West End Clinic

The West End Clinic at Massachusetts General Hospital is an outpatient facility for those with alcohol and drug addictions, co-occurring mental health disorders and other types of addictive behaviors.
Learn more about group therapy options Contact the West End Clinic

First-time patients, please call: 617-724-7792

Overview

The West End Clinic (WEC) at Massachusetts General Hospital is an outpatient facility for those with alcohol and drug addictions, co-occurring mental health disorders and other types of addictive behaviors.

The clinic offers a wide range of outpatient therapies, including:

  • Intensive outpatient programs
  • Individual, family and group therapy
  • Treatment planning
  • Medication treatment management

The clinic also offers educational and treatment resources for people with substance use disorders. In addition to providing treatment and education, the West End Clinic helps patients and families navigate what can be burdensome insurance issues.

We work with each patient to determine the best course of treatment, and this multidisciplinary approach helps ensure our patients and their families receive the best care possible.

Anthony's Story

 

"I always thought everyone was against me. When I got that out of my head, I realized there are people who care, and if I work the steps and work the program there is success and there is recovery."   ~ Anthony

Watch the video to hear Anthony's story and his experience at the West End Clinic.

Learn more about the West End Clinic

Our Services
Our services include individual counseling, family and couples therapy sessions, group therapy and medication management

Meet Our Staff
Our staff of clinicians is focused on providing needed services to adults and young adults

Group Therapy Options
We offer a robust group therapy program to meet the needs of patients in any stage of recovery

Contact Us
Contact us for more information about any of our programs

Clinical Services

The West End Clinic offers a wide variety of treatment options for people with all types of substance use disorders and addictive behavior. We work with each patient to review your history, understand your current needs and make recommendations for the most appropriate treatment options.

Intensive Outpatient Care for Addiction

  • Intensive Outpatient Program (Day IOP): This program provides services 3.5 hours a day, five days per week. This program is for individuals diagnosed with primary substance or alcohol use disorders. Most of our patients are dually diagnosed and have significant comorbid medical conditions including pain, Hep C, Liver disorders, HIV.
  • Evening Intensive Outpatient Program (Evening IOP): The E-IOP is designed to meet the needs of individuals who are suffering from addiction but have other conflicting commitments such as work, school or child care with day time treatment.

Outpatient Care for Addiction

  • Comprehensive evaluation of alcohol and other substance use disorders
  • Individualized treatment planning and referrals
  • Psychiatric assessments and medication follow-up: Most of our patients have co-occuring psychiatric disorders. We provide both psychiatric medication management and medications specifically to treat addiction issues, such as naltrexone, acamprosate, disulfiram, topiramate.
  • Vivitrol® (Naltrexone IM) Injection Clinic: Vivitrol® is used to treat alcohol and opioid use disorders and has been shown to be effective in reducing alcohol consumption and assisting in sobriety.
  • Suboxone® Maintenance Program: Suboxone® is a medication prescribed to treat opioid dependence that helps suppress withdrawal symptoms and cravings.
  • Group Therapy: The West End Clinic offers a robust group therapy program to meet the needs of patients in various stages of recovery.
  • Individual Therapies: We offer a variety of different treatment approaches, including cognitive behavioral therapy (CBT), motivational interviewing, psychodynamic therapy, dialectical behavioral therapy (DBT) and mindfulness-based treatments.
  • Family and Couples Therapy: Engagement of families and significant others is an important part of addiction treatment at the West End Clinic. In addition to the Relationship & Recovery Enhancement program, we offer a Family Support Group and a Parenting Group, which are both open to families and parents with children who suffer from addictive disorders.
  • Inpatient consultation

Note: Specialized treatment for young adults between 14-26 with substance use disorders is offered through the Addiction Recovery Management Service at Mass General.

The West End Clinic also provides resources for hospital staff concerning issues of patient management, treatment, planning and resources, discharge planning, employee assistance and general information on substance use disorders. The West End Clinic maintains special clinical ties to other service areas, including Infectious Diseases and HIV, OB/GYN, Geriatric Medicine, Liver and Kidney Transplant and the Center for Pain Medicine, due to the high rate of co-occurring medical issues and substance use disorders.

In addition, the West End Clinic offers professional training and peer supervision opportunities for medical professionals.

Our Staff

  • E. Nalan Ward, MD

    Medical Director, Addiction Services at the West End Clinic

    E. Nalan Ward, MD, is an instructor in psychiatry at Harvard Medical School. She received her medical degree from Ankara University School of Medicine and completed her residency in psychiatry at the SSK Ankara Training Hospital in Turkey.

    Dr. Ward then pursued her career in the U.S. and completed her psychiatry residency and fellowship in addiction psychiatry at Boston University Medical Center. Dr. Ward has been working as the medical director of North Charles Institute for Addictions, Methadone Program since 2002. Her areas of interest are opioid substitution therapies, pain management of addicted patients, and eating disorders in substance abusing patients. Dr. Ward is board certified in adult and addiction psychiatry.

