COMMUNITY BENEFITS 2009

Introduction

McLean Hospital has been meeting the needs of individuals and families with psychiatric illness since its founding in 1811. It offers a full spectrum of care spanning inpatient, acute and longer-term residential, partial hospitalization, and outpatient services. McLean also offers an expanded array of specialized academic and clinical programs for children and adolescents, as well as, dedicated services for older adults with Alzheimer's disease and other dementias.

Over the past decade, McLean has expanded its clinical reach beyond Belmont, in communities throughout Massachusetts. It now operates satellite programs in Ashburnham, Boston, Brockton, Cambridge, Princeton, and Waltham, while providing emergency psychiatric coverage to hospitals in Brockton, Plymouth, and Winchester.

Mission Statement

The largest psychiatric clinical care, teaching, and research affiliate of Harvard Medical School, McLean Hospital is committed to:

Providing a full range of high-quality, cost-effective services to individuals of all backgrounds, their families, and the community.
Supporting basic and clinical research into the causes, treatments, and prevention of mental illness.
Educating current and future generations of mental health professionals.

Improving Community Health through Innovative Programs

Improving community health is a natural extension of McLean's tripartite mission of clinical care, research, and teaching, and its long-standing commitment to individuals with psychiatric illness. Following are some examples of how McLean is continuously working to serve the community in innovative ways that have a favorable impact on the daily lives of community residents:

