Vishal K Gupta1, Helena Hansen2, Sonia Mendoza3, Xinlin Linda Chen4, Ronnie G Swift5. 1. 1Boston University School of Medicine,Boston,Massachusetts. 2. 2Departments of Psychiatry and Anthropology,New York University,New York,New York, andNathan S. Kline Institute for Psychiatric Research,Orangeburg,New York. 3. 3Department of Psychiatry,New York University,New York,New York. 4. 4New York University School of Medicine,New York,New York. 5. 5Department of Psychiatry,New York Medical College,New York,New York.
Abstract
OBJECTIVE: After Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue's outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care. METHODS: Physicians, clinicians, and administrators from both institutions participated in interviews regarding the merger. RESULTS: Issues that emerged in the interviews fell into 4 major themes: (1) organization and meshing of professional cultures, (2) regulation, (3) communication, and (4) accommodations. CONCLUSIONS: Despite these barriers, data collected after the merger showed high retention rates and low rates of positive urine toxicology results. (Disaster Med Public Health Preparedness. 2017;11:531-537).
OBJECTIVE: After Hurricane Sandy flooded Bellevue Hospital in New York City, its opiate maintenance patients were displaced and Bellevue's outpatient program was temporarily merged with the program at Metropolitan Hospital for continuation of care. The merger forced Metropolitan to accommodate a program twice as large as its own and required special staff coordination and adjustments in clinical care. METHODS: Physicians, clinicians, and administrators from both institutions participated in interviews regarding the merger. RESULTS: Issues that emerged in the interviews fell into 4 major themes: (1) organization and meshing of professional cultures, (2) regulation, (3) communication, and (4) accommodations. CONCLUSIONS: Despite these barriers, data collected after the merger showed high retention rates and low rates of positive urine toxicology results. (Disaster Med Public Health Preparedness. 2017;11:531-537).
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