Mclean Hospital

Adolescent Acute Residential Treatment (ART) Program

Helping Teens Manage Their Mental Health

The Adolescent Acute Residential Treatment (ART) Program provides intensive, short-term, and highly focused psychiatric care for teens and young adults through age 19 with emotional and behavioral difficulties.

With a length of stay between 10 and 14 days, this insurance-based residential program focuses on stabilizing adolescents in acute crisis.

At our two locations, McLean’s main campus in Belmont, Massachusetts, and McLean SouthEast in Middleborough, Massachusetts, the coeducational program operates in unlocked settings, maximizing each individual’s responsibility and capacity for self-control.

For more information or to make a referral, call 877.231.5191 (Belmont) or 877.502.0185 (McLean SouthEast).

The ART is a voluntary program so patients must be willing to participate in treatment.

We specialize in treating teenagers who are struggling with psychiatric diagnoses such as ADHD, anxiety, depression, and bipolar disorder. We also offer a specialty track for those whose illness is complicated by a co-occurring substance use disorder.

Groups and structured activities involve skills training, team building, preparing meals, and recreational therapy. These pursuits enhance daily living skills, build self-mastery and esteem, and provide a sense of autonomy and membership in a community.

Teens and young adults can be referred to the program from home or any level of care, including inpatient, partial hospital, and outpatient. We offer a full range of services, including assessment and consultation, group therapy, skills training, education, medication evaluation and management, and family therapy. As part of the Division of Child and Adolescent Psychiatry, the program offers access to care and services throughout McLean Hospital.

Young woman outside
With two locations in Massachusetts, McLean’s Adolescent ART programs help teens focus on their mental health

At McLean SouthEast we also offer day program services, the McLean SouthEast Adolescent Partial Hospital Program, for teens who require intensive, structured treatment but are able to manage living at home.

Our staff is composed of a multidisciplinary group of board-certified psychiatrists, licensed psychologists and clinical social workers, registered nurses, and expressive therapists. The ART staff specializes in making sophisticated assessments, diagnoses, and recommendations in complex situations.

Learn more about child and adolescent mental health care at McLean.

Treatment Approach

The primary goal of treatment at the Adolescent Acute Residential Treatment (ART) Program is to help adolescents stabilize so that they may pursue further treatment in a partial or an outpatient setting. In order to provide the best care possible, we work to develop an individualized treatment plan tailored to the specific needs of each of our patients.

Every adolescent entering our program undergoes an initial assessment with a psychiatrist and a clinical social worker. The evaluation takes into account biological, psychological, and social strengths and vulnerabilities.

For teens and young adults prone to self-destructive behaviors, including self-injury and suicidal ideation, dialectical behavior therapy and cognitive behavior therapy—treatment models that helps patients connect thoughts and actions—are used to help develop the coping skills to deal with emotionally overwhelming circumstances, interpersonal conflicts, and self-destructive urges.

Additional components of treatment include case management, classroom-based skills training, individual and family meetings, expressive music and art therapies, skills coaching, group and milieu therapy, recreational therapy, and medication evaluation and management.

Treatment covers the full psychiatric spectrum, including mood and thought disorders and their associated behaviors, family and school difficulties, and alcohol and drug misuse. Patients may need intense verbal support during their stays, but are expected to maintain self-control without the need for physical management.

When needed, additional specialty consultations are available in neurology, eating disorders, personality disorders, autism spectrum disorder, and trauma. Following any specialty consultation, the multidisciplinary clinical team develops an individualized treatment plan that includes the recommendations of consultants.

Families are integral to treatment. We ask that they participate in family meetings and also offer parent support groups. Parents are invited to visit and at a certain point are encouraged to take their child on passes to leave campus. Clinical social workers are available regularly for phone feedback and consultation. As a resource and partner within the community, we also make extensive effort to involve community treaters, including therapists, agencies, and schools, in treatment and aftercare planning.

Teen in therapy
Treatment at McLean’s Adolescent ART Program is tailored to meet the needs of each young patient

The McLean SouthEast Adolescent Partial Hospital Program at McLean SouthEast in Middleborough also offers a structured intervention for individuals who are in crisis but can safely reside in the community. The program is available as step-down option from an inpatient program or as a direct admission.

