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SINAI HOSPITAL • SPRING1993 ISSUE
a.stonishing 28 percent of
erican adults suffers from
mental and/or addictive disorders
in a single year, reports a new
study in the Archives of General
Psychiatry. (Feb. 17, 1993).
Sinai Hospital's Department
of Psychiatry is well-poised to re-
spond to the demand those bleak
numbers impose on society.
"We are able to handle very
difficult, complicated patient
problems," says the Department's
Chairperson, Dr. Linda S.
Hotchkiss. This is accomplished,
she says, by maintaining a
"humanistic approach" along
with, when appropriate, the use
of today's most modern medica-
Responsiveness is the key to
appropriately designed treat-
ment, Dr. Hotchkiss asserts. "
We select from among a variety
of approaches the one that is best
suited for an individual. In short-
term crisis intervention, we help
basically healthy people
rediscover effective coping skills
and learn new ones. In more se-
riously ill individlials, we look for
biological, psychological and so-
cial dysfunction. We correct what
we can and help the patient and
family live as fully as possible
despite the challenges. We deal
with each patient as an individ-
ual and tailor treatment to fit the
Building on a
"Personally, I'm fascinated by
human behavior," Dr. Hotchkiss
says. "When I was in medical
school at Harvard and I selected
psychiatry, a lot of my fellow stu-
dents asked me, 'How can you
choose something where it takes
so long to see an improvement?
Wouldn't you rather just get a
patient with a broken bone, set it
and be done with your job?'
"But I feel if I can help change
behavior and help a person
function, then that is the most
gratifying thing I could do
because those new skills can
change the rest of his life.
"And what's happening in
psychiatry right now is also ex-
citing," Dr. Hotchkiss adds. "For
example, through special
x-ray techniques and research,
we're learning much more about
the brain as the command center
of emotions and behaviors."
Dr. Hotchkiss, a Detroit
native, proudly inherited her
chair from Dr. Norman Rosen-
zweig, whom she describes as a
"force in psychiatry in Detroit."
Started 31 years ago, Sinai's
Department of Psychiatry now
maintains an attending staff of
more than 100 psychiatrists
including a large group of active
adult and child psychoanalysts.
Sinai's staff and faculty include
highly regarded specialists in
geriatrics, women's issues, foren-
sic psychiatry, hypnotherapy,
depression illnesses, marital ther-
apy and schizophrenia.
Broadest Range of
Psychiatric Services in
The science of psychiatry has
exploded in recent years with
new biological knowledge of the
brain and its functions. In a com-
mitment to keeping up with
both academics and economic
challenges, Sinai Hospital has
continuously remolded its
Department of Psychiatry. It is
the only hospital in the area pro-
viding a full spectrum of services
for all members of the communi-
• The Emergency Crisis
Intervention Walk-In Service pro-
vides a safety valve for the indi-
vidual suffering an acute mental
health crisis. This may occur af-
ter a sudden change in one's life,
such as the death of a loved one,
a trauma or a marital crisis. The
nature of the problem
is rapidly defined so the
individual's specific problem can
• For the more acutely
disturbed individual, Intense
Inpatient Treatment offers a
structured, safe environment.
Sinai, a recognized force in treat-
ing the severely impaired, often
receives very ill patients.
Sinai's Psychiatry Depart-
ment is known for competently
managing an inpatient popula-
tion, about two-thirds of whom
also suffer serious physical
problems. Sinai's dedication to
keeping current means patients
benefit from what Dr. Hotchkiss
praises as "tremendous ad-
vances" in medication accompa-
nied by skilled psychotherapy.
The inpatient service is cur-
rently being remodeled to provide
peaceful, private quarters for
incoming patients who cannot
cope with the activity and
stimulation of the more tradi-
• Patients who are stabilized
and require less structure may
be admitted or transferred to one
of Sinai's three Day Hospitals in
West Bloomfield's Jewish
Community Center, at Greenfield
and Six Mile in Detroit, or on the
main Sinai campus.
