Download description of the institutional environment

DESCRIPTION OF THE INSTITUTIONAL ENVIRONMENT
McLean Hospital is a comprehensive psychiatric hospital committed to providing easy access to superior
quality, cost-effective mental health services in the Boston area, Massachusetts and beyond. McLean Hospital
is accredited by The Joint Commission, licensed by the Massachusetts Department of Public Health,
Massachusetts Department of Mental Health, and certified by the Centers for Medicare and Medicaid Services.
Since 1811, McLean Hospital has been a world leader in the treatment of mental illness and chemical
dependency, mental illness scientific research and in training generations of mental health care providers.
McLean Hospital is an affiliate of Massachusetts General Hospital and a member of the Partners HealthCare
System, Inc., which allows for comprehensive coordination of medical and psychiatric services. A major
teaching facility of Harvard Medical School, McLean Hospital maintains the largest program of research in
neuroscience and psychiatry of any private psychiatric hospital in the United States. A large program of clinical
trials for new psychopharmacological agents allows patients access to many experimental medications before
they are generally available. McLean Hospital in Belmont, Massachusetts, is about 10 miles west of Boston.
MCLEAN HOSPITAL MISSION STATEMENT
McLean Hospital is a comprehensive mental health care system committed to providing a full range of high
quality, cost effective, mental health services to our patients, their families and the larger community. The
Hospital is dedicated to training mental health professionals, to supporting basic and clinical research to
understand the causes of mental illnesses and to develop effective new means for prevention and treatment.
OPERATIONS (2009)
Average Beds in Service: 174
Admissions: 5,951
Inpatient Days: 56,452
Partial Hospital Days: 39,151
Partial Hospital Visits: 197,875
Outpatient Visits: 38,709
Child/Adolescent Days: 12,362
Residential Days: 17,187
STAFFING
Physicians and Psychologists: 185
Residents: 25
Fellows: 71
Nurses: 156
Clinical Social Workers: 90
Mental Health/Community
Residence Specialists: 234
Principal Investigators (~136) and research staff: 400
Major clinical programs at McLean Hospital address a broad range of psychiatric illnesses, including:
depression, bipolar and psychotic disorders; mood and anxiety disorders; alcohol and drug abuse; dissociative
disorders; Alzheimer's disease and other geriatric illnesses; and child and adolescent psychiatric disorders.
Each program offers access to a full continuum of care, including acute inpatient care, acute residential care,
partial hospitalization, continuing residential care options and outpatient services. McLean's multidisciplinary
team responds to each patient's situation with a commitment to individualized treatment that may include
individual psychotherapy, group therapy, psychopharmacology and rehabilitation services.
CLINICAL SERVICES
Adult Ambulatory Psychopharmacology Program
Adult Consolidated Ambulatory Team
Adult Partial Hospital and Residential Services
Ambulatory Services
Behavioral Health Partial Hospital Program
Child and Adolescent Programs (8)
Clinical Evaluation Center
College Mental Health Service
Community Hospital Psychiatric Emergency Services (3)
Dissociative Disorders and Trauma Program
Division of Alcohol and Drug Abuse (4 programs)
Division of Psychotic Disorders (4 programs)
Electroconvulsive Therapy Service
Geriatric Program (3 programs)
Klarman Eating Disorders Center
McLean South East (Brockton, Mass.)
Neuropsychology
Obsessive Compulsive Disorder Institute
Personality Disorders Center (3 programs)
Short Term Unit
The Pavilion
Transitional Living Center
Waverley Place
Women’s Treatment Program
MCLEAN HOSPITAL RESEARCH OVERVIEW
McLean researchers are physicians, psychologists, pharmacists, and nurses with advanced scientific training,
PhDs in the basic sciences, and MD-PhDs in fields, including brain imaging, behavioral genetics, clinical
pharmacology, electrophysiology, epidemiology, genetics, molecular neurobiology, medicinal chemistry,
neuroanatomy, neurology, neurochemistry, neuropathology, pharmacology, physics, psychology and statistics.
