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McLean’s Geriatric Psychiatry Inpatient Services provide comprehensive diagnosis and treatment for individuals ages 50 and older who are experiencing emotional, cognitive, or behavioral symptoms.
Symptoms may include memory loss, mood disturbances, anxiety, difficulty coping with losses and transitions, or behavioral conditions that interfere with care at home or in a long-term care setting.
The Older Adult Program serves the general psychiatric needs of geriatric patients. The Cognitive Neuropsychiatry Program offers specialty care for dementia including Alzheimer’s disease and other cognitive impairments.
Covered by most health insurance providers, our average length of stay is between 7 and 14 days. We will work with you to determine which option is best for you.
The Cognitive Neuropsychiatry Program is best suited to individuals with cognitive impairment and co-occurring diagnoses such as depression and anxiety. We understand that along with cognitive changes, many individuals experience additional symptoms or behavioral disturbances such as agitation. Staff have special expertise in treating Alzheimer’s disease and other forms of dementia.
The Older Adult Program provides treatment for patients with a wide variety of psychiatric illnesses including depression, bipolar disorder, anxiety, and thought disorders. We also treat individuals coping with loss, bereavement, and changes in functioning. Families are closely involved and participate during the hospitalization.
A part of McLean’s Center of Excellence in Geriatric Psychiatry, our interdisciplinary team of expert clinicians and support staff have chosen geriatrics as their specialty. Staff pride themselves on providing compassionate and efficient care. We work together to collaborate with patients and families to provide first-class treatment in a comfortable environment.
The main components of care include diagnostic evaluation, solution focused treatment, group therapy, behavioral strategies, medication evaluation and management, and aftercare planning.
Treatment for cognitive impairments focuses on rapidly stabilizing patients. Care integrates behavioral interventions, medication consultation, and group therapy. This approach is personalized to each patient to maximize cognitive and emotional functioning and enhance quality of life.
For other psychiatric diagnoses, treatment is tailored to meet the needs of each patient with the goal of providing diagnostic clarification, symptom relief, patient and family education, development of an aftercare plan, and strategies to enhance quality of life.
“You have left me with a renewed faith in a mental health system that employs individuals that truly care.”
– Patient at the Cognitive Neuropsychiatry Program
Research into causes, cures, and symptom reduction is a crucial aspect of older adult care. Our programs utilize care models and treatments based on clinical and neuroscience research. Cutting-edge studies are conducted by investigators in McLean’s Geriatric Psychiatry Research Program.
Our research is exploring ways to slow down disease progression of Alzheimer’s disease and potential treatments for behavioral complications of Alzheimer’s dementia (such as agitation, anxiety, sleep disorders, and mood disturbance). Researchers are also examining aspects of depression and bipolar disorder, memory loss, and more. Patients may be asked to join in our studies as research subjects. Study participation is voluntary, and declining does not affect access to care.
Our inpatient services are located on McLean’s Belmont campus in South Belknap. The programs have comfortable bedrooms and ample common areas for group therapy and leisure time. Patients have access to regular fitness activities. This setting offers a pleasant, peaceful environment that enables patients to focus on improving their mental health.
We recognize that physical illnesses, medications, and the psychological and social stresses of aging can complicate diagnosis and treatment of late-life psychiatric difficulties. Our compassionate staff work with each of our patients and their families to develop an individualized plan of care.
Comprehensive evaluations are aimed at diagnosis and assessment of emotional, behavioral, and cognitive abilities. This leads to treatment plans that can be implemented both at the programs and at aftercare facilities when appropriate.
Thorough psychosocial evaluations, neuropsychological testing, and review of medications, medical history, and current physical conditions, as well as other diagnostic procedures are provided as needed.
Our program’s multidisciplinary approach draws upon a full range of treatment methods and techniques, including psychiatric assessment, neuropsychological and psychological evaluations, individual and group therapy, behavioral interventions, medication evaluation and management, and psychosocial assessment.
Consultation services are also available such as internal medicine, neurology, imaging, rehabilitation medicine, nutrition services, transcranial magnetic stimulation (TMS), and electroconvulsive therapy (ECT). Laboratory testing is available, including state of the art brain imaging.
Our staff works closely with patients’ families and referrers to assure that gains made during hospitalization are maintained after leaving the program. We provide families with education, support, and help in determining the most appropriate next steps, including recommendations of community-based services when appropriate. We also consult with referrers while patients are at the program and provide concrete treatment recommendations to implement after discharge.