     

  • Karsten Kueppenbender, MD, CGP

    Associate Medical Director

    Karsten Kueppenbender, MD, CGP, oversees the group therapy program at the West End Clinic. He is also a part-time instructor in psychiatry at Harvard Medical School, where he teaches and supervises residents and postgraduate fellows. He facilitates groups that help patients with alcohol and drug use disorders, with or without co-occurring psychiatric illnesses, tailored to motivation and interest of the participants: from people who are beginning to wonder if their substance use interferes with competing life goals, to those committed to abstinence and value group therapy as a tool to living a productive and fulfilled life in recovery. In addition, Dr. Kueppenbender offers medication management in individual and group visits.

    Dr. Kueppenbender consults with malpractice insurers across the nation. Since 2008 he has been facilitating peer resource and support groups for doctors and nurses who have experienced adverse events or faced a malpractice claim. He teaches nationwide on navigating the aftermath of adverse events and litigation, and on cultivating humanity and self-care in the practice of medicine. He is a member of the clinical advisory committee of the Massachusetts Physicians Health Service.

    Dr. Kueppenbender graduated summa cum laude from Albert Ludwigs University Medical School in Freiburg, Germany, with doctorate degrees in medicine and neuropharmacology. He is a graduate of Harvard Medical School’s residency in psychiatry and the Partners Healthcare fellowship in addiction psychiatry. He also has advanced training in group psychotherapy.

  • Jennifer Blewett, LICSW

    Clinical Care Coordinator

    Jennifer Blewett is a licensed independent clinical social worker and is also certified as a school social worker in the Commonwealth of Massachusetts. She joined the West End Clinic in 2013 as the Clinical Care Coordinator and has over ten years of experience working in the mental health profession. Before joining Mass General, Jennifer had gained extensive experience working with patients and their families within inpatient treatment settings at Mclean Hospital in Belmont, Massachusetts. In her social work career, she has worked and volunteered in a variety of clinical and secondary school settings, including as a mentor for social work graduate students and post-graduate social work trainees working toward clinical licensure. Jennifer is dedicated to helping patients transform their lives through a cognitive behavioral structure and pursue their personal and therapeutic goals. Jennifer provides both individual and group psychotherapy at the clinic.

    Jennifer received her undergraduate degree from Northeastern University, where she played Division 1 field hockey and earned her master’s degree in social work from the Graduate School of Social Work at Boston College, concentrating in both health studies and mental health. Currently she serves as a board member on the Boston College School of Social Work Alumni Board. Jennifer is a member of the National Association of Social Workers (NASW), Association of Group Psychotherapy (AGPA), Northeastern Society for Group Psychotherapy (NSGP) and the Boston College School of Social Work Alumni Association.

     

  • Marc G. Bolduc, LICSW, CADC II, CGP

    Social Worker

    Marc G. Bolduc, LICSW, CADC II, CGP is a clinical social worker, a psychotherapist, an advanced level addiction specialist and a certified group psychotherapist. He is a graduate of Westfield State University, Boston College and has had the privilege to train with some exceptional mentors, talented colleagues, and the many patients over the years that have continued to teach him daily.

    Marc has been a member of the Department of Psychiatry since 2004. He is a supervisor and teacher in the Center for Group Psychotherapy and Interpersonal Psychotherapy Program. He consults with organizations and provides therapy for individuals, groups, couples and families at the West End Clinic and runs his own private practice in Boston, MA. He is committed to educating communities and developing practitioners in the application of treatments that work.

    Marc guides people to initiate and sustain more active, healthy lifestyles and is an experienced athlete and coach. He works with others to acquire awareness, skills and understanding of themselves and others to provide a foundation for happier, more connected relationships. He believes that the richest learning comes from being fully engaged in life and the aim of therapy is to help people endure, cope, perform better at the things that matter most to them, and to not be at the mercy of ones’ thoughts, feelings, behaviors and/or circumstances. Marc’s areas of interest include character development, life enrichment and helping people adapt and heal from experiences of addiction, loneliness, trauma and grief and their impact on one’s well-being.

     

  • Frank Dibert, PhD

    Clinical Psychologist

    Frank Dibert, PhD, is an instructor in psychology at Harvard Medical School. He earned his PhD in counseling psychology from Boston University and his Master of Divinity from Harvard University. Prior to arriving at the West End Clinic, Dr. Dibert worked as a psychologist at Boston University’s Center for Anxiety and Related Disorders, where he treated individuals with anxiety and mood disorders. He was also a research therapist at the VA Boston Healthcare System, where he treated veterans with psychological trauma and chronic pain.

    Dr. Dibert has extensive experience in evidenced-based mental health treatments as well as depth-oriented therapies. He currently leads the process group in the Intensive Outpatient Program as well as a mindfulness group for dual diagnosis patients. He also sees couples as a part of the West End Clinic family program. He deeply values the role of the therapeutic relationship in promoting healing and greater well-being. His areas of special interest include the role of grief in overcoming addiction, the co-occurring nature of trauma and addiction, and healing as a creative process that develops self-acceptance and self-compassion.

