Beruflich Dokumente
Kultur Dokumente
It is the policy of McLean Hospital to affirmatively provide treatment and care to patients without regard to their race, religion, color, national origin, sex, age, ancestry, disability, sexual orientation, or any other basis that would be in violation of any applicable law or regulation.
Guide to Inpatient Care at McLean Hospital is based on material published in the McLean Hospital Admissions Kit developed by McLeans Communications Office and the Clinical Evaluation Center and on the Student Guide to Hospitalization developed by McLeans College Mental Health Program. McLean is the largest psychiatric facility of Harvard Medical School and a member of Partners HealthCare. 115 Mill Street :: Belmont, MA 02478 :: 800.333.0338 :: www.mcleanhospital.org 2012 The McLean Hospital
Table of Contents
What can I expect during my inpatient stay at McLean?.......................................................................................................................5 What are the expectations about getting up in the morning and going to bed at night?..............................................................5 How are meals provided? What if I have a special diet? .........................................................................................................................5 May visitors bring me food or beverage?.....................................................................................................................................................5 Why is access to and from the unit restricted? ..........................................................................................................................................5 Who is on my treatment team? ......................................................................................................................................................................6 What are my rights as a patient? ....................................................................................................................................................................8 What if I am unable to make health care decisions? What is meant by Health Care Proxy/Advance Directives? ..............9 What services and amenities are available on the Belmont campus and at McLean SouthEast in Brockton? ....................9 Will I be able to move around on the unit if I am physically disabled? ............................................................................................10 What if I do not speak English or have difficulty hearing? ..................................................................................................................10 What kinds of educational materials can I find at McLean? ................................................................................................................11 Am I permitted to have visitors during my stay? .....................................................................................................................................11 What are McLeans rules about health and safety?.................................................................................................................................11 What are my responsibilities as a patient? ............................................................................................................................................... 12 Who should I ask about insurance and payment?.................................................................................................................................. 13
When can I see my family member or friend who is an inpatient? ................................................................................................... 16 What are the guidelines for calling my family member or friend?.................................................................................................... 16 As a family member or friend of a patient, who is my contact at McLean? .................................................................................... 16 How do the privacy rules affect what McLean clinicians and staff can tell me? ........................................................................... 16 How can a family meeting be set up? .......................................................................................................................................................... 16 What is my role in treatment, aftercare planning and recovery of my family member or friend who is a patient? .......... 17 How can I help the clinical treatment team? ........................................................................................................................................... 17 What is helpful to say to a patient who is my family member or friend?......................................................................................... 18 What might I say to others? ........................................................................................................................................................................... 18 Are there support groups and resources for me as a family member or friend?........................................................................... 18 How do I care for myself while I am supporting my family member or friend? ........................................................................... 19 Where can I get something to eat or drink when I visit the hospital? .............................................................................................. 19
McLean Patient and Family Advisory Council .......................................................................................................................................21 Directions to McLean Hospitals Belmont campus ..............................................................................................................................22 Getting around the McLean Belmont campus (Map)..........................................................................................................................22 Directions to McLean SouthEast Brockton campus ............................................................................................................................24 Getting around the McLean SouthEast Brockton campus (Map) ...................................................................................................25
M c L e a n M i ss i o n
McLean Hospital is committed to providing a full range of high quality cost-effective mental health services to our patients their families and the larger community. The hospital is dedicated to training mental health professionals, to conducting basic and clinical research to understand the causes of mental illnesses, and to developing effective new means for their prevention and treatment.
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.
~Scott L. Rauch, MD, President and Psychiatrist in Chief, McLean Hospital
M c L e a n Va Lu e s
We dedicate ourselves each and every day to McLeans 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
What are the expectations about getting up in the morning and going to bed at night?
