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A1. McLean Southeast Acute Residential Treatment (ART)
The McLean ART is a 22 bed short term (1-2 weeks) coed residential program serving teens with a wide range of serious psychiatric problems. Residents typically have a complex combination of individual impairment, family challenges, and system needs. Treatment is intense, and includes milieu treatment (DBT based psychoeducational, with numerous group therapies included), individual and family therapy, psychiatry and case management. During their 20 hour per week placement interns manage a caseload of 2 cases and are responsible for all aspects of treatment. Interns typically lead 2 groups per week, and administer between 6 and 10 psych testing batteries a year. Interns receive a minimum of one hour of individual supervision, with separate supervision for testing.
A2. South Shore Educational Collaborative
South Shore Educational Collaborative is a therapeutic day school located in Hingham, MA. The 20-hour-per-week placement is in the Quest Program which serves the elementary/middle school population. In addition to co-leading classroom groups with another clinician, interns typically have a revolving caseload as students are referred to Quest for a STARTS 45 school day assessment. Interns may complete anywhere from 10-13 of these evaluations which are comprised of sessions with the student, Team meetings, and contact with family members and collaterals, all culminating in a comprehensive written report at the end of the 45 days. Interns receive an hour each of individual and group supervision, and there is a bi-monthly psychiatry consultation. Treatment is focused on affect management and developing coping skills. Family work and collaboration with collateral providers is essential.
A3. In-Home Therapy Program
The Aspire Health Alliance (AHA) In Home Therapy (IHT) Program is a family-centered, community-based wraparound treatment service for predominantly low-income youth ages three to 21 with serious emotional and behavioral difficulties. The service goal is achieving safety, stability, and reduced need for higher levels of care. IHT clinicians work in co-therapy teams, use a family systems approach, and meet the family where they are geographically, culturally, and emotionally. They provide families with risk management and safety planning, assist the youth and family in improving ineffective patterns of interaction, and provide caregivers with psychoeducation and skill-building. The IHT team also links the family and youth to community-based services and coordinates behavioral healthcare with academic and medical care. During their 20-hour-per-week placement, interns manage a small caseload of 3 families with a co-therapist. On a weekly basis, interns receive 30 minutes of group supervision with their co-therapist on each of their cases and an additional hour of individual supervision. Interns also participate in a weekly meeting and case conference with the full IHT staff.
B. Step One Early Intervention Program
The Step One program provides educational and therapeutic services to children from birth to three years and provides support, coaching, and education to their families. It is a family-centered, community-based program that works with families to better understand and meet the individual needs of their children.
Children eligible for the program are those who were born prematurely; have feeding, vision or hearing problems; are slow to sit, stand, walk or talk; have a delay in one or more areas of development; were born with a disability or health condition that affects their development (Down syndrome, cerebral palsy, etc.); or are at risk for delay due to prematurity or family problems such as homelessness, substance abuse, or family violence. Clinicians also help parents access support within their community for mental health challenges, domestic violence, and/or homelessness. Services are provided in the family’s home, community locations (e.g., a child care center or preschool), and at the AHA Learning Center.
C. McLean Southeast Adult Program
Adult Inpatient and Partial Hospital Placement
McLean Hospital Southeast is a satellite program of McLean Hospital in Belmont, MA. Located in Middleborough, MA, the McLean SE adult program consists of a 30-bed inpatient unit and 16-slot Partial Hospital Program treating both men and women with a wide range of psychiatric conditions. The inpatient length of stay averages about one week, and the PHP (Mon.– Fri.) length of stay averages approximately two weeks. Both levels of treatment are intense and include individual, group, and family therapy, as well as psychiatry, case management, and milieu treatment. The primary treatment modality is CBT, though other treatment approaches are utilized as well. During their 20-hour-per-week placement, interns manage three-to-four cases, lead three-to-four groups a week, and have regular opportunity to administer psychological testing. Interns experience both the inpatient and Partial Hospital Programs. Interns receive a minimum of one hour of individual supervision, with separate supervision for testing.
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