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Behavioral Medicine and Psychiatry

WVU Medicine offers treatment of mental health illness and addiction for adults, adolescents, and children. Our programs provide a continuum of care through outpatient, partial hospitalization, inpatient, and residential treatment services.

Patients care is tailored to each individual’s needs. Quality of care is ensured by the staff’s professional skills and expertise in treatment, teaching, and research. The multidisciplinary team of psychiatrists, psychologists, social workers, nurses, rehabilitation therapists, mental health specialists, dietitians, and educators provide comprehensive care. Art, recreation, and experiential therapy are incorporated into the treatment programs.

Adult Mental Health Services

Inpatient Services

Patients who require comprehensive psychiatric assessment and treatment may enter one of WVU Medicine’s short-term hospitalization programs. Each program provides the patient with a secured, closely supervised and structured, smoke-free environment to assist in stabilizing his or her psychiatric illness.

Our adult inpatient programs are designed to provide intensive short-term treatment that promotes a productive return to family, job, and community for patients who are 18 years of age and older. The multidisciplinary team evaluates the patient and designs treatment options through individual, group, and family therapy.

For adult patients who suffer from psychiatric illnesses that require more intensive clinical care, we offer a Psychiatric Intensive Care Unit. This unit offers specialization for individuals who suffer from psychiatric issues of the elderly such as depression, memory loss, anxiety, grief, and loss. A second tract of services on this unit is geared for individuals with thought and other disorders that require intensive interventions.

An Adult Dual Diagnosis unit is offered for individuals who are chemically dependent and require medical detoxification. Psychiatric evaluation, family, group and individual therapy are provided. Group therapy focuses on chemical dependency education and relapse prevention. Treatment uses the disease model and 12-Step Support Groups. Additionally, a medical component for opioid addiction is incorporated into the detoxification regime. Specialized detoxification treatment for women who are pregnant is also available.

Partial Hospitalization Program

Our partial hospitalization program is an intensive outpatient treatment option for adults (ages 18 and over) who do not require inpatient care. This program affords the patient the opportunity to remain at home while seeking an intensive structured, therapeutic environment during the day.

Partial hospitalization offers many benefits to patients, including a structured daily schedule, intensive treatment including group and individual therapy, medical and medication management, communication and healthful life enrichment skills. The program operates Monday through Friday from 9:30 am to 2:00 pm. Transportation and lunch are provided.

The program has two specialized tracks:

Track One is designed for adults who require a short term program to stabilize mental health issues while maintaining the home environment. Partial hospitalization may help to lay the groundwork for follow-up therapy and facilitate the transition from inpatient care. Medicare, Medicaid, and most commercial insurances are accepted for this track of service.

Track Two is for individuals who have experienced long-standing mental health issues and who require intensive community services. The purpose of this program is to provide patients with intensive outpatient treatment in order to avoid unnecessary hospitalizations and to help the patient be successful in his or her home environment. Medicare is accepted for payment for this track of service.

Assertive Community Treatment

Assertive Community Treatment at WVU’s Chestnut Ridge Center delivers a full range of services to people who have been diagnosed with a severe and recurrent mental illness.

ACT’s goal is to give participants sufficient community care and support to help them have a life that is not dominated by their mental illness. To be admitted to the ACT program, the person must be a Medicaid recipient.

For inpatient psychiatric treatment, a person needs to have experienced one of the following:

  • Three or more hospitalizations in a psychiatric inpatient unit or psychiatric hospital in the past 12 months OR
  • Five or more hospitalizations in a psychiatric inpatient unit, psychiatric hospital, or crisis stabilization program in the past 24 months OR
  • 180 days total length of a stay in a psychiatric inpatient unit or psychiatric hospital within the past 12 months

ACT services may be used for other people who show medical necessity, such as:

  • people who are homeless and who have a severe and persistent mental illness
  • people with a mental illness who have frequent contact with law enforcement or the criminal justice system
  • people with concurrent mental illness and chemical addiction who require consistent monitoring

How does ACT help?

