PDF (1.9 MB) - McLean Hospital

A HARV ARD MEDICAL SCHOOL AFFILIATE
McLEAN
ANNUAL
REPORT
2004
McLEAN HOSPITAL
IN THE COMMUNITY

Members of this group represent staff from the diverse programs that make up the McLean
community—from Belmont to Boston, from Ashburnham in North Central Massachusetts,
and to Brockton in the southeastern part of the state.

TRUSTEES
KATHLEEN F. FELDSTEIN, PHD, Chairman
DAVID S. BARLOW
BRUCE M. COHEN, MD, PHD
FERDINAND COLLOREDO-MANSFELD
EDITH L. DABNEY
GARY L. GOTTLIEB, MD, MBA
EDWARD P. LAWRENCE, ESQ.
KENNETH R. ROSSANO
EDWARD M. SCOLNICK, MD
GEORGE E. THIBAULT, MD
ROSE-MARIE VAN OTTERLOO
HONORARY TRUSTEES
CHARLES D. BAKER
BETTY BRUDNICK
FRANCIS H. BURR, ESQ.
G. LAMAR CRITTENDEN
JOHN A. KANEB
GEORGE PUTNAM
W. NICHOLAS THORNDIKE

McLEAN
Branches Out
#

Dear Friends:
For more than 100 years, McLean Hospital has been serving the community from a beautiful and sprawling
college-like campus perched atop Belmont Hill. While Belmont continues to be the center of our clinical, academic
and research work, the hospital, in recent years, has expanded its reach throughout Massachusetts and beyond.
In this annual report for 2004, we focus on McLean’s growing involvement in the community. As you read this report,
you will learn about many programs beyond the boundaries of the hospital on the hill, beginning with McLean
SouthEast, established to serve those in the fastest growing part of Massachusetts. Traveling west to McLean at
Naukeag, you will see one of the country's premier dual-diagnosis treatment programs. And circling back to Boston,
the Franciscan Hospital for Children is the home of a unique collaboration with McLean that is making a critical
difference in the lives of children with behavioral, medical and developmental challenges. Through programs like
these, McLean continues to increase the number of patients and families we help.
Funding for psychiatric care remains inadequate to the need, but in 2004, after more than a decade of change, McLean
enjoyed a strong financial performance, posting gains on both the operating and bottom lines—the first time this has
been achieved since 1991. Contributing to this success was our work with Partners HealthCare on many fronts; in
particular, on quality measures and in our efforts to negotiate fairer reimbursement rates from health insurers.
Improved care depends on new knowledge and McLean enjoyed another record year of funding for research,
directing more than $46 million to basic and clinical studies designed to enhance our understanding and treatment
of psychiatric illness. Research cannot progress without a constant sharing of ideas and information, and we have
begun an exciting collaborative scientific program in genetics with colleagues from Harvard, M.I.T., the Broad
Institute and the Whitehead Institute. We are also leading a network of four clinical trial sites throughout New
England and a partnership between academic researchers and clinical treatment programs to evaluate new therapies
for substance abuse. Both initiatives are highlighted in this report.
Our training programs enjoyed a number of recent notable achievements: Our psychology internship program was
awarded the maximal seven-year accreditation and glowing commentary by surveyors from the American
Psychological Association. Our continuing medical education program grew and attracted broader audiences. Our
three-day workshop, Psychiatry 2004, co-sponsored by Harvard Medical School, drew its largest attendance to date.
We welcomed the first group of psychiatry residents into our new four-year program that places residents in
hospitals across the Partners system.
Making all of these achievements possible are the dedicated employees and staff of McLean, as well as members of
our extended community—most notably, our patients, their families and friends, and our donors who so generously
support our mission of providing exceptional, compassionate care, conducting novel basic and clinical research and
training the best qualified mental health professionals. It is a privilege to be associated with this fine institution.
As we confront the challenges that inevitably lie ahead, we take this opportunity to recommit ourselves to meeting
the needs of all those we serve.
Sincerely,
Kathleen F. Feldstein, PhD
Chairman of the Board
Bruce M. Cohen, MD, PhD
President and Psychiatrist in Chief

BRANCHING OUT
Expansion
by Design
McLean’s strategic linkages within the community have been designed
to simplify access to care in a health delivery system that is anything
but easy for people to use, says Philip Levendusky, PhD, vice president
of Network Development. “It made sense for us to take our services to
people who could not travel to Belmont and to establish programs in
areas that are either underserved or have a high potential for growth.”
The economic realities of nearly a decade ago, along with the realization
that McLean could operate programs beyond the boundaries of its
Belmont campus, helped drive the hospital’s expansion into various
communities throughout eastern Massachusetts. “We wanted to find
venues and partnerships that bring the highest quality services to meet
the needs of new patients and are economically viable in a time of
reduced funding for psychiatric care.”
McLEAN
Heads SouthEast
BROCKTON, MASS.
Levendusky points out, “The programs we provide in the community
and the individuals who staff them, are of the highest caliber. Patients
at McLean SouthEast or patients at McLean at Naukeag, for example,
receive the exact same level of care they would if they were in
Belmont. That’s a point of pride and extremely important to us.”
4

