Ezra Pound

Today in 1949 – Ezra Pound is awarded the first Bollingen Prize in poetry by the Bollingen Foundation and Yale University.

At the time Pound, an American, was locked in St. Elizabeths mental hospital in Washington, D.C., where he stayed for 12 years. He had been charged with treason but was never tried. His fellow artists helped secure his release in 1958, and he went to Italy, where he died in 1972. Here’s his mug shot when he was arrested.

McLean Psychiatric Hospital: Belmont, Massachusetts

Founded in 1811: McLean Hospital is a leader in psychiatric care, research, and education and is the largest psychiatric teaching hospital of Harvard Medical School.

Mission Statement

McLean Hospital is dedicated to improving the lives of people and families affected by psychiatric illness.

McLean pursues this mission by:

• Providing the highest quality compassionate, specialized and effective clinical care, in partnership with those whom we serve

• Conducting state-of-the-art scientific investigation to maximize discovery and accelerate translation of findings towards achieving prevention and cures

• Training the next generation of leaders in psychiatry, mental health and neuroscience

• Providing public education to facilitate enlightened policy and eliminate stigma

Core Values

We dedicate ourselves each and every day to McLean’s mission of clinical care, scientific discovery, professional training and public education in order to improve the lives of people with psychiatric illness and their families.

In all of our work, we strive to:

• Conduct ourselves with unwavering integrity

• Demonstrate compassion and respect for our patients, their families and our colleagues

• Foster an environment that embraces diversity and promotes teamwork

• Achieve excellence and ever-better effectiveness and efficiency through innovation

• McLean Hospital’s clinical and research activities are organized into seven Centers of Excellence and Innovation

These centers integrate the hospital’s three mission elements—clinical care, research, and education—with a focus on the rapid translation of science in order to establish, deliver, and disseminate ever-better, evidence-based approaches to care.

• Led by world-class clinicians and researchers, each of the seven centers have a primary diagnostic, research, or demographic focus and are laying the groundwork for further innovation as McLean continues to set a high bar in psychiatric care, research, and education.

Center of Excellence in Alcohol, Drugs, and Addiction

• McLean’s Center of Excellence in Alcohol, Drugs, and Addiction, led by Chief Roger D. Weiss, MD, is designed to foster integrated, evidence-based approaches to prevention, early detection, and treatment of substance use disorders.

• Addiction has become one of the most prevalent health issues of our time. From the current opioid crisis to the treatment of those dually diagnosed with addiction and other mental health illnesses, McLean offers a continuum of addiction care, including brief hospitalization for detoxification and stabilization, four residential programs, a partial hospital program, outpatient treatment, specialized programs, and a consultation service.

• The center also includes robust training and research initiatives through the Co-Occurring Disorders Institute, the Alcohol and Drug Addiction Clinical Research Program, and the Addiction Psychiatry Fellowship.

Nancy and Richard Simches Center of Excellence in Child and Adolescent Psychiatry

• Mental health issues are appearing ever-more widespread among young people. Joseph Gold, MD, is McLean’s chief medical officer and chief of the Simches Center of Excellence in Child and Adolescent Psychiatry. Children and teens are more prone than adults to depression, anxiety, obsessive compulsive disorder, attention-deficit/hyperactivity disorder, autism, bipolar disorder, addiction, and personality disorders.

• Led by Dr. Gold, McLean treats children ages 3 to 19 years who are struggling with these and other issues. Two fully accredited schools provide educational opportunities for children needing specialized academic programming. The center also reaches into the community to support children and adolescents in every possible setting, including public and private schools and pediatrician’s offices.

Center of Excellence in Depression and Anxiety Disorders

• Anxiety disorders are the most commonly diagnosed psychiatric disorders in the United States today, and individuals with anxiety also frequently suffer from clinical depression. Led by McLean’s Chief Scientific Officer Kerry J. Ressler, MD, PhD, along with its Director of Research Diego A. Pizzagalli, PhD, and Clinical Director Jane Eisen, MD, the Center of Excellence in Depression and Anxiety Disorders works to understand the biological underpinnings of these illnesses.

• The center conducts both clinical and basic science research into the relationship between stress, fear, trauma, and the prevalence of depression and anxiety disorders. Because these disorders occur in all demographics and often appear in conjunction with other psychiatric diagnoses, the center works collaboratively with McLean’s six other centers of excellence to speed the translation of science from bench to bedside to develop ever-better clinical and medication treatments.

• The center incorporates all levels of care, from outpatient to residential to multiple specialty inpatient programs and outpatient services like ECT, TMS, and ketamine.

Center of Excellence in Geriatric Psychiatry

• Providing psychiatric care for older adults can include managing the normal effects of mental and physical changes of aging while also concentrating on the psychological and neurological changes that can worsen as the body and brain get older.

