A GUIDE to Mclean HOSPITAL Putting People First in Mental Health Care

A GUIDE TO McLEAN HOSPITAL Putting people first in mental health care,

research, and education.

– Former McLean patient

Addiction

McLean Hospital provides comprehensive support management, if required, and a daily educational for individuals who want to reduce chemical curriculum to promote prolonged recovery. dependency and regain control of their lives. Knowing that substance use is often seen alongside other psychiatric disorders, such as depression, Our Signature Addiction Recovery Programs anxiety, and trauma, our programs leverage the combine world-class treatment with luxury expertise and wide-ranging mental health and amenities. Each self-pay setting—Fernside, evaluative services throughout McLean Hospital. located in scenic Princeton, Massachusetts, Addiction care is provided in a variety of and Borden Cottage, located in Camden, environments—including inpatient, residential, Maine—offers private accommodations in and day programs (partial hospital)—in order a serene location, which allows patients to to meet the needs of all McLean patients. In- focus on recovery. A month-long stay at either depth assessment, personalized treatment, location allows individuals the opportunity case management, and ongoing support and to concentrate only on their treatment and education are hallmarks of these services. is recommended to ensure success. Based on the proven success of a residential These programs are ideal for adults ages 18 model to treat addiction, McLean offers both and older entering treatment for the first insurance-based and self-pay treatment options. time, those who have previously completed Each of our programs combines evidence-based a treatment program but have relapsed or psychosocial treatment provided by Harvard are at risk to relapse, or those who have tried Medical School-affiliated clinicians. Individual and other treatment programs but were not ready group therapy is offered, along with medication for or satisfied with the previous care.

mclean.org/addiction Bipolar Disorder and Schizophrenia

For patients who live with schizophrenia, bipolar has two community programs that assist with disorder, or other severe forms of mental illness, in-home treatment and daily living support. McLean Hospital offers an array of mental health services. Successful treatment of these disorders involves a combination of elements, including Appleton is a self-pay, residential treatment medications, talk therapy, symptom education, program for adults with persistent psychotic and rehabilitation and social supports. disorders. Program staff provide the kind Staff in our inpatient, residential, outpatient, of personalized care that enables people to and community-based programs have understand, accept, and manage their illnesses specialized expertise in treating this patient so they can return to their communities population and in providing individualized and live as independently as possible. support and education to family members. McLean OnTrackTM is an outpatient program McLean is dedicated to continuity of services for adults ages 18-30 specializing in the early during transitions and helps to coordinate recognition and treatment of psychotic care with community clinicians, social service disorders, especially first-episode psychosis. agencies, families, and other support systems. The program works with each patient to Our inpatient programs provide care for prevent further psychotic episodes, restore individuals in acute crisis or with severe a person’s functioning, and help individuals exacerbation of illness where safety or self- and families regain their sense of control. care are seriously compromised. McLean also

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– Parent of a patient treated at McLean – Former McLean patient

Borderline Personality Disorder

We know what it means to have borderline medical assessments, customized treatment plans personality disorder (BPD), and we are here and aftercare planning, medication evaluation and to help. At McLean Hospital, we combine the management, and patient education and support. highest quality care, research, and clinical training to provide unparalleled specialty services for adolescents and adults living with BPD. Offering Our most popular adult programs, named individual and family services that have proven after McLean's famed BPD pioneer John results, McLean has specialized residential, Gunderson, offer intensive treatment and partial hospital (day) programs, and outpatient skills training for men and women. Residential care—as well as an array of treatments for through outpatient care is available in these coexisting diagnoses and symptoms such as comprehensive, self-pay programs. depression, anxiety, addiction, and trauma. Our adolescent DBT programs known as 3East Our specialized therapeutic approaches, offers a full continuum of self-pay treatment including dialectical behavior therapy (DBT), services for adolescents ages 13-21 with BPD general psychiatric management (GPM), and related diagnoses and symptoms. With and mentalization-based treatment (MBT), care settings ranging from residential to help patients with the goal of improving outpatient, treatment at 3East places heavy interpersonal and relationships skills and emphasis on patient education, including reducing self-destructive behaviors. learning DBT and other coping skills. Services include individual and group therapy, family therapy, comprehensive psychiatric and

mclean.org/bpd Depression and Anxiety Disorders

At McLean Hospital, we are dedicated to providing patients to manage their illnesses on their own. comprehensive mental health services to help individuals living with mood disorders such as The OCD Institute provides insurance- depression and anxiety. We utilize evidence- based residential and day program care for based treatment and therapy models informed adults with severe OCD and co-occurring by cutting-edge research conducted at McLean psychiatric diagnoses. Exposure and response and around the world. By incorporating various prevention therapy and other cognitive approaches, treatment can be customized for behavioral therapies help patients work toward each individual to help ensure recovery. objective measures of improvement. Group Depression and anxiety care incorporates therapy targets symptom management, individual, group, and family therapy, goal setting, motivation, mindfulness, and behavioral therapies, diagnostic assessment, normalization in daily functioning. consultation services, tailored treatment plans, The Pavilion is the premier destination and medication evaluation and management. for adults requiring comprehensive McLean is committed to providing robust psychiatric assessment. With the goal of patient and family education and support, clarifying diagnosis and offering effective including educational materials, support groups, treatment recommendations, this self- and assistance with community resources. pay program provides unparalleled Our inpatient programs offer a safe and secure diagnostic evaluation with an emphasis environment for patients in need of immediate on flexibility and confidentiality. acute care, while our residential, day, and outpatient programs focus on providing skills for mcleanhospital.org/anxiety

