ADOLESCENT DUAL DIAGNOSIS RESIDENTIAL SERVICES
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Program Overview (pdf)
Up to 75 percent of youth with substance abuse problems also struggle with psychiatric illness. Our mission at McLean is to address not only the substance abuse issues, but also the mental health issues of teens and young adults. Treating both issues simultaneously is useful because they can exacerbate one another. It is difficult to achieve full recovery from one without also treating the other, therefore, McLean offers comprehensive residential treatment for adolescents and young adults through age 19 who are struggling with co-occurring substance use disorder and psychiatric illness such as ADHD, anxiety, depression and bipolar disorder.
We offer two distinct residential programs. (Click on the name for detailed information about that program.):
- The Landing at McLean® Hospital, a six week dual diagnosis program combining intensive and transitional programming.
- The Adolescent Acute Residential Treatment (ART) program, an intensive short-term dual diagnosis treatment program
General Information About Our Dual Diagnosis Adolescent ServicesOur Leadership and Staff
Our clinical management team is comprised of child and adolescent psychiatrists, clinical psychologists and clinical social workers with extensive experience in the treatment of adolescents with substance use disorders and other complex psychiatric illnesses.
- Ranna I. Parekh, M.D., Medical Director
- Jessica Feinberg, LICSW, Director of Clinical Services
- John Rodolico, PhD, Director of Adolescent Addictions Training, Senior Addictions Consultant
- Cynthia Kaplan, PhD, Associate Clinical and Administrative Director, Child and Adolescent Programs (CAP)
A multidisciplinary staff of child psychiatrists, psychologists, clinical social workers, nurses, recreational therapists, clinical educators and mental health specialists are trained and experienced in a wide array of treatments, including cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), motivational interviewing, contingency management, and psychopharmacology. Staff members have experience working with patients from diverse cultural and socioeconomic backgrounds.
Setting and Program Life
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Our residential dual diagnosis programs are located on the second floor of East House, one of several historic buildings on the McLean campus. Though McLean Hospital is located only minutes from Boston, its setting offers a pleasant, peaceful environment that enables adolescents to focus on improving their mental health.
The program facilities offer:
- comfortable bedrooms;
- common areas for groups and conversation;
- a fully equipped kitchen; and
- access to a fitness facility with state-of-the-art equipment and basketball court located on the McLean campus.
The programs operate in an unlocked setting, maximizing each individual's responsibility and capacity for self-control. 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.
Parents, for information on overnight accommodations in the area, please click here.
Commitment to Quality
Drug Strategies, a non-profit research institute that promotes drug abuse prevention, education and treatment, convened a panel of expert researchers, policymakers and clinicians who specialize in adolescent substance abuse in order to identify quality indicators that are most essential to effective adolescent treatment programs (please refer to Drug Strategies for additional information). The Landing at McLean® Hospital and the Adolescent Acute Residential Treatment (ART) program recognize the importance of these program features and strives to make them an integral part of our treatment.
The nine quality indicators:
- Thorough assessment by a psychiatrist and case manager for diagnostic evaluation and treatment planning that includes degree of substance use and screening for co-occurring psychiatric illness.
- Motivational approach for patient engagement and retention.
- Comprehensive treatment approach that encompasses both addictions and mental health issues, as well as environmental factors.
- Family involvement.
- Developmentally appropriate treatment based on the latest knowledge about adolescent brain development.
- Gender competence in programming, including some separate male and female groups to address gender differences.
- Qualified, highly trained staff and a low staff-to-adolescent ratio.
- Continuing care and aftercare planning. Adolescents involved in transition planning at The Landing develop relapse-prevention and crisis management plans.
- Measurement of treatment outcomes
About Co-occurring Substance Abuse and Psychiatric Illness in Adolescence
When an individual has both a substance use disorder and a psychiatric illness, it is commonly referred to as a "co-occurring disorder" or "dual diagnosis disorder." While individuals with a co-occurring or a dual diagnosis disorder have historically undergone sequential treatment (i.e., first the substance use disorder is treated, then the psychiatric illness), more recent research has demonstrated the value of integrated treatment (i.e., treating both the substance use disorder and psychiatric illness simultaneously). This shift in treatment is based primarily on the understanding that both disorders tend to exacerbate each other, thus making it difficult to achieve remission from one without also treating the other.
To read the criteria for substance abuse and dependence, click here. Psychiatric illness can include struggles with depression, anxiety, bipolar disorder/mood disorder, ADHD, eating disorder, trauma (Post Traumatic Stress Disorder/PTSD) and personality disorder. For more information about these illnesses, click on Mental Health Information.
For admission or to make a referral to the Adolescent Acute Residential Treatment program call 617.855.2800.
For admission or to make a referral to The Landing at McLean® Hospital, call Gale Norway at 617.855.2816 or toll free at 877.412.3445.If you are interested in The Landing, please inform Gale so she can send additional information that is needed (including clinical and financial requirements). The Transitional Care program at The Landing requires an interview to ensure clinical appropriateness. The clinical team assesses readiness, an important criterion. Adolescents must be motivated for treatment and express a commitment to sobriety to take part in this phase of treatment. The Landing e-mail address is firstname.lastname@example.org.
About McLean Hospital
U.S. News & World Report named McLean America's #1 Hospital for Psychiatry in 2013 . McLean Hospital is the largest psychiatric facility of Harvard Medical School, an affiliate of the Massachusetts General Hospital and a member of Partners HealthCare. For more information about McLean visit us on www.facebook.com/ McLeanHospital or follow the hospital on Twitter@McLeanHospital.