In an effort to promote sleep, patients are encouraged to be in their rooms between 11:30 pm and 6 am. A good nights rest is important not only for your mental health, but your physical health as well. Meals are served in a dining area on each unit. Breakfast is served between 8 am to 9 am (varies by unit), lunch at noon and dinner at 5 pm. McLeans Dietary Services accommodates diets for patients with medical restrictions (e.g., diets appropriate for patients with Visitors may bring food and beverage as long as these items do not adversely affect your health. Alcoholic beverages are not allowed. In many instances, we ask that you do not consume energy drinks or other highcaffeine beverages that may affect your metabolism. Additionally, certain foods pose a risk to your health Getting up at a reasonable time in the morning is helpful to ensure that you have a substantial breakfast and will be alert and ready for group programs and other treatments. diabetes or food allergies). Dietary Services can also provide meals for vegetarians and vegans and meals based on religious principles (e.g., kosher). Please let your physician know of your dietary requirements.
Medical Staff
The McLean Hospital medical staff consists of psychiatrists, internists (primary care doctors), neurologists and other specialists. There are experts on staff at McLean from almost every psychiatric specialty and subspecialty. Emergency coverage for all patients is provided around the clock by physicians.
Social Workers
Social workers help coordinate your overall care (referred to as case management). They communicate with family and outside caregivers, lead family meetings, help with discharge plans and arrange for follow-up care. Your social worker also helps you understand and manage your illness and provides support for your recovery.
Psychologists
Psychologists are not as active on inpatient units as they are in other McLean programs. You may work with a psychologist who does psychological testing, facilitates group therapy or serves as your case manager.
Registered Nurses
Registered nurses administer medications, provide counseling and support, help coordinate your care, provide information to you and your family, and answer many of your questions. Each day and on each shift, a specific nurse is assigned to your care. Student nurses sometimes assist registered nurses in providing care.
Expressive Therapists
Expressive therapists lead psychoeducational and art therapy groups. These groups help you learn skills, gain insights about yourself and connect with other patients.
Civil Rights
Information regarding civil rights is provided to all patients. You or your family members are encouraged to contact the McLean civil rights officer on the Belmont campus at 617.855.3406 or at McLean SouthEast in Brockton at 508.894.8315 with questions or concerns. All calls are returned as soon as possible by the hospitals civil rights officer and are handled in a confidential manner. It is the policy of McLean Hospital to affirmatively provide treatment and care to patients without regard to their race, religion, color, national origin, sex, age, ancestry, disability, sexual orientation, or any basis that would be in violation of any applicable law or regulation.
Media
Under no circumstances will patients or patient-related issues be discussed with the media without written consent by you or your legal guardian.
Medical Records
You may obtain a copy of your medical records by submitting a written request to McLeans Health Information Management (Medical Records) department. A member of your treatment team can provide you with a request form. Copies of discharge summaries are provided at no charge. There is a copying charge for more extensive parts of your medical record. You can reach McLeans Health Information Management at 617.855.2447. Consistent with current law, McLean Hospital allows only you, your legal guardian or your health care agent to request permission to read a hospital record or to obtain a copy of the discharge summary. In psychiatric facilities, health care agents can only access records if your health care proxy has been activated and you are unable to make health care decisions for yourself. Access to a record may be denied if it could result in serious harm to you.
What if I am unable to make health care decisions? What is meant by Health Care Proxy/Advance Directives?
A health care proxy (also known as advance directive) is a written document by which you may appoint an individual to make health care decisions in the event you are unable to do so because of physical and/or mental incapacitation. The health care proxy states your wishes about types of medical treatment and guides the person you have chosen to make decisions about your health care on your behalf. This person is to consult with health care providers, to consider acceptable medical alternatives regarding diagnosis, prognosis, treatment and side effects, and to make decisions based on your wishes. If your wishes are not known, the person is to assess what is in your best interests and what is consistent with responsible medical practice. To assist in making informed health care decisions on your behalf, he or she is empowered to receive the same information that you would receive, including confidential medical information. You may establish a health care proxy if you are 18 years or older and considered competent to handle your own affairs. When establishing a health care proxy, you may grant broad authority over all health care issues or limit the range of authority. For psychiatric purposes, it is recommended that you establish clear guidelines concerning the following: psychiatric care and treatment, including admission to a psychiatric hospital; the use of medications; the possible use of electroconvulsive therapy (ECT); and possible participation in research. A health care proxy goes into effect only if and when a physician determines that you are not competent and notifies both you and the person you have chosen to make your health care decisions of this determination. A copy of the determination of incapacity and the health care proxy will be placed in your medical record. For details on health care proxies, refer to the McLean publication titled Information on Advance Directives, The Health Care Proxy.