Forty miles southeast of the picturesque
Boston skyline, McLean Hospital has
taken up residence in the fastest
growing part of the state, where mental health
services are in great demand, yet in scarce
supply. “We’re working to change that,” says
Richard Curcuru, LICSW, program director for
McLean SouthEast, a 25-bed adult inpatient unit
and partial hospital program in Brockton, Mass.
In February 2004, with approval from the
Massachusetts Departments of Mental Health
and Public Health, McLean SouthEast opened
in newly refurbished quarters on the grounds of
the Department of Veterans Affairs Boston
Healthcare System (also known as the Brockton
VA). Less than two months later, McLean
completed renovations on an adjacent 20-bed
adolescent residential unit.
Both units are now bustling treatment
centers where lives are put back together.
“Knowing that we are providing this level
of care to an area with limited access to
treatment is very gratifying,” says Curcuru,
who helped oversee last year’s relocation and
expansion of McLean SouthEast from a
15-bed facility in Plymouth to its current site.
“There is no question in my mind as to the
critical role we play. Our beds are always full.”
The 65-member staff of psychiatrists, social
workers, nurses, counselors and a
rehabilitation therapist diagnose and treat the
full spectrum of psychiatric disorders. These
include mood and thought disorders,
psychotic disorders and substance abuse.
While McLean SouthEast patients receive the
same quality care as those in Belmont, medical
director Jeffrey Rediger, MD, MDiv, says the
staff possess a creative spark that is helping
the program to develop its own identity. One
example is a new sensory stimulation room
created by staff, where patients are able to tap
into their five senses—taste, touch, smell, sight
and hearing—as an alternative way of coping
with overwhelming feelings.
Just outside the adult unit at McLean
SouthEast is the Adolescent Acute Residential
Treatment (ART) Program. Here, teenagers,
from 13 to 19, many of whom are discharged
from inpatient hospitals, learn strategies that
can help them avoid future hospitalizations.
“We offer a very rich therapeutic environment,
one that not only promotes the conventional
treatment methods of therapy and medication,
but emphasizes skills development and provides
patients with ample opportunities to make
personal decisions on how they choose to
behave,” says Mark Picciotto, PhD, the program’s
director. “It is dramatic to see how well our
patients respond to treatment once they are
ready to help themselves.”
In the sensory stimulation room at McLean SouthEast, patients tap
into their five senses as an alternative
way of coping with overwhelming feelings.
5

“You have held my hand while
I learned how to walk again
and as I continue to walk on
my own, I am able to see that
I am not alone.”
~ A grateful patient
6

BRANCHING OUT
Nestled within a small North Central
Massachusetts town, in a quaint
lodge by a lake, lies McLean at
Naukeag. Although it sits in the heart of rural
Ashburnham, Mass., some 60 miles from
Boston’s medical mecca, the facility is fast
gaining ground as one of the top dualdiagnosis
treatment programs in the country.
“It’s been a very busy, very gratifying year,”
says William Krauss, LMHC, LCSW, program
director. “One of the keys to our success is that
the staff truly enjoy the work they do. They find
a definite reward in helping people.”
Since it opened six years ago alongside the
tranquil waters of Lake Naukeag, the program
has built a strong base of patients whose
substance abuse is complicated by psychiatric
illness. The program offers two levels of care:
A 26-bed residence serves individuals who have
undergone detoxification and require 24-hour
treatment, but in a less-restrictive environment
than an inpatient unit offers. A partial
hospital component addresses the needs of
those who are able to participate in treatment
during the day and then return home in the
evening to practice their new skills.
From the moment patients begin treatment
each morning, their days are structured around
thought-provoking meetings, self-help groups
and creative workshops assembled by a staff of
highly trained and experienced professionals.
Clinical Coordinator Juanita Carter, RN,
(left) offers holistic therapy sessions. “I try
to teach patients alternative ways to care
for themselves.”
Holistic therapy is only one small part of a
larger, comprehensive treatment approach
taken by program staff, which includes the use
of such traditional methods as psychotherapy,
medication management and psychosocial
skills groups. What really sets McLean at
Naukeag apart is the relational approach to
treatment and therapy, says clinical team
manager Ray Levesque, MSW, LICSW.
“We treat people with respect and develop a
connection with them. Finding what’s human
in these relationships, finding someone’s
heart, is why I do this work. There’s also an
excitement when you see people begin to come
alive after they have been virtually dead from
either chemicals or depression.”
A large binder bursting with letters from
appreciative patients says it best. One letter is
written around the bold-print words, “Thank
you. Thank you. Thank you.” It reads, “You have
held my hand while I learned how to walk again
and as I continue to walk on my own, I am able
to see that I am not alone.” Another writes,
“We all deserve a second chance at life. I will
never forget you.”
McLEAN
at Naukeag
ASHBURNHAM, MASS.
7