During the Partners/Channel 7 Health and Fitness Expo on June 27 and 28, 2009, McLean hosted a large exhibit booth at which thousands of attendees were able to obtain general information on mental health and information specific to McLean's programs and services. Under the direction of James Ellison, MD, Clinical Director of McLean's Geriatric Psychiatry Program, nearly 100 men and women had the opportunity to participate in a combined memory and mood screening. The screening resulted in a number of referrals to the primary care physicians of many of those who participated.
A new and popular feature to this year's McLean exhibit was an educational display on the use of MRI in diagnosing illness and conducting psychiatric research. The display also featured an interactive component that enabled participants to experience what it is actually like to undergo an MRI procedure.
McLean also sponsored a cooking segment, highlighting "brain-healthy" foods, and provided speakers on relationships and positive psychology.
During Mental Illness Awareness Week in October 2009, McLean helped heighten public awareness of psychiatric disorders by holding depression screenings for adults and senior citizens. Additionally, the hospital served as a corporate sponsor of the Alzheimer's Association Memory Walk.
The Alcohol and Drug Abuse Treatment Program (ADATP) held its 10th annual alcohol screening in April 2009, which offers free and confidential screenings, education, and consultation for individuals and family members who are affected by alcohol use disorders.
Additionally, the ADATP staff and a generous McLean donor partnered to provide Shunda McGahee, MD, of Boston Health Care for the Homeless Program (BHCHP), with a week-long intensive clinical training experience in addictions psychiatry aimed at improving addiction treatment services for the homeless through the BHCHP. Hilary Connery, MD, PhD, Medical Director of Residential and Ambulatory Programs within the ADATP, directed this project and is engaged in ongoing supervision of Dr. McGahee in executing new initiatives at BHCHP. Dr. Connery is also working as a member of the new Public Psychiatry and Addictions Committee at Massachusetts General Hospital to continue this community improvement effort.
Clinicians in the Geriatric Psychiatry Program offered free memory screenings and lectures on memory and aging and recognition of dementia, at multiple assisted-living facilities throughout 2009. They also participated in the annual Alzheimer's Association Memory Walk held each fall in Boston and spoke at various conferences, including the annual gathering of the Alzheimer's Association of Massachusetts/New Hampshire and the Massachusetts Councils on Aging. Janet Lawrence, MD, continued her work as an Alzheimer's Association board member, while Brent Forester, MD, was elected to a three-year board term.
Throughout 2009, McLean continued to provide clinical and prevention services within the Boston Public School System through the RALLY program (Responsive Advocacy for Life and Learning in Youth) at the Curley K-8 School in Jamaica Plain. Founded by McLean clinician Gil Noam, EdD, PhD, RALLY provides services to approximately 150 seventh and eighth grade students and their families who come from Jamaica Plain, Dorchester, Roxbury, West Roxbury, Roslindale, and Mattapan. With a particular focus on resiliency building and early detection of mental health issues, RALLY "prevention practitioners" help students develop supportive relationships, provide academic assistance, refer students to services or enrichment opportunities in the community, and bridge communication between students, teachers, families, school staff, and other service providers.
RALLY staff also has provided training and consultation to schools on a variety of issues related to supporting students and families with social/emotional issues within a school context. Additionally, RALLY is facilitating a consortium to bring together community providers and school staff to bolster the partnership between school and community. Fifteen to 20 community providers are active members, and students are also participating in the consortium. This network enables students and families to have greater access to opportunities and is helping to create a stronger sense of collaboration between schools, families and the larger community.
McLean clinician Gil Noam, EdD, PhD, Director of the Developmental Psychology and Psychopathology Program, has created a method to engage with many communities and school districts: PEAR Impact. PEAR Impact is a consultation, training, and certification initiative from the Program in Education, Afterschool & Resiliency (PEAR). The initiative integrates up-to-date research findings and theoretical frameworks from the fields of psychology, youth development and education to strengthen internal capacity and develop adult potential to more effectively address a broad range of socio-emotional needs among young people. In 2009, a number of Boston organizations sent representatives to the first cohort of trainees, which began the two-year program in September. PEAR also delivered training to City Year and began work with Neighborhood House Charter School in Dorchester.
Joseph Gold, MD, Chief Medical Officer for McLean and Clinical Director of McLean's Child and Adolescent Psychiatric Services, continues to oversee, and helped to establish, the Massachusetts Child Psychiatry Access Program (MCPAP) at North Shore Medical Center, MGH, and McLean SouthEast in Brockton. MCPAP provides enrolled pediatricians telephone access-within 30 minutes-to a child psychiatrist, social worker, or care coordinator so they can get questions answered quickly. Staff at these hospitals enrolled in MCPAP also see patients in person and refer them for ongoing care.
McLean initiated collaboration with the Plummer Home for Boys in Salem, to assist this facility for underprivileged boys advance its community-based services.
McLean is assisting the Wampanoag Tribe in Mashpee in developing clinical resources and access to mental health and substance abuse services for tribal members. To date, the collaboration has resulted in the tribe's receipt of a federal grant to study the effects of Native American healing strategies for psychiatric issues and those involving substance use disorders.
Waverley Place, the hospital's community support program, continued to offer services and activities that help people with mental illness live successfully in the community. In 2009, the program's four peer counselors received specialized training in the provision of vocational rehabilitation services. Inclusion of peer counselors and emphasis on employment are ways that the program works to reduce stigma against the mentally ill in the community. Waverley Place supports members' participation in many community activities, such as operating a stand in the Belmont Farmers' Market and helping members find volunteer jobs, in such places as the Belmont Public Library and Waltham Fields Community Farms.
The Jonathan O. Cole, MD, Mental Health Consumer Resource Center at McLean Hospital, offers a number of invaluable resources free to mental health consumers and their families, including education, social skills and community building, advocacy, and volunteer opportunities. The center actively collaborates with other organizations of similar mission to expand the scope of its operations in the mental health consumer community. During 2009, more than 150 people of all ages and backgrounds volunteered through the center in a variety of McLean programs and services.
The Cole to Teen Education Project is designed to introduce adolescents to the services and educational programs provided by the Jonathan O. Cole, MD, Mental Health Consumer Resource Center at McLean. Goals of this initiative include helping high functioning adolescents with mental illness build relationships during and after their psychiatric inpatient experience. The adolescents can participate in group activities or if they desire, can be assigned an individual volunteer/peer educator (either a Cole Center member or volunteer). During 2009, more than 35 mentors participated in the project that served over 1,000 teens. A monthly adolescent grand rounds has been added to the program where peer educators share their stories of diagnosis, treatment and recovery from mental illness. The teens are encouraged to ask questions regarding illness, medication, etc.
During 2009, McLean clinicians continued to provide emergency psychiatric services to patients at Winchester Hospital, Caritas Good Samaritan Medical Center in Brockton, and Jordan Hospital in Plymouth.
Students from McLean's Arlington School donated time to several organizations, including the Pine Street Inn, where they volunteered on a Saturday morning to prepare and then serve lunch; Gaining Grounds, an organic farm in Concord, where they harvested vegetables for donation to local food pantries and meal programs; and Halloween Town, an annual festivity organized by Boston Medical Center that provides a venue for trick or treating for inner-city children who might not be able to do so safely in their own neighborhoods.
The Human Resource Department organized four blood donation drives on the McLean campus throughout 2009. The drives drew many repeat donors, as well as, first-time employee donors.

