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Round up: A look at inpatient psychiatry in
New England
VERMONT

(May 2004 Issue)

Fletcher Allen Health Care, with locations in Burlington and Colchester, plans to expand its inpatient psychiatric care as part of a large-scale renovation and enhancement of its facilities. The new institution, named the Renaissance Project, will be a $173.4 million endeavor that increases all aspects of the health care center.

The inpatient psychiatric component will be built after the center's major piece, an ambulatory care center that brings together several medical care needs into one place including a cancer center and an expanded emergency department.

Colin Parker, Fletcher Allen spokesperson, says that the center is eager to expand its psychiatric facilities, which currently have only double beds and tends to often be at capacity. Unlike the ambulatory care center, which is being built new, the psychiatric facility will be an expansion and is therefore waiting in the wings. "It's just a matter of whose turn it is for what gets built next," Parker says.

The psychiatric unit may have a wait ahead of it of up to a year, but Parker notes that when it gets built, it will give the center more room and flexibility. The plan is to add 20,000 square feet and 28 new beds, with 20 of those being singles. There will also be some therapeutic space, but the main focus is in increasing bed capacity. Fletcher Allen has a partnership with the University of Vermont College of Medicine and is the state's only academic medical center.

In other hospital news, an on-going debate has been gathering ferocity over the Vermont State Hospital (VSH) in Waterbury. A recent report issued by the Boston-based Public Consulting Group recommended options for replacing the 110-year-old hospital. The report states that the VSH serves patients whose needs currently could not be met by another provider in the health care system. Because of this situation, a new building is recommended.

According to the report, renovations will not be adequate to address the existing problems. "The age and condition of the building eliminates renovation as a option to create a quality facility to support the challenging mission of the hospital," it says.

Legislative reaction to the report was mixed, but the majority of Vermont legislators praised the recommendation. Shortly before the report was released, the state's Health Access Oversight Committee also recommended closing the hospital. At this time, no plans have been made as to a new location or new facilities for the VSH.

Elizabeth Millard