BRANCHING OUT
RESEARCH
Out of the Lab and
into the Community
“This collaboration is allowing us to provide
patients with the full benefit of the evolving
science of addiction treatment, while allowing
us, as researchers, to determine the most
effective treatment approaches.”
~ Roger Weiss, MD
Thanks to a $7.7-million grant from the
National Institute on Drug Abuse
(NIDA), McLean is now taking its
internationally recognized research program
outside of the laboratory setting and into
communities throughout New England.
Roger Weiss, MD, clinical director of McLean’s
Alcohol and Drug Abuse Treatment Center, is
championing this effort, leading a network of
four clinical trial sites throughout New
England and a partnership between academic
researchers and clinical treatment programs.
The network, which is centered at McLean,
enables researchers to design clinical trials
based on real-life situations of people who
enter drug treatment programs. The studies
will determine the effectiveness of a variety
of treatment approaches, including behavioral
therapies, medications and a combination
of the two.
McLean researchers are conducting three
studies in community-based treatment
programs in Rhode Island, Massachusetts and
Maine. The studies include the evaluation of a
novel workshop approach to help drugdependent
individuals seek and obtain employment;
an examination of the effectiveness of
the new medication buprenorphine in
conjunction with drug counseling for opioiddependent
adolescents; and a study of ways to
improve the linkage between inpatient detoxification
centers and after-care programs to
ensure the likelihood of continuing care for
patients. A new study looking at effective
treatment options for prescription drug abuse
is being developed and will be implemented in a
community setting within the year.
“This collaboration is allowing us to provide
patients with the full benefit of the evolving
science of addiction treatment, while allowing
us, as researchers, to determine the most
effective treatment approaches,” says Weiss.
8

“Ideally, when all of these studies are
completed in about two years, we will have a
much better understanding of what works
and what doesn’t. Ultimately, our work,
combined with that of our colleagues from
across the country, will lead to better, more
effective treatments for drug abuse.”
Mercy Hospital in Portland, Maine, is one of
the study sites where research is currently
being conducted. Burma Wilkins, RHIA,
administrator of behavioral health at The
Recovery Center at Mercy Hospital, says
there are a number of benefits to the
collaboration between research and
community-based treatment programs.
“Learning how to effectively treat this
population will help reduce problems in a
number of areas, including health-care costs,
crime and the spread of communicable
diseases,” notes Wilkins. “It allows us to
bring the benefits of research into a realworld
treatment center.”
Unemployment is often a significant problem in drug-dependent individuals. At CAB Health & Recovery Services in Danvers, Mass.,
clients learn job interviewing techniques and simple ways to search for employment.
9

BRANCHING OUT
MAKING
INROADS
The McLean-Franciscan
Collaborative Approach to Care
BOSTON, MASS.
“You have to stop and really look
at every little success, because
in our business, the small
successes are big—bigger than
we realize.”
~ Paul Pinnetti
McLean not only reaches smaller
underserved communities, it
extends to the inner streets of
Boston. As partners with the Franciscan
Hospital for Children, a leader in pediatric
medical and rehabilitation services, McLean
has built an effective center for addressing the
complex needs of children with behavioral
health, medical and developmental challenges.
The McLean-Franciscan Child and Adolescent
Mental Health Programs, located on the
Franciscan Hospital grounds in Boston,
“provides the kind of structure and support
kids need to make their way back to the
community,” says Ralph Buonopane, PhD.
Buonopane oversees a 20-bed acute inpatient
unit for young people, ages three to 19. The
program also comprises a partial hospital and
residential treatment service.
In joining forces, McLean and Franciscan offer
a depth and breadth of unparalleled resources:
the exceptional care on which McLean has built
its longstanding reputation as a leader in
psychiatry and the unwavering commitment of
Franciscan’s pediatric specialists and
educators.
Paul Pinnetti is a teacher with the program. He
recalls one patient with attention deficit
hyperactivity disorder (ADHD), who was
repeatedly suspended from school. Pinnetti
noticed that the student liked to draw so he
taught him to doodle to curb his impulse to
move (a common characteristic of ADHD),
while listening to lectures in school.
“I told him to make a contract with his teachers
and say, ‘This is something I learned to do. I
may doodle during lectures, but I will also be
paying attention.’” A week after the student
returned to school, his guidance counselor
phoned Pinnetti to say the student was making
it through each day without visiting the
principal—a major milestone for the boy and a
point of pride for Pinnetti.
Down the hallway, on the same floor as
Buonopane and Pinnetti, children attend
classes at another McLean-Franciscan
program where the objectives are different.
The Kennedy Hope Academy is a year-round,
14-bed residential school for children with a
combination of autistic disorders, mental
retardation and severe psychiatric illness.
“We emphasize applied behavioral analysis as
well as teaching social and academic skills.
The goals we set for each child are
individualized and range dramatically,” says
Kennedy Hope Academy psychologist Marcia
Conant, PhD. What remains constant, however,
are the results: “We usually see change right
away. One of the reasons for this, I believe, is
that the kids feel comfortable—to learn, to
make mistakes, to be who they are—in this
environment.”
Pinnetti agrees: Gazing at a
drawing of a cougar that he
received from his former
fidgety student, Pinnetti says
that helping kids, one step at a
time, is what makes his job
worthwhile. “You have to stop and really look
at every little success, because in our
business, the small successes are big—bigger
than we realize.”
11