• Led by Chief Brent P. Forester, MD, MSc, McLean’s Center of Excellence in Geriatric Psychiatry works to make the later stages of life healthy, fulfilling, and joyful. Clinical care and research at the center focus on older adults with depression, bipolar disorder, and behavioral complications of Alzheimer’s disease and related dementias.

Center of Excellence in Psychotic Disorders

• Led by Chief Dost Öngür, MD, PhD, the Center of Excellence in Psychotic Disorders includes inpatient programs, a residential facility, specialty outpatient clinics, and community-based services for individuals diagnosed with psychotic disorders, primarily schizophrenia or bipolar disorder.

• Dr. Öngür and his team have built clinical and research collaborations to advance our understanding of the neurobiology of psychosis and develop new insights into treatment and prevention. Researchers and clinicians in the center are changing the landscape of recovery and helping to restore lives and offer hope to those diagnosed with these debilitating disorders.

Center of Excellence in Women’s Mental Health

• The mission of McLean’s Center of Excellence in Women’s Mental Health is to innovate and improve mental health care for all women and girls throughout their life span. Led by center Chief Shelly F. Greenfield, MD, MPH, and Clinical Director Amy Gagliardi, MD, the center provides a uniting infrastructure to advance clinical care, training, and education.

• The center is a national leader in this emerging field and is conducting and sharing research across McLean and around the globe.

Center of Excellence in Basic Neuroscience

• One of McLean’s primary mission elements is to conduct state-of-the-art scientific investigation to maximize discovery and speed translation of findings toward prevention and cures for major psychiatric disorders.

• Chief Bill Carlezon, PhD, leads McLean’s Center of Excellence in Basic Neuroscience which is dedicated to studying the role of biological factors in mental illness. Under his direction, more than 130 principal investigators in more than 40 research labs conduct research into the “why” and “how” of mental illness.

• Scientists study the brain at the cellular and molecular levels to push the frontiers of knowledge and move their findings from “benchtop to bedside.”

McLean Values are at the core of everything we do. As clinicians, researchers, educators, administrators, and support staff, we conduct ourselves in ways that reflect our deep commitment to integrity, compassion and respect, diversity and teamwork, excellence, and innovation. These Values are the essence of McLean; they are at once emblematic of who we are and what we aspire to be.

~ McLean Hospital President and Psychiatrist in Chief Scott L. Rauch, MD

The Mayo Clinic – Minnesota: Psychiatric & Behavioral Health Hospital

Mayo Clinic John E. Herman Home and Treatment Facility

The Mayo Clinic John E. Herman Home and Treatment Facility is a residential treatment program for adults who have a serious mental illness. Its goal is to help residents return to the community to engage in value-driven, productive and meaningful lives.

People in the program experience:

• Individualized treatment of psychiatric symptoms

• On-site, 24/7 support from a multidisciplinary team

• A supervised environment

• A stay of at least three months, usually

• Evidence-based individual and group therapy

• An opportunity to gain competitive employment in the community through an evidence-based vocational program, individual placement and support (IPS)

• Dedicated time for activities of daily living, physical activity and recreation, facility maintenance, and leisure

People age 18 or up may be eligible for the program if they are living with mood disorders (such as depression and bipolar disorder), psychotic disorders (such as schizophrenia), anxiety or personality disorders.

The program includes a treatment facility and two residential recovery homes in Rochester, Minnesota. The homes each have eight rooms with private baths and communal spaces for cooking and gathering.

Self-referrals are considered, as are referrals by family members and providers.

Mayo Clinic Psychiatric Hospital

In the hospital, psychiatrists work in integrated teams with internists, psychologists, social workers, physical and occupational therapists, and other specialists to provide comprehensive coordinated short-term care tailored to the needs of each patient. The hospital includes these units:

Psychiatric Acute Care Unit. This unit stabilizes and treats adults experiencing mental health crises, such as those who are suicidal, homicidal or psychotic. After being stabilized and evaluated, patients receive individualized care, which may include medical treatments, group psychotherapy, recreational therapy, and education about coping strategies, relapse prevention, and stress management.

Medical and Geriatric Psychiatry Unit. Admitted to this unit are adults with both medical and psychiatric conditions, as well as geriatric patients who need hospitalization for psychiatric issues — most commonly late-life mood and cognitive disorders. Treatment may include medication, recreational and relaxation therapy, and education about depression, anxiety and aging-related issues.

Mood Disorders Unit. This unit treats adults whose depression or bipolar illness is significantly affecting their quality of life, functioning or safety. Intensive daily treatment is personalized to each patient and may include talk therapy (psychotherapy), such as cognitive behavioral therapy, dialectical behavioral therapy, acceptance and commitment therapy or behavioral activation. Treatment may also involve medications, family and group therapy, occupational therapy, relaxation activities, and — when appropriate — electroconvulsive therapy (ECT) or transcranial magnetic stimulation (TMS).