What services and amenities are available on the Belmont campus and at McLean SouthEast in Brockton?
Banking Machine
An automated teller machine is available in the lobby of the Francis de Marneffe building in Belmont and in Building 3 at McLean SouthEast in Brockton. TV and radio, including two treadmills, two stationary bicycles and two elliptical machines. Additionally, the center has weight resistance training machines for all the major muscle groups: biceps, triceps, shoulders, chest, back and legs. Free weights and other minor training equipment are also available. You may use the centers resources if your treatment team has determined that you are able to use the equipment safely. A nurse or program counselor who has received Fitness Center orientation must accompany you when the fitness coordinator is not present. Talk to a member of your treatment team if you wish to exercise at the Fitness and Recreation Center.
Cafeteria
A cafeteria that offers a variety of hot and cold items for purchase is located in the Francis de Marneffe building in Belmont and in Building 3 in Brockton. In addition, vending machines are located throughout each campus, offering snacks, candy, water, juice and soft drinks.
Hairdressing Services
Hairdressing services are available to patients in Belmont. Appointments are preferred but not necessary. Call 617.855.2492.
What services and amenities are available on the Belmont campus and at McLean SouthEast in Brockton? (continued)
Mail/Packages
Patients may send and receive mail. Letters and packages sent by U.S. Mail are delivered to and picked up from inpatient units on a daily basis Monday through Friday.
Restrooms
Public restrooms are located in every hospital building.
Telephones
There are public telephones on all inpatient units, as well as near the cafeteria in the Francis de Marneffe building on the Belmont campus. All calls from McLean, whether from staff or patients, are automatically identified as blocked, meaning the number is NOT identified to the person receiving the call. This is for confidentiality and privacy. Calls will not go through to lines that do not accept blocked calls. Therefore, family members should give the treatment team at least one unblocked phone number where they can be reached in case of an emergency.
Personal Vehicles/Parking
You may park your car on hospital grounds. Please register your car on the Belmont campus with Security at 617.855.2121. Parking is free and available in any of the lots or designated visitor spaces. Please observe parking restrictions which are clearly marked. Illegally parked vehicles will be towed at the owners expense. Idling of motors is not permitted.
Wi-fi
Wi-fi (wireless networking) service is available throughout the McLean Belmont campus. It is not available at the McLean SouthEast campus in Brockton.
10
Smoking
For the health of all patients and staff and to comply with state and federal regulations, smoking is prohibited in all hospital buildings. On the Belmont campus, smoking is permitted in a few designated outdoor areas
Fire Safety
In the case of a fire, immediately alert a staff person who will activate the alarm. Staff will then direct you and others to safety. Fire safety routes and evacuation sites are posted on every floor.
11
2.
5. 6. 7.
3.
Respect Policy
Talk respectfully to staff and other patients. Act respectfully towards others. Respect the confidentiality of other patients. If you have questions, problems or concerns about your care or treatment, please talk to a clinical staff member.
12
The information that follows may be useful in answering questions from insurance companies about McLean. A private, not-for-profit psychiatric hospital. Licensed by the Massachusetts Department of Public Health and Department of Mental Health. Fully accredited by The Joint Commission. Operated with internal medicine services but without surgical services; has transfer agreements with the Massachusetts General Hospital and other nearby general hospitals. When speaking to your insurance carrier, it may be useful to inquire how insurance benefits cover room and care rates, physician or other professional fees, and the amounts of self-pay balances, co-pays and deductibles. In some instances, particularly with managed care organizations, we may be able to assist you with your insurance questions. For more information, please call our Patient Financial Services representatives at 617.855.3316. Please provide us with information about your insurance benefits and a telephone number for your insurance carrier so that we are able to obtain verification of benefits. Please have your insurance card available when calling for information and always bring it to the hospital. We will work with you and your family prior to admission and throughout the course of treatment to determine the most costeffective treatment that meets clinical needs. Rate reductions are available for some services for self-pay balances and treatment provided on a private pay basis. In general, rate reductions may be available for inpatient, partial hospitalization and outpatient treatment, but not for most of our residential care programs. Rate reductions vary depending on financial need and available resources.