Caring for the Uninsured and Underinsured

To the extent feasible, McLean Hospital is committed to providing access to quality care for all, regardless of a person's ability to pay. In FY2009, McLean provided $600,000 in Health Safety Net care and $1.1 million in uncollectible care, a total of $1.7 million worth of care for which there was no reimbursement to the hospital. More than $6 million worth of care was provided to Medicaid patients in FY2009. This care was inadequately reimbursed, resulting in a loss of $2 million.

McLean staff members work actively with uninsured patients and their families, helping them through the application process to receive public benefits to which they are entitled, such as Medicare and Medicaid.

Strengthening Health through Education

Raising public awareness of psychiatric illness and training future generations of mental health
providers are key to McLean's mission. Educational forums for the community in 2009 included:

Educating the Public

Together with the Multi-Service Eating Disorder Association, McLean participated in Eating Disorders Awareness Week in February 2009.
The Harvard Brain Tissue Resource Center at McLean Hospital provided 28 tours to a total of more than 167 participants. Tours were granted to the general public, nursing students, Harvard Medical School students, McLean Hospital's psychiatric residents, visiting scientists and speakers, prospective monetary donors, representatives of the press (TV, radio, magazine, and newspaper), as well as, members of the McLean community itself.
In conjunction with mental health care providers in north central Massachusetts, McLean at Naukeag, the hospital's satellite substance abuse site located in Ashburnham, participated in a Recovery Education Fair held at Heywood Hospital in Gardner. Speakers presented talks on recovery, treatment options, and substance abuse prevention. Program literature was available, as well as, opportunity for attendees to talk with service providers in a private setting.
Through its Speakers Bureau, McLean provides clinician speakers on a variety of mental health-related topics free of charge to various organizations, community groups, schools, and mental health centers throughout Massachusetts. McLean clinicians also volunteer their time, independent of the Speakers Bureau, providing talks and participating in panel discussions at many community and professional venues.
Marisa M. Silveri, PhD, Associate Research Psychologist in the Brain Imaging Center, presented the keynote address at the 2009 Making Choices Saving Lives, Underage Drinking Prevention Conference, a community-based, collaborative prevention and training event, supported by U.S. Department of Justice funds awarded to the Massachusetts Executive Office of Public Safety and Security's Highway Safety Division. In addition, she gave seven presentations to the surrounding communities, including parents, students, teachers, school psychologists, adjustment counselors, and administrators, within Metrowest and extending out to Cape Cod, as well as, four presentations nationally, all on the topic of understanding the development of the adolescent brain and vulnerabilities associated with underage alcohol consumption.

Educating Providers

McLean's Continuing Education programs continue to grow and attract broad audiences. In February 2009, a two-day conference on borderline personality disorder attracted 150 people from around the country. A three-day conference in June 2009, "Psychiatry in 2009," co-sponsored by Harvard Medical School, drew its largest-ever audience of over 300 attendees from around the world. In September 2009, "Coaching in Healthcare and Leadership" was offered for the second time, attracting 450 attendees from around the world. Throughout 2009, the Continuing Education Department continued to sponsor grand rounds, which serves the educational needs of McLean clinical staff and local clinicians, and features local experts, as well as, presenters from around the world. The department continued to work with a variety of outside organizations to offer continuing education opportunities. These organizations included Massachusetts General Hospital and Harvard University Health Services, among others.
Throughout 2009, McLean continued to provide clinical consultation and school staff education on issues of mental health within the Chelsea, Revere, and Winthrop public school systems. The school/mental health partnership is in its third year, working in coordination with the Shore Collaborative School and Massachusetts Executive Office of Health and Human Services to bridge communication between students, teachers, families, school staff, mental health providers, and a dozen other service providers in the community.
McLean's satellite site in Ashburnham, McLean at Naukeag, is a member of the North Central Massachusetts Dual Diagnosis Task Force, a group that advocates better services for residents affected by substance abuse and psychiatric disorders. In May 2009, the task force presented annual training for more than 100 providers and consumers titled "Subjective View of Objective Change Theory."
Christine Tebaldi, NP, Program Director for McLean Psychiatric Services at Winchester Hospital, is co-chair of the American Psychiatric Nurses Association Institute for Mental Health Advocacy. The Institute, the conduit for monitoring legislative, regulatory, and policy matters affecting mental health, works in collaboration with other clinical organizations to inform nurses about these issues and to help coordinate organizational response.
Joan Kovach, RN/PC, Nurse Director for McLean SouthEast, and fellow members of the Nurses United for Responsible Services, traveled to Haiti in 2009 to present four days of health lectures to nurses at the Hospital Sacre Cours in Milot.
Karen Shedlack, MD, Associate Psychiatrist, provided lectures to Riverside Community Care, the Massachusetts Department of Developmental Disabilities, and a nationalized health plan facility in Toronto, Canada, on adapting the practice of psychotherapy and psychopharmacology to the treatment of adults with developmental disabilities. In addition, she provided lectures to the local community (Brockton Area Multi-Service, Inc., South Shore Collaborative, and Shriver Clinical Services Medical Safeguarding Program) on the unrecognized issue of psychotropic medication withdrawal syndromes in individuals with developmental disabilities.
A number of clinicians from McLean's Geriatric Psychiatry Program presented talks during the May 2009 annual "Map Through the Maze" conference of the Alzheimer's Association of Massachusetts and New Hampshire. James Ellison, MD, Clinical Director, was a speaker at the 2009 conference of the Massachusetts Councils on Aging for staff and directors of senior centers across the Commonwealth.

