Personalized, compassionate care for adults with chronic mental illnesses

For over 20 years, Appleton has provided comprehensive diagnosis, treatment, and rehabilitative care for adults ages 18 and over with serious and persistent psychiatric conditions. We provide personalized care that helps individuals understand, accept, and effectively manage their illnesses and symptoms so they can learn to live as independently as possible.

For more information or to make a referral, please call 617.855.2319.

Our self-pay program is ideal for those who have a primary diagnosis of psychosis and/or bipolar disorder with or without co-occurring conditions such as substance use, mood, personality, and anxiety disorders. The average length of stay at Appleton is between two to three months, however, some residents may benefit from longer periods of treatment when clinically indicated.

Located on McLean’s campus in Belmont, Massachusetts, our residential program is one of only a few in the country specifically developed for people with psychotic disorders that is also on the grounds of a psychiatric hospital. Residents benefit from access to McLean’s full continuum of services and world-renowned physicians and psychologists who provide assessment, consultation, testing, and psychotherapy.

Individuals who come to Appleton may be entering residential treatment for the first time or may be transferring from another program in order to receive the tailored, comprehensive care that we offer. Residents may also come to our program from an inpatient unit at McLean or elsewhere and are in need of around-the-clock care while they continue to transition back to the community.

As part of McLean’s Psychotic Disorders Division, our dedicated multidisciplinary staff includes psychiatrists, clinical social workers, an occupational therapist, psychiatric nurses, and community residence counselors. Every resident is cared for by a personal treatment team which coordinates an individualized psychiatric assessment and treatment strategy, as well as an aftercare plan.

Appleton is a renovated historic mansion that accommodates up to 25 residents. We offer a peaceful setting where individuals can focus on their treatment. There are semi-private and private bedrooms, spacious common living areas, and a kitchen and dining room. Breakfast is continental style, and lunches and dinners are prepared by our counselors who have oversight from our registered dietitian for meal planning. Residents have access to an art room, solarium, computers, and wireless internet. Cambridge and Boston are accessible by public transportation, offering numerous recreational, educational, and vocational opportunities.

Our treatment approach is based on a recovery model comprised of five phases designed for flexibility in which residents work with a designated clinical social worker and treatment team to progress at a pace most appropriate for the individual. Each phase builds upon the resident’s accomplishments, including stabilizing the illness, establishing a daily routine, learning to function better in the community, focusing on vocational goals, and solidifying gains in recovery and community reintegration.

An important component of treatment is the utilization of evidence-based modalities such as cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT). These strategies have been proven to help individuals build constructive thoughts and behaviors. Our education-focused group therapy schedule offers 20 groups per week covering a broad range of topics such as symptom management, self-assessment, medication evaluation and management, family issues, and interpersonal skills. We place a special emphasis on stress management and overall health and fitness by incorporating activities such as meditation, yoga, nutritional support, gardening, and expressive therapies into our group schedule.

Support from family and friends plays a significant role in the recovery process and in long-term success. We meet with family members at the beginning of treatment, provide ongoing updates and consultations throughout a resident’s stay, and work together when developing an aftercare plan.

“Structured groups and support from my team at Appleton helped me to successfully transition to the community; they were essential for my recovery, including support from my husband, son, and family. I am a healthy and happy person because of the Appleton program.” - Former Appleton patient