  • Lisa Du Breuil, LICSW

    Social Worker

    Lisa earned her MSW at Boston University and has over 10 years experience working with dual-diagnosis patients. She currently sees people for initial assessments, ongoing individual therapy and leads the psycho-educational groups for the Intensive Outpatient Program. Prior to joining the West End Clinic, Lisa worked with adolescents with a wide variety of behavioral challenges and their families. While Lisa enjoys helping patients with all sorts of life challenges, she is particularly interested in treating people who are dealing with addictions as well as eating disorders and food concerns.

  • David Eddie, PhD

    Research Fellow

    David Eddie, PhD, is a clinical and research fellow in the Department of Psychiatry and a Livingston Fellow at Harvard Medical School. He received his BA from Columbia University and PhD in clinical psychology from Rutgers University and completed his clinical training at Mass General.

    Dr. Eddie provides short- and long-term psychotherapy using cognitive behavioral therapy and dialectical behavioral therapy. He is also trained in mindfulness-based cognitive therapy and heart rate variability biofeedback. Dr. Eddie specializes in the treatment of addiction and borderline personality disorder, as well as clinical presentations that commonly co-occur with these problems such as anxiety and depressive disorders.

    In addition to his clinical work, Dr. Eddie is a researcher at Mass General’s Recovery Research Institute and Center for Addiction Medicine, where he investigates how problems regulating emotion are implicated in the development and maintenance of addiction.

  • Daniel Johnson, PhD

    Clinical Psychologist

    Daniel Johnson, PhD, is a licensed clinical psychologist and certified health service provider. He specializes in evidence-based cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT) and dialectical behavior therapy (DBT) for individuals with mood, anxiety and substance use problems.

    Dr. Johnson received his BA in psychology at University of Massachusetts Amherst before completing his MA and PhD in clinical psychology at University of Colorado Boulder. He completed his predoctoral internship at McLean Hospital/Harvard Medical School and completed his postdoctoral fellowship in the Veteran’s Administration Boston Healthcare System.

    Dr. Johnson has received extensive training in providing evidence-based therapies such as CBT, ACT and DBT, for substance use disorders and a wide range of co-occurring mental health diagnoses, including bipolar disorder, depression, trauma-related disorders and anxiety disorders. In addition to his work at the West End Clinic, Dr. Johnson is a staff psychologist at Boston Child Study Center where he works with adolescents and young adults with mood and anxiety disorders. Dr. Johnson is also an instructor in psychology at Harvard Medical School and he has published and presented internationally on his research examining risk and resilience factors for mood disorders in adolescents and adults.

  • Aviva M. Katz, PhD

    Clinical Psychologist

    Aviva M. Katz, PhD, is an instructor in psychology at Harvard Medical School. She earned her PhD in clinical psychology at Suffolk University, under the mentorship of Dr. Susan M. Orsillo. Dr. Katz has worked in a variety of settings including outpatient psychotherapy at Boston University’s Center for Anxiety and Related Disorders, and inpatient adolescent psychiatry at Bradley Hospital. Prior to joining the West End Clinic team, she worked with recently returning veterans at the VA Boston Healthcare System in the Center for Returning Veterans, Outpatient Alcohol and Drug Treatment Program and Substance Abuse Residential Rehabilitation Treatment Program. At the West End Clinic, she currently works with patients in individual therapy and leads the process group in the evening Intensive Outpatient Program, Relationships in Recovery and Women’s Recovery Groups.

    Dr. Katz provides evidence-based psychotherapy with a flexible approach and she values the collaborative process of tailoring treatment to each person’s unique needs. Her areas of interest include the particular challenges of managing trauma-related symptoms and substance use, mindfulness and acceptance-based approaches to treatment, and how engagement in activities related to personal values can impact quality of life.

  • Kristina Korte, PhD

    Clinical Fellow

    Kristina Korte, PhD, received her PhD in clinical psychology from Florida State University and completed her predoctoral internship in the Charleston Consortium Clinical Psychology Internship Training Program at the Medical University of South Carolina. Dr. Korte was previously a NIAAA T32 fellow at the Medical University of South Carolina, focusing on the treatment of PTSD and co-occurring substance use disorders. Dr. Korte was also awarded a predoctoral National Service Research Award (F31) from NIMH for her work on the development of a transdiagnostic preventative intervention for subclinical anxiety. Dr. Korte has over 30 peer-reviewed articles and book chapters and presents her research at national and international conferences. Her research aims to identify cognitive and neurobiological risk factors associated with anxiety, traumatic stress, and substance-use disorders, the development of evidence-based preventative interventions and treatments for these disorders, and creating novel strategies to enhance treatment-seeking behaviors. Dr. Korte also conducts research in Sub-Saharan Africa. Her global research aims to adapt empirically supported treatments for anxiety, PTSD and substance use disorders for use in low-income settings.