  • We develop a treatment plan that reflects personal needs and goals.
  • We help the individual remain in the community of his/her choice.
  • We provide professional psychiatric evaluation and counseling.
  • We help with housing, healthcare, and other basic needs.
  • We work to improve overall quality of life by providing support 24 hours a day, 7 days a week.

How does ACT work?
ACT uses a team approach.

Psychiatrists, nurses, mental health professionals, employment specialists, and substance-abuse specialists, join together on ACT teams to give consumers ongoing, individualized care.

Services are provided where they are needed.

Consumers receive ACT services in their homes, where they work, and in other settings in the community where problems occur or where support is needed.

We provide personalized care.

ACT teams provide an array of services, working with a smaller ratio of consumer to staff.

We give unlimited support . . .

ACT teams give individuals the services and support they need for as long as they need them.

and continuous, flexible care.

Several ACT team members work regularly with each person, fitting their schedules around that person’s needs.

ACT services are available 24 hours a day, 7 days a week. Someone is always available to handle emergencies.

Child and Adolescent Services

The Adolescent Program at Chestnut Ridge Center is designed to provide intensive treatment that promotes healthy growth and lifestyles. The goal of the adolescent unit at Chestnut Ridge Center is to stabilize the patient in order that he/she may return home, to school, and to the community. Family members are an integral part of the treatment program.

Inpatient Services Criteria

Adolescents, 13 to 17 years of age, who require comprehensive psychiatric assessment and treatment to stabilize their psychiatric symptoms, may enter an acute care program. Adolescents who enter this program are actively suicidal, homicidal, and/or psychotic.

Multidisciplinary Team

An interdisciplinary treatment team is led by a board certified psychiatrist and includes a licensed psychologist, social worker, nurse, mental health specialist, and recreational therapist.

Treatment Components

  • Individual and group psychotherapy
  • Family therapy
  • Life skills: suicide prevention, impulse control, anger management, values clarification, decision-making skills and problem solving
  • Recreational Therapy
  • Rational Emotive Therapy

 

Depression

Depression is a serious medical illness that involves the brain. It’s more than just a feeling of being down in the dumps or blue for a few days. The feelings you may have don’t go away, and they interfere with your everyday life.

Symptoms can include:

  • sadness
  • loss of interest or pleasure in activities you used to enjoy
  • change in weight
  • difficulty sleeping or oversleeping
  • energy loss
  • feelings of worthlessness
  • thoughts of death or suicide

If you think you are suffering from depression, there is help. The most common treatments for depression are psychotherapy and medication.

At Chestnut Ridge Center, we offer counseling and treatment to children, adolescents, adults, and seniors.

Forensic Psychiatry

Forensic Psychiatry is a division of Behavioral Medicine and Psychiatry. Established in 1998 to address clinical, legal, educational, academic, and public policy concerns involving law and mental health issues, the division has implemented a broad scope of services and programs to serve the University and the local and state community.

Professional services are available to attorneys, judges, government organizations, law enforcement, business corporations, and others. The division offers experienced and unbiased professional opinions about a wide array of legal questions, including criminal and civil competency, the insanity defense, personal injury, medical malpractice, and fitness for duty. The vast resources of West Virginia University may be tapped to provide comprehensive assessments and accurate, credible opinions, and reports to referring parties. Deposition and testimony are easily scheduled. Rapid turnaround time is a priority.

The Forensic Psychiatry Division was accredited in 1999 by the Accreditation Council for Graduate Medical Education to provide advanced training in this field. It is the only Forensic Psychiatry Fellowship program in West Virginia.

The division acts as a resource to state and administrative organizations in the creation of public policy or statutes when the disciplines of law and mental illness interface. Contributions have been made in the areas of sex offender evaluations, criminal responsibility, and civil commitment laws.

Services

As director, Dr. Cheryl Hill coordinates the evaluation of all types of forensic mental health cases. Preliminary and exhaustive record review is available.

Clients are scheduled for interview promptly with the appropriate person in the division. Psychological testing is performed when indicated. Advanced forensic methods such as the Abel Assessment of Sexual Interest, measures of malingering, and extensive neurocognitive testing are available.

