PARTIAL HOSPITALIZATION PROGRAM
Seniors Aging Gracefully Everyday
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Nicole Coconcea, MD, Medical Director
Fred Silverstone, LMHC, Program Director
A psychiatric partial hospital program for older adults
Seniors Aging Gracefully Everyday (SAGE) is a partial hospital program at McLean Hospital for men and women age 60 and older who suffer from major depression, bipolar disorder, anxiety disorders, paranoid disorders and psychotic disorders.
SAGE provides intensive psychiatric treatment on an outpatient basis, enabling older adults toaddress their illness while remaining independent in their homes or communities. This partial hospital level of care may prevent the need for hospitalization, shorten a hospital stay or serve as a “step down” from inpatient care.
Individualized treatment plans are developed for each patient. Participants in the program attend four to five days per week from 9:30 am to 1:30 pm, or as prescribed by the attending psychiatrist.
Core Treatment Components
- Complete psychiatric evaluation
- Daily psychiatric assessment by the attending psychiatrist
- Individual and group psychotherapy
- Psychiatric pharmacotherapy
- Cognitive behavioral therapy
- Neuropsychological testing
- Onsite laboratory work
- Illness education
- Medication management
- Coping skills
- Family counseling
- Community resource need assessment
Staff
SAGE is directed by Nicole Coconcea, MD, medical director, and Fred Silverstone, LMHC, program director, and includes a geriatric clinical psychologist and other members of a multidisciplinary treatment team. The staff has advanced training in working with and meeting the emotional and social needs of older adults. Staff members work closely with referring physicians to keep them informed of their patients' progress.
Information
For further information, call 617.855.2317, Monday through Friday. McLean accepts Medicare, Massachusetts Medicaid and most private insurance and managed care plans. Medicare covers most treatment costs. Supplemental insurance usually covers the remaining costs. Hospital staff will assist patients and their families in determining coverage. Transportation to and from the program is available to individuals who live within a 45-minute radius of Boston.
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