PDF format - McLean Hospital - Harvard University

Clinical InnovationsCognitive Behavior Therapy Unit (CBTU), McLean HospitalIn 1976, I founded the first inpatient psychiatric unit in the U.S. that utilized a fully integrated cognitivebehavior therapy psychosocial treatment milieu applied to a tertiary care patient population. Theprogram became nationally recognized for its demonstrated treatment efficacy for mood, anxiety andeating disorders. It was also the venue for the McLean Cognitive Behavior Therapy Internship andPostdoctoral Program each of which provided unique and much sought after training opportunities in theinpatient application of Cognitive Behavior Therapy. The unit functioned as an inpatient service until1996 when it evolved into the still operating Behavioral Health Partial Hospital. CBTU treatmentoutcome data has been published in various journals and the program was replicated in other treatmentfacilities including Chestnut Lodge Hospital, Anna State Hospital and Bridgewater State Hospital.Therapeutic Contracting Program (TCP), McLean HospitalThis innovative treatment model was designed to address patient adherence and motivation to complywith prescribed care. During two McLean accreditation site visits the TCP was recognized by JCAHOas an exemplary model to maximize patient inclusion in treatment. Several articles were publisheddemonstrating the TCP’s efficacy, it was also recognized by the American Psychological Association asa “Best practices for recovery and improved outcomes for people with serious mental illness” and formany years was an integral component of the care model utilized at the Yale Medical School Division ofSubstance Abuse.Renfrew Center, Philadelphia, PAI actively participated in the development of the nation’s first free-standing program dedicated to thetreatment of eating disordered patients and developed its initial treatment protocols as well as operationalpolicies and procedures. Since its inception, Renfrew has become a leading center foreating disorder care.New Program Development, McLean HospitalSince 1996, I have been involved in the development of over 30 highly regarded clinical programs thattreat a broad spectrum of psychopathology. Many are directed by professionals who receivedtheir training on the Mclean Cognitive Behavior Therapy Unit, and/or utilize components of CognitiveBehavior Therapy and the Therapeutic Contracting Program. Examples are the OCD Institute, KlarmanEating Disorder Center, McLean SouthEast, McLean Center at Fernside, 3East and the GundersonResidence. These programs offer the highest quality clinical care, have served the needs of thousands ofpatients and are nationally and internationally recognized for excellence. They also participate intreatment outcome research and offer doctoral level clinical training programs.Report of Education of Patients and Service to the CommunityActivities1976-1983 Volunteer, Youth Sports League, Head Coach, (Stow and Concord, MA)Devoted time to serve as a role model in utilizing coaching strategies designed toenhance young players’ self-esteem and positive goal setting.28