  • Allison Labbe, PhD

    Clinical Psychologist

    Allison Labbe, PhD, is a licensed clinical psychologist, an instructor in psychology at the Harvard Medical School and an assistant in psychology at the Massachusetts General Hospital. She earned her degree in clinical health psychology from Syracuse University in 2012. Dr. Labbe has extensive experience in evidence-based treatments, especially Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). She currently sees patients for individual CBT and leads the DBT for substance use groups at the West End Clinic.

    In addition to working at the West End Clinic, Dr. Labbe also serves as a psychologist in the Behavioral Medicine Program. In this capacity, Dr. Labbe works with patients who have chronic medical illnesses and co-occurring mental health issues. Dr. Labbe values the importance of the mind-body connection and strives to incorporate this into her practice. Dr. Labbe also conducts research; her primary interests include developing and testing behavioral interventions to improve treatment engagement for medical illnesses (e.g., Hepatitis C, HIV) among patients with current or previous substance use problems.

  • Toby Lynch, PhD

    Clinical Psychologist

    Toby Lynch, PhD, is an instructor in psychology at the Harvard Medical School. Dr. Lynch earned his PhD in clinical psychology from University of Detroit Mercy and completed his predoctoral residency at University of Texas Health Science Center. Prior to arriving at the West End Clinic, Dr. Lynch worked at VA Boston Healthcare System where he specialized in providing treatment services to veterans with psychological trauma and co-occurring alcohol and/or substance use disorders and held faculty academic appointments at Harvard Medical School and Boston University School of Medicine.

    Dr. Lynch’s approach to therapy is person-centered and informed by psychodynamic and cognitive behavioral therapies, including Acceptance and Commitment Therapy (ACT) and Dialectical Behavior Therapy (DBT). He is also guided by his prior work experience in diverse clinical roles (e.g., psychiatric technician, case manager, and psychologist) and in a variety of treatment settings (e.g., inpatient detoxification, residential, and outpatient). Dr. Lynch views psychotherapy as a collaborative process and is careful to consider each patient’s unique needs, preferences, and goals.  He is particularly inspired by the power psychotherapy to heal or ameliorate the psychological impact of trauma. Dr. Lynch has a wealth of experience working with patients with depression, anxiety, and emotional and/ or personality disorders, and has obtained specialty training in diagnosing and treating PTSD.

    At the WEC, Dr. Lynch leads a group for Men Overcoming Trauma and Substance Use. As part of the Evening Intensive Outpatient Program, he also leads a Psychoeducational Group to help patients gain a better understanding of alcohol and substance use disorders. He co-leads a CBT-based Relapse Prevention Group and a DBT-S Group and is currently a new group, Dialectical Behavior Therapy for Anger and Aggression.

  • Stephanie Mahnks, RN, PMHNP-BC

    Nurse Practitioner

    Stephanie Mahnks is a psychiatric nurse practitioner at the West End Clinic. She earned her BS in nursing from Quinnipiac University in 2006. She worked as a registered nurse in adult medicine at Mass General for two years before developing a passion for mental health. She started working on the inpatient psychiatric unit as an RN in 2008 and went on to obtain her masters in nursing specializing in adult psychiatry from Northeastern University in 2012. Stephanie spent the next three years continuing to work as an RN on Blake 11 and began teaching psychiatric nursing clinical to undergraduate students for both Endicott College and Northeastern University. She became board certified as a psychiatric mental health nurse practitioner in October 2014 and later took a role as a staff psychopharmacologist for the Department of Psychiatry, including both the primary setting and the West End Clinic. She sees patients for medication consultations and follow-ups, assists in Suboxone® maintenance groups and co-manages the Vivitrol® and anti-psychotic injection clinic at Mass General.

  • Shunda McGahee, MD

  • Vinod Rao, MD, PhD

    Psychiatrist

    Vinod Rao, MD, is an instructor in psychiatry at Harvard Medical School. He completed his medical school and graduate school at Washington University in St. Louis. He then trained at the Mass General/McLean adult psychiatry residency and then a pursued specialty training at the Partners Healthcare Addiction Psychiatry Fellowship.

    Although Dr. Rao has done graduate and postdoctoral research studying the neurobiology of decision-making and rewards, he currently focuses his energies on improving how we measure our patients’ progress, a direction he pursues as Quality Assurance Officer at the West End Clinic. Dr. Rao uses a combination of psychopharmacology, individual therapy and group therapy approaches to help direct patients toward recovery.

  • Estee Sharon, PsyD

    Clinical Psychologist

    Estee Sharon, PsyD, is a licensed clinical psychologist at Mass General and in a private office in Boston. She is an assistant clinical professor of psychology in the Department of Psychiatry at Harvard Medical School and Mass General. Dr. Sharon earned her masters degree in clinical psychology from Tel Aviv University in Israel and her PsyD from Massachusetts School of Professional Psychology (MSPP) in Boston and later returned to MSPP to earn an MS degree in clinical psychopharmacology.

    Dr. Sharon provides short and long-term psychotherapy using psychodynamic, cognitive-behavioral or system approaches. She treats individuals and couples presenting with an array of relational difficulties/conflicts or emotional disorders, including addiction, anxiety, depression and bereavement. In addition, Dr. Sharon has expertise in substance use disorders and in working with spouses of substance abusing patients who seek help in bringing their loved ones to treatment while also reflecting upon their own co-dependence.