Collaboration among investigators from these complementary disciplines is common. The unique strength of
research at McLean lies in providing opportunities for this diverse group of clinician-scientists using state of the
art research design and technology to interact in the study of the brain in health and illness. As part of an
ongoing Strategic Plan (that has already partially reorganized the institutional structure with a newly created
Department of Alcohol and Substance Abuse, and a Department of Psychotic Disorders), McLean will
eventually result in a disease-based departmental structure. Currently, however, the research program is
comprised of those divisions already mentioned and the Alcohol and Drug Abuse Research Center, Clinical
Unit-Based Research, the Mailman Research Center, the Neuroimaging Center; and the following research
programs:
RESEARCH PROGRAMS (44)
Adult Development
Affective Neuroscience
Alcohol and Drug Abuse Clinical and
Health Services Research and Education
Behavioral Genetics
Behavioral Psychopharmacology
Biological Psychiatry
Bio-Organic and Natural Products
Brain Imaging Center
Cellular Neurobiology
Cellular Neuropathology
Clinical Psychopharmacology
Cognitive Neuroimaging Core
Cognitive Neuroscience
Computational Neuroscience
Developmental Biopsychiatry
Developmental Neuropharmacology
Developmental Psychology and Psychopathology
Developmental Spectroscopic Imaging
Developmental Studies
Genetic Neuropharmacology
Geriatric Psychiatry
Integrative Psychiatry in the Addictions Division
Medicinal Chemistry
Molecular and Developmental Neurobiology
Molecular Neurobiology
Molecular Neuropathology
Molecular Pharmacology
Mood Disorders in Geriatric Psychiatry
Neuropharmacology
Neuroscience
Pain and Analgesia-Imaging and Neuroscience
Personality and Psychosocial Research
Pre-Clinical Pharmacology
Psychiatric Biostatistics
Psychiatric and Molecular Neuroscience
Psychiatric Neuroscience
Psychology Research
Psychopharmacology Research
Schizophrenia and Bipolar Disorder Program
Statistical Neuroimaging
Structural and Molecular Neuroscience
Translational Imaging
Translational Neuroscience
MCLEAN HOSPITAL ACADEMIC MISSION
McLean’s academic mission is multi-faceted and engages all areas of the hospital. The Chief Academic Officer
is responsible for overseeing this mission, including educating staff, faculty, trainees and the public, and
advancing the hospital’s scholarly activities. One goal of McLean Hospital is to continue to attract and educate
the most promising students and trainees for careers as clinicians and researchers in psychiatry and
neuroscience and to provide opportunities for professional development. Comprised of more than 400 trainees
and 442 faculty, McLean encourages research and scholarly activities to enhance the understanding of the
causes, mechanisms, treatment and prevention of psychiatric illness and its relevant social interactions.
Clinical work is also a large part of McLean’s academic mission, including integrating evidence-based practice
and practice-based evidence to provide our patients with the very best psychiatric care.
EDUCATION
Massachusetts General Hospital/McLean Hospital
Adult Psychiatry Residency Training
Child/Adolescent Psychiatry Residency Training
MGH / McLean / BWH
Addiction Psychiatry Fellowship
MGH / McLean / BWH / Faulkner
Geriatric Psychiatry Fellowship
Medical Student Education
Nursing Training
Post-Graduate & Continuing Medical Education
Psychology Continuing Education
Psychology Training
Social Work Internship Training Program
Fostering communication among researchers and clinicians is achieved via several mechanisms including
McLean Research Day, which in 2010 featured over 90 poster presentations and 15 brief research
communications, the McLean Neuroscience Seminar, which has a longstanding and rich tradition of attracting
cutting edge neuroscientists invited by the McLean/Harvard faculty to provide an opportunity for scientific
networking and exchange of ideas with McLean investigators, Grand Rounds presentations, and other special
seminars. These events are aimed at bringing together clinicians and researchers to focus on cutting-edge
issues related to psychiatric disease. Recent improvements in technology, including teleconferencing, digitaltaping capabilities and a robust McLean intranet site, also enhance communication and training opportunities.