Sinai was one of the first hos-
pitals nationally to provide a Day
Hospital or partial hospitaliza-
tion. This option provides day-
time structure and group therapy
dedicated to promoting patients'
functioning skills while permit-
ting them to go home at night.-
• Sinai also offers outpatient
consultation services; tradition-
al appointment schedules of one
to three times per week. When
long-term, outpatient therapy
may include exploration of early
life experiences as well as the bi-
ological and current environ-
mental influences on one's
behavior, thoughts and feelings.
• The Psychiatry Department
is understandably proud of its
SHHIPS program — the Sinai
Hospital Hearing Impaired Pro-
fessional Services Clinic. The only
State-funded program of its kind
in Michigan, SHHIPS provides
two psychiatrists proficient in
sign language and appreciative
of the uniqueness and richness
of deaf culture to treat this often
ignored and underserved popu-
• The campus Outpatient Ser-
vice at the Blumberg Profession-
al Building is a designated
contract agency for the De-
troit/Wayne County Community
Mental Health Board, serving a
designated population of 180,000
• For those patients who en-
Department of Psychiatry Chairperson Linda
Hotchkiss, M.D., oversees a department that
specializes in superior inpatient and outpatient
ter Sinai for medical or surgical
purposes and develop a need for
psychiatric assistance, the De-
partment responds rapidly to re-
quests for consultations through
its Consultation-Liaison Service.
Obstetric and gynecology patients
dealing with emotionally painful
events benefit from the special
attention of Dr. Hotchkiss. Geri-
atric patients routinely gain a
friend as well as a healer in psy-
chiatrist Dr. Ronald E. Trunsky.
In addition, specialized counsel-
ing services have been estab-
lished to held cancer, pain clinic
and perinatology unit patients.
Patients may elect to contin-
ue with counseling as outpa-
tients. Individuals may seek to
resolve problems with or after
pregnancy, eating or sexual
disorders, and management of
stress, menopause and nontra-
ditional family life.
For the elderly, life transition,
sudden behavioral changes,
bereavement, and sexual
dysfunction are some of the prob-
lems addressed. It is not unusu-
al for Dr. Trunsky to visit a
homebound geriatric patient.
Research and Roses
Sinai's progressive and dy-
namic Psychiatry programs mea-
sure up to two of academia's most ,
scrupulously applied yardsticks:
education and research.
The Department of Psychia-
try's international reputation for
excellence and innovation at- I
tracts residents from around the I
country, even the world. The ful-
ly accredited residency program I
founded by Dr. Trunsky, peren-
nially selects from a pool of ex- I
tremely well-qualified applicants. ,
And Dr. Trunsky, who de-
scribes himself as "inspired" by I
his patients, has likewise inspired I
his students. Seven years in a I
row he has been named "Teacher I
of the Year" by the Wayne State I
University School of Medicine.
In addition to residents, the
Department trains more than I
100 Wayne medical students a ,
year as well as occupational/
recreational therapists, psychi-
atric social workers and nurses I
and clinical psychologists.
The Department engages in I
both basic science and clinical re-
search. The Sinai affiliated Cen-
ter for Cell Biology has been a
leader in the fields of neuro-
chemistry and neurophysiology.
The knowledge gained by these „
pioneering efforts is contributing
to scientific understanding of the I
brain and how its functions in- I
fluence behavior. 1
Dr. Hotchkiss, Dr. Charles 1
Burch, Dr. Brad Carroll and the I
staff of Sinai's Developmental As- I
sessment have established the I
Preventive Intervention Re-
search Project in which they ,
study parent-infant interaction
and the social and emotional de- I
velopment of premature infants. I
Dr. Walter Sobota studies cogni-
tive problems in patients who 1
have had heart attacks and el- 1
derly patients who have under- I
New medications and new
forms of therapy are also contin- 1
ually being explored, Dr. ,
Hotchkiss notes. And, she swift- '
ly adds, none of these assets
would count without her staff:
"We have an incredibly, in- 1
credibly well-trained, highly mo- I
tivated permanent nursing, social I
work, psychology and occupa-
tional/rehabilitation therapy I
staff," says a grateful Dr. 1
Hotchkiss. "They are so dedicat-
ed and creative about problem
solving and so caring about the '
The comprehensiveness of I
Sinai's Psychiatry programs has 1
succeeded in supplying the finest 1
in education and research as well I
as maintaining superior stan-
dards of patient care.