With a more intensive supervision and treatment than the traditional outpatient setting, McLean SouthEast utilizes a multidisciplinary approach including case management, rehabilitation therapy, structured group programming, and psychiatry. The day program operates Monday through Friday from 9am to 3pm.

Admission & Cost

Admission

The Adolescent Acute Residential Treatment (ART) Program focuses on treating teenagers ages 13 to 19 who are struggling with psychiatric diagnoses such as ADHD, anxiety, depression, and bipolar disorder.

With a length of stay of 10 to 14 days, we also offer a specialty track for those whose illness is complicated by a co-occurring drug or alcohol misuse.

For more information or to make a referral to the Adolescent ART, please contact our admissions coordinator:

Belmont

Phone: 877.231.5191

McLean SouthEast

Phone: 877.502.0185

Referral Forms

Prospective patients and families seeking acute residential care in Belmont should fill out the Belmont Adolescent ART Referral Form. Residential treatment at McLean SouthEast doesn’t require a referral form. For those seeking structured day care in Middleborough, please fill out the McLean SouthEast Adolescent Partial Hospital Program Referral Form. Once the appropriate form is returned to the program, we can help determine if the Adolescent ART or Adolescent Partial Hospital is an appropriate option.

Cost

We understand that navigating the insurance system can be challenging, which is why we assist prospective patients to help determine eligibility. We welcome your questions and concerns and have a dedicated staff to help you.

The Adolescent Acute Residential Treatment Program is covered by most insurance providers. McLean Hospital accepts Medicare, Massachusetts Medicaid, and many private insurance and managed care plans.

More information on insurance providers accepted by McLean Hospital may be found on the Partners HealthCare website. You may also find it beneficial to review McLean’s patient billing and financial assistance information.

Treatment Team

Program Leadership

Belmont ART

Jessica E. Feinberg, LICSWJessica E. Feinberg, LICSW, Program Director

Ms. Feinberg came to McLean after completing a clinical fellowship at the Yale Child Study Center. She has worked as a therapist and clinical social worker in the ART program since 2002. Ms. Feinberg is trained in dialectical behavior therapy and has extensive experiencing treating adolescents and their families, with a particular interest in treating those who struggle with substance use and self-injury.


Bryan Pridgen, MD

Bryan Pridgen, MD, Medical Director

Dr. Pridgen is a board-certified psychiatrist experienced in a wide arrange of therapeutic techniques, including psychodynamic psychotherapy, dialectical behavioral therapy, family therapy, and medication evaluation and management. An instructor in psychiatry at Harvard Medical School, he is skilled at working with individuals with mood and anxiety disorders, developmental delays, personality disorders, suicidality/self-injurious behavior, acute and complicated grief, chronic medical illness, and histories of interpersonal trauma.


Dana B. Sarvey, MDDana B. Sarvey, MD, Associate Medical Director

Dr. Sarvey is a child and adolescent psychiatrist who specializes in treating adolescents with co-occurring substance use disorders and mood and anxiety disorders. She utilizes a variety of treatment modalities in her clinical work including motivational interviewing, CBT, basic DBT skill use, medication evaluation and management, psychodynamic psychotherapy, as well as family psychotherapy.


McLean SouthEast ART

Mark Picciotto, PhDMark Picciotto, PhD, Program Director

Dr. Picciotto has worked in the areas of residential and hospital treatment of adolescents for 30 years. He has held clinical and administrative leadership positions including director of adolescent services at Pembroke Hospital (1990-1995), clinical director at Boston IRTP (1995-2000), and program director at Taunton Hospital Adolescent Inpatient Unit (2000-2003).


Charles F. Moore, MDCharles F. Moore, MD, Medical Director

Dr. Moore is also the medical director for the McLean SouthEast Massachusetts Child Psychiatry Access Project (MCPAP). He co-developed and expanded McLean SouthEast’s Adolescent Partial Hospital Program. Since 2013, he has been working on the School Nurse Liaison Project. Dr. Moore is an instructor in Psychiatry at Harvard Medical School.


Tracy K. Mullare, MD, Assistant Medical Director

Dr. Mullare completed her combined pediatric, general psychiatry, and child and adolescent psychiatry residency at Brown University. She also works with children and adolescents in the McLean SouthEast adolescent partial hospital program as well as the Massachusetts Child Psychiatry Access Program.


