Medical Psychiatry

Aspire Hospital is pleased to provide the community with specialized complex medical care for the treatment of certain comorbidities on our Medical-Psychiatric Unit (MPU), the only such specialized care unit in our community.

Comorbidity is the simultaneous presence of two chronic diseases or conditions in a patient. Therefore, patients who have both acute, active medical and psychiatric problems are candidates. Treating patients with low level medical diagnoses simultaneous to psychiatric diagnoses is a growing specialty at Aspire Hospital.

Admission Criteria

Patients who have both acute, active medical and psychiatric problems are candidates if they also meet the following criteria:

• Age 18+
• Medical Diagnosis
• Mental Health Diagnosis
• Inability to demonstrate age-appropriate responsibility in management of their chronic illness, behaviors (including eating) that are not self-destructiv, medication, compliance, and/or mood stability

Inclusionary Criteria

All MPU admissions are reviewed on a case by case basis and must be approved by the MPU Medical Director based on the diagnosis, level of acuity, and presentation. The following inclusionary list is for exclusion of admission and treatment. It is not exhaustive or automatic.

• Chronically low WBCs due to chronic medical condition
• COPD exacerbation
• Dehydration
• Detox (simple or complicated alcohol or benzodiazepine)
• Diabetes (without diabetic ketoacidosis)
• Diagnostic imaging needs
• Electrolyte abnormalities
• Elevated CK (with 2 lab results showing abnormal value is resolving)
• HTN that is poorly-controlled or severe
• Indwelling Foley catheter
• IV therapy
• Oxygen
• Pneumonia
• Status post-surgical procedure
• Uncompensated CHF
• UTI (simple or complicated)
• Wound care, Levels I, II and III

Exclusionary Criteria

All MPU admissions are reviewed on a case by case basis and must be approved by the MPU Medical Director based on the diagnosis, level of acuity, and presentation. The following exclusionary list is for exclusion of admission and treatment; it is not exhaustive or automatic.

• Acute Infectious Disease
• Diabetic ketoacidosis
• Dialysis Treatments
• Feeding/Eating/Swallowing disorders
• Known brain/head injury or delirium secondary to known medical condition
• Less than 24 hours post drug overdose or blood transfusion
• Needs suctioning, Telemetry, Tracheotomy care, Ventilator
• Oxygen saturation level below 92% while receiving oxygen
• Physical therapy required
• PICC line/Central line feeding tube
• PICU level of care (requires or high risk to require mechanical restraints)
• Pregnancy
• Primary diagnosis of Alzheimer’s without psychiatric symptoms
• Serum potassium less than 3.0 Serum sodium less than 130
• Severe autism or severe mental retardation diagnosis
• Severe dementia (organic)
• Severe respiratory issues
• Temperature over 101 degrees Fahrenheit without known cause
• Total care (inability to feed, shower, perform ADLs, transfer in/out of bed)
• Unable to participate in active individual or group therapy
• Uncontrolled seizure disorder

Treatment Program Overview

At Aspire Hospital, we recognize and understand how extremely difficult it is to cope with and learn to manage a lifelong disease…let alone two. Especially if no one understands your circumstance, educates you, provides comprehensive treatment of your comorbidity, or offers the ongoing support you need.

Aspire Hospital staff do understand. We educate patients and their families so they too can learn and understand. We integrate effective strategies leading to successful management of chronic conditions in daily life. Our experienced professionals provide effective treatment to achieve the goal of rapid stabilization, but also the provision of resources necessary for long-term compliance and success.

The MPU at Aspire Hospital provides a balance of medical and mental health treatment which incorporates education, therapy, positive reinforcement, structured activities and social aspects as well as the perspective and wishes of the patient and their family.

We also provide a free monthly ongoing support group to help adults continue to heal, learn and gain a balanced perspective both emotionally and physically to greatest of their abilities.

Referral Sources

Referral sources include hospitals, nursing homes, assisted living facilities, doctor offices, mental health court, and family members as well as friends and caregivers.

Aspire Behavioral Health Hospital
2006 South Loop 336 West, Suite 500;

Conroe, TX 77304
Phone: 936-647-3500
Fax: 936-756-1937