These are physicians in the Departments of
Family Practice, Physical Medicine and
Rehabilitation and Psychiatry who actively
practice at Sinai. They provide specialty
services in numerous areas and have offices
throughout southeastern Michigan. For a
referral to a physician close to your home or
office who accepts your medical insurance,
call 1-800-248-3627 between 8 a.m. and 5 -
p.m. Monday through Friday.
Elsa Alcantara, M.D.
Kenneth L Colton, D.O.
Donald S. Dreyfuss, D.O.
Fredric H. Gold, D.O.
Marcia Hudson, M.D.
Newman M. Kopald, D.O.
Sander A. Kushner D.O.
Robert C. Levine, M.D.
Richard N. Mark, D.O.
Conard R. Pearl, D.O.
David S. Rosenberg, D.O.
William M. Ross, D.O.
Wafie D. Roumayah, M.D.
Marshall B. Sack, D.O.
Ruth Salo, M.D.
Samuel Scheinfield, D.O.
A Barnett Solomon, M.D.
Noel H. Upfall, D.O.
Michael S. Wayne, D.O.
Kamram Zakaria, M.D.
James M. Zelch, M.D.
Physical Medicine & Rehabilitation
Gary Chodoroff, M.D.
Lewis Cohen, M.D.
Maury R. Ellenberg, M.D.
Nathan L. Gross, M.D.
Joseph C. Honet, M.D.
Stephen C. Hyman, M.D.
M. David Jackson, M.D.
Dong W. Lee, M.D.
Samuel B. Milton, M.D.
Max K Newman, M.D.
James A. Raikes, M.D.
H. Jay Abel-Horowitz, M.D.
J. Scott Allen, M.D.
John Argy, M.D.
Reuven Bar-Levav, M.D.
Albert N. Bayer, M.D.
Alan K Benenson, M.D.
Joan T. Bornstein, D.O.
Howard Brode, M.D.
Emmanuel R. Casenas, M.D.
Bernard Chodorkoff, M.D.
Calmeze H. Dudley, M.D.
John T. Dziuba, M.D.
Michael J. Freedman, M.D.
Rosalind E. Griffin, M.D.
Toby Hazan, M.D.
David W. Hershey, M.D.
Wendy A. Hillebrand, M.D.
Linda S. Hotchkiss, M.D.
Fathy F. Ishac, M.D.
Kenneth Israel, M.D.
Augusta M. Jamora, M.D.
Marieta Jamsek, M.D.
Ahmed Kafi, M.D.
Lori A. Katzman, M.D.
Cassandra M. Klyman, M.D.
Bernard E. Kole, M.D.
Leonard W. Lachover, M.D.
Robert Lacoste, M.D.
Keith Lepard, M.D.
Sudhir Lingnurkar, M.D.
Linda J. Logsdon, M.D.
Anthony B. Michaels, D.O.
John S. Moran, M.D.
A Michele Morgan, M.D.
Sarla M. Nandani, M.D.
Kenneth E. Pitts, M.D.
Pram S. Prasad, M.D.
Chalakudy V. Ramakrishna, M.D.
Abdul G. Riaz, M.D.
Leonard J. Rosen, M.D.
Alan H. Rosenbaum, M.D.
Norman Rosenzweiz, M.D.
Leon M. Rubenfaer, M.D.
Theodore J. Ruza, D.O.
Bruce M. Sack, M.D.
Ashok R Shah, M.D.
Frederick F. Shevin, M.D.
Gerald A Shiener, M.D.
Donald F. Silver, M.D.
Natraj Sitaram, M.D.
Ronald E. Trunsky, M.D.
Marvin S. Weckstein, M.D.