Treatment of Hassidic Jewish patients in a general hospital medical- psychiatric unit

A combined medical-psychiatric inpatient unit at a general medical center in Brooklyn, New York, provides inpatient psychiatric treatment to members of the Orthodox Jewish sect of the Lubavitcher Hassidim, who are generally reluctant to accept treatment in traditional psychiatric inpatient settings. The unit's biological treatment model, which emphasizes long-term maintenance on psychotropic medication, monthly postdischarge pharmacotherapeutic visits, lowered expectations, and minimal use of expressive psychotherapy, is compatible with the Hassidic community's view of mental illness. A practicing Orthodox Jewish psychiatrist on the unit staff sensitizes other staff members to religious and cultural issues in treating Hassidic patients.