BRANCHING OUT
A COMMUNITY
within a Community
WAVERLEY PLACE
BELMONT, MASS.
Matthew Dong pulls a three-dollar
bag of fruit off the produce
counter. “Apples are nutritious and
a dozen costs less than a small package of
empty-calorie cookies. Why don’t you try them
and see what you think?” he says to the person
standing beside him.
Dong (right) is an occupational therapist at
McLean’s Waverley Place, a community
rehabilitation program for adults with
psychiatric illness, located in Waverley Square,
Belmont. Although he has an office, he spends
little time there. “Working directly in the
community with our members, not just in a
treatment setting, gives me an opportunity to
help them make important changes.”
Dong spends each day guiding members of
Waverley Place through tasks of daily living,
such as doing laundry or balancing a checkbook,
often making small adjustments that have
substantial benefits. A simple trip to the grocery
store, for instance, can help members make the
right nutritional choices, budget their money
and interact socially with others. These tasks,
while mundane to most people, may be incredibly
daunting for people with psychiatric illness.
“Many of our members get over-stimulated by
the grocery store environment and avoid going
at all. So we’ll strategize about what we can do
to make the experience less overwhelming.
What we usually decide is to go to a smaller
market, go on off-peak hours or make a list, so
they can spend less time there.”
One Waverley Place member has reaped the
benefits of Dong’s work. She has learned how
to grocery shop more efficiently and has
also saved cash by attending his money
management workshop each Friday. By taking
his suggestion to cut back on smoking, she
now has money left over in her monthly budget
and it has given her the incentive to stop
smoking altogether.
Dong is always looking for ways to empower
members. He helped one person begin an
exercise program by walking together around
a nearby pond. He inspired others to make and
sell greeting cards.
Members of Waverley Place, like Amy Parkhurst
(right), the greeting card entrepreneur, are
grateful to Matthew. “I’ve sold 64 of my cards
so far, thanks, in part, to Matthew. He has given
me the confidence to reach my goals,” she says.
Dong says he feels like the fortunate one.
“Most days, I go home, saying, ‘I’ve made a
difference in a person’s life.’ That’s enormously
gratifying to me.”
12

“Most days, I go home, saying,
‘I’ve made a difference in a person’s life.’
That’s enormously gratifying to me.”
~ Matthew Dong
13

PARTNERSHIPS
at Work
ARMING POLICE WITH
SPECIAL KNOW-HOW
Police receive a call from a teenager who says
his grandfather has a gun and is afraid he
might hurt himself. What does the responding
officer do once he enters the home and finds
the elderly man holding a pistol? This is the
kind of scenario being played out during a joint
McLean Hospital and Massachusetts
Department of Mental Health training session
at the State Police Academy in Plymouth, Mass.
McLean Provider Relations Manager, Richard
Silva, helped launch the course, which consists
of a mental health informational session and a
role-playing session to furnish police officers
with a better understanding of how to manage
mentally ill individuals during crises. “Our goal
is to help the police avoid having to make a
choice whether or not to use violence. Our hope
is to save lives.” The course has been well
received, Silva reports. “We have had many
officers request a second session.”
TREATMENT OUTCOME’S
LATEST TOOL
Health-care facilities, like any other consumerdriven
service, continually strive to ensure
positive outcomes of care. BASIS-24, McLean’s
latest outcomes measurement tool, allows
psychiatric and behavioral health providers to
evaluate changes in their patients’ self-reported
symptoms and feelings. Patients complete the
survey upon admission and at discharge. The
results help hospitals determine whether
patients’ outcomes of care are in line with
expectations.
Alex Speredelozzi, MBA, manager of Mental
Health Services Evaluation for McLean
Hospital, oversees the licensing and use of
BASIS-24. “The survey,” he says, “is succinct,
easy to read and backed by extensive fieldtesting
for reliability and validity. For patients,
that means a better way of having their
perspectives counted; for hospitals, that means
a more effective way to assess treatment
outcomes and foster patient-centered care.”
RALLY students at the Curley Middle School
in Jamaica Plain, Mass.
RALLY = AN OUNCE OF
PREVENTION
“How are you doing today?” It’s a
simple question, but when asked of a
troubled youngster, it may have lifechanging
effects. RALLY (Responsive
Advocacy for Life and Learning in
Youth), a program that asks this sort
of query, is an innovative model of
educational and mental health early
intervention being implemented at
public schools and after-school sites
around the country. Created by
McLean and the Harvard Graduate
School of Education (HGSE), the
program seeks to develop more
successful and resilient youth by identifying atrisk
students, helping children thrive in school
and offering the support and strong adult
relationships all adolescents need.
During any given day, “prevention practitioners,”
HGSE students, might work in a classroom with
struggling students, meet with a teacher to
develop a tutoring strategy, call a parent to
discuss a troubled youth and run a boys’ group
to help students deal with aggression.
RALLY’s hands-on approach continues to earn
high marks. “New evaluation data shows the
academic gains are quite strong compared to
classrooms without RALLY,” says the program’s
founder, McLean staff member, Gil Noam, EdD,
PhD. “Having people with a knowledge base in
mental health helps calms the waters and allows
teachers to teach.”
14

