THE CHILD AND ADOLESCENT PROGRAM (CAP)
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Joseph Gold, MD, Clinical Director
The Child and Adolescent Programs at McLean Hospital offer a full complement of services to assist young people and their families cope with psychiatric illness and the challenges it often brings. Treatment spans the continuum and includes inpatient, partial hospital, short- and longer-term residential and treatment-specific outpatient care, as well as specialized and therapeutic schools—all of which are designed to emphasize each young person's strengths and promote recovery. Rapid, state-of-the-art diagnosis is integrated with thorough psychosocial assessment so that treatment is tailored to each child's needs and focuses on the enduring skills the child can develop.
McLean's multidisciplinary staff works collaboratively with family, community-based clinicians, schools and social service agencies to establish realistic treatment goals with each child. Family-driven decision-making and educating family members about their child's disorder are explicit components of every treatment plan. In turn, staff members make active efforts to learn from the family about the child's strengths. McLean clinicians work closely with the adults in each child's life to coordinate planning, strengthen the family system and provide the smoothest possible transition from the hospital into the community. To achieve the best possible integration of education and treatment, McLean uses classroom-based models on its residential and inpatient units, provides programs that support public schools and operates its own therapeutic schools.
Specialty Educational Programs
The Arlington School is a fully accredited high school for college-bound students, grades 7 to 12, who are challenged by psychiatric disorders and require a highly structured, supportive environment for learning. It features award-winning arts and drama programs and has a full approval status from the Massachusetts Department of Education (DOE). Please call 617.855.2124.
Pathways Academy, a component of McLean's Center for Neurodevelopmental Services (CNS), serves elementary through high school students who have Asperger's Syndrome and related disorders. Social pragmatics, language skills and sensory integration are emphasized together with a full academic program. Pathways Academy has full approval status from the Massachusetts DOE. Please call 617.855.2847.
Kennedy Hope Academy is a year-round residential school, utilizing applied behavior analysis and positive behavioral supports to provide state-of-the-art treatment to students, ages 5 to 21, who have challenging behaviors, autistic spectrum and other developmental disorders, often combined with medical, psychiatric and/or neurological disorders. The school offers a specialized educational program, psychopharmacology, speech and occupational therapy, and community-based recreational opportunities. Please call 617.254.3800, ext. 7723.
Professionals in the Child and Adolescent Testing Service (CATS) provide neuropychological and educational evaluation and work with school systems and parents to assess barriers to effective learning. They also aid in the development of educational strategies that make the most of a child's learning style. Please call 617.855.3537.
McLean's intensive Adolescent Dialectical Behavior Therapy (DBT) Program, known as “3East,” is a self-funded program for adolescent girls, ages 13 to 19, who have emerging borderline personality disorder, mood disorders, post-traumatic stress disorders or self-injurious behavior. The eight-bed residence places heavy emphasis on learning DBT and other related coping skills. All staff members are specially trained in interventions that have proven highly effective in treating this patient population. Family therapy and psychopharmacology are also core components of 3East. Patients typically remain in the program for four to six weeks or longer, if needed. Please call 877.967.7233 or 617.855.2804.
The Klarman Eating Disorders Center at McLean offers residential and partial hospital care to adolescents and young women ages 16 to 26. Treatment is based on individual contracts made with the patient, her family and the center staff, which are continually reviewed and re-negotiated. Treatment includes psychiatric and medical evaluation; nutritional counseling; cognitive and dialectical behavior therapies; symptom management skills; family therapy; and psychopharmacology. Please call 617.855.3410.
McLean's Adolescent Dual Diagnosis Residential Services provides dual diagnosis residential treatment for adolescents and young adults through age 19 who are struggling with co-occurring substance use disorder and psychiatric illness. We offer two distinct residential programs:
The Landing at McLean® Hospital is a six week dual diagnosis program combining intensive and transitional programming. To speak with someone about this program, call 617.855.2816 or toll free at 877.412.3445.The Adolescent Acute Residential Treatment (ART) program is an intensive short-term dual diagnosis treatment program. To speak with someone about this program, call 617.855.2800.
The Adolescent Diagnostic and Family Treatment Unit (ADFTU) provides 24-hour structured psychiatric treatment in an unlocked setting for vulnerable adolescents, ages 13 to 19, with complex psychiatric and psychosocial issues who require clinically intensive care. This short-term adolescent residential treatment program serves as an alternative to or as a step-down from inpatient care. A full range of services are offered, including assessment and diagnosis, psychopharmacology, family therapy, specialty consultations (adoption, trauma, educational placement, developmental disorders, addiction) and outpatient treatment recommendations. Please call 617.855.2800 for information.
