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Psychotic Disorders Division

Program of Assertive Community Treatment (PACT)

At McLean Hospital, we understand that care doesn’t end when someone leaves the hospital. Our Program of Assertive Community Treatment (PACT) brings clinicians into individuals’ homes and local communities to best meet the ongoing needs of people with psychotic disorders such as schizophrenia, bipolar disorder, and psychosis. Designed to support those at risk for repeated hospitalizations, PACT provides the clinical services a person needs to keep up with their treatment and the social support they need to navigate day to day life. Our experienced and dedicated team works in tandem with McLean’s services and expert staff.

For information or to make a referral, please call 617.855.2674.

A lack of care continuity can mean that many people do not receive the help they need to improve the way they function in the workplace and live on their own as adults. Doctors and researchers have long understood that people who do not continue care after they leave the hospital often find themselves right back in the hospital. Programs such as PACT have been successful at reducing hospital readmissions. Studies show that individuals who have taken advantage of similar programs spend less time out of work, earn more money, and have more fulfilling social lives. Services like PACT can also reduce caregiver burnout by adding resources to patients’ support systems.

McLean’s PACT is structured to make sure people with psychotic disorders receive the help they need, when they need it, and for as long as they need it. As a “hospital without walls,” members of PACT’s community-based crisis team offer services aimed at assisting patients as they transition out of inpatient care or to help individuals avoid the need for readmission to acute treatment programs. Our clinicians address symptoms and focus on continued treatment by assisting with therapy, rehabilitation, medication management, and more.

“Individuals receive wraparound care while they’re in the hospital, but they don’t always get that care after discharge. PACT will bridge the gaps in care.”– Chloe Pedalino, LISCW, Program Director

We also work with patients to help identify and achieve goals for sustained, ongoing recovery and independent living, including helping to secure independent housing and establishing stable routines in the community. We can help individuals learn skills such as how to manage money, utilize public transportation, or apply for advocacy or community services.

Individuals may need help for only a month, or they may need longer-term, more comprehensive assistance. Though the minimum length of participation in this self-pay program is one month, PACT is flexible in order to meet the needs of the patient. The program strives to provide customized, person-centered care for individuals at any stage of the rehabilitation process.

PACT in the News

Read more about McLean’s newest clinical program in the article “Hospital Without Walls for Individuals With Chronic Mental Illness.”