Dr. Spitzer is the Administrative Director of Inpatient Psychiatry at the Montefiore Medical Center's Moses Division. She is responsible for the development, implementation and supervision of the Klau-2 milieu treatment program and supervises behavioral management interventions for the milieu, including the management of crisis and individualized behavior plans for high-risk patients. Dr. Spitzer provides direct supervision of administrative staff, Social Workers, and the Creative Arts Therapy team. She conducts clinical supervision of Psychiatry Residents and Psychology Interns in individual and family therapy, and interpersonal group psychotherapy. 

Dr. Spitzer has also developed the Montefiore Crisis Management (MCM) Program, a hospital-wide crisis intervention training protocol. She teaches this program to Dept of Psychiatry and MMC security staff, as well as hospital staff in med/surg, ED, ID Clinic, SATP  and other clinical areas. She consults with medical units on the behavioral management of difficult patients utilizing MCM principles. Dr. Spitzer teaches didactic seminars in group psychotherapy, psychodynamic case presentations, inpatient behavioral treatment, behavioral management of crises and forensic psychology.