluation.

 • CPEP is the central receiving and triage point for all persons with mental illness detained by the Suffolk County Police Department, by local municipal police, or transported by the Sheriff's Department.

 • The current CPEP occupies 2,050 square feet of clinical space adjacent to the hospital's emergency room. A new annex of approximately 10,000 square feet will be built, of which 5,140 will be devoted to clinical use by CPEP.

 • The hospital's governing body has approved $7,649,212 for the total project. The budget for construction is $5,346,435.

 • Construction is scheduled to begin in the summer of 2010 and to be complete in the late summer or fall of 2011.

The New CPEP Will Include

 • A new "fast track" program with private waiting area and physician office
 • Dedicated family waiting area and triage desk
 • Conference room
 • Separation between adult and pediatric patients with distinct entry, separate milieus, and family rooms
 • Three double rooms and four single rooms for housing patients during extended observation; multiple shower and bathroom facilities
 • A separate entrance for police-escorted patients and a police waiting area
 • Two patient interview rooms for greater throughput

An overview of the state-wide CPEP program is available in the New York State Office of Mental Health 2007 Annual Report to the Governor and Legislature of New York State on Comprehensive Psychiatric Emergency Programs.

Guest (Brendon) from Ridge NY says::
I was there the other day as a patient and most of the staff seemed very nice. I was there from Sunday afternoon into Monday morning.
Feb 21, 2012 9:33 pm

Guest (Informed) from internet says::
You don’t actually get arrested at CPEP (booked), because it’s not technically unlawful (yet) to be mentally ill. Although practically speaking, from those who have been through it, it does seem as though it is unlawful to be an apparently symptomatic and untreated mentally ill person in NewYork. If you refuse to come willingly, you can and will be threatened with violence. And depending on your reaction to that, they may, if you are lucky, only taze you. If you are unlucky, they may taze and beat and or choke/arm lock/wrist lock you and pepper spray you into submission. With your mood now set properly for an accurate mental health assessment, completely outraged and trembling with indignation and possibly, even probably, crying, you now get your ride to the psych hospital—a ‘CPEP Receiving Facility’. Your tears will probably stop by the time you get there, to be replaced with rage and anxiety of what is to come. Upon your arrival and intake the psych nurses are going to take one quick look at you and take in your agitation and irritation and they will make notes about you and you will be considered to be manic or having a manic episode. The standard treatment for a person experiencing mania is brain-damaging neuroleptics, although you probably know of the drugs as being called ‘antipsychotics’. Since you are not looking very cooperative right now, they probably won’t waste time dilly dallying, trying to be disarming with you. A psych nurse will summon several psych techs who will stand next to you like guards or bouncers and if you do not willingly accept their poison amicably right then and there, she will make a nod or other gesture and the psych techs will try to manually restrain you. Should you turn out to be a handful, many psych techs and nurses will be called and you will get padded leather restraints, a seclusion cell and the brain poison injected into you anyway, despite your wishes and protestations. That is the CPEP explained. The staff here at CPEP are very rude and disrespectful to the patients. They lack compassion and understanding for the patients and their families. I don't understand how a hospital is supposed to promote good mental health for the patients when they are treated worse than some animals in shelters. I wouldn't recommend this hospital "CPEP" for euthanizing an animal much less the care of a loved one
Dec 21, 2011 12:01 pm


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