Educating Students

McLean at Naukeag collaborated with Mount Wachusett Community College (MWCC) and Fitchburg State College (FSC) in 2009 to provide internships for students in human service programs.
Under the direction of Stephanie Licata, PhD, of McLean's Behavioral Psychopharmacology Research Laboratory, InS-PIRE (In Science-Partners in Research and Education) continued to meet its overarching goal of closing the gap between research and the community. This collaborative effort between junior investigators at McLean and classroom science educators at McLean's Arlington School (for bright, young, behaviorally challenged students) shares current events in innovative research and scientific knowledge with the hopes of educating and inspiring students about how scientific discovery pertains to them and encouraging critical thinking. InS-PIRE also provides an opportunity for junior research faculty to teach and interact with the students.
Timothy Wheelock, Assistant Director for Neuropathology at the Harvard Brain Tissue Resource Center at McLean, hosted students from Arlington Christian Academy, McLean's Arlington School, Belmont High School, and Arlington High School. During these school field trips to the Neuropathology Laboratory, students were shown a variety of preserved human brain specimens and microscopic images of the brain.
McLean archivist Terry Bragg, MA, MSLS, presented his annual talk on McLean history to Boston College graduate student nurses studying psychiatric mental health nursing.

Resource for the Media

In 2009, McLean Hospital was featured in more than 2,000 media outlets, including print, television, radio, and online services. McLean continues to be a go-to resource for members of the media who need expert opinion on psychiatry-related questions. Last year, McLean experts appeared in every major media market, including Boston, New York, Washington, DC, Chicago, Los Angeles, and San Francisco. Outreach has also extended beyond national borders, with experts making appearances in Germany, Korea, the United Kingdom, Brazil, and Canada.

Community Contribution

McLean continues to actively support the activities of the Town of Belmont's Land Management Committee through active membership in the Committee. The McLean Chief Operating Officer is also an active participant in the Watertown Belmont Chamber of Commerce.

Community Participation

As a specialty hospital serving patients with psychiatric illnesses, McLean and its community are not defined by geographical location. Instead, patients - locally, nationally, and internationally - and the various organizations to which they belong, form the communities McLean serves. McLean staff work closely with the following community groups on a wide range of patient care and advocacy issues:

Alcoholics Anonymous
AlAnon
Alzheimer's Association
American Red Cross - The McLean Department of Human Resources held four blood drives in 2009 in support of the American Red Cross.
Boston Marathon
Caritas Good Samaritan Medical Center
Central Massachusetts Substance Abuse Providers Association
Depression and Bipolar Support Alliance (housed at McLean)
Franciscan Hospital for Children
Health Law Advocates
Jordan Hospital
Massachusetts Association of Behavioral Health Systems
Massachusetts Department of Children and Families
Massachusetts Department of Mental Health
Multi-Service Eating Disorder Association
Narcotics Anonymous
NarAnon
National Alliance for the Mentally Ill/Massachusetts (NAMI/Mass.) - McLean President and Psychiatrist in Chief, Scott Rauch, MD, served as chair of NAMI/Mass.'s mental illness awareness walk.
New England Council of Child and Adolescent Psychiatry
New England Personality Disorder Association - In conjunction with this group, McLean sponsors a monthly series of free public workshops on topics related to borderline personality disorder. The talks regularly draw between 30 to 50 people and include participation of patients, family members, and McLean staff. New England Society for Behavior Therapy
North Central Dual Diagnosis Task Force
Obsessive-Compulsive and Related Disorders Support Network
SMART (Self Management and Recovery Training)
South Shore Mental Health
Winchester Hospital

