THE NEW YORK PRESBYTERIAN PEDIATRIC
Robert J. Feiguine, Psy.D., Mary M. Ross-Dolen, M.D., and
Jennifer Havens, M.D.
This paper outlines the structure of the Pediatric Psychiatry Crisis Service at
New York Presbyterian Hospital, a service that provides twenty-four hour emer-
gency psychiatric evaluation and intervention to children, adolescents and fami-
lies in northern Manhattan. Structure and stafﬁng of the service, usage of the
service and the presentation of three cases addressing high, moderate and low
risk crisis patients are discussed. Finally, future challenges facing the Crisis
Service are addressed.
Children and adolescents rarely present to a psychiatric emer-
gency service by themselves, although there are situations where
older adolescents may present unaccompanied. By and large, how-
ever, pediatric patients come to the attention of emergency men-
tal health professionals as a result of an adult, with whom they
Dr. Feiguine is Director, Diagnostic Intake Service, Pediatric Psychiatry Ser-
vice, Division of Child and Adolescent Psychiatry, New York Presbyterian Hospi-
tal. Dr. Ross-Dolen is Clinical Assistant Professor of Psychiatry, Albany Medical
College. Dr. Havens is Director, Pediatric Psychiatry Service, Division of Child
and Adolescent Psychiatry, New York Presbyterian Hospital.
Address correspondence to Robert J. Feiguine, Psy.D., Director, Diagnostic In-
take Service, Pediatric Psychiatry Service, Division of Child and Adolescent Psy-
chiatry, New York Presbyterian Hospital, BHN-6, 3959 Broadway, New York,
New York 10032.
PSYCHIATRIC QUARTERLY, Vol. 71, No. 2, Summer 2000
0033-2720/00/0600-0139$18.00/0 2000 Human Sciences Press, Inc.