    At Harvard Medical School, Dr. Sharon teaches third year medical students and she is an examiner in the Observational Structured Clinical Exam for second and fourth year students. She also provides seminars in Cultural Sensitivity among Diverse Patients to international students visiting through Harvard Medical International. Dr. Sharon is an active member of the Cultural Competent Care Education Committee at Harvard Medical School and of the Diversity Committee in the Department of Psychiatry. Prior to her full-time dedication to teaching and patients care, Dr. Sharon served as the associate director of Addiction Services at Mass General.

  • Georgia Stathopoulou, PhD

    Clinical Psychologist

    Georgia Stathopoulou, PhD, is a clinical psychologist with extensive experience in the individual and group treatment of substance use disorders and other concurrent mental health disorders, such as PTSD, mood and anxiety disorders. In addition to her clinical interests, she is also engaged in research examining common underlying factors in both substance use and mental health conditions. She is also interested in gender differences in substance use disorders, issues related to women’s mental health and community psychology.

    As the associate clinical director of the West End Clinic she focuses on program development to enhance the psychosocial services offered in the clinic by integrating the most updated evidence-based treatments for substance use and mental health disorders.

    Dr. Stathopoulou is also works with the Community Psychiatry Program offering psychological services to homeless individuals with severe mental health and substance use issues. She also trains psychiatry residents during their Community Psychiatry rotations and provides training and supervision to psychiatry residents and psychology fellows.

  • Claire Twark, MD

    Addiction Psychiatry Fellow

    Claire Twark, MD, is a clinical fellow in psychiatry at Harvard Medical School. She received a BA in anthropology from Harvard University before attending medical school at the University of Colorado Denver School of Medicine. She then completed the Harvard Longwood Psychiatry Residency Training Program and is now pursuing subspecialty training through the Partners HealthCare Addiction Psychiatry Fellowship.

    In addition to her interest in treating substance use disorders, Dr. Twark is also interested in sports psychiatry, which is the psychiatric care of athletes and former athletes. She serves as the communications chair for the International Society for Sports Psychiatry.

Group Therapy

The West End Clinic offers a variety of group therapy options. Most group meetings are held in the West End Clinic in Boston. Please be aware that this list of offerings does not include our options for Day and Evening Intensive Outpatient Programs.

For Referrals: Please contact the Psychiatric Access Line at ptriage@partners.org or 617-724-7792 to reserve a spot in an upcoming intake orientation at the West End Clinic. We offer group orientation on Tuesday mornings at 10am.

Contact the clinical care coordinator Jennifer Blewett, LICSW, 617-643-6919 with any specific questions.

Opiate Maintenance Groups

These groups are integrated model groups that provide an opportunity for on-going support, skill building and psycho-education for patients who have been prescribed Suboxone®. Group work is focused upon reinforcing abstinence and encourages communication and problem-solving around stressors. Opiate Maintenance Groups are offered at varying intervals during the week with rolling admission. Patients attend the same group throughout their membership.

  • Opioid Recovery Group

    Group Leader: Karsten Kueppenbender, MD
    Time: Monday 9:00 - 10:00am
    Location: West End Clinic, Room 105
    Members:  Maximum of 10
    Age range: late 20s-60s
    Duration of membership: Minimum of 6 months

    Process group, mixed gender for adults who are focused of building relapse prevention skills and are prescribed Suboxone® maintenance therapy.

  • Opioid Recovery Group

    Group Leader: Nalan Ward, MD
    Time: Friday 10:00 - 11:00am
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: 20s-30s
    Duration of membership: Minimum of 6 months

    Process group, mixed gender for adults who are focused of building relapse prevention skills and are prescribed Suboxone® maintenance therapy.

  • Buprenorphine Medication Management Group

    Group Leaders: Karsten Kueppenbender, MD and Jennifer Blewett, LICSW
    Time: Friday 10:00 - 11:00am
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: 20s-30s
    Duration of membership: No minimum

    Process group, mixed gender for adults who are focused on maintaining abstinence from opiates and reducing their use of other substances of abuse. The purpose of the group is to support and sustain patient’s commitment to abstinence from heroin and pills and support their recovery.

    Weekly toxicology monitoring on Mondays and Tuesdays and attendance of the group on Wednesdays is required to receive a prescription for buprenorphine/naloxone.

Relapse Prevention

Relapse Prevention is a foundation group designed to support individuals with substance abuse or dependence histories who are in early recovery. The focus is on psycho-education and skills to reduce the risk of relapse and improve coping. The group will explore critical relapse prevention skills, with a focus on learning to manage triggers, feelings and identify and challenge distorted thinking patterns. Participants will develop a greater network of recovery resources to aid in relapse prevention.

All members must have completed a formal intake at the West End Clinic prior to being considered a group.