McLean regularly opens its doors to a number of these support and educational groups throughout the year, providing them with free meeting space. Information on these groups, including the times and locations at McLean where they meet, is posted on the hospital's web site.

Individual Community Contributions

Ross J. Baldessarini, MD, Director of McLean's Psychopharmacology Program and the International Consortium for Bipolar Disorder Research, continued service through 2009 on the board of directors of the Newton-Wellesley-Weston Committee for Community Living, Inc., a program to place deinstitutionalized, mentally handicapped persons in community residences with professional staffing and supervision. He and his wife, Frances, also contribute support and transportation for the elderly each summer through the Orleans Council on Aging and are also active volunteer-supporters of the Failure to Thrive Clinic for inner-city children at Boston Medical Center. In 2009, Dr. Baldessarini served on a national committee to advise the U.S. Food and Drug Administration on improved methods for detecting and reducing suicidal risk associated with novel drugs. He remains very active in the teaching of psychopharmacology to colleagues in clinical practice regionally, nationally, and internationally, and serves as a volunteer mentor to junior investigators at several universities and medical centers in the United States and abroad.

Diane Bedell, LICSW, Director of Ambulatory Services, is a member of the Behavioral Health Advisory Council for Network Health, a managed care/health insurance company in Massachusetts.

Francine Benes, MD, PhD, Director of the Structural and Molecular Neuroscience Laboratory and the Harvard Brain Tissue Resource Center at McLean, serves as a member of the board of directors for the Walden Pond Reservation, a state-owned and run facility.

Adriana Bobinchock, Director of Media Relations and Special Projects, was named a member of the Belmont-Watertown Chamber of Commerce Board of Directors. She recently completed a two-year term as a member of the Conference Planning Board for the International Obsessive Compulsive Foundation. She has been a member of the American Red Cross local and national disaster response team since 2007.

William Carlezon, PhD, Director of Behavioral Genetics, was named to the board of directors of the Doug Flutie Jr. Foundation for Autism.

Lynn M. Carlson, LICSW, a member of the Social Work Department, is a volunteer at the Metrowest Free Medical Center in Sudbury, where she conducts mental health screenings for clients and provides social works services.

Marc Copersino, PhD, Assistant Psychologist, participated in a multi-community emergency preparedness exercise for Medical Reserve Corps volunteers, co-sponsored by the Massachusetts Department of Public Health Emergency Preparedness Bureau and Harvard School of Public Health. He is also an advisory board member of the New England Addiction Technology Transfer Center, an organization that seeks to develop and strengthen the workforce that provides addictions treatment and recovery services to individuals entering the treatment system.

Diane Davey, RN, MBA, Program Director, Obsessive Compulsive Disorder Institute, continues to serve as president of the International Obsessive Compulsive Foundation (OCF) board of directors. The OCF is an organization dedicated to education, treatment, and research for people with OCD and their families.

Louis Fernandes, Chief Dissectionist at the Harvard Brain Tissue Resource Center at McLean, is a founding member of the Dr. Jeffrey R. Bartel Memorial Scholarship in Taunton. Committee members organize an annual golf outing and use the proceeds to present two college-bound students from Taunton High School with $5,000 each in tuition.

Brent Forester, MD, Director of the Mood Disorders Division, Geriatric Psychiatry Research Program, participated in the Run for the Memory to raise money for the Alzheimer's Association of Massachusetts and New Hampshire.

Barbara Gardner, MS, RN, of Occupational Health, serves as a peer reviewer of continuing education credits for the Massachusetts Association of Registered Nurses. She is also an associate member of the Belmont Conservation Committee.

Catharyn Gildesgame, MBA, Director of Strategic Implementation, is a member of the board of trustees of Gateways: Access to Jewish Education. She also co-chairs the Combined Jewish Philanthropies Special Education Advisory Committee.