– Former McLean patient Child and Adolescent Mental Health

McLean treats children ages 3-19 for an array Our expert clinicians and support staff have of diagnoses, including depression, anxiety, dedicated their careers to working with young ADD/ADHD, and bipolar disorder, and we people and so are able to provide compassionate, also provide specialty treatment programs focused care to this patient population. This focusing on OCD and personality disorders multidisciplinary staff works collaboratively and their accompanying symptoms. Our full with family, community-based clinicians, complement of inpatient, outpatient, residential, schools, and social service agencies to establish and partial hospital services helps young realistic treatment goals for each child. people and their families cope with psychiatric McLean is also home to two academic programs— illness and the challenges it often brings. Arlington School, a fully accredited high school State-of-the-art diagnosis and treatment is tailored for students who are challenged by psychiatric to each child’s needs and focuses on symptom disorders, and Pathways Academy, which serves reduction and skills development. Patients and elementary through high school students who their families benefit from our range of treatment have autism spectrum and related disorders. programs as well as access to consultation services from specialties throughout the hospital. Our adolescent programs known as 3East phobias, panic attacks, separation anxiety, offers a full continuum of self-pay dialectical and obsessions and compulsions. This behavior therapy (DBT) treatment services for self-pay outpatient clinic offers group teens ages 13-21 with borderline personality therapy with an emphasis on exposure disorder, mood disorders, post-traumatic and response prevention therapy. stress disorder, or those struggling with self- OCDI Jr., a component of McLean’s OCD injurious or suicidal thoughts or behaviors. Institute, is an insurance-based residential With care settings ranging from residential program for children and adolescents to outpatient, treatment at 3East places heavy ages 10-18 with obsessive compulsive emphasis on patient education, including disorder and/or severe forms of anxiety. The learning DBT and other coping skills. program uses evidence-based behavioral The McLean Anxiety Mastery Program treatment approaches, including exposure works closely with children and adolescents and response prevention therapy and ages 7-19 who present with social anxiety, acceptance and commitment therapy.

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– Parent of a teen treated at McLean Eating Disorders

Founded with the generous support of the also struggle with co-occurring mental health Klarman Family Foundation, the Klarman Eating conditions such as substance use, depression, Disorder Center provides state-of-the-art treatment mood and anxiety disorders, and post-traumatic for young women ages 16 to 26. Our residential stress disorder. and partial hospital program specializes in the Patients are taught skills to manage their physical treatment of anorexia, bulimia, and binge eating and mental health and to change problematic disorder. Recognizing that each young woman behaviors by increasing their self-awareness. has a distinct set of issues that contribute to her Care also includes monitoring of labs, vital signs, eating disorder, we also understand that many bathroom use, weight, and physical health. mclean.org/klarman

– Former McLean patient – Former McLean patient

Older Adult Mental Health

McLean Hospital provides comprehensive Treatment options include short-term acute diagnosis, treatment, and follow-up care inpatient care geared towards stabilization for for individuals ages 50 and older who are individuals with Alzheimer’s disease or other experiencing emotional, cognitive, or behavioral forms of dementia, depression, bipolar disorder, symptoms. These may include memory loss, anxiety, and thought disorders, as well as those mood disturbances, anxiety, Alzheimer’s disease coping with loss, bereavement, and changes in or other dementias, difficulty coping with losses functioning, behavior, and agitation. We also and transitions, or behavioral conditions that offer outpatient services focused on follow-up interfere with care at home or in a long-term care and dedicated to skill building and symptom care setting. reduction for patients with an array of psychiatric Our older adult programs utilize proven conditions who do not require hospitalization. treatment models informed by basic and The main components of care include diagnostic clinical research. Our interdisciplinary team evaluation, solution-focused treatment, group of expert clinicians and support staff have therapy, behavioral strategies, medication chosen geriatrics as their specialty and pride evaluation and management, and aftercare themselves on providing compassionate and planning. Consultation services are also available, efficient care. We work together to collaborate including internal medicine, neurology, with patients and families to provide first-class imaging, rehabilitation medicine, nutrition treatment in a comfortable environment. services, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT). mclean.org/older-adult – Former McLean patient

Trauma

McLean provides exceptional care for those care focusing on group and individual therapy living with trauma symptoms and disorders alongside medication consultation as needed. such as PTSD and dissociative identity disorder. Alongside comprehensive diagnostic assessments and specialty consultations, our The Hill Center for Women offers residential services offer personalized treatment using and day program treatment for women with evidence-based behavioral therapies. histories of trauma and related disorders such Our trauma programs are ideal for those living as post-traumatic stress disorder, dissociative with the effects of childhood abuse or other disorders, and borderline personality disorder. traumatic events, all of which proudly maintain Empathy, compassion, collaboration, and a strong reputation for their balanced emphasis empowerment are emphasized in order to on stabilization and healing. We offer residential, help women build strength and regain control inpatient, partial (day program), and outpatient of their lives.

mclean.org/trauma “Mental illness is nothing to be ashamed of.”