The Geriatric Psychiatry Inpatient Services are suitable for adults ages 50 and older with emotional, cognitive, or behavioral symptoms. These may include memory loss, mood disturbances, anxiety, difficulty coping with losses and transitions, or behavioral conditions that interfere with care at home or in a long-term care setting. Our programs are covered by most insurance providers and are appropriate for those who could benefit from short-term inpatient care.
For further information about our programs or to make a referral, please contact our admissions coordinator:
To be eligible for admission to the Cognitive Neuropsychiatry Program, patients must require an inpatient level of care for behavioral problems (e.g., physically or verbally aggressive behavior, agitation, wandering, depression, or anxiety) related to cognitive impairment.
The Geriatric Psychiatry Inpatient Services are 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 Mass General Brigham website. You may also find it beneficial to review McLean’s patient billing and financial assistance information.
James M. Wilkins, MD, DPhil, Medical Director
Dr. Wilkins’ clinical interests include care of people with dementia and their families. His academic interests lie at the interface of geriatric psychiatry and bioethics with a focus on the ethical aspects of decision-making, particularly surrogate decision-making for people with dementia. He is also site director of the Geriatric Psychiatry Fellowship at Mass General Brigham.
Jane Crone, MSN, RN, Nurse Director
Ms. Crone is committed to promoting patient-centered care and educating and training new staff. She began her career at McLean in 1995 as a mental health specialist. Since that time, Ms. Crone has held numerous roles including clinical coordinator of McLean’s Cognitive Neuropsychiatry Program and nurse manager of the geriatric psychiatry unit at St. Elizabeth’s Medical Center.
Arkadiy Stolyar, MD, Medical Director
After graduating from medical school, Dr. Stolyar spent the next twenty years as an emergency medicine physician and became interested in psychiatry after moving to the United States. Upon completion of his training, he began working at McLean Hospital as a geriatric psychiatrist in the geriatric psychiatry programs. Dr. Stolyar also pursues his interest in forensic psychiatry and clinical research. He has participated in more than 90 clinical trials.
Cindy Ruscitti, MSN, RN, Nurse Director
Ms. Ruscitti has worked in the Older Adult Program since 1975. She is focused on patient-centered care and recovery practice. She also provides role-modeling to staff in these areas.
Working in close partnership with patients and families, our clinicians provide high-quality care tailored to each individual’s needs. Our multidisciplinary team of geriatric psychiatrists, neuropsychologists, clinical social workers, nurses, mental health specialists, and group therapists have experience working with patients from diverse cultural and socioeconomic backgrounds from across the country and around the world.
Our expert staff have chosen geriatrics as their specialty and pride themselves on providing compassionate and efficient care.
The services are located on the Belmont campus in South Belknap. For more information on directions, parking, and local accommodations, please visit our Maps & Directions page.
Our inpatient programs focus on treating individuals ages 50 and older who are experiencing emotional, cognitive, or behavioral symptoms. These may include memory loss, mood disturbances, anxiety, difficulty coping with losses and transitions, or behavioral conditions that interfere with care at home or in a long-term care setting. The Older Adult Program serves the general psychiatric needs of geriatric patients. The Cognitive Neuropsychiatry Program offers specialty care for dementia symptoms including those of Alzheimer’s disease and other cognitive impairments.
We encourage family involvement to whatever degree is desired by the patient. This may include phone contact with clinical social workers, family meetings, and supportive education. Many families are actively involved since most have caregiver roles and responsibilities.
Our programs are non-smoking. Nicorette gum and nicotine patches are available as well as tobacco cessation counseling and support.
Visiting hours are 1:30-7:30pm daily.
In the Cognitive Neuropsychiatry Program, in general, cell phones and other electronics are discouraged. Chargers and cords are not permitted at the program, but items may be charged at the nursing station.
In the Older Adult Program, cell phones, tablets, laptops, and other device are permitted, with some guidelines to prevent disruption of the program and other patients, but charging cords are not allowed. Device chargers are kept in the nursing station for charging as needed. No photography is permitted. Wireless headphones with Bluetooth capability are permitted, but no wired headphones of any kind are allowed.
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.
All requests for medical records should be directed to McLean‘s Health Information Management Department.
To complement our programs’ services and encourage individuals’ initiatives in their own treatment course, many self-help groups are hosted by McLean.
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 U.S. and around the world, which delivers feedback on the patient care experience.
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