  • Evening Relapse Prevention Group

    Group Leader: Toby Lynch, PhD and Aviva Katz, PhD
    Time: Tuesday 3:00 - 4:00pm
    Location: Wang 8  
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: 10 weeks

    This time managed group provides opportunities for peer support and guidance. Participants seeking support for abstinence are welcome and can join at any point in the group.

    Prospective members must complete a formal intake assessment at the West End Clinic prior to consideration for this group.

  • Mindfulness-Based Relapse Prevention Group

    Group Leader: Frank Dibert, PhD
    Time: Tuesday 1:00 - 2:00pm
    Location: Wang 8  
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: 10 weeks

    The goals of this group are to develop awareness of depressive-related triggers and habitual reactions and learn ways to create a pause in this seemingly automatic process. Foster and support a kind, compassionate approach toward ourselves and one’s depression. Build a lifestyle that supports mindfulness practice, emotional well-being and recovery.

Rapid Access Process Group

  • Rapid Access Process Group

    Group Leaders: Marc Bolduc, LICSW, CADC  II, CGP
    Time: Monday 12:00 - 1:00pm
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: No set time period

    A time limited and semi-structured group, offering an expedited opportunity to participate in group atmosphere with others who are interested in addiction treatment. This group an opportunity for members to discuss ongoing concerns related to early recovery.

Readiness Program

The Readiness Group welcomes members who would like support during the early stages of recovery. Topics covered include reducing the use of substances or abstinence. The group facilitates engagement with additional addictions programming and assists with treatment referrals and recommendations.

  • Readiness Group

    Group Leader: Jennifer Blewett, LICSW
    Time: Thursday 12:00 - 1:00pm
    Location: West End Clinic, Room 110
    Members: Maximum of 13
    Age range: 25-75
    Duration of membership: 8 weeks

    A mixed gender, time-managed group with a commitment to participation for 8 weeks. The group provides an opportunity for discussion, skill-building and information relevant to abstinence or reduction of use.

    This group is not an abstinence-based group.

Integrated Skills Groups

  • Acceptance and Commitment Therapy Group

    Group Leader: Daniel Johnson, PhD and Georgia Stathopoulou, PhD
    Time: Monday 3:00 - 4:00pm
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: 15 weeks

    This group will be focused on pursuing a fulfilling life for people at any stage of recovery, whether you are using substances or not. ACT is a present-moment focused therapy that can help you identify your values and learn ways to move toward your values in everyday life. ACT also focuses on how we try to escape from discomfort (e.g. painful emotions, thoughts, sensations) by using substances and other problematic behaviors and how doing so gets in the way of truly living.

  • Men Overcoming Trauma and Substance Use Group

    Group Leader: Toby Lynch, PhD
    Time: Wednesday 2:30 - 3:30pm
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: 6-8 weeks

    This group is open to male patients dealing with both post-traumatic stress and substance use/dependence. Prospective group members should be in recovery from substance use/dependence or motivated to reduce their alcohol or other substance intake. This group is present-focused, meaning group members do not disclose details about their trauma in session.

  • Women’s Recovery Group

    Group Leader: Georgia Stathopoulou, PhD and Aviva Katz, PhD
    Time: Wednesday 3:00 - 4:00pm
    Location: West End Clinic, Room 1010
    Members: Maximum of 10
    Age range: Adult
    Duration of membership: Ongoing

    This group focuses on the unique concerns of women who are building skills in recovery. Women in this group will learn specific skills and strategies to prevent relapse and promote recovery. In this group, we will explore topics such as the effect of substances on women’s health, managing triggers and high risk situations, coping with stress and the effect of intimate partners on recovery.

Interpersonal Psychotherapy Groups

These groups are semi-structured and process-oriented. They are useful for individuals who are looking for a setting in which to talk about their history with recovery, difficult life experiences, feelings in a safe confidential environment and to get support from others.

  • Finding Balance in Recovery

    Group Leader: Karsten Kueppenbender, MD
    Time: Wednesday 12:00 - 1:00pm
    Location: West End Clinic, Room 105
    Members: Maximum of 10
    Age range: 25-75
    Duration of membership: Ongoing

    This group is comprised of individuals who have completed other treatment through the West End Clinic (IOP, Relapse Prevention, etc.) and are looking for continued group support for ongoing recovery. This is an abstinence-based, open discussion group with topics related to developing a balanced, sober lifestyle. Discussion topics include developing sober coping skills for stressful situations, managing interpersonal relationships, recognizing urges and thoughts of use and coping with such in a sober manner.

    This group is available for support as long as members are working toward reaching goals with no specified length of participation.  

  • Relationships in Recovery

    Group Leader: Aviva Katz, PhD
    Time: Tuesday 12:00 - 1:00pm
    Location: West End Clinic, Room 110
    Members: Maximum of 10
    Age range: Adult
    Duration of membership: 20 weeks

    This is a group focused on the impact of relationships on substance use and recovery. This group will be helpful to individuals interested in learning skills to repair damaged relationships and build healthy relationships. Group members will examine and discuss how their substance use has impacted their relationships, as well as navigating and repairing relationships while in recovery.  

