The Extended Care Unit (ECU) is an intermediate-term inpatient unit for individuals with serious mental illness who have struggled to maintain wellness in the community and frequently return to the hospital on account of both their psychiatric illness and negative social determinants of health (e.g., economic instability, poor healthcare access and quality, unstable social and community context). Most ECU patients are admitted to the unit for three to four months.

The ECU utilizes a recovery-oriented approach and operates based on a social learning model. Medication management, psychotherapy, intensive group programming, and intensive clinical case management (e.g., linkage with benefits and entitlements, assistance with applying for supportive housing, connection to care coordination and other community resources, etc.) are employed within the framework of a token economy system aimed at incentivizing adaptive skills and prosocial behavior. Treatment aims to maximize the potential for meaningful community re-integration.

Patients who come to the ECU are expected to be active participants in unit programming. Points are earned for carrying out healthy activities of daily living, demonstrating adaptive interpersonal skills, and participating in groups and other therapeutic activities. These points may be exchanged for various items and privileges, and as patients progress through treatment, they have an opportunity to earn a greater number of points and additional privileges through a tiered system. The intention of this social learning paradigm is for patients to develop skills that will enable them to maintain community tenure.

ATTENTION: Please submit your referral to only one of the three ECU hospitals below. All three sites offer the same programming and follow identical admission criteria and differ primarily by geographic location, so select the site most convenient and/or preferable to the patient. However, Bellevue Hospital is the only site that provides ECT; if ECT is required for the patient’s treatment, please refer to Bellevue Hospital specifically.

To begin, select the receiving hospital:

The Extended Care Unit (ECU) at {{referral.referringHospital.receivingHospital}} Hospital Center is a 19 26 20-bed acute inpatient unit for individuals with severe mental illness that require a more comprehensive treatment in order to be able to maintain stability in the community.

After this referral form is completed, a member of the {{referral.referringHospital.receivingHospital}} ECU team will reply within 2 business days. If the patient is deemed a potential candidate for the {{referral.referringHospital.receivingHospital}} ECU, our team will discuss the next steps in the referral process with the referring team. Thank you.

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Editing: {{referral.patientInfo.name}}

Referring Hospital

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Specifying the Other Referring Hospital is required.
Referring Psychiatric Provider’s Name is required.
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Social Worker Name is required.
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Patient Information

Basic Information:
Patient Name is required.
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Please specify the Primary Psychiatric Diagnosis.
Admission Criteria:
Is the patient Age 18 or older? *
Please select Yes or No.
Is there a presence of a serious mental illness (Ex. Schizophrenia spectrum disorder, bipolar I disorder, major depressive disorder, severe, with or without psychotic features) in the patient? *
Please select Yes or No.
Is there an insufficient response to current treatment? (Must be compliant with treatment in the referring facility; can be on TOO but should be experiencing residual symptoms) *
Please select Yes or No.
Is there a history of inability to maintain tenure in the community over the past two years? *
Please select Yes or No.
Does the patient have a diagnosis of neurocognitive disorder, intellectual disability, autism spectrum disorder, traumatic brain injury, or other neurologic disorder that is likely to impair ability to participate in the unit program? *
Please select Yes or No.
Is antisocial behavior the primary driver of poor community tenure? *
Please select Yes or No.
Is there any violent behavior or overtly sexual behavior that is likely to either compromise the therapeutic milieu or lead to group restrictions? *
Please select Yes or No.
Is there a medical condition that cannot be safely managed outside of a medical psychiatry unit or an inpatient medical service? *
Please select Yes or No.
Insurance Information:
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Please specify the plan.
Other Information:
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Forms & Documents

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  • Initial Psychiatric Assessment
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