To schedule an appointment or get more information, please call 304-293-3331 and speak with Sophia Bienek-Cate, forensic coordinator.

Consultative opinions may be requested in complex cases. Accurate reports are generated with a rapid turnaround and present clear, concise opinions that are independent and objective. The faculty and fellows have cumulatively assessed more than 600 forensic cases and are experienced in deposition and expert testimony.

Evaluations performed include:

Emotional Injury Psychiatric Malpractice Testamentary Capacity Waiver to Adult Court
Competency to Stand Trial Sexual Harassment Battered Woman Self-defense Juvenile Placement
Insanity Defense Workplace Violence Automatism Defense Child Custody
Diminished Capacity Brain Injury Bail Evaluation Child Abuse
Competency to Confess Malingering Evaluation Release of Insanity Acquitee Parental Fitness
Sex Offender Evaluation Wrongful Termination Dangerousness Termination of Parental Rights
Workers Compensation Conservatorship Competency of Witness to Testify
Fitness for Duty Guardianship Sentencing Evaluation

Others services offered include case consultation and preparation, jury sampling, jury selection, and educational programs.

Fee Schedule and Billing Policy

Forensic psychiatry services are billed at an hourly rate in 15-minute increments as follows:

Preliminary phone consultation: No charge

Case Work: $350 per hour

  • Interview
  • Report writing and editing
  • Review of records (about 1 to 2 hours per inch of record)
  • Deposition (and preparation for deposition)
  • Testimony (and preparation for testimony; also waiting “in court time”)
  • Psychological or neuropsychological assessment (PhD time)
  • Research (unusual cases, attorney must approve)
  • Attorney assistance (development of cross examination questions, report critique, jury selection, etc)

Case Management and Testing: $200 per hour

  • Psychometrician testing
  • Phone consultation to discuss cases or results
  • Travel (greater than 30 minutes)
  • Cancellation less than 24 hours, no show for interview

Expenses (with attorney authorization): $ per expense

Contractual rates vary. Services are billed based on time, regardless of content or results. Estimate of time or cost per case may be requested. Cases may be time limited or expense limited on request, but may not result in final opinions. Brief Summary Reports are also available.

Civil cases are scheduled upon receipt of retainer. Retainer forms will be provided to referrers. Excess retainer will be returned promptly at the conclusion of services. Statements are mailed monthly. The referring attorney, firm, or agency is responsible for remittance for all matters pertaining to a case, including deposition by opposing counsel, unless otherwise arranged.

Retainers and checks should be made to University Health Associates and sent to:

University Health Associates
Attention: Tammy Leatherman
Chestnut Ridge Center
930 Chestnut Ridge Road
Morgantown, WV 26505

Contact Information

Cheryl Hill, MD, PhD
Director of the Forensic  Fellowship Program
West Virginia University School of Medicine
Department of Behavioral Medicine & Psychiatry
930 Chestnut Ridge Road
Morgantown, West Virginia 26505-2854

Telephone: 304-293-0768
Fax: 304-581-1936

E-mail: Sophia Bienek-Cate, MA, sbienekcate@hsc.wvu.edu

Geriatric Psychiatry

The geriatric psychiatry program at Chestnut Ridge Center provides short-term inpatient treatment to seniors, ages 55 and older, who live at home or in nursing or rehabilitation facilities.

Chestnut Ridge Center is a secured environment that provides acute care treatment for older adults experiencing:

  • depression
  • severe anxiety
  • fearfulness
  • bipolar disorder (mood swings with mania and depression)
  • panic disorder
  • adjustment disorder (being overwhelmed by new life situations)
  • mild dementia

Patients diagnosed with schizophrenia or other psychotic disorders may also be considered if they have demonstrated the ability to benefit from participation in adult discussion.

Neuropsychology

Neuropsychological evaluations or assessment is a clinical procedure used to determine the extent of possible thought or behavior issues following diagnosed or suspected brain injury or brain disease.

