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Simches Division of Child and Adolescent Psychiatry

Adolescent Acute Residential Treatment (ART) Program

The primary goal of treatment at the Adolescent Acute Residential Treatment (ART) Program is to help adolescents stabilize so that they may pursue further treatment in a partial or an outpatient setting. In order to provide the best care possible, we work to develop an individualized treatment plan tailored to the specific needs of each of our patients. Every adolescent entering our program undergoes an initial assessment with a psychiatrist and a clinical social worker. The evaluation takes into account biological, psychological, and social strengths and vulnerabilities.

For teens and young adults prone to self-destructive behaviors, including self-injury and suicidal ideation, dialectical behavior therapy and cognitive behavior therapy—treatment models that helps patients connect thoughts and actions—are used to help develop the coping skills to deal with emotionally overwhelming circumstances, interpersonal conflicts, and self-destructive urges. Additional components of treatment include case management, classroom-based skills training, individual and family meetings, expressive music and art therapies, skills coaching, group and milieu therapy, recreational therapy, and medication evaluation and management.

Teen in therapyTreatment covers the full psychiatric spectrum, including mood and thought disorders and their associated behaviors, family and school difficulties, and alcohol and drug abuse. Patients may need intense verbal support during their stays, but are expected to maintain self-control without the need for physical management. When needed, additional specialty consultations are available in neurology, eating disorders, personality disorders, autism spectrum disorder, and trauma. Following any specialty consultation, the multidisciplinary clinical team develops an individualized treatment plan that includes the recommendations of consultants.

Families are integral to treatment. We ask that they participate in family meetings and also offer parent support groups. Parents are invited to visit and at a certain point are encouraged to take their child on passes to leave campus. Clinical social workers are available regularly for phone feedback and consultation. As a resource and partner within the community, we also make extensive effort to involve community treaters, including therapists, agencies, and schools, in treatment and aftercare planning.

The McLean SouthEast Adolescent Partial Hospital Program at McLean SouthEast in Middleborough also offers a structured intervention for individuals who are in crisis but can safely reside in the community. The program is available as step-down option from an inpatient unit or as a direct admission. With a more intensive supervision and treatment than the traditional outpatient setting, McLean SouthEast utilizes a multidisciplinary approach including case management, rehabilitation therapy, structured group programming, and psychiatry. The day program operates Monday through Friday from 9 am to 3 pm.