Kristen Lancaster, RN, Nurse Manager

Ms. Lancaster came to McLean Hospital in 2003 and was an integral part in the ART’s development in Brockton and in its move to Middleborough in 2014 where she helped develop a separate partial hospital program. She currently serves as a nurse consultant to OCDI Jr., which provides world-class OCD treatment for children and adolescents. Ms. Lancaster manages a staff of 33 community residence counselors and has recently developed a leadership training program for newly promoted leaders.

Staff and Associates

Our multidisciplinary clinical team is composed of child and adolescent psychiatrists, clinical psychologists, clinical social workers, nurses, recreational therapists, clinical educators, and mental health specialists.

Staff have extensive experience in the treatment of adolescents with complex psychiatric illnesses including substance use disorders. They are trained and experienced in a wide array of treatments, including cognitive behavior therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, contingency management, and medication evaluation and management.

Staff members have experience working with patients from diverse cultural and socioeconomic backgrounds.

The Adolescent Acute Residential Treatment Program is part of the Simches Division of Child and Adolescent Psychiatry led by Joseph Gold, MD.

Accommodations

Alongside 24-hour care from our expert clinicians and support staff, the Adolescent Acute Residential Treatment (ART) Program offers a setting that helps our young patients focus on their recovery.

Female clinician and patient work at a laptop in a clinical area
Our setting is designed to give young people the chance to work on their treatment and recovery

Comfortable, shared bedrooms give our young patients a space they can make their own when they are focusing on treatment skills and school homework (when appropriate). Common areas are designed for leisure time as well as group treatment.

Our classrooms and treatment areas are ideal for our small staff to patient ratios. Meals are prepared by program staff and supported by hospital clinical nutrition services. Patients have access to exercise resources, including regular fitness activities.

FAQ

Where is the Adolescent Acute Residential Treatment Program (ART) located?

The program has two locations, in East House on the Belmont campus and at McLean SouthEast in Middleborough. For more information on directions, parking, and local accommodations, please visit our Maps & Directions page.

Who benefits most from Adolescent Acute Residential Treatment Program?

Our residential program focuses on treating adolescents who have psychiatric issues and/or substance use issues and are able to safely manage on an unlocked unit. The ART is a voluntary program so patients must be willing to participate in treatment.

Is family involved in treatment?

Families are integral to treatment. We ask that they participate in two family meetings each week and also offer parent support groups. Parents are invited to visit and at a certain point are encouraged to take their child on passes to leave the campus. Clinical social workers are available regularly for phone feedback and consultation.

Is smoking permitted?

Our program is non-smoking. We do allow nicotine replacement therapy, such as gum or the patch, while in the program.

When are visiting hours?

Visiting hours in Belmont are 4:30-9:30pm Monday through Friday and throughout the day and evening on weekends. At McLean SouthEast, family may visit at any time, but general visiting hours are 4-8:30pm Monday through Friday, and 9am-8:30pm on weekends.

Are cell phones allowed?

Cell phones and other internet-connected devices are not allowed.

Are academics offered?

While our first priority is treatment, we recognize the importance of education. In Belmont, we don’t offer school academics, but we can facilitate tutoring provided by families or schools. There is time in the evenings to complete schoolwork, and we work with schools to make sure there is a transition plan in place as patients leave the program.

At McLean SouthEast, each patient is offered two hours of tutoring per day as part of the usual daily schedule. Our tutors are licensed special education teachers provided through an educational specialty contract. When permission is given, schoolwork specific to the patient’s current school curriculum is provided by the school. In many cases, teens can obtain an academic credit for work done while in the ART.

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.

Can former patients access their medical records?

All requests for medical records should be directed to McLean’s Health Information Management Department.

Are support groups offered?

To complement our programs’ services and encourage individuals’ initiatives in their own treatment course, many self-help groups are hosted by McLean.

Does McLean gather patient feedback?

McLean is dedicated to maintaining high-quality and effective patient care. To ensure that those standards remain at the highest level, we utilize a number of feedback instruments and quality indicators. Among these tools are the Perceptions of Care survey which monitors patient satisfaction and BASIS-24™, a psychiatric outcomes measurement tool created at McLean and widely used in the US and around the world, which delivers feedback on the patient care experience.