The McLean SouthEast Adolescent Acute Residential Treatment (ART) Program is an intensive, short-term and highly focused treatment program for teenagers with emotional and behavioral difficulties. Located on the grounds of the Veterans Administration Medical Center in Brockton, Mass., the ART serves up to 20 individuals, ages 13 to 19, in a coeducational therapeutic environment. For information on this program, please call 508.894.8420.
McLean SouthEast also offers a highly structured partial hospital care program for children and adolescents, ages 12 to 19, who are in acute crisis but can reside in the community after a stay in the residential program. The program provides more intensive psychiatric supervision and treatment than possible in an outpatient setting. It is used almost exclusively as a step-down from the residential program. The program operates weekdays from 9 am to 3 pm.
Outreach to Clinicians and Schools
McLean's Child and Adolescent Programs and Partners Psychiatry and Mental Health provide continuing medical education conferences for pediatricians, nurse practitioners and school personnel on the early detection, diagnosis and treatment of psychiatric and developmental disorders.
McLean Hospital continues to participate in and play a leadership role in the Massachusetts Child Psychiatry Access Project (MCPAP), a statewide, publicly funded initiative that trains pediatricians to identify psychiatric issues at well-child visits, treat many of these children and triage and refer the more complex cases. As the Southeastern Massachusetts, Cape and Islands hub, McLean provides immediate telephone and rapid face-to-face consultative support to primary care pediatricians. Please visit www.mcpap.org for additional information.
The Program in Education, Afterschool and Resiliency (PEAR) is a collaboration between McLean and Harvard University that connects schools, after-school programs and mental health services. Through a variety of innovative programs offered across the United States, PEAR is working to ensure the healthy development and academic success of young people. Please call 617.855.3584.
Leaders from the McLean Child and Adolescent Programs, together with colleagues from Children's Hospital Boston, have also created a website and free Adolescent Mental Health and Wellness Curriculum offering modules on stress, depression and substance abuse. Please visit www.adolescentwellness.org for additional information.
Inpatient care is provided by McLean in partnership with Franciscan Hospital for Children in Boston, Mass. This partnership unites the strengths of McLean, a nationally recognized mental health provider, with Franciscan Hospital for Children, a leader in medical and rehabilitative services dedicated to the care of children with multiple developmental, psychiatric and physical challenges.
The recipient of the Massachusetts Department of Mental Health 2008 Distinguished Service Award, the McLean-Franciscan Child and Adolescent Inpatient Program treats children and adolescents, ages 3 to 19, who require comprehensive psychiatric/psychosocial evaluation and brief intensive treatment. The program has the ability to manage co-occurring medical conditions and has a speciality track for developmentally disordered youth in psychiatric crisis. Please call 1.800.333.0338.
The Child and Adolescent Programs at McLean offer treatment-specific outpatient services that include individual, group and family therapy, and psychopharmacology. Carefully designed therapy groups address children's social skill development and provide support for parents. Please call 617.855.3537.
Additionally, our Child and Adolescent Testing Service (CATS) provides evaluations for children and adolescents who have neuropsychological and/or psychological difficulties that are interfering with their ability to manage demands at home, at school, and/or with their peer group.
The McLean Anxiety Mastery Program will be an outpatient program for anxious youth (aged 9-18).Â The program will provide group-based cognitive behavioral therapy (CBT) with an emphasis on exposure and response prevention (ERP) for children and adolescents who present with social anxiety, specific phobias, panic attacks, separation anxiety, school refusal, and obsessions and compulsions.Â
The Child and Adolescent Programs at McLean Hospital employ a multidisciplinary staff of child psychiatrists, neuropsychologists and psychologists, clinical social workers, nurses and advanced-practice nurses, educators, mental health specialists and psychopharmacologists. Clinical staff members have special expertise working with trauma survivors and treating substance abuse, eating disorders, autism spectrum disorders and self-destructive behaviors. In addition, they have extensive experience working with patients of diverse sociocultural and linguistic backgrounds. As clinicians, researchers and public educators, staff members are involved in serving, and advocating for, the mental health of young people.
Continuous Quality Improvement
McLean's strong focus on continuous quality improvement helps ensure that each child and adolescent receives the highest quality care. Staff members collect data regularly on many dimensions of clinical outcomes and consumer satisfaction. These findings are reviewed quarterly as a means to enhance all areas of service.
McLean accepts Medicare, Massachusetts Medicaid and many private insurance and managed care plans.
For further information, please call 1.800.333.0338 or visit us at www.mclean.harvard.edu.
About McLean Hospital
U.S. News & World Report named McLean America's #1 Hospital for Psychiatry in 2013 . McLean Hospital is the largest psychiatric facility of Harvard Medical School, an affiliate of the Massachusetts General Hospital and a member of Partners HealthCare. For more information about McLean visit us on www.facebook.com/ McLeanHospital or follow the hospital on Twitter@McLeanHospital.