BRANCHING OUT
PAGING MCLEAN TO THE ER
McLean’s involvement in the community
expands beyond its own doors into the
emergency rooms (ERs) at two eastern
Massachusetts hospitals. McLean clinicians
are now providing behavioral health back-up
coverage at Jordan Hospital in Plymouth and at
Winchester Hospital. This year, McLean will
expand its contract with Jordan by adding a
physician-based consultation and liaison
service to that hospital’s inpatient units.
With increasing numbers of people relying on
ERs for their care, the arrangement with
McLean is beneficial both to patients and
hospitals, says Carol Dilliplane, vice president
for Patient Care Services at Jordan Hospital.
“Patients receive immediate access to
clinicians who have the skills necessary to
place them in appropriate treatment settings,
which is usually not in an emergency
department,” she says. “We value our
relationship with McLean very much and hope
it will continue.”
RESEARCH COLLABORATIONS EXPLORE CAUSES, CURES
McLean recently joined forces with the new Eli and Edythe L. Broad Institute, a collaboration
of investigators from Harvard, the Harvard hospitals, M.I.T., and the Whitehead Institute for
Biomedical Research, designed to realize the promise of the human genome for medicine. According
to Eric Lander, PhD, founding director of the Broad Institute and a leader of the Human Genome
Project, genetic mapping could have a huge effect on understanding psychiatric illnesses because
“these are diseases of the whole human body and have to be studied as such; this is where being able
to study all variations of the human genome really matters.”
McLean investigators, including a team led by Stephan Heckers, MD, MSc, director of the
Schizophrenia and Bipolar Disorder Program, will collaborate with Broad investigators in using
cutting-edge genome technologies to isolate genes related to psychotic and bipolar symptoms in
human subjects. The scientists hope to understand which genes, alone or in combination, may lead to
bipolar disorder and schizophrenia. In collaboration with Uwe Rudolph, MD, director of McLean’s new
Transgenic Research Laboratory, they will then determine what these genes do and use that
information to design better treatments for psychiatric disorders.
Says Bruce Cohen, MD, PhD, president and psychiatrist in chief for McLean: “Modern medical
research takes a community of partnerships among investigators, people and institutions from many
different fields. When you put all of these together, you get synergies and progress greater than
individuals can produce working alone.”
“Modern medical research takes a community of partnerships among
investigators, people and institutions from many different fields.
When you put all of these together, you get synergies and progress
greater than individuals can produce working alone.”
~ Bruce Cohen, MD, PhD
15

ACHIEVEMENTS
of the Year
A NEW FACE IN CYBERSPACE
McLean debuted its newly designed web site in 2004 (www.mclean.harvard.edu), providing
significantly improved navigation and expanded menu options. Containing close to 1,000 pages of
information, the site features a clinical and research staff directory, an enhanced search function,
video news clips and a virtual tour that enables people from remote corners of the globe to “visit”
McLean without leaving their homes or offices.
The site has helped new patients find McLean’s door, including one woman who said she chose the
hospital in part because the web site not only presented a clear description of the treatment
program she was seeking, it also conveyed a nice sense of the McLean community. “Our web site has
given us a new way to reach hundreds of thousands of people in need of quality mental health care
and information. We’re proud of that and continue to look for more diverse and dynamic
components to add to the site,” says Nancy Still, MPH, director of Network Development, who heads
up the hospital’s web committee.
STAYING CONNECTED
McLean’s reputation as a world-renowned psychiatric facility
has been bolstered with the establishment of three hospitalsponsored
groups: the McLean Hospital International
Psychiatric Society, the McLean Residency Alumni Association
and the Irene Pierce Stiver Psychology Alumni Association.
With a combined membership of 500 active graduates,
McLean’s psychiatry and psychology alumni associations offer
a number of benefits to their members, including preferred
access to McLean services, newsletter and email updates on
current happenings at McLean and the opportunity to network
professionally with colleagues from across the country, says
Frank Ghinassi, PhD, Class of 1989, chief of adult services at
the Western Psychiatric Institute and Clinic in Pittsburgh. An
added bonus, says Justin Richardson, MD, Class of 1994,
assistant clinical professor of psychiatry at Columbia
University College of Physicians and Surgeons, is the
rekindling of friendships. “For those of us who have left the
nest, an alumni association is a great way to maintain the
strong connections we have made with our friends and teachers
at McLean.”
Dr. Harry Baker’s affiliation with McLean began well over five
years ago. McLean and Hospital Medica Sur in Mexico City,
where he is a physician, have sponsored more than 20
conferences, trained more than 15 physicians and spearheaded
promising clinical and research initiatives. It was only fitting
then, that he be one of the founding members of the newly
formed McLean International Psychiatric Society. “Sharing
knowledge is a way of diminishing distance in the world, which
is now more necessary than ever,” says Baker. “Can you imagine
what would happen if this is multiplied by many cities and
countries around the world?”
16

