The Developmental Disabilities Program at McLean Hospital is specially designed to meet the unique needs of adults with developmental disabilities and co-existing psychiatric symptoms in a partial hospital setting. psychiatric partial hospital treatment is a cross between inpatient and outpatient care. At the partial hospital, continuity of care is enhanced by allowing individuals to remain in their homes or residences while receiving daily (Monday – Friday) psychiatric services at the hospital.

This program is appropriate for many who require more intensive and comprehensive services than can be provided during outpatient visits. Our multidisciplinary clinical team works with consumers, families and outpatient teams to assess and manage the many components of situations, ranging from impending crises to prolonged and progressive deterioration in functioning. Families, residential staff, outpatient providers and agency staff are active participants in partial hospital treatment. Partial hospitalization can prevent the need for inpatient psychiatric care or can ease a consumer's return to the community following an inpatient hospitalization. Specific psychopharmacology or behavioral interventions can also be developed at the partial hospital.

Services:

• Outcome-focused treatment
  
• Individualized treatment planning
  
• Psychopharmacology
  
• Cognitive behavioral assessment and treatment
• Behavioral consultation
• Group therapy
• Case management and aftercare planning
• Access to laboratory services
• Access to neurology, psychology, occupational therapy, physical therapy, and neuropsychology consultations
• Program hours from 9:00 a.m. to 3:00 p.m., Monday through Friday

Admission Criteria:

• Limited intellectual function or mental retardation
• Symptoms consistent with a DMS-IV Axis I diagnosis [A recognized clinical mental disorder]*
  
• 18 years or older
• Verbal communication skills
• Uses the toilet without assistance
• Adequate housing is in place
• Meets partial hospital level of care

 

Our services allow our patients to:

• Remain in their homes or residences
• Break the cycle of multiple psychiatric hospitalizations
• Gain self-esteem
• Become more independent
• Develop interpersonal skills
• Control their behavior, anger, and emotions
• Learn to manage their illness on a long-term basis
• Continue treatment with their outpatient providers and agencies after hospitalization

We assist the Department of Mental Retardation service coordinators and provider agencies to:

• Obtain comprehensive assessment of symptoms and behavior in a single setting
• Obtain second opinions
• Help patients achieve stability in a safe and less restrictive environment
• Facilitate the patient's recovery and adaptation to their psychiatric illness
• Receive assistance in the individual service plan (ISP) process
• Provide continuity of care with the patient's established residential setting
• Provide continuity of care with the patient's outpatient providers
• Provide continuity of care with the patient's work setting
• Act as a liaison with families

INFORMATION AND REFERRALS

For further information, or to arrange an intake appointment, please call 1-617-855-3272 or 1-617-855-3349. McLeanHospital accepts Medicare, Massachusetts Medicaid, Blue Cross, and many other private health insurance plans. Some insurance carriers may provide limited coverage for partial hospital programs.

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* DSM-IV Axis I disorders are recognized clinical mental disorders and conditions that need clinical attention. Axis I Clinical Disorders are identified into 14 categories, including Anxiety Disorders, Childhood Disorders, Cognitive Disorders, Dissociative Disorders, Eating Disorders, Factitious Disorders, Impulse Control Disorders, Mood Disorders, Psychotic Disorders, Sexual and Gender Identity Disorders, Sleep Disorders, Somatoform Disorders, and Substance-Related Disorders. Other conditions, known as Adjustment Disorders, which may also be a focus of clinical attention include Medication-Induced Movement Disorders, Relational Problems, Problems Related to Abuse or Neglect, Noncompliance with Treatment, Malingering, Adult Antisocial Behavior, Child or Adolescent Antisocial Behavior, Age-Related Cognitive Decline, Bereavement, Academic Problem, Occupational Problem, Identity Problem, Religious or Spiritual Problem, Acculturation Problem, and Phase of Life Problem.  For more information, contact the McLean DD Program at the numbers listed above.