Adolescent Acute Residential Treatment (ART) Program #adolescent, #teen, #mclean #hospital, #art, #dual


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Adolescent Acute Residential Treatment (ART) Program

Access to Care Steps to Receiving Treatment

The Adolescent Acute Residential Treatment (ART) Program provides intensive, short-term, and highly focused psychiatric care for teens and young adults through age 19 with emotional and behavioral difficulties. With a length of stay between 10 and 14 days, this insurance-based residential program focuses on stabilizing adolescents in acute crisis.

At our two locations, McLean s main campus in Belmont, Massachusetts, and McLean SouthEast in Middleborough, Massachusetts, the coeducational program operates in unlocked settings, maximizing each individual s responsibility and capacity for self-control. The ART is a voluntary program so residents must be willing to participate in treatment.

For more information or to make a referral. call 617.855.2800 (Belmont) or 774.419.1100 (McLean SouthEast)

We specialize in treating teenagers who are struggling with psychiatric diagnoses such as ADHD, anxiety, depression, and bipolar disorder. We also offer a specialty track for those whose illness is complicated by a co-occurring substance use disorder.

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.

Teens and young adults can be referred to the program from home or any level of care, including inpatient, partial hospital, and outpatient. We offer a full range of services, including assessment and consultation, group therapy, skills training, education, medication evaluation and management, and family therapy. As part of the Division of Child and Adolescent Psychiatry. the program offers access to care and services throughout McLean Hospital.

At McLean SouthEast we also offer day program services, the McLean SouthEast Adolescent Partial Hospital Program, for teens who require intensive, structured treatment but are able to manage living at home.

Our staff is composed of a multidisciplinary group of board-certified psychiatrists, licensed psychologists and clinical social workers, registered nurses, and expressive therapists. The ART staff specializes in making sophisticated assessments, diagnoses, and recommendations in complex situations.


Attention Deficit Hyperactivity Disorder (ADHD): Treatment for Children #adhd #treatment, #adhd #medication,


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ADHD Treatment in Children

Treatment can help your child with ADHD in school, social situations, and at home. The right plan can help with all three of the major components of ADHD. inattention, impulsivity, and hyperactivity control. The goal of treatment is to help your child follow rules, concentrate, and have good relationships with parents, teachers, and peers.

These treatment options are all considered safe, but no two children are alike, and what works for some kids may not work as well for yours.

Together with the doctor, you’ll develop a plan that meets your child’s specific needs. It may take time to figure out what works best. The plan may include medications. behavioral therapy, or both.

Medications

The main medications used to treat ADHD are stimulants and nonstimulants. Sometimes antidepressants are also used.

Stimulants are the most common treatment in children and teens. This is usually the type of medication a doctor may try first. Stimulants have been used for a long time and are well-tested. They help the brain control impulses and control behavior and attention.

Kids with certain medical conditions shouldn’t take stimulants. Make sure the doctor knows your child’s medical history before he prescribes any medication.

If the first drug the doctor prescribes doesn’t seem to help with symptoms, he may raise the dosage, suggest a different medication, or suggest your child take another drug along with the stimulant.

Nonstimulants aren’t as well tested. They work in different ways than stimulants, but they can help with concentration and impulse control. For some kids, they may be a better option than stimulants, but they’re often used along with stimulants.

These nonstimulants are FDA-approved for ADHD in children and teens:

Antidepressants aren’t specifically approved to treat ADHD, but they can help with inattention, impulsivity, and hyperactivity. They’re an option for children who haven’t done well on a stimulant alone. Taking an antidepressant along with a stimulant seems to work well for children who have ADHD along with a mood disorder such as depression or anxiety.

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There are several types of antidepressants.

Tricyclic antidepressants. These affect chemicals in the brain.

Examples of tricyclic antidepressants include:

Bupropion (Wellbutrin ). The doctor may prescribe this if your child doesn’t do well with stimulants.

Selective serotonin reuptake inhibitors (SSRIs). These are the most commonly prescribed antidepressants for people with depression. These have been tried for ADHD:

Venlafaxine (Effexor ). This drug also affects chemicals in the brain. It helps improve mood and concentration in children and teens.

Side Effects

All these drugs can cause side effects. They usually happen when a child first starts treatment. They’re usually mild and go away fairly soon. Before your child starts any new medication, talk to his doctor about what to expect.

If you become concerned about side effects while your child is on a medication, call the doctor. Don’t make changes in the treatment without talking to him.

Behavioral Therapy

This type of therapy uses positive reinforcement for good behavior and negative reinforcement for unwanted behaviors. A mental health professional — a psychologist, social worker, or family therapist — works with you and your child’s teachers to set up a program to improve your child’s behaviors.

Behavioral therapy is often used along with ADHD medications. but it can also be used alone.

Other Treatments

Some studies have shown that omega-3 supplements may be helpful for some children with ADHD. In fact, there are prescription omega-3 supplements available. Some kids with ADHD may benefit from changes in diet, such as going gluten-free or avoiding certain food dyes and additives. Talk to your child’s doctor about the best options for him.

Sources

National Resource Center on AD/HD: “Behavioral Treatment for Children and Teenagers with AD/HD.”

National Resource Center on AD/HD: “Complementary and Alternative Treatments.”

American Academy of Family Physicians: “ADHD: What Parents Should Know.”

National Resource Center on AD/HD: “Managing Medication for Children and Adolescents with AD/HD.”

National Resource Center on AD/HD: “Managing Medication for Adults with AD/HD.”

American Academy of Family Physicians: “ADHD Medicines.”

Medscape: “Once-Daily Guanfacine Approved to Treat ADHD.”

Intuniv web site.

Attention Deficit Disorder Resources: “Medication Management for Adults with ADHD.”

Strattera web site.

National Institute of Mental Health: “Questions Raised about Stimulants and Sudden Death.”

HelpGuide.org: “ADD ADHD Medications.”

News release, Pfizer.