Mclean Hospital

OnTrack Jr.

Mental Health Support for Teens and Young Adults

OnTrack Jr. delivers high-quality outpatient care to teens and young adults ages 14-25 who are at risk of psychotic illnesses.

The program offers individual therapy and psychiatric treatment for young people who are experiencing changes that impact thinking, emotions, behavior, and functioning. Although changes like these do not always indicate a first episode of psychiatric illness, they may place a person at increased risk of developing psychosis.

For more information or to make a referral, please call 617.855.3663.

We understand that new or worsening symptoms can lead to confusion and fear. OnTrack Jr. provides support to help individuals learn to understand and cope with these changes.

Young woman patient meets with clinician
OnTrack Jr. provides early intervention treatment for teens and young adults at risk for developing psychotic disorders

If you or your loved one are experiencing any of these changes, OnTrack Jr. may be able to help:

  • Difficulty thinking clearly/concentrating or expressing thoughts clearly
  • Changes in speech, such as vague or unusual speech patterns
  • Changes in thought content, including suspiciousness, emerging odd thoughts, or unusual beliefs
  • Perceptual disturbances, such as increased sensitivity to sights, sounds, hearing one’s name being called, or hearing or seeing things that others do not
  • Difficulty expressing or understanding emotion
  • Increased sadness, anger, irritability
  • Decreased motivation or withdrawing from friends and family
  • New problems at school or work, including falling grades or difficulty completing assignments
  • Worsening hygiene or a lack of concern about appearance

OnTrack Jr. is covered by most insurance carriers. Length of treatment varies depending on the needs of the individual.

For those who are seeking treatment following a first episode of psychosis, please consider McLean OnTrack.

Treatment Approach

Our skilled and compassionate clinicians provide treatment aimed at managing symptoms while improving and maintaining a patient’s overall functioning.

At OnTrack Jr., the focus is on helping patients to understand the changes they are experiencing in thinking, feelings, or behavior. We help patients develop new coping techniques for managing symptoms. Our goal is to help young people improve and maintain functioning at home, school, work, and in their social life.

Each patient meets regularly with a program therapist and psychiatrist. Our staff creates treatment plans geared to the specific needs of the individual. Treatment services include individual therapy and medication consultation.

Admission & Cost


OnTrack Jr. is ideal for adolescents and young adults ages 14-25 who are experiencing changes in thoughts, behavior, emotions, or functioning.

Speaking with a trained professional about diagnosis and treatment is a critical first step in early intervention and in understanding and addressing the problem. Contact us now to get help for you or your loved one.

For further information about the program or to make a referral, please contact:

Sarah Burke, LICSW, Clinic Director
Phone: 617.855.3663

Referral Forms

Prior to admission, we review prospective patients to determine whether the program is a good fit for the individual. Please fill out the OnTrack Jr. Referral Form. Once the form is received, someone from the program will get in touch.


OnTrack Jr. 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

Sarah Burke, LICSW, Clinic Director

Ms. Burke began working at McLean Hospital in 2016 as a clinical social worker at the Schizophrenia and Bipolar Disorder Inpatient Program. She holds a BA in Social Work from Providence College, and earned her Master of Social Work degree from Simmons College.

Perihan Esra Guvenek-Cokol, MDPerihan Esra Guvenek-Cokol, MD, Medical Director

Dr. Guvenek-Cokol is a child, adolescent, and adult psychiatrist, specializing in psychotic disorders and childhood anxiety disorders. In addition to her role as medical director for OnTrack Jr., she is an inpatient attending psychiatrist in the Schizophrenia and Bipolar Disorder Inpatient Program.

Joseph Stoklosa, MD

Joseph Stoklosa, MD, Clinical Director, Psychotic Disorders Division

Dr. Stoklosa is also the assistant program director for the MGH/McLean Adult Psychiatry Residency Training Program. 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

At OnTrack Jr., our clinical social worker works together with our psychiatrists. The team strives to build trusting and collaborative relationships with patients and family members in a caring and supportive environment.

OnTrack Jr. operates within the Psychotic Disorders Division, led by Dost Öngür, MD, PhD.


Where is OnTrack Jr. located?

The program is located on the Belmont campus in the Admissions Building. For more information on directions, parking, and local accommodations, please visit our Maps & Directions page.

Who benefits most from OnTrack Jr.?

OnTrack Jr.’s outpatient care focuses on early intervention for symptoms that may or may not lead to a psychotic disorder. Teens and young adults ages 14-25 may be experiencing changes in thoughts, emotions, functioning, or behaviors.

Is family involved in treatment?

Family involvement in their loved one’s treatment is strongly encouraged. We offer support for family members.

Is smoking permitted?

Smoking is allowed in designated outdoor areas only. No smoking is allowed inside any of our buildings.

Are cell phones allowed?

Cell phone use is strongly discouraged during treatment and in the waiting room to prevent disruption of the program and others.

Can former patients access their medical records?

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