McLean OnTrack

Our approach to care

The years immediately following the onset of psychosis represent an important period in the illness course, and proper intervention during this time is critical for good long-term results.

Individualized care

Our program is best suited to individuals who are:

• Experiencing the early stages of psychosis after a recent first episode of psychosis
• Struggling with psychosis due to primary psychotic disorders or mood disorders
• Seeking early intervention and personalized outpatient treatment

Our two-year outpatient program provides individualized care with the specific aim of improving functioning.

By focusing on the unique experiences of each of our patients, we strive to find a common language to discuss struggles and to find a path forward. Therefore, each treatment plan is tailored to meet the specific needs of the individual.

While the early stages of treatment may require frequent visits and medication changes, the frequency and intensity of treatment typically decrease as the patient’s level of functioning improves over the course of the two years.

An important part of our mission is to work toward developing effective treatments by conducting scientific research. We provide the opportunity for patients to voluntarily participate in research studies aimed at understanding the biological processes underlying psychosis and the development of effective treatment.

The primary goal of our clinical care and research is to work toward functional recovery and to steer the path of each individual’s life in a positive direction.

For those seeking treatment for youths at risk for developing severe mental health conditions, please consider our Support, Treatment, and Resilience (STAR) Program.

Treatment approach

Psychotic episodes can create major disruptions in work, school, and relationships. Individuals affected by psychosis may worry that they will fall behind their peers, will not be able to accomplish their long-term goals, and will not return to the lives they had prior to the onset of their episode.

The initial years following the first episode of psychosis is the period when the greatest impact can be made to change the path of the illness and recovery to reduce the risk of long-term disability.

At McLean OnTrack^TM, we believe that empowering young people to act as primary and active stakeholders in their own care will improve their chances for a strong and sustained recovery. The program name “OnTrack” underscores our emphasis on functional recovery and our model of shared decision-making.

Since the course of illness can vary in the early stages, treatment plans are formulated around the evolving needs of each patient, incorporating best practices for the treatment of first episode psychosis.

Intensity and combination of treatment approaches are tailored based on individual circumstances. Frequency of outpatient visits varies from patient to patient, but sessions are typically weekly in the early phase, and decrease over time as individuals get back on their feet and resume their usual activities.

The program offers individual and group therapy, family support programs, medication treatment, peer counseling, and case management services. Patients also benefit from services throughout McLean, including care and education resources and neurological and medical consultations.

We carefully weigh the risks and benefits of each treatment for each patient, including use of medications. Medication counseling and management is guided by the principle that treating symptoms does not always equate with functional recovery.

Instead, we engage young people in the process of creating meaning in their lives by using multiple therapeutic approaches in addition to the traditional approaches.

Our goal is to work with each patient to prevent further life disruptions, restore a person’s functioning, and help individuals and families regain their sense of control. The program offers support for family members and caregivers and incorporates them as an essential part of the treatment team, providing guidance, support, and education, both individually and in a group setting.

Admission

McLean OnTrack is suitable for adults ages 18 to 30 who have experienced a first episode of psychosis within the past 12 months.

For further information about the program or to make a referral, please call 617-855-3535.

Cost

McLean OnTrack is covered by most insurance providers. There is also a one-time self-pay fee of $1,000 for services that are not covered by insurance. This out-of-pocket expense should not be a barrier to treatment, and therefore, we provide financial aid on a sliding scale for those who qualify based on economic need.

McLean Hospital accepts Medicare, Massachusetts Medicaid, and many private insurance and managed care plans. Learn more information on insurance providers accepted by McLean Hospital. You may also find it beneficial to review McLean’s patient billing and financial assistance information.

Frequently asked questions

Where is McLean OnTrack located?

The program is located on McLean’s Belmont campus on the ground floor of the Admissions Building. Find out more information on directions and parking at McLean Hospital.

Who benefits most from the program?

Our outpatient program focuses on treating adults, ages 18 to 30, who are recently experiencing the very first onset of psychotic symptoms.

Is family involved in treatment?

Family involvement in their loved one’s treatment is strongly encouraged. We offer individual and group support for family members.

Is smoking permitted?

Smoking is allowed in designated outdoor areas only. No smoking is allowed inside any of our buildings.

Are cell phones allowed?

Cell phone use is strongly discouraged during treatment and in the waiting room to prevent disruption of the program and others.

Can McLean OnTrack help me return to college?

A particular strength of the OnTrack program is its close partnership with the College Mental Health Program, whose mission is to work closely with college students with mental illness and adjustment issues, their families, and their institutions of higher education to ensure the greatest probability of academic success.

Can former patients access their medical records?

Visit our medical records resources page for information about requests for medical records and more.