BRANCHING OUT
VISION OF EXCELLENCE AWARD RECIPIENTS
McLean Hospital’s Vision of Excellence Award is an opportunity for the
hospital community to show its appreciation for employees who
contribute to the overall excellence of McLean. The six individuals
selected in 2004 exemplify McLean’s commitment to superior patient
care, research and teaching.
Fran Nestor, Biological Psychiatry Laboratory
December 2003/January 2004
Janice Aucoin, Nursing Administration
February/March 2004
Patrick Kekeke, Nursing
April/May 2004
Denise Mannix, Medical Records
June/July 2004
Joan Gillis, MSW, Geriatric Psychiatry
August/September 2004
Noemi Ottowitz, Development Office
October/November 2004
HONORS AND ACCOLADES
Francine M. Benes, MD, PhD, director of the
Program in Structural and Molecular
Neuroscience and director of the Harvard
Brain Tissue Resource Center at McLean, was
elected a member of the Institute of Medicine
(IOM) of the National Academy of Sciences.
Benes’ many scientific discoveries, which
include identifying a “miswiring” of fibers in
the brain’s circuitry system that is involved in
schizophrenia and bipolar disorder, have
opened up new areas of research that could
lead to improved treatment and prevention
strategies for these disorders.
William Carlezon, PhD, director of the
Behavioral Genetics Laboratory, was an
honored guest at a White House ceremony
where he received the Presidential Early
Career Award for Scientists and Engineers.
The award, by the National Science and
Technology Council, recognizes “…the finest
scientists and engineers who…show
exceptional potential for leadership at the
frontiers of scientific knowledge.” Carlezon
specializes in research that establishes causal
relationships between brain biochemistry and
behavior, specifically focusing on depression,
bipolar disorder and addiction.
Joseph Coyle, MD, director of the Laboratory
of Psychiatric and Molecular Neuroscience,
was awarded the Constance Lieber Prize for
Outstanding Achievement in Schizophrenia
Research by the National Alliance for
Research on Schizophrenia and Depression.
The Lieber Prize is bestowed on a research
scientist who has made distinguished
contributions to the understanding of
schizophrenia. Coyle also was elected as a
fellow by the American Association for the
Advancement of Science (AAAS). This honor
recognizes his many achievements in
research and his international service to
the scientific community.
Michele L. Gougeon, executive vice
president and chief operating officer for
McLean, was elected to a three-year term
on the Board of Directors of the Watertown-
Belmont Chamber of Commerce, which began
in January 2004.
17

M CLEAN HOSPITAL
2004 AND 2003 STATEMENT OF OPERATIONS
Revenues 2004 2003
Net patient service revenue 69,342 $62,064
Research revenue 42,601 39,445
Other 10,115 8,007
Total operating revenue $ 122,058 $ 109,516
Expenses
Compensation and benefits $ 56,298 $ 50,454
Supplies and other expenses 23,160 22,705
Direct research cost 31,769 29,196
Depreciation 6,061 6,152
Provision for bad debts 2,508 1,394
Interest 1,163 1,234
Total operating expenses $ 120,959 $ 111,135
Gain/loss from operations $ 1,099 $ (1,619)
Nonoperating and noncurrent income 52 (1,711)
Excess of revenues over expenses $ 1,151 $ (3,330)
Other changes in net assets
Change in net unrealized gains on investments $ 1,752 $ 3,932
Funds utilized for property and equipment 1,201 800
Transfers (to) from affiliates, net (25) 819
Increase in unrestricted net assets $ 4,079 $ 2,221
18
FACTS AND FIGURES 2004
Staff (FTEs)
Physicians and Psychologists: 84
Residents: 26
Psychology Trainees: 15
Nurses: 138
Clinical Social Workers (MSWs): 78
Mental Health/Community
Residence Specialists: 223
Other: 271
Employees Supported by
Research and Special Funds: 330
TOTAL (FTEs): 1165

