|Frequently Asked Questions (pdf)|
|Program Overview (pdf)|
|"Playing A Different Tune"
|Program Schedule (pdf)|
Welcome to the Appleton Residence at McLean
For more than twenty years, the Appleton Residence has provided comprehensive diagnosis, treatment and long-term care to adults with bipolar and psychotic disorders, as well as other serious and persistent psychiatric illnesses.
Our mission is to provide the kind of personalized, comprehensive psychiatric and rehabilitative care that enables people to understand, accept and manage their illnesses so they can return to the community and live as independently as possible.
Located at McLean's main campus in Belmont, the program is among only a few residential treatment programs nationally located at a tertiary care psychiatric hospital. Residents have access to world-renowned physicians and psychologists who provide assessment, consultation, testing and psychotherapy.
Who We Serve
The Appleton Residence serves adult men and women ages 19 and over. The program is designed for people who would benefit from longer term residential care. The length of time people stay in the program varies, but the average is from two to four months.
Our multidisciplinary treatment team includes a psychiatrist, licensed independent clinical social workers, full-time occupational therapist, nurses and community residence counselors.Robert Irvin, MD, Medical Director
Sharon Berman, LICSW, Program Director
Assessment and Care
Every resident receives an individually tailored, comprehensive psychiatric assessment from a multidisciplinary clinical team. The assessment may include psychological testing, neuropsychological testing, neuromedical consultation, and dual-diagnosis assessment. Treatment reviews are ongoing and any additional consultations for psychiatric, medical and neurological concerns are arranged, when needed.
A personal treatment team consisting of a psychiatrist, a case manager and a primary counselor is assigned to every resident. Treatment decisions are made by residents and their families in consultation with the treatment team. Family involvement is often an essential part of the treatment, and family meetings are scheduled with permission of residents.
With their case managers, residents plan individual and group treatment experiences using the resources of Appleton, McLean Hospital and the surrounding community. Residents often use the services of other treatment programs at the hospital. Weekly goal-setting meetings are held to assess progress in the program.
Services provided include:
- Case management services — You will be assigned a case manager who is a highly trained licensed social worker (LICSW). Your case manager will meet with you, gather your history and, if permitted by you, contact and talk with your family.
- Psychoeducation groups — The program offers 25 to 30 psychoeducational groups each week. Groups address topics such as symptom management, dialectical behavior therapy (DBT), self assessment, medication management and fitness. Your case manager will help you determine which groups you should attend and set up a schedule. (Our group schedule is available on this page.)
- Individual psychotherapy / cognitive behavioral therapy — We request that you meet with an individual psychotherapist once or twice each week. We will help you identify a therapist either at McLean or in the greater Boston community. The program fee does not cover this service. Psychotherapy may be covered in full or part by health insurance.
- Psychopharmacology and medication management — The program psychiatrist, Robert Irvin, MD, facilitates a medication group once each week. He will also meet with you individually for medication assessment and management, if needed. The program fee does not cover these services. Psychopharmacology is often covered in full or part by health insurance.
- Fitness groups — McLean has a fitness center with state-of-the-art equipment. We offer fitness training supervised by a registered nurse and the fitness center director three times each week. We also offer in-house strength training directed by our occupational therapist twice weekly.
- Community outings — Group trips to bookstores, cafes, bowling alleys, malls, museums, as well as to places for walks in nice weather, are held Mondays and Thursdays and on weekends. We also take longer seasonal trips to places such as Martha's Vineyard, Newport, and Rockport. The program fee covers transportation and a contribution toward admission fees required for an outing. The cost for additional items you may want (e.g., a book, a CD) are not covered.
- Self-help groups — To round out their treatment, residents are encouraged to attend self-help meetings, such as the weekly Depression and Bipolar Support Alliance meeting. For those with dual diagnosis AA, NA, and Smart Recovery meetings are available. The College Mental Health Program is available to young adults for support and group therapy.
Phases of Treatment
Individuals come to the Appleton Residence with differences in skills and abilities that influence the pace of their recovery. We work with people to progress through treatment at an individually suitable pace that typically occurs in five phases.
