McLean Hospital 115 Mill Street Belmont, MA 02478
The Pavilion’s comprehensive multidisciplinary approach to care is comprised of expert psychiatric and medical assessments, which allow for definitive diagnosis and treatment of complex symptoms. Alongside evaluation, the program offers individual therapy, group therapy targeted at education and support, nutritional consultations, medication evaluation and management, and other therapeutic activities such as meditation and yoga.
Residents begin the program with a series of meetings and testing including psychiatric, neuropsychiatric, and neurologic evaluation, medical and imaging assessment, an overnight sleep study, and psychological and neuropsychological testing. We also provide specialty consultations in a range of areas—substance abuse, impulse control disorders, trauma and post-traumatic stress, geriatrics, neurotherapeutics, and forensic evaluation.
Our commitment to examining the biological as well as the emotional components of an illness ensures that the clinical team explores every avenue in searching for effective solutions. Both the diagnosis and treatment plan consider a person’s previous medical and neurological history. The program utilizes consultation services throughout McLean as well as at other Partners HealthCare affiliates such as Massachusetts General Hospital and Brigham and Women’s Hospital.
Once all evaluations are complete, the resident’s care team puts together a clinical summary outlining diagnostic results and therapeutic recommendations. Determinations made by our clinicians during the first few days of evaluations inform the creation of the resident’s care plan and subsequent treatment program. For example, if there’s a history of trauma or co-occurring substance use, we will involve experts from each of these areas in the overall treatment strategy.
Treatment begins upon admission, including medication management, behavior therapy, individual therapy, family therapy, 24-hour nursing care, and group therapy as prescribed. When appropriate, neurotherapeutics (ECT and TMS) are initiated as soon as possible for the management of treatment-resistant depression.
Group therapy is an important component of the program. Assignment to specific groups is managed by each resident’s behavioral therapist. Most groups are focused on building skills and utilize evidence-based modalities such as dialectical behavior therapy (DBT), cognitive behavior therapy (CBT), and mentalization-based treatment (MBT). Group therapies are effective in helping residents acquire and develop coping skills for managing stress and anxiety. CBT helps individuals connect thoughts with actions, while DBT emphasizes the development of four skill sets: mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. MBT helps people to differentiate and separate their own thoughts and feelings from those around them.
Family therapy is an integral part of the assessment and treatment experience. Understanding family dynamics and providing support for learning more effective communication skills can be a key determinant to successful treatment and sustained recovery. Family is included in treatment as appropriate and with the permission of the resident.
We also incorporate meditation and yoga into the program, with special attention paid to diet and fitness. There is a small fitness center and personal trainer on campus, and residents also have access to a nearby state of the art sports club.
Recommendations for aftercare treatment are highly individualized based on clinical issues, resources, motivation for additional treatment, and geographic considerations. Each resident’s aftercare plan is a collaborative effort between the clinical team, and the resident and family. We strive to create the optimal plan for continued recovery and stabilization. On a case by case basis and if clinically indicated, extended stay at The Pavilion is available upon completion of the diagnostic/assessment phase.