Before marrying artist Dale Chihuly, who was diagnosed with bipolar disorder a couple of years before they met, Leslie was familiar with the deep depressions and extreme highs associated with bipolar. Growing up, she witnessed her mother cycle through depression and mania and as an adult, was left grief- stricken when her mom died by suicide at age 76. I think my experience with my family prepared me to be a good caregiver and partner to Dale. The story of Dale and me is a story of overcoming and doing things to make the world a beautiful place in spite of the personal losses we’ve experienced. Leslie has made a commitment to raise awareness about mental illness and its stigma by sharing her story and by choosing not to hide from the ups and downs life has brought her. Talking about mental illness is a huge step forward, and I hope as a society we get to a point where we can all speak openly about these disorders without fear of judgment. Mental illness is like any other chronic disease like heart disease or diabetes. It’s not something that will go away, but it is something that we can work with and manage. Leslie Washington | CEO Deconstructing Stigma

Deconstructing Stigma: Changing Attitudes About Mental Health is a multimedia international mental health awareness campaign that leverages first-person experiences, along with larger-than-life photographs, to educate and reinforce that mental health affects us all. With more than 200 volunteers from across the United States and beyond, through frank and poignant story-telling, this campaign challenges individuals to reflect on their own mental health, as well as that of their loved ones and friends.. deconstructingstigma.org Education

One in five Americans will experience a mental from the Deconstructing Stigma campaign, with health issue in their lifetime and more than 450 each presentation customized to ensure optimal million people worldwide currently live with a audience engagement based on demographics psychiatric disorder. Despite these numbers, such as age and cultural background. misinformation and stigma continue to persist • Expert coping skills training conducted by when it comes to mental health. In an effort to McLean Hospital and Harvard Medical address the need for high-quality mental health School clinicians. information, McLean has launched a public education initiative unlike any other. McLean's • Delivery of print and web-based education education team employs a multi-pronged material for children, adolescents, and adults. approach to introduce complex themes and • A customized Deconstructing Stigma display discussion points around mental health and that can be installed temporarily at each site. mental health stigma to lay audiences in an easily • Hands-on demonstrations using a real accessible and culturally sensitive manner. human brain leading to engaged and This includes: interested audiences. • Lived-experience storytelling by volunteers – High School Teacher

McLean has been invited to deliver its Local, national, and international partners mental health education and anti-stigma include the National Alliance on Mental programs to organizations in ten states, Illness, the American Foundation for seven countries, and five continents with Suicide Prevention, the International OCD components of Deconstructing Stigma Foundation, the University of San Francisco, having been translated into several languages. Quito, and Home of Brains, Kenya. mclean.org/education – Former McLean patient

Centers of Excellence McLean Hospital is proud to be the home of seven Centers of Excellence, where our expert Center of Excellence in Psychotic Disorders teams of psychiatrists, psychologists, nurses, social workers, and other clinical support staff Center of Excellence in Depression and provide highly specialized care that is consistently Anxiety Disorders cited as the gold standard in psychiatry. With Center of Excellence in Substance our unique ability to bring together McLean’s Use Disorders missions elements of clinical care, research, Center of Excellence in Child and Adolescent professional training, and advocacy, the Centers Psychiatry of Excellence offer psychiatric and scientific expertise whose collaborative efforts are improving Center of Excellence in Geriatric Psychiatry the lives of our patients and their families. Center of Excellence in Basic Neuroscience Center of Excellence in Women’s Mental Health mclean.org Training Research

For nearly 200 years, McLean Hospital—a McLean Hospital is home to the nation’s Harvard Medical School teaching hospital— oldest and foremost research program in a has been providing the finest professional psychiatric hospital setting, and since 1888, education for a wide range of mental health it has been dedicated to studying the role care professionals, including psychiatrists, of biological factors in mental illness. psychologists, nurses, and social workers, Investigators at McLean gain insight into the who seek training in a variety of specialties. causes of mental illness and neuropsychiatric Our fully accredited programming and neurodevelopmental disorders by using supports professional development with cutting-edge approaches and technology a focus on improving patient care. to maximize discovery and accelerate McLean is also committed to the education translation of findings. Clinician-researchers of patients and families and to public study volunteer patients and research awareness and outreach. By way of these subjects to improve treatment outcomes and interactions, the hospital enhances the develop new and better therapy models. understanding of psychiatric illness and With numerous laboratories and more than helps to reduce its stigma, while at the same 400 research scientists and staff, McLean’s time shaping mental health care practice. robust research program is backed by more than $40 million in funding from a variety of sources. mclean.org/training

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– Bill Carlezon, PhD, chief of the Division of Basic Neuroscience McLean Hospital 115 Mill Street Belmont, MA 02478 800.333.0338 McLean SouthEast 23 Isaac Street Middleborough, MA 02346 774.419.1000

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