Joan Gillis, LICSW, Senior Clinical Team Manager, serves on the task force of Springwell in Watertown, a private non-profit agency creating, managing, and coordinating services for seniors, individuals with disabilities, and those who help care for them. The task force enables health care providers and elder-care professionals to identify service gaps and facilitate and combine resources to assist in providing comprehensive care to Springwell clients in the community.

Carol Glod, PhD, and Beth Murphy, MD, PhD, Assistant Director, Clinical Evaluation Center, serve on the clinician board of advisors for Families for Depression Awareness, a local non-profit organization dedicated to helping families recognize and cope with depressive disorders.

Michele Gougeon, MSS, MSc, Executive Vice President and Chief Operating Officer, serves as a board member of the National Association of Psychiatric Health Systems and as president of the Massachusetts Behavioral Health Systems organization. Gougeon also is a board member of the Big Brothers Big Sisters of Massachusetts Bay and the Watertown Belmont Chamber of Commerce.

Kenneth Hanrahan, CPR Coordinator, was reappointed as a Regional Faculty for the American Heart Association (AHA) in the Massachusetts/Rhode Island region. In this role, he serves as an expert resource on Emergency Cardiac Care issues for AHA Training Centers. Additionally, he helps the AHA update its faculty and conducts on-site visits to their Training Centers, assessing their adherence to AHA guidelines and promoting the AHA's Chain of Survival initiative.

McLean clinicians John Harrington, MD, Audrey Hunter, RN, and Vickie Weber, RN, volunteered in Haiti, part of the Forward in Health program, providing pediatric and adult medical care to residents in need. This was the group's ninth return trip.

Nancy Hoines, MPH, Director of Marketing and Business Development, serves as an advisory board member of the Multi-Service Eating Disorder Association, whose mission is to prevent the spread of eating disorders through educational awareness and early detection.

James Hudson, MD, ScD, Director of the Biological Psychiatry Laboratory and the Psychiatric Epidemiology Research Program, serves on the clinical and scientific advisory council of the National Eating Disorders Association (NEDA), the United State's largest nonprofit organization dedicated to eating disorders, and on the scientific advisory board of the Binge Eating Disorder Association.

Thomas Idiculla, PhD, Director of Mental Health Services Evaluation, volunteered in India during the fall of 2009, screening well over 1,000 tribal patients for sickle cell anemia.

Robert Irvin, MD, Medical Director of the Appleton Continuing Care Program, traveled to Iraq with Emmy-award winning actor Joe Pantoliano as part of a "Stomp The Stigma Tour" to raise awareness of mental health among U.S. troops and to reduce the stigma of war-related psychiatric illness.

Sally Jenks, Director of Managed Care and Business Development for McLean, is active in the Cambridge organization, Recordings for the Blind and Dyslexic.

Martin Kafka, MD, a McLean clinical associate, participated in a work group of the American Psychiatric Association charged with developing content on sexual and gender identity disorder for the Diagnostic and Statistical Manual of Mental Disorder, fifth edition. The manual is used by mental health clinicians worldwide for diagnosing psychiatric illnesses.

Lorraine Kelly, RN, Revenue and Budget Manager, has been an active volunteer at WBUR and WGBH for many years. She is also a volunteer at the Insight Meditation Society in Barre.

Susan Kattlove, MD, of McLean's Ambulatory Services, volunteers at the Cambridge Legal Services and Counseling Center, providing psychopharmacology services to uninsured individuals.

Kimberlee Kusiak, MD, Assistant Medical Director for the 3East Partial Hospital Program, serves on the board of governors for the YMCA of Central Massachusetts Greendale Branch and was named the branch's 2009 Adult Volunteer of the Year. In addition, Dr. Kusiak is vice president of the board of directors for Shrewsbury Youth and Family Services; serves on the Shrewsbury School System's Health Advisory Committee; and chairs the Camp Harrington Parents Association in Boylston.

Joan Kovach, RN/PC, Nurse Director for McLean SouthEast (MSE), and her colleagues educate nursing students from Massasoit Community College and Curry College. She continues to serve on the nursing advisory board at Curry College.