Child, Adolescent and Family Services Unit: This secure unit specializes in stabilization and treatment for children and teenagers who are experiencing an acute mental health crisis, such as those who are suicidal, homicidal or experiencing psychosis. Treatment for a variety of conditions including mood and adjustment disorders, anxiety, self-injurious behavior and psychotic disorders is family-centered and multidisciplinary. The treatment team includes psychiatrists, advanced practice providers, psychologists, social workers, specialized nursing staff, Child Life Specialists, and occupational, physical, recreational and music therapists.

Mayo Clinic Depression Center

A member of the National Network of Depression Centers, Mayo Clinic Depression Center offers comprehensive evidence-based evaluation and treatment for adults and children with depression or bipolar disorder. Programs range from outpatient consultations to intensive inpatient treatment, with care provided by a team of Mayo Clinic psychiatrists, psychologists, nurse practitioners, social workers and other specialists with expertise in mood disorders. Services include:

Adult Mood Clinic. Outpatient evaluation and treatment for adults with treatment-resistant depression or bipolar disorder is available in the Mayo Mood Clinic. After an initial assessment and depending on the person’s needs, he or she may be referred to the Mood Disorders Unit or the two-week Mood Program.

Adult Mood Program. This is a 10-day, full-day group-based outpatient multidisciplinary psychotherapy for adults with depression or bipolar disorder. It uses three evidence-based supported psychotherapies: interpersonal and social rhythm therapy (also called IPSRT), mindfulness-based cognitive therapy, and behavioral activation. The program helps to develop more effective ways to manage interpersonal problems and stabilize the daily routine of activities.

Adult Mood Disorders Unit. This inpatient unit, described above, is part of the Mayo Clinic Psychiatric Hospital, which provides expert care tailored to individual needs.

Pediatric Mood Clinic. Staffed by experts in childhood mood disorders such as depression, bipolar disease, cyclothymic disorder and persistent depressive disorder (dysthymia), the clinic provides team-based diagnosis and treatment. Outpatient options include: Adolescents Coping with Depression, a 12-week intervention meeting for one hour a week for teens ages 14 through 18; and Multifamily Psychoeducational Psychotherapy, an 8-week intervention meeting for one hour a week for youths ages 11 through 14.

CAIMP. The Child and Adolescent Integrated Mood Program (CAIMP) is a two-week outpatient partial hospitalization program for children and teens (ages 10 to 18) with primary depression or bipolar disorder. It’s held Monday through Friday, 8 a.m. to 4 p.m., Central time. Treatment includes cognitive behavior therapies, interpersonal therapy, mindfulness, medication management, family-focused strategies, health and wellness interventions, and education about mood disorders. Caregivers are required to participate in the program with their child/teen to improve understanding of their child’s illness and develop techniques to both support their child and assist with their own coping.

Depression Improvement Across Minnesota, Offering a New Direction (DIAMOND). DIAMOND involves a primary care provider, care manager and consulting psychiatrist for Minnesota adults with depression who are seen in primary care settings, with a focus on relapse prevention. DIAMOND is currently only available for patients who have Mayo primary care providers in Rochester or Kasson, Minn.

Pain Rehabilitation Center

Mayo’s Pain Rehabilitation Center offers adult and pediatric outpatient programs for noncancer-related chronic pain to help people regain function and quality of life. These programs treat patients with a broad range of pain types, as well as those with medical and psychiatric complications. These may include chronic fatigue and nausea, fibromyalgia, cyclic vomiting, and autonomic disorders, such as postural orthostatic tachycardia syndrome (POTS). Programs include:

• Adult three-week program

• Adult two-day program

• Pediatric three-week program

Addiction Services

Since 1972, Mayo Clinic has been treating people addicted to alcohol, illegal drugs and prescription medications, using an individualized, holistic approach within a respectful environment. Multispecialty care teams include addiction psychiatrists, licensed alcohol and drug counselors, licensed clinical social workers, registered nurses and other specialists.

Learn more about Mayo’s options for addiction treatment, including the Outpatient Addiction Program, an Intensive Addiction Program and continuing care programs.

Other areas of excellence

The Department of Psychiatry and Psychology provides many other areas of excellence, such as:

• Comprehensive multidisciplinary psychiatric assessments for adults, teenagers and children

• Formal assessment of attention, concentration, memory, reasoning and learning abilities to help diagnose neuropsychological disorders such as dementia, mild cognitive impairment, traumatic brain injury, stroke, learning disabilities and attention deficits

• Clinic for attention-deficit/hyperactivity disorder (ADHD)

• Pediatric Anxiety Disorders Clinic, including treatment for panic disorder, obsessive-compulsive disorder, social phobia, generalized anxiety disorder and separation anxiety

• Behavioral Medicine Program

• Innovative memory training program called HABIT Healthy Action to Benefit Independence & Thinking®

• Telemedicine program for cognitively impaired elderly patients with behavior problems

• Rehabilitative services for people with traumatic brain injury