GERIATRIC OUTPATIENT SERVICES
Seniors Aging Gracefully Everyday
Enhanced outpatient services for older adults
Leora Borek, MD, Medical Director
Fred Silverstone, LMHC, Program Director
Seniors Aging Gracefully Everyday (SAGE) is a program of McLean Hospital offering enhanced outpatient services to men and women age 50 and older with mood disorders, anxiety, or psychotic symptoms.
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SAGE provides intensive treatment on an outpatient basis, enabling older adults to address their illness while remaining independent in their homes or communities. This 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. The SAGE program includes group psychotherapy and individual counseling, as well as other group and individual meetings. Patients attend the program Monday through Thursday, 10 am to 11 am. New patients attend all sessions for an initial two-week period for evaluation and stabilization. Individual therapy appointments for counseling and psychopharmacology are scheduled before or after the 10 am groups.
After the initial two-week period, some patients may continue in this morning track for longer periods, if needed. Otherwise, patients ready to taper treatment may participate in the long-term SAGE track by attending longer-term groups that focus on their particular problems and continue to receive individual therapy and psychopharmacology consultation from the SAGE clinical staff.
Core Treatment Components
- Complete psychiatric evaluation.
- Daily psychiatric assessment by 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.
SAGE is directed by Leora Borek, MD, and Fred Silverstone. Staff includes a geriatric clinical psychologist and other members of a multidisciplinary treatment team who have advanced training in working with and meeting the emotional and social needs of older adults. The team works closely with referring physicians to keep them informed of their patients’ progress.
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.
Staff encourages patients to find transportation to and from the program but can provide it for a nominal fee to patients who live within a 45-minute radius of Belmont.
For further information, call 617.855.2327, 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.