Helen H. Kyomen, MD, Staff Psychiatrist, is a board member of the American Association of Geriatric Psychiatry (AAGP) and the American Psychiatric Association's Council on Aging. In September 2009, she participated in the Eldercare Workforce Alliance's September Hill Day in Washington, DC, visiting House and Senate member offices and meeting with members of the AAGP, American Geriatrics Society and other national organizations to help address the workforce crisis in caring for an aging America.

Kristen Lancaster, RN, Clinical Coordinator, McLean SouthEast Adolescent Acute Residential Treatment Program, volunteers each Christmas for the Salvation Army's Neediest Families Fund to benefit families in need in the New Bedford area.

David Lagasse, Senior Vice President for Fiscal Affairs, volunteers as a money manager for BayPath Elder services. The Money Management Program is a statewide program administered locally by BayPath Elder Services, Inc., helping elders age 60 and over with their day-to-day finances.

Mary Lemoine, RHIT, Director of Health Information Management and Privacy Officer, is a member of the American Health Information Management Association and a member of the Massachusetts Health Information Management Association Legislative Affairs Committee. In addition, she is a board member of the American Society for Training and Development, central Massachusetts chapter.

Deborah Levy, PhD, Director of the Psychology Research Laboratory, serves on the board of advocates at Bay Cove Human Services in Boston, one of the largest service organizations in Massachusetts.

Valerie Robbins, Administrative Director for Research in the Alcohol and Drug Abuse Treatment Program, was elected to the board of Samaritans Inc., a not-for-profit volunteer organization serving greater Boston and Metrowest communities with the mission of reducing the incidence of suicide.

Scott Rauch, MD, President and Psychiatrist in Chief, was named by the American Psychiatric Association to a work group to review scientific advances and other research in anxiety, obsessive compulsive disorder, and post-traumatic and dissociative disorders, for development of the Diagnostic and Statistical Manual of Mental Disorder, fifth edition. In addition, Rauch contributed to an Institutes of Medicine report on the health consequences of the Iraqi War related to traumatic brain injury, including depression, anxiety, and other disorders.

Stanley Rosen, RPH, FACHE, Director of Pharmacy, is chairman of the board for the Town of Sharon Board of Health.

Arthur J. Siegel, MD, Director of Internal Medicine, served on the medical team for the 2009 Boston Marathon. Additionally, he was an invited speaker at pre-marathon medical meetings in Chicago, Washington, DC, New York, Boston, and elsewhere, about his research on novel treatments for life-threatening marathon cases.

Denise Egan Stack, a staff member at the OCD Institute, serves as President of the Obsessive Compulsive Foundation (OCF) of Greater Boston and as a board member for the National OCF. The Boston affiliate runs a lecture series and support groups for patients and families with OCD.

Gail Tsimprea, PhD, Chief Quality and Risk Management Officer, served as a patient-teacher for Harvard Medical School's "Patient Doctor II" course. She also participated in disaster drills on behalf of McLean Hospital for the National Disaster Medical System.

Christine Tebaldi, NP, Program Director for McLean Psychiatric Services at Winchester Hospital, is a member of the American Red Cross Disaster Mental Health Team, Massachusetts Bay chapter. In addition, as a disaster instructor, she prepares mental health professionals for disaster response at the local and national levels.

Roger Weiss, MD, Chief of the Division of Alcohol and Drug Abuse, serves as vice president for the board of the Greater Boston Council on Alcoholism (GBCA). The GBCA provides financial support to non-profit organizations to institute innovative programs for children, adults, and families that diminish the effects of alcoholism and other addictions.

Measuring the Commitment

One way to measure McLean's commitment to the community is by the amount of revenue foregone by the hospital as it provides care and training that is unreimbursed.

Components of FY2009 Community Commitment
(in $ Millions)
*Compiled According to a Broader Definition*

	Program Expenses	0.2
	Hospital Health Safety Net (HSN) Care	0.6
	Bad Debt (at Cost)	1.1
	Medicaid Loss (at Cost)	2.0
	Medicare Loss (at Cost)	7.6
	Unreimbursed Expenses for Graduate Medical Education	0.1
	Linkage/In Lieu/Tax Payments	N/A
	Total Broader Definition	11.6

If McLean's societal contribution is compared to total patient care-related expenses, the hospital's contribution to the community represented nearly 13 percent of expenses in FY2009.

Contact Information

Cynthia Lepore
Director, Communications
McLean Hospital
115 Mill Street
Belmont, MA 02478
617-855-2110
Email: lepore@partners.org