  • Interpersonal Psychotherapy Group for People in Recovery

    Group Leader: Marc Bolduc, LICSW, CADC  II, CGP
    Time: Wednesday 4:00 - 5:15pm
    Location: West End Clinic, Room 105
    Members: Maximum of 8
    Age range: 25-75
    Duration of membership: Ongoing

    This is an open-ended, mixed gender group for people in recovery. The group provides a supportive structure and interactional opportunities that will allow members to exercise power, make decisions and develop intentions that support envisioned hopes and goals. ‎Together, we explore the psychological and environmental forces that have contributed to members' substance abuse.‎

    Each member will work to understand how they react, defend and protect themselves in relationships.  We do this by examining attitudes, interpersonal styles, communication of needs and expression of feelings. The roles of personal responsibility, informed motivation and mobilizing resources are viewed as critical aspects of intentional change and as tools for renewal and recovery.‎

     

Dialectical Behavior Therapy

Individuals may use self-destructive behaviors to cope with intense negative emotions. Dialectical Behavior Therapy (DBT) provides skills and training that can help people gain more control over negative emotional states and reduce the need for drugs or alcohol. DBT teaches four different sets of skills: core mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness.

  • Dialectical Behavior Therapy Group for Substance Use

    Group Leaders: Allison Labbe, PhD and Toby Lynch, PhD
    Time: Friday 1:30 - 3:00pm
    Location: West End Clinic, Room 110
    Members: Maximum of 8
    Age range: Adult/varied
    Duration of membership: 6-8 weeks

    Structured therapy designed specifically for patients with borderline personality disorder and related symptoms, who have no previous DBT skills training. This group is designed to assist patients in their use of DBT skills and principles. DBT teaches four different sets of skills: core mindfulness, distress tolerance, emotion regulation and interpersonal effectiveness. These skill sets focus on developing mindfulness of one’s own emotional responses, learning how to tolerate distress, survive crisis situations, regulate intense emotions and improve relationships. 

    Group requirements include a clear ongoing commitment to consistent attendance.

Contact Us

west end clinic

West End Clinic

16 Blossom Street
Boston, MA 02114

Phone: 617-726-2712
First time patients, please call: 617-724-7792

 

Intensive Programs


Intensive Outpatient Program (IOP)

The Intensive Outpatient Program (IOP) serves as a step down care for patients who received detoxification and medical care who are ready for treatment but have had little or no outpatient treatment in the past. For patients who are currently outpatient but need to have more services to achieve recovery, IOP serves as a higher level of care. We accept patients over 18 years old.

The IOP provides services three hours a day, five days a week, for four weeks. The program provides curriculum based psycho-education group followed by a process group for patients with co-morbid mental health and substance use disorder diagnoses provide in a group format. The groups meet mornings on Monday, Wednesday and Thursday and are usually up to 10 patients.

The curriculum includes topics such as:

  • Biology of addiction
  • Process of addiction and recovery
  • Basic recovery skills such as managing cravings, self care and mood management
  • Using family, social and community-based resources as support in recovery

Each patient is assigned a provider for individual check-ins during the course of the week. The Intensive Outpatient Program team meets three times a week for rounds to discuss patients. During these meetings the team reviews the patient progress, or problems, and noncompliance. Individual providers communicate the suggestions or feedback with each patient. Most of our patients require family or couples evaluation by our providers who are specialized in this area during their Intensive Outpatient Treatment.

One very important piece of our program is the psychopharmacology evaluation. Medication management is usually provided once a week but more often if need be. In addition to commonly used psychiatric medication, we provide treatment with medications to treat specific to addiction issues, such as naltrexone, acamprosate, disulfiram, topiramate and Buprenorphine – Suboxone.

During their IOP treatment patients receive case management services for issues related to housing, disability, FMLA, legal, coordination of care, communication with other providers.

There is medical coverage everyday for all WEC patients including IOP patients. It is not uncommon that IOP patients may need to be assessed by a medical personal during their treatment with us for issues such as medication side effects, sedation, withdrawal symptoms, safety issues etc.

Facilitated by: Lisa Du Breuil, LICSW, Georgia Stathopoulou PhD

Referrals

Patients may self-refer and/or be referred by their providers by calling the psych triage team at 617-724-7792.


Evening Intensive Outpatient Program

The Evening Intensive Outpatient Program (Evening IOP) is for individuals diagnosed with primary substance or alcohol use disorders. This program is designed to meet the needs of individuals who are suffering from addiction, but have other conflicting commitments such as work, school or child care during the day.

The Evening IOP provides services three and a half hours per day, five days a week. This program meets from 4-7 PM, Monday through Friday.


Couple & Family Therapy

Recovery & Relationship Enhancement Program: A Service for Couples, Families and Supportive Significant Others

The Recovery & Relationship Enhancement Program invites family members or friends – generally called “supportive significant others” (SSO) - to actively participate in the treatment of their loved ones and enhance support for recovery through education and explorations of the impact of addiction and recovery on both patients and their families. Research has shown that SSO involvement can help improve treatment outcomes. Motivational interviewing strategies are used to explore patients’ thoughts about having SSO involvement and encourage them to join the program.

