Our mission is to provide the kind of personalized, comprehensive psychiatric and rehabilitative care that enables people to understand, accept and manage their illnesses so they can return to the community and live as independently as possible.
You will receive an individually tailored evaluation that may include psychological testing, neuropsychological testing, neuromedical consultation, and dual-diagnosis assessment.
Along with your case managers, you will plan individual and group treatment experiences using the resources of Appleton, McLean Hospital and the surrounding community. Residents often use the services of other treatment programs at the hospital. Weekly goal-setting meetings are held to assess progress in the program.
Phases of Treatment
Individuals come to the Appleton Residence with differences in skills and abilities that influence the pace of their recovery. We work with people to progress through treatment at an individually suitable pace that typically occurs in five phases.
Phase One: Immediate Post-Admission
In this beginning phase, residents are also oriented to their new surroundings. Their treatment involves understanding and stabilizing people's illnesses, as well as helping them build therapeutic relationships with staff members.
Phase Two: Promoting a Daily Routine
People with psychotic symptoms often have difficulty establishing a daily routine and following a schedule. Our goal during this second phase is to assess people's capabilities and engage them in setting goals. The treatment team helps residents develop and work on comprehensive treatment plans.
Phase Three: Education and Social Interaction
In this third phase, residents begin to learn more about their symptoms so they may participate actively in their own recovery. The work of treatment is balanced by a focus on enhancing social skills. In-house educational groups, individual meetings with members of the treatment team, and outings in the community facilitate these goals.
Phase Four: Educational and Vocational Strategizing
In this essential phase for residents toward attaining greater independence, we assess the ability to function in the community. Residents use the new skills they have acquired to resume educational and vocational activities, including volunteer work and paid employment. Performance is monitored continually and activities and treatment plans are modified to suit individual goals.
Phase Five: Community Reintegration
The final phase of treatment involves helping residents solidify the gains they have achieved in their functioning and recovery. Staying with a treatment program over time is a signal for transition to community-based living. Some residents move to a supported apartment situation, others step down to a community-based residence, while others return to live with family.
Residents are now prepared for a lifetime of growth and development with support from community-based providers.
What Services are Provided at McLean Appleton?
- Case management services - You will be assigned a case manager who is a highly trained licensed social worker (LICSW). Your case manager will meet with you, gather your history and, if permitted by you, contact and talk with your family.
- Psychoeducation groups - The program offers 25 to 30 educational groups each week. Groups address topics such as symptom management, dialectical behavior therapy (DBT), self assessment, medication management and fitness. Your case manager will help you determine which groups you should attend and set up a schedule. To view the current group schedule, please click here.
- Individual psychotherapy / cognitive behavioral therapy - We request that you meet with an individual psychotherapist once or twice each week. We will help you identify a therapist either at McLean or in the greater Boston community. The program fee does not cover this service. Psychotherapy may be covered in full or part by health insurance.
- Psychopharmacology and medication management - The program psychiatrist, William P. Carter, MD, facilitates a medication group once each week. He will also meet with you individually for medication assessment and management, if needed. The program fee does not cover these services. Psychopharmacology is often covered in full or part by health insurance.
- Fitness groups - McLean has a fitness center with state-of-the-art equipment. We offer fitness training supervised by a registered nurse and the fitness center director three times each week. We also offer in-house yoga with a certified yoga instructor once a week.
- Community outings - Group trips to bookstores, cafes, bowling alleys, malls, museums, as well as to places for walks in nice weather, are held Mondays and Thursdays and on weekends. We also take longer seasonal trips to places such as Martha's Vineyard, Newport, and Rockport. The program fee covers transportation and a contribution toward admission fees required for an outing. The cost for additional items you may want (e.g., a book, a CD) are not covered.
- Self-help groups - To round out their treatment, residents are encouraged to attend self-help meetings, such as the weekly Depression and Bipolar Support Alliance meeting. For those with dual diagnosis AA, NA, and Smart Recovery meetings are available. The College Mental Health Program is available to young adults for support and group therapy.