Inpatient Adult Psychiatry (4B)

Inpatient Adult Psychiatry
Upstate University Hospital - Downtown Campus
4B, 750 East Adams Street
Syracuse, NY 13210
Map & directions
Phone: 315 464-9096
Fax: 315 464-4378
Name: James Megna, MD, Director

The University Hospital Inpatient Psychiatric Unit (4B) admits both voluntary and involuntary patients eighteen years and older with a wide variety of psychiatric and substance abuse/dependence disorders. While such problems are the primary reason for admission, many patients have additional medical needs.


Patients may be referred from:

  • C.P.E.P. (Comprehensive Psychiatric Evaluation Program)
  • University Hospital emergency room
  • Other clinical departments within University Hospital
  • Community physicians
  • Other facilities.

The reputation of the psychiatric unit brings referrals from all over central New York for patients with complex diagnostic and/or management problems.

Plan of Care

Patients are offered an individualized plan of care consisting of individual, group, and family psychotherapies, medications, electroconvulsive therapy (ECT), and recreation and occupational therapies with a strong emphasis on skill development through psycho-educational programming. For individuals with comorbid substance abuse/dependence, there is an addiction track program which emphasizes the traditional 12-step approach, modified for the needs of psychiatric patients.

The unit is an important site for the training of junior residents, who receive extensive experience in application of the Biopsychosocial model. This runs the gamut from seeking as needed consultation from non-psychiatric medical colleagues to participating in family psychotherapy sessions.

Close supervision is provided by the unit attendings for all aspects of care. However, 4B residents are encouraged to function as independently as possible and are considered to be primary therapists for their patients. Continuity of care is fostered at all levels. House staff has the option of continuing to follow patients after discharge in the hospital's Psychiatric Outpatient Clinic. Conversely, residents and faculty psychiatrists are encouraged to follow their patients when re-hospitalization on the inpatient unit becomes necessary.

Lastly, a research program is an important component of the unit's mission. Investigations are conducted in an effort to understand better and to treat more effectively the many complex diagnostic and management cases admitted. Residents have the opportunity to participate in and to gain experience from this important endeavor.


  • Electroconvulsive Therapy (ECT)
  • Family Therapy
  • Group Therapy
  • Individual Therapy
  • Medication Management
  • Psychological Testing/Diagnostic Clarification