Medication for pediatric psychiatric disorders reduces later onset of substance use problems
Early and longer-lasting treatment reduces risk of substance use disorder most significantly.
55 Fruit Street
Cox Building, Suite 110
Boston, MA 02114
Hours: Monday – Friday, 9am – 5pm
New Patient Referrals: 617-726-1614
Main Office: 617-724-2480
Fax Number: 617-248-0070
Appointments at West End Clinic:
To be seen at our outpatient clinic, you must have a primary care physician at Mass General.
Please Note: All patients will be asked to provide a government-issued photo ID upon check in.
The West End Clinic at Massachusetts General Hospital is an outpatient facility for those with substance use disorders and co-occurring mental health disorders.
The clinic offers a wide range of outpatient therapies, including:
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.
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.
The West End Clinic provides comprehensive evaluation of alcohol and other substance use disorders, including individualized treatment planning and referrals.
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 Pain Management Center, due to the high rate of co-occurring medical issues and substance use disorders.
Our services include:
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 offers diverse modalities for group therapy and are held at the West End Clinic, located at Massachusetts General Hospital. See our group therapy listing to learn more about the groups we offer each week.
Any patient interested in enrolling in group therapy at the West End Clinic must have a Mass General primary care physician (PCP) or specialist and must complete a new patient evaluation prior to enrolling. For more questions, please contact the West End Clinic at 617-724-2480.
The Intensive Outpatient Program (IOP) serves as 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, three 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 curriculum includes topics such as:
Each patient is assigned a provider for individual check-ins during the course of the week. The IOP 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.
One very important piece of our program is the psychopharmacology evaluation. Medication management is usually provided once a week but occurs 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 every day for all WEC patients, including IOP patients. It is not uncommon that IOP patients may need to be assessed by a clinician during their treatment with us for issues such as medication side effects, sedation, withdrawal symptoms or safety issues.
Facilitated by: Lisa Du Breuil, LICSW, Shayna Bassett, PhD, Estee Sharon, PsyD
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, and Jennifer Blewett, LICSW
There are two ways to access the program:
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 based in Cox 1 at Mass General where intramuscular naltrexone can be administered. We will assist in evaluating criteria for naltrexone as well as prior authorization related to the medication.
To be eligible, you must be in treatment at the West End Clinic (WEC). To become a patient, please call WEC at 617-724-2480 to make an appointment.
As part of your WEC assessment, we will discuss available treatment options for alcohol and other drug use disorders and make individual recommendations. A thorough review of your medical and psychological status will be coupled with an evaluation for appropriateness of pharmacotherapy. Our staff will collaborate with the injection clinic staff for patients who will benefit from this medication.
The staff at the injection clinic will assist with the insurance forms, ordering the medication, etc. Please note: You injection appointment will only be scheduled after the injection has been approved by your insurance.
Throughout the process, the WEC will update any referring providers.
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 (IOP).
After completing a first-time evaluation with the West End Clinic and a Suboxone® evaluation with a physician, eligible patients start the IOP and are seen by our Suboxone® providers for induction. During the week of their induction, these patients are seen three to four times in that week by an MD or RN. 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.
Our psychiatrists, nurses, social workers, and psychologists draw on years of experience and are focused on treating all substance use related disorders and co-occurring mental health disorders.
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 is on the presentation of actual clinical material. Group members 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 is on addressing 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:
For 80 years, Mass General's Psychiatry Department has provided the highest quality patient care through pioneering research.
Resources for patients and families including educational programs and information about mental health issues from the Department of Psychiatry.
U.S. News & World Report ranks Mass General psychiatry among the top in the nation.
For 80 years we've provided the highest quality patient care, conducted pioneering research and educated professionals in the field.
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