FINANCIALS
2004 AND 2003 BALANCE SHEET
Current assets 2004 2003
Cash and investments $ 14,212 $ 11,908
Current portion of investments limited as to use 9,157 14,571
Patient accounts receivable 7,321 6,161
Other current assets 3,764 4,386
Total current assets 34,454 37,026
Long-term investments and investments limited as to use 21,259 16,074
Interest in the net assets of The Massachusetts General Hospital 49,773 44,303
Property and other long-term assets 55,994 59,537
Total assets $ 161,480 $ 156,940
Current Liabilities
Accounts payable and accrued expenses $ 15,464 $ 17,649
Accrued compensations and benefits 5,871 5,442
Total current liabilities $ 21,335 $ 23,091
Other long-term liabilities $ 9,395 $ 8,009
Long-term debt, less current portion $ 23,683 $ 25,810
Total liabilities $ 54,413 $ 56,910
Net assets
Unrestricted $ 47,141 $ 43,062
Temporarily restricted 33,683 31,152
Permanently restricted 26,243 25,816
Total net assets 107,067 100,030
Total liabilities and net assets $ 161,480 $ 156,940
Average Beds in Service:
167
Inpatient Days:
53,418
Partial Hospital Visits:
225,170
Residential Days:
16,426
Admissions:
5,078
Partial Hospital Days:
68,060
Outpatient Visits:
58,047
Night Care:
21,740
19

“We believe that if enough concerned individuals get involved to support McLean, research
can go further, treatments will become better and education will help advance the latest knowledge
on improving the lives of those affected by psychiatric illness.”
~ Jeanne Robertson
M CLEAN NATIONAL COUNCIL:
WORKING TOGETHER FOR
A COMMON CAUSE
20

BRANCHING OUT
Astrong recommendation from a
trusted source can make a
significant difference when
pondering a critical decision, such as where
to go for health care or which charitable
organization to support. Members of
McLean Hospital’s National Council,
established in 2002 and comprised of 35
influential business, civic and academic
leaders, serve as that trusted source within
their individual communities, in business,
government and the media.
With a mission to promote McLean’s
reputation and increase its base of support
nationwide, the National Council makes an
important contribution to McLean. Council
members help mobilize people and resources
to strengthen the hospital’s service to
individuals with psychiatric illness.
“We believe that if enough concerned
individuals get involved to support McLean,
research can go further, treatments will
become better and education will help
advance the latest knowledge on improving
the lives of those affected by psychiatric
illness,” explains National Council
Chairperson Jeanne Robertson.
Each fall, council members convene at
McLean for a two-day summit, where they
receive an insider’s look at the hospital’s
latest research and clinical work. Armed
with that knowledge, they act as
ambassadors-at-large, advocating on behalf
of McLean and mental health in general.
National Council members lead by
example, contributing nearly $1.5 million
to support McLean programs and new
initiatives in 2004, including two projects
personally overseen by council members: a
Patient Fitness and Social Recreation
Center and an Adolescent Mental Health
and Wellness Curriculum.
Spearheaded by council member Kay
Kimpton Walker, the Fitness and Social
Recreation Center will provide a facility
where McLean patients can get both regular
physical exercise and engage socially with
others to alleviate the isolation that is too
often a consequence of psychiatric illness.
Fellow council members Bob and Nancy
Anthony saw a need to reach out to the
community and initiated collaboration
between McLean Hospital and Children’s
Hospital Boston clinicians to create a
curriculum that promotes wellness,
facilitates resiliency and reduces stigma of
mental illness among adolescents.
McLean’s Chief Development Officer,
Catharine Cook, is grateful for the
enthusiastic support of the National Council.
“The National Council has proven to be a
dedicated group of individuals who, by
directing their time, resources and energy to
McLean, are helping create a better future
for people affected by psychiatric illness,”
she says. “Council members are superior
allies who reinforce McLean and its work.”
McLean is enormously appreciative
of the generosity of its donors and offers
a number of giving opportunities,
including unrestricted gifts, restricted
gifts, endowed funds, capital donations and
naming opportunities. Other ways to
support McLean include appreciated
securities, real estate and charitable
gift annuities.
For additional information on making a
gift to McLean or to inform the hospital of a
bequest, call the Development Office at
617.855.3415. Gifts may be made payable to
McLean Hospital and mailed to: The
McLean Hospital Development Office,
115 Mill Street, Belmont, MA 02478-9106 or
they may be made online at
www.mclean.harvard.edu.
21

