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Program Program of Assertive Community Treatment (PACT)

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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, LICSW, 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.”

PACT is supported by philanthropy. Read more about Monica Luke and the PACT program in the article “New PACT Team Offers Support 24/7.”

Support and Services

PACT is a community-based program that works in tandem with McLean Hospital’s services and expert staff. The program provides treatment, rehabilitation assistance, and support services to help individuals who have chronic and persistent serious mental illnesses, such as schizophrenia, bipolar disorder, and other related disorders. PACT’s services may include assessment, comprehensive and ongoing clinical support, general assistance with day to day life, and more.

PACTThe goal of PACT is to provide continuity of care, tailored to the individual’s diagnoses, symptoms, and needs. Services are designed to facilitate access to treatment in order to manage symptoms, which can decrease the frequency and duration that an individual spends in higher levels of care.

By meeting with PACT participants in the community, the program not only provides support to help reduce the chances of readmissions, but also gives an individual the chance to become a partner in their own care. PACT works together with the patient to cooperatively develop a service plan that incorporates the individual’s treatment and personal goals.

PACT staff assist with all aspects of treatment including medications, therapy, crisis intervention, and more. With a focus on rehabilitation, an individual can work with the PACT team to develop or enhance skills to benefit work or personal life. PACT also offers assistance with obtaining support services and benefits. Many individuals with mental illness can take advantage of financial and educational services, legal assistance, and more.

PACT’s services also include social skills coaching, symptom education, vocational rehabilitation, family support and education, ADL coaching, coping skills development, and community integration assistance.

Participants in PACT may benefit from the program’s low patient to staff ratios, a high frequency of contact between the patient and clinicians, direct service provision from the PACT team, outreach in the community, and access to a medication prescriber. PACT uses open dialogue/dialogic practice and emphasizes a flexible person-centered approach focused on shared decision-making and peer support.

Treatment Team

Program Leadership

Chloe Pedalino, LICSWChloe Pedalino, LICSW, Program Director

Ms. Pedalino is also the director of Collaboration and Community Liaison for the Psychotic Disorders Division at McLean Hospital. A co-founder of the Psychotic Disorders Mentorship Program (PDMP), she previously worked as a clinical social worker at McLean’s Schizophrenia and Bipolar Disorder Inpatient Program, where she served as a lead clinical social worker.


Joseph Stoklosa, MDJoseph Stoklosa, MD, Clinical Director, Psychotic Disorders Division

Dr. Stoklosa is also the assistant program director for the MGH/McLean Adult Psychiatry Residency Training Program and is an instructor in psychiatry at Harvard Medical School. He is actively involved in educational research and founded the Clinician Educator Program for the MGH/McLean residency program. Dr. Stoklosa also developed the Schizophrenia and Bipolar Disorder Inpatient Program’s clinical care model, which is focused on improving the use of evidence-based treatment.
 

Staff and Associates

Our staff includes experienced team of licensed clinical social workers, psychiatric mental health nurse prescribers, community outreach specialists, peer counselors, and more. They have extensive background in the treatment of chronic and persistent mental illness such as schizophrenia and bipolar disorder, as well as experience working with patients from diverse cultural and socioeconomic backgrounds from across the country and around the world.

PACT is a community-based program within McLean’s Psychotic Disorders Division, under the leadership of Dost Öngür, MD, PhD.

Admission & Cost

Admission

The Program of Assertive Community Treatment (PACT) is a community-based treatment program for adults with chronic mental health diagnoses—such as schizophrenia, bipolar disorder, psychosis, and other related disorders—who would benefit from access to comprehensive crisis on-call services offered in the individual’s home or local community.

For further information or to make a referral, please contact Chloe Pedalino, LICSW, Program Director:

Phone: 617.855.2674
Email: cpedalino@partners.org

We evaluate individuals prior to admission to ensure the program is a good fit, which includes meeting a specific set of criteria. Potential program participants or referring clinicians should fill out and return the PACT Referral Form. If you need assistance with the admission process, please contact the program using the information provided above.

Cost

PACT is a self-pay program. The rate is $1,500 per month, which covers all services provided by the PACT team. Testing, assessments, and other similar services provided by other McLean Hospital programs, or by programs in an individual’s community, are not included in this fee, but are likely covered by health insurance.

FAQ

Where is PACT located?

The PACT program is based at McLean’s Belmont, Massachusetts campus. However, PACT is a community-based program, and care and services are delivered in the individual’s home or community, as appropriate.

Who benefits most from PACT?

PACT is designed to help adults with psychotic disorders such as schizophrenia, bipolar disorder, psychosis, and other related disorders. The program is aimed at individuals who need assistance in staying on track with their treatment or need help with skills for day to day living including vocational and rehabilitation skills.

Is family involved in treatment?

Family involvement is up to the individual. Family can be an integral part of one’s treatment and sustained recovery. With permission of the patient, we will include family members in treatment to the extent that it is clinically appropriate.

Is aftercare planning a part of the program?

The treatment team works closely with the individual as well as with family, significant friends, and outside providers to develop a personalized aftercare plan. Recommendations by staff are made based upon clinical needs, progress made during treatment, and long-term treatment goals.