Austen Riggs Center Psychiatric Hospital

The Austen Riggs Center is an open psychiatric hospital and treatment program that promotes resilience and self-direction in adults (18+) with complex psychiatric problems. They specialize in the long-term treatment of psychiatric disorders with intensive psychodynamic psychotherapy and a full range of psychiatric services, offered in a completely voluntary continuum of care that includes inpatient, residential, and day treatment programs.

They treat the individual, not the diagnosis. Diagnostic labels cannot capture the essence of an individual’s struggles or strengths, and they often obscure what people have in common. Many of their patients have multiple diagnoses, and many have been identified as “treatment resistant” in the past. Often they seek psychiatric treatment at Riggs because they need a different approach, and many opt to stay in our long-term residential treatment program following an initial evaluation and treatment period.

All patients have intensive psychodynamic psychotherapy four times a week with a psychiatrist or clinical psychologist. The goal is to help the person expand their capacity for work, play, and love by fostering improved self-esteem and resilience, and by helping them acknowledge and come to terms with whatever has previously blocked their development.

Recognizing the importance of the social context, they offer in-depth family evaluation, support for family members, and family therapy, as well as a robust Therapeutic Community Program in which patients can develop supportive peer relationships and learn about themselves with others. They offer opportunities for participation in patient government, in social and recreational activities, in reflective process groups, and in health and wellness activities such as meditation and yoga.

The Erikson Institute for Education and Research of the Austen Riggs Center studies individuals in their social contexts through research, training, education, and outreach programs in the local community and beyond. Part of that offering includes an Adult Psychoanalytic Training Program and Fellowship in Hospital-Based Psychotherapy for psychiatrists and psychologists. The program takes a systems perspective, emphasizing cultural and familial contexts, as well as individual development across the lifespan.

The basic ingredients essential to fulfilling the Center’s mission are:

  • Treatment organized around an intensive individual therapeutic relationship, focusing on the patient’s recognition and tolerance of experiences of conflict and pain, leading to the development of a sense of perspective on the illness
  • An open therapeutic community involving all staff and patients
  • A careful assessment phase, including psychological testing
  • A range of programs, geared to individual levels of capability and need
  • Continuous treatment by the same multidisciplinary team as patients move between programs
  • Psychopharmacologic treatment
  • Group work, substance use treatment, family treatment and help with reintegration into the external community
  • A broad activities program offering creative expression, with patients in the role of student, and in a “treatment free zone”
  • Ongoing staff training, research and education to further the primary clinical task
  • Recruitment and retention of quality staff

Vision:

In an increasingly complex and fragmented world, the dignity of the individual, the importance of human relationships and the centrality of a sense of community are more difficult to find. The focus and traditions of the Austen Riggs Center orient the staff to help troubled patients meet these and other rapidly changing psychological challenges of contemporary society. We will continually build on our distinguished past, helping our patients develop personal competence in a completely open setting that emphasizes the individual’s capacity to face and take responsibility for his or her life—past, present, and future. We nurture our patients’ strengths, foster their social functioning and encourage family collaboration. Through our research and training programs, we educate professionals in our psychodynamic perspective, applying this learning to a broad range of psychosocial problems. Finally, in this time of diminishing mental health benefits, we will continue to develop cost-effective treatment settings that focus on individual psychotherapy, community living and that attend to resource limitations as both reality to deal with and metaphor for other limits and losses.

Values:

  • Affirmation of the dignity and responsibility of the individual
  • Recognition, appreciation and enhancement of individual strengths
  • Importance of human relationships
  • Respect for individual differences
  • Centrality of the psychotherapeutic relationship
  • Learning opportunities in a community of differentiated voices
  • Importance of examined living
  • Attention to the conflict between individual choice and the requirements of a community
  • Openness to innovation and creativity
  • Open setting to promote personal responsibility and freedom of choice in treatment
  • Importance of recognizing and preserving multiple roles, including those of student and community member
  • Provision of treatment based on quality and outcome, not profit

Located in the small New England town of Stockbridge, MA, three hours from New York City, two hours from Boston, and one hour from Albany, NY, the Austen Riggs Center is fully licensed by the Massachusetts Department of Health and accredited by the Joint Commission.

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