Through a series of simple questions and tests, your doctor can learn whether your nervous system is functioning properly or not.

Examinations are available for children ages six and up, adolescents, adults, and the elderly.

Who We Test

Doctors may refer individuals for an evaluation if they have complaints that involve:

  • motor or sensory changes
  • memory issues
  • attention problems
  • trouble processing information
  • remembering words
  • vision, perception, and integration issues
  • problem solving or impaired reasoning

We also evaluate patients who have conditions that might affect central nervous system functioning, such as:

  • traumatic brain injury
  • heart disease/vascular disease or disorder
  • history of encephalitis
  • epilepsy, MS, or other white matter disease
  • diabetes
  • surgeries
  • organ transplant
  • toxic exposure
  • brain tumors
  • effects of treatment for cancer

We test children and adolescents for conditions such as:

  • ADHD
  • learning disabilities
  • traumatic brain injuries
  • concussions
  • medical disorders
  • neurological disorders

We also evaluate for psychiatric issues that have a cognitive component or complaint not being addressed by psychiatric medications or therapy, such as:

  • depression
  • anxiety
  • bipolar disorder
  • schizophrenia

What We Assess

  • brain functions, including motor and sensory functioning
  • visual perception and processing
  • speech and comprehension
  • thought processing and efficiency issues
  • attention
  • learning, memory, and executive functions: flexibility, impulsivity, inhibition, problem solving, reasoning
  • personality/mood and psychiatric contributions to the cognitive complaints

Referrals

Referrals are accepted from physicians and other clinicians by calling 304-598-4740 to schedule an evaluation.

Faculty

Marc Haut, PhD ABPP
James Mahoney, PhD
Christina Wilson, PhD
Stacie Leffard, PhD, ABPP
Liv E. Miller, PsyD, ABPP
Kirk Bryant, PhD

Outpatient Programs

Behavioral and emotional concerns can cast a shadow on everyday life, creating additional problems that may get worse without help.

WVU Medicine’s Chestnut Ridge Center offers outpatient treatment to children, adolescents, adults, and seniors. Therapy is available for marital problems, sexuality issues, anxiety, depression, problems of the elderly, school problems, behavioral issues, and more.

Adults who are experiencing problems related to addiction issues can find help in Chestnut Ridge Center’s outpatient programs. We offer both individual and group therapy for addictions following detoxification. Our COAT program is designed specifically to treat opioid addiction.

Outpatient services are offered 8 am to 5 pm Monday through Friday. Call Call 304-598-4214 for an appointment.

Our outpatient services: through individual, group, couples, and family counseling, work toward the goal of achieving stability so he or she can reintegrate into home, school, and community.

Our child and adolescent outpatient programs focus on the unique developmental issues of this age group. Adult outpatient programs are designed to provide intensive treatment that promotes productive involvement in family, job, and community for patients 18 years old and older.

Older adults who experience memory problems can receive comprehensive evaluation and treatment. Symptoms that may need to be evaluated can include memory loss that affects job skills, problems with language, mood or behavior changes and others.

Dr. Ali Rezai, executive chair of the West Virginia University Rockefeller Neuroscience Institute, lays out his bold, new vision for neuroscience at WVU. Joining Dr. Rezai are WVU President Gorden Gee, Albert Wright, president and chief executive officer of the West Virginia University Health System, and Clay Marsh, MD, vice president and executive dean for Health Science at WVU.

Research drives patient care at any large academic medical center. As stroke treatment has dramatically evolved in the past decade, WVU Medicine’s neurointerventionists have emerged as national leaders in their relatively new field. Here, Ansaar Rai, MD, WVU Medicine Radiology vice chair of clinical operations, discusses the past and present of stroke treatment.

Neurosurgeons treat their patients through the use of a delicate, targeted procedure; the best neurosurgeons are skilled at several. WVU Medicine neurosurgeon Robert A. Marsh, MD, PhD, says his best approach is unique to each patient, and considers wishes as well as needs.

WVU Rockefeller Neuroscience Institute