13
Guide to Inpatient Care at McLean Hospital: Helpful Information for Family and Friends
How do the privacy rules affect what McLean clinicians and staff can tell me?
Patients who are 18 years old or older are legal adults with legal privacy rights. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) prohibits clinical staff from sharing treatment information without a patients written consent. All health providers must comply with these federal regulations, which means that they must obtain formal permission to share information (including diagnosis, treatment and prognosis) with you, or anyone else, even if you are a spouse, a parent or a guardian of a patient. A patient provides permission by signing a release of information form. Release of information forms are normally signed during the admission process, but may also be completed on the unit. If the patient has not signed a release for the clinical staff to give you information, they cannot share this information. Please note, however, that you may share with clinicians any information that you think is important for the patients treatment and recovery.
a release of information has been signed and it has been determined who will be involved in the patients treatment and aftercare.
Guide to Inpatient Care at McLean Hospital: Helpful Information for Family and Friends
What is my role in treatment, aftercare planning and recovery of my family member or friend who is a patient?
Support from family and friends is often very important for a patients recovery. The role of family and friends can vary. Your role will depend on your relationship with the patient, the circumstances of his or her illness and other considerations. In general, the case manager is the best person to help you understand a patients illness and diagnosis, symptoms, treatment and prognosis. Other clinical staff may help you understand and learn as well.
17
Guide to Inpatient Care at McLean Hospital: Helpful Information for Family and Friends
The best responses are those of support and reassurance. Try to use phrases such as:
We are here for you. Take it one step at a time. Good for you for taking steps to get the help you need. Take the time you need to work this through. You will get through this. Well figure this out. You will feel better again.
What might I say to others?
Each family member and friend of a patient handles this question in his or her own unique way. There is no right or wrong way, other than to be sure to respect the decision of a patient. If someone asks how your family member or friend who is a patient is doing, you can say, working through the bumps of life, negotiating the slippery slope of life, or words to that effect. Though mental illness is nothing to feel shameful about, a patients life is personalhis or her own business. Your responsibility is to respect a persons wishes with regard to disclosing personal information. You are under no obligation to share details with anyone.
Are there support groups and resources for me as a family member or friend?
A Family Transitions Group at McLean is a support group for families and significant others of adults with mood disorders, such as depression, who are transitioning out of the hospital. This group focuses on providing support to families of people with mental illness through camaraderie and psychoeducation. The group is on-going and does not have a defined ending. There are additional family groups that may be appropriate and helpful for you. Please ask your case manager for more information about the Family Transitions Group and other diagnostic- or programbased groups.
18
Guide to inpatient Care at McLean Hospital: Helpful Information for Family and Friends
Where can I get something to eat or drink when I visit the hospital?
On the Belmont campus, the cafeteria is located on the first floor of the Francis de Marneffe building. It is open to visitors Monday through Friday, 6:30 am 6:30 pm and on weekends and holidays, 11 am 2 pm. At McLean SouthEast in Brockton, food and drink is available in Building 3. In addition, vending machines are located throughout each campus, offering snacks, candy, water, juice and soft drinks. Refer to the maps at the end of this guide for specific location information.