ADMINISTRATION
BRUCE M. COHEN, MD, PHD
President and Psychiatrist in Chief
PAUL J. BARREIRA, MD
Chief, Community Clinical Services
Director, Medical Education
JAMES A. CHU, MD
Chief, Hospital Clinical Services
LINDA M. FLAHERTY, MSN, RN, CS
Senior Vice President
Patient Care Services
MICHELE L. GOUGEON
Executive Vice President
Chief Operating Officer
DAVID LAGASSE
Senior Vice President
Fiscal Affairs
PHILIP G. LEVENDUSKY, PHD
Vice President, Network Development
Director, Psychology
Director, Psychology Training
PETER A. PASKEVICH
Vice President
Research Administration
DIANE B. BEDELL, LICSW
Director, Psychiatric Triage
Director, Ambulatory Services
EUGENE V. BERESIN, MD
Training Director
MGH/McLean Child and Adolescent Psychiatry
Residency Training Program
SARA M. BOLTON, MD
Medical Director
Clinical Evaluation Center
CATHARINE A. COOK
Chief Development Officer
MARC A. DIFABBIO
Director
Hospital Information Systems
JAMES M. ELLISON, MD
Clinical Director
Geriatric Psychiatry Program
BRENT P. FORESTER, MD
Medical Director
Dementia Program
STEVEN E. GELDA, MD
Medical Director
Short Term Unit
ANDREW D. GILL, MD
Medical Director
McLean at Naukeag
JOSEPH GOLD, MD
Clinical Director
Child and Adolescent Psychiatry Program
JOHN G. GUNDERSON, MD
Medical Director
Borderline Personality Disorder Treatment Center
ANDREW HEALY
Director
Facilities
STEPHAN HECKERS, MD, MSC
Director
Schizophrenia and Bipolar Disorder Program
MICHAEL A. JENIKE, MD
Medical Director
Obsessive Compulsive Disorders Institute
SALLY H. JENKS
Director, Managed Care and Business Development
CYNTHIA L. LEPORE
Director
Public Affairs
BRUCE H. PRICE, MD
Director
Neurology
JEFFREY D. REDIGER, MD, MDIV
Medical Director
McLean SouthEast
MARK A. ROBART, LICSW
Director
Partial Hospital and Residential Services
STANLEY L. ROSEN, RPH
Director, Pharmacy
KATHY M. SANDERS, MD
Training Director
MGH/McLean Adult Psychiatry
Residency Training Program
KAREN J. SHEDLACK, MD
Medical Director
Adult Developmental Disabilities Program
ARTHUR J. SIEGEL, MD
Director
Internal Medicine
NANCY H. STILL
Director, Network Development
GRANTLEY W. TAYLOR, MD
Medical Director
Community Reintegration Unit
ALEXANDER VUCKOVIC, MD
Medical Director
The Pavilion
ROGER D. WEISS, MD
Clinical Director
Alcohol and Drug Abuse Treatment Program
THOMAS WELENC
Director
Materials Management
JOAN M. COTTLER, LICSW
Director, Patient and Family Support Services
Director, Social Work
Director, Medical Records
ESTHER DECHANT, MD
Medical Director
Klarman Eating Disorders Program
EDMUND C. NEUHAUS, PHD
Medical Director
Behavioral Health Partial Hospital Program
LISA D. PRATT
Director
Human Resources and Hospital Systems
SHERRY WINTERNITZ, MD
Clinical Director
Trauma and Dissociative Disorders Program
22

WHO’S WHO
ON THE COVER
Stephan Heckers, MD, MSc
Director, Schizophrenia and
Bipolar Disorder Program
Richard Curcuru, LICSW
Program Director,
McLean SouthEast
Laura Neves
Associate, Public Affairs
Richard Silva
Provider Relations Manager,
Network Development
Marcia Conant, PhD
Psychologist,
Kennedy Hope Academy
Paul Pinnetti
Teacher, McLean-Franciscan
Child and Adolescent
Mental Health Programs
William Krauss, LMHC, LCSW
Program Director, McLean at Naukeag
Alex Speredelozzi, MBA
Manager, Mental Health
Services Evaluation
Jeffrey Rediger, MD, MDiv
Medical Director,
McLean SouthEast
Nancy Still, MPH
Director,
Network Development
Francine Benes, MD, PhD
Director, Program in Structural
and Molecular Neuroscience;
Director, Harvard Brain Tissue
Resource Center at McLean.
Alice Bredice
Administrative Coordinator,
Harvard Brain Tissue
Resource Center at McLean
Mark Picciotto, PhD
Program Director, McLean
SouthEast Adolescent Acute
Residential Treatment Program
Matthew Dong
Occupational Therapist,
Waverley Place
Juanita Carter, RN
Clinical Coordinator,
McLean at Naukeag
Amy Parkhurst
Member, Waverley Place
Joan Kovach, RN, MS
Nursing Director,
McLean SouthEast
Ralph Buonopane, PhD
Program Director,
McLean-Franciscan Child and Adolescent
Mental Health Programs
Ray Levesque
MSW, LICSW
Clinical Team Manager
McLean at Naukeag
Please write the Development Office at 115 Mill Street, Belmont, MA 02478,
if you do not wish to receive future fundraising materials designed to support McLean Hospital.
23

and a member of Partners HealthCare
McLEAN HOSPITAL
MCLEAN HOSPITAL
115 Mill Street
Belmont Massachusetts 02478
ADDRESS SERVICE REQUESTED
McLean Hospital is the largest psychiatric facility of Harvard
Medical School, an affiliate of Massachusetts General Hospital
Compassionate Care Informed by Research
NON-PROFIT ORG.
US POSTAGE
PAID
BOSTON, MA
PERMIT NO. 58168
We’d like to hear from you. If you
have comments or questions about
McLean or would like further
information on specific initiatives
highlighted in this report, please
call us at 617.855.2110 or email
us at PA@mclean.harvard.edu
www.mclean.harvard.edu
©2005, McLean Hospital Managing Editor: Cynthia L. Lepore, Director of Public Affairs Writers: Cara Birritierri, Adriana M. Bobinchock Design: Cahoots Principal Photographer: Tanit Sakakini