Once patients with substance use disorders undergo intake at the West End Clinic and actively pursue our services, they become eligible for this program.

Facilitated by: Estee Sharon, PsyD, Marc Bolduc, LICSW, Frank Dibert, PhD, Aviva Katz, PhD and Jennifer Blewett, LICSW

Therapy Options

There are two ways to access the program:

  • Intermittent family therapy sessions – sessions include patients and supportive people in their lives (such as family, friends, AA fellows, clergy). The primary purpose of these sessions is education and support.
  • Ongoing family or couples’ therapy – sessions include patients and SSOs with a focus on:
    • Understanding that as much as the patient is in recovery, so are his\her nuclear or extended family and friends
    • Exploring communication styles to establish open and honest ways of connecting
    • Mapping relational patterns to eliminate enabling behaviors and introduce smoother and healthier interpersonal dynamic

How to join the Recovery & Relationship Enhancement Program

Current West End Clinic patients: If you are interested in joining the Recovery & Relationship Enhancement Program, please contact Jennifer Blewett, LICSW at 617-643-6919.

New patients: Please call 617-724-7792 to become a patient at the West End Clinic.

Medication Management

Vivitrol® (Naltrexone IM) Injection Clinic

Vivitrol® is FDA approved for the treatment of alcohol use disorders and opioid use disorders. Naltrexone in intramuscular form (Vivitrol®) has been demonstrated to be effective in reducing alcohol consumption and assisting in sobriety. Patients who are able to abstain from alcohol (even for a short time) are appropriate for an injection
of intramuscular naltrexone. 

The West End Clinic oversees an injection clinic at Massachusetts General Hospital where intramuscular naltrexone can be administered. The clinic is based in Wang 8 and is run by specialized advanced practice nurses. We will assist in evaluating criteria for naltrexone as well as prior authorization related to the medication.

How to Become a Patient at the Vivitrol® Injection Clinic

  1. To be eligible, you must be in treatment at the West End Clinic. To become a patient at the West End Clinic , please call Adult Psychiatry Triage at 617-724-7792 to make an appointment at the West End Clinic.
  2. As part of the West End Clinic assessment, we will discuss available treatment options for alcohol and other drug use disorders and make recommendations on an individual basis. A thorough review of your medical and psychological status will be coupled with an evaluation for appropriateness of pharmacotherapy. West End Clinic staff will collaborate with the Injection Clinic staff for patients who will benefit from intramuscular medication administration.
  3. The staff at the injection clinic will assist with the insurance forms, ordering the medication, etc. Please note: An appointment for an injection will only be scheduled after the injection has been approved by your insurance.
  4. Throughout the process, the West End Clinic will update any referring providers

Suboxone® Outpatient Program

Opioid-dependent patients who are in need and eligible for office-based opioid substitution therapy e.g. buprenorphine (Suboxone®) are admitted on a special track to the Intensive Outpatient Program.

After completing a first time evaluation with the West End Clinic and then a Suboxone® evaluation with a physician, eligible patients start with the Intensive Outpatient Program (IOP) and are seen by our Suboxone® providers for induction. During the week of their induction, these patients are seen more than once a day by an MD or RN, about three to four times in that week. Suboxone patients continue receive all the other services provided to IOP patients.

Upon completing the IOP, Suboxone® patients are required to attend a Suboxone® Recovery Group that meets once a week (see days offered on the Group Therapy list) for a minimum of six months. After six months, patients are reassessed and considered for more individualized treatment.

Training

Training and Peer Supervision

In addition to providing exemplary therapeutic care to patients, the West End Clinic is dedicated to assisting Mass General trainees, including fellows, residents, medical students, psychology and social work interns, and staff clinicians, who are interested in facilitating groups and would like to enhance their knowledge and therapeutic skill.

To support these goals, a peer supervision group has been organized. Within this group, each participating clinician is viewed as an essential element of a “group-as-a-whole” directed toward the understanding of group dynamics and processes. The emphasis of the supervision is on the presentation of actual clinical material from current groups in which one’s peers have the opportunity to comment on the emerging group process and to provide support for the presenting clinician who may be struggling with particular challenges or concerns. Another focus of the peer supervision is to address all formal aspects of group psychotherapy including the identification of a clinical need, linking to referral resources, accessing appropriate patient populations, legal and ethical concerns, and the assessment of group process and outcome. Effectively communicating with others involved in the patient's care and monitoring the patient’s overall progress is an overarching priority.

The peer supervision group also offers the following opportunities:

  • Co-facilitation of groups in which a trainee is paired with an experienced clinician
  • Didactic experiences with group therapy experts
  • Initiatives to educate others and raise awareness regarding the efficacy of group therapy in substance use disorder treatment, both at Mass General and beyond
  • Participation in local and national group psychotherapy associations
Learn more about group therapy options Contact the West End Clinic

First-time patients, please call: 617-724-7792

Back to Top