19
More About
McLean Hospital
21
Guide to inpatient Care at McLean Hospital: More About McLean Hospital McLean Hospital is located at 115 Mill Street, Belmont, MA 02478
Driving: Go to www.mcleanhospital.org/about/directions. Public Transportation (Subway and Bus): 1. Take the Red Line to Harvard Station. 2. Then take the #73 bus to the end of the line at Waverley Square, Belmont. (Estimated time: 15-20 minutes.) 3. Follow directions for From Waverley Square below. Public Transportation (Commuter Rail): 1. Take the Fitchburg/South Acton train line to Waverley Square, Belmont. 2. Follow directions for From Waverley Square below. Check the Massachusetts Bay Transportation Authority website (http://mbta.com/) for detailed information on subway, bus and commuter rail schedules. Taxi service is available by calling 617.484.1600 (Yellow Cab) or 617.484.2000 (Belmont Cab). From Waverley Square, Walking Route: 1. 2. From the bus and rail station at Waverley Square, cross Trapelo Road at the Shaws market traffic light. Walk west on Trapelo Road toward the gas station, cross Pleasant Street and enter the McLean grounds at the gatehouse (located at the corner of Pleasant St. and Trapelo Rd.). Proceed up the footpath. The hospital buildings are at the top of the hill.
P
Bowditch Lot
Arlington School
3.
All McLean traffic must go straight up the hill Right turn is for access to The Woodlands residences only
Hill Ctr
From Waverley Square, McLean Shuttle: 1. Wait for the McLean shuttle at the MBTA bus stop. The McLean shuttle will pull into the parking area and is clearly marked. The pick-up/drop-off point at McLean is the Administration Building. The McLean Shuttle runs regularly throughout the day and is also available on request by calling 617.855.2121.
22
M
il
ee tr l S
t
2.
Entrance
P
Oaks Lot
Wyman
Bowditch
Oaks
Admissions
Administration
S Belknap Appleton
23
McLean SouthEast is located at 940 Belmont Street, Building 7, second floor, Brockton, MA 02301. For directions, call 508.894.8306 or see below:
Coming from the North on Rt. 128 (I-95): 1. Take Rt. I-95 toward Rt. 128/I-95/I-90/Mass Pike/Cape Cod/Providence, RI. 2. Road names change to I-93 towards I-93/ Braintree/Cape Cod. 3. Stay on Rt. 93 N at the split-off of Rt. 95 South. 4. Take Rt. 24/Fall River toward Rt. 24/Brockton/ Fall River. 5. At Exit 17A, take ramp onto Rt. 123 East (Belmont St.). 6. Go through one set of lights; at second set of lights, turn right into Medical Center entrance. 7. Follow signs to Building 7. Coming from the South on Rt. 128 (1-95): 1. Take Rt. I-93 [US-1] towards I-93/US-1/I-95/Canton. 2. Take left onto Rt. 24 (Fall River) towards Rt. 24/Brockton. 3. At Exit 17A, take ramp onto Rt. 123 East (Belmont St.). 4. Go through one set of lights; at second set of lights, turn right into Medical Center entrance. 5. Follow signs to Building 7. Coming from the North or South on Rt. 3: 1. Take Rt. 3 to Exit 6 (Plymouth/Carver). 2. At Exit 6, take ramp onto Rt. 44 West (Carver Road). 3. Follow Rt. 44 through Plymouth and Carver. 4. At rotary, take second right continuing on Rt. 44. 5. Take ramp onto Rt. I-495 towards I-495/Rt. 24/Boston. 6. At Exit 7A, take ramp onto Rt. 24/Boston. 7. At Exit 17A, take ramp onto Rt. 123 East (Belmont St.). 8. Go through one set of lights; at second set of lights, turn right into Medical Center entrance. 9. Follow signs to Building 7. Coming from Cape Cod: 1. Take Rt. 6A (Cranberry Highway) to rotary. 2. Take fourth left continuing on Rt. 6. 3. Road name changes to Rt. 28 at Exit 2. 4. Road name changes to Rt. 495. 5. At Exit 7A, take ramp onto Rt. 24/Boston. 6. At Exit 17A, take ramp onto Rt. 123 East (Belmont St.). 7. Go through one set of lights; at second set of lights, turn into Medical Center entrance. 8. Follow signs to Building 7. Coming from the North or South on Rt. 495: 1. At Exit 7A, take ramp onto Rt. 24/Boston. 2. At Exit 17A, take ramp onto Rt. 123 East (Belmont St.). 3. Go through one set of lights; at second set of lights, turn into Medical Center entrance. 4. Follow signs to Building 7.
24
Cafeteria Building 3
e. on Av eters P
Ma nle yS tre et