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ANNUAL REPORT 2002

Letter from Chairman of the Board and the President

Dear Readers:

We are pleased and proud to report on another year of progress for McLean Hospital. Our skilled and dedicated staff has enabled us to continue to meet the important mission of care we committed to 192 years ago. In 2002, we treated more patients from more diverse backgrounds than ever before.

Bruce Cohen and Kathleen Feldstein

Bruce Cohen, MD, PhD, and Kathleen Feldstein, PhD

We enjoyed another record year of funding for research to improve care-a true testimonial to the excellence of McLean investigators. And we have continued training exceptional young clinicians for careers providing psychiatric and mental health services.

McLean continues to add new and much-needed ways to serve people. With the help of donations from grateful patients, their families and other friends of the hospital, new community residences have opened with programs that we believe are unmatched anywhere. A gift from the Hall-Mercer Foundation of $2 million enabled McLean to renovate and expand our center for children and adolescents so that we can provide both clinical and educational services for the most vulnerable among us. This report describes these and other new programs.

Funding of McLean researchers continued to enjoy unprecedented growth in 2002, climbing from $38.4 million to $42 million. In the past five years, McLean's research funding has grown 117 percent. These grants have supported important discoveries, some of which are highlighted in this report. Just this past year, a new test for attention deficit hyperactivity disorder was developed that should remarkably improve the detection and treatment of thousands of children with this illness each year. Extraordinary advances were also made in replacing damaged nerve cells in the brain, a finding that offers new hope to millions of people who suffer from neurodegenerative disorders, such as Parkinson's and Alzheimer's diseases.

Substance abuse, one of this country's greatest health problems, is also one of McLean's priorities in treatment and research. In 2002, the federal government awarded two substantial new grants to McLean researchers, which will enable them to explore novel treatment approaches so that individuals may receive the full benefit of the evolving science of addiction care. The grants, $7.7 million and $6.4 million, are the two largest federally funded research grants in McLean history.

The future of mental health services depends on training outstanding young professionals for careers in this field. We are extremely proud of McLean's training programs, which repeatedly attract the very best applicants from throughout the country. Among these programs are joint residencies in adult and child psychiatry with the Massachusetts General Hospital. We hope you will enjoy reading about several trainees featured in this report.

Providing mental health care has never been more challenging, as government agencies and private insurers cut back on financial reimbursement. At this time more than ever, we are grateful to the individuals and foundations that support our work. As we meet our challenges, all of us at McLean remain committed to improving the quality of life for those we serve.

Sincerely,

Kathleen F. Feldstein, PhD
Chairman of the Board

Bruce M. Cohen, MD, PhD
President and Psychiatrist in Chief