Phase One: Immediate post-admission
The first phase of treatment involves understanding and stabilizing people's illnesses, as well as helping them build therapeutic relationships with staff members, which is essential. In this beginning phase, residents are also oriented to their new surroundings.
Phase Two: Promoting a daily routine
People with psychotic symptoms often have difficulty establishing a daily routine and following a schedule. Our goal during this second phase is to assess people's capabilities and engage them in setting goals. The treatment team helps residents develop and work on comprehensive treatment plans.
Phase Three: Psycho-education and social interaction
In this third phase, residents begin to learn more about their symptoms so they may participate actively in their own recovery. The work of treatment is balanced by a focus on enhancing social skills. In-house psychoeducational groups, individual meetings with members of the treatment team, and outings in the community facilitate these goals.
Phase Four: Educational and vocational strategizing
In this essential phase for residents toward attaining greater independence, we assess the ability to function in the community. Residents use the new skills they have acquired to resume educational and vocational activities, including volunteer work and paid employment. Performance is monitored continually, and activities and treatment plans modified to suit individual goals.
Phase Five: Community Reintegration
The final phase of treatment involves helping residents solidify the gains they have achieved in their functioning and recovery. Staying with a treatment program over time is a signal for transition to community-based living. Some residents move to a supported apartment situation, others step down to a community-based residence, while others return to live with family.
Residents are now prepared for a lifetime of growth and development with support from community-based providers.
Appleton House provides residents with a home-like setting in a renovated historic mansion. The house can accommodate up to twenty-five residents. There are semi-private and private bedrooms, spacious common living areas and a kitchen and dining room. Healthful, hot meals are prepared by the staff daily at lunch and dinner; breakfast is continental style. The house is staffed by trained community residential counselors. Residents have access to an art room and solarium. The building also has wireless capability and program computers. A fitness center is located just a few buildings away.
The location of Appleton affords access to many recreational, educational and vocational opportunities in the Greater Boston area. There are numerous colleges, adult education programs and volunteer opportunities that residents can explore. Cambridge and Boston are easily accessible by public transportation.
Admission and Referral
After reading through the information on this website, please call or e-mail Program Director Sharon Berman, LICSW, at 617-855-3756 or email@example.com. If unavailable, she will get back to you within 24 hours. Ms. Berman will walk you through the process and be your contact person throughout.
Insurance and Cost
As a self-pay program, Appleton does not accept insurance or directly assist with insurance reimbursement efforts. Some ancillary medical treatment expenses may be recovered through insurance.
Effective October 1, 2011, the fee for the Appleton Residence is $500 per day for the first 180 days of service. For individuals who stay longer, the rate is $400 per day from days 181 through 750 (i.e., from the seventh through the 24th month). Thereafter, the rate is $300 per day.
What Residents Say
"Appleton has served as a great foundation for my mental health. The staff are very supportive, and the house itself is comfortable. I was also glad to find that my peers had conditions similar to mine. I gained the perspective I needed by participating in groups and individual therapy. These sessions were rewarding and effective. This program helped me realize my potential. I am now on the road to progress." — Appleton Resident
"I found the staff to be excellent and the psychiatrist truly gifted. They treated me with dignity and respect. I found the groups, classes, trips, social interactions, volunteer work and the entire program to be so very helpful and very conducive to recovery. I was treated there for three and a half months and I was able to get a 100% recovery for my illness. I made wonderful friendships that will hopefully be for a lifetime. My family and I are so very grateful to the Appleton staff for a job that was very well done. In my opinion, it is a world-class facility." — Appleton Resident
For general information please call us at 617-855-3756 or e-mail firstname.lastname@example.org, Monday through Friday.
About McLean Hospital
U.S. News & World Report ranked McLean Hospital first among all freestanding psychiatric hospitals. McLean Hospital is the largest psychiatric facility of Harvard Medical School, an affiliate of the Massachusetts General Hospital and a member of Partners HealthCare.