McLean Hospital – 115 Mill Street, Belmont, MA 02478
The Alcohol and Drug Abuse Partial Hospital Program works in close partnership with patients and families to focus on creating a customized treatment plan for each individual based on his or her substance abuse history and symptoms, the severity of the symptoms, and other co-occurring psychiatric diagnoses. Family involvement is strongly recommended, and with the permission of the patient, family members can be involved in assessment, treatment, and aftercare planning.
Treatment plans regularly include a combination of individual and group therapies, a variety of evidence-based addiction treatment models, and medications that help patients manage their symptoms and transition back to their daily lives. Upon admission, we create a tailored treatment plan for each patient targeted at reducing the severity of the patient’s symptoms, and providing tools, ongoing support, and resources to prevent relapse. Designed to engage patients in their treatment, each day is carefully planned according to the individual’s needs with ample time for self-focus and group work.
Each patient meets with a behavioral therapist (a licensed psychologist or clinical social worker) several times a week. The therapist develops a plan that serves as a guideline for staff to ensure quality and consistency in treatment. Patients meet with a psychiatrist weekly, or more frequently if required, for medication management.
Stressing recovery and relapse prevention, the program utilizes a number of therapy models informed by psychiatric research conducted by investigators within the Division of Alcohol and Drug Abuse, throughout the hospital, and around the world. Our immersive schedule helps patients become more open and willing to participate in treatment, decreases behavioral symptoms, increases normalized family, work, and social functioning, and emphasizes education and support.
Integrated group therapy is an evidence-based treatment for co-occurring bipolar and substance use disorders, developed by McLean’s Roger D. Weiss, MD, and Hilary S. Connery, MD, PhD, and is designed to teach essential recovery behaviors and relapse prevention skills that apply to both illnesses.
Relapse prevention therapy, a form of cognitive behavioral therapy, incorporates self-control, identifying positive and negative consequences and high-risk situations, and implementing coping strategies in order to help patients maintain abstinence.
We also use other treatment modalities such as dialectical behavior therapy (DBT) which emphasizes the development of four skill sets: mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance, as well as motivational enhancement therapy, which is a counseling approach that helps individuals resolve their ambivalence about engaging in treatment and ceasing substance use by evoking rapid and internally motivated change.
To complement our programs’ services and encourage individuals’ initiatives in their own treatment course, we encourage patients to seek peer support. Organizations such as Alcoholics Anonymous and Narcotics Anonymous offer self-help groups on McLean’s campus and other nearby areas.