Mental health quarterly

8 Pages·2001·0.82 MB·English

by  Massachusetts. Department of Mental Health

UMASS/AMHERST
I Mental 312066 0369 3671 7
UA
Health
MCHIANNCDINSG
A
Publication of the Massachusetts Department of Mental Health
Volume I, No. 1
Health and Wellness
DMH
Targets Healthy Living on Road to Recovery
When
the Department of
DMH
Mental Health released its High hopes for fall wellness conference
2001 Mortality Report ear-
lier this year, the findings bolsteredwhat People with psychiatric disabilities die 10 to 15 years earlier than than the
many people with mental illness and general population—from heartdisease, high blood pressure lungdis-
their health care provide—rs have long ease and diabetes conditions thatwith the right interventions can
known from experience those with be controlled. "Pathways toWellness: Combatingthe Double
mental illness are more likely to die at a Jeopardy of Medical andMental Illness," a first-of-a-kind conference,
younger age than their non-disabled is a response to the growing awareness of the physical health and well-
counterparts. ness needs of Departmentof Mental Health consumers and the staff and care
providers who serve them. Carol Hilton,wellness coordinator for the Department's
The study, the first of its kind in the Central Massachusetts Area, is amongthe newwave of mental health care providers
country, found disturbing trends in the who are aggressively approaching the general health and wellness of DMH clients in
mortality of people served by DMH in Wellnessconference—turnto page 5
1998 and 1999. The leading cause of
DMH
death for clients during that time Commissioner Marylou Sudders. "Not Professional Services, and director of
was heart disease, with lung disease only do people with mental illness live the 2001 Mortality Report.
ranking third or fourth. While in gener- under the cloud of stigma, they are liv-
al, death rates from these illnesses mir- ing under a death sentence, they die "The mental illness field has been
rored the general population of the younger and they die of diseases we very focused on treating symptoms,"
Commonwealth, cardiac disease killed don't expect people that age to have." Duckworth says, "and that is very
DMH
nearly seven times as many clients important because the symptoms of
DMH
in the 25 to 44 age group than in the While the physical health of serious mental illnesses can be so diffi-
general population. Suicide is also high- clients has always been a concern, the cult and painful for people with the dis-
DMH
er for that age group in the pop- latest findings have redoubled the ease. But as we become more sensitive
ulation as well as in the 15 to 44 age Department's efforts to increase and to the importance of supporting peo-
bracket.—Pulmonary disease is another maintain the physical and mental well ple's strengths in their recovery, we must
culprit higher levels of lung disease being of the people it serves. as a system support ways to help people
DMH
were found in clients ages 25 to make good choices for their health and
64 than in the general population. The new mantra is prevention, says well being."
DMH
Dr. Ken Duckworth, Deputy
DMH —
"The message is clear," said Commissioner of Medical and Wellness turn to page 4
From the Children's Mental Health:
Inside Commissioner. 2 "Visions for Tomorrow' 6
the Quarterly
Research Human Rights in
News 3 Action 7
From the Commissioner
Welcome to The Mental
Health Quarterly
A
s the Department begins a new fiscal year, we reaf-
firm our commitment to our agency's mission:
To improve the quality of lifefor adults with serious andper-
sistentmentalillness andforchildren with serious mentalillness or
severe emotionaldisturance.
Key to our success is a clear focus on the Department's
public education efforts, whether it be through our robust
Changing Minds Campaign, vigilance in the fight against the
debilitatingeffects of stigma or simply providingtimelyand rel-
evant information to help the publi—c understan—d that mental illness
is a disease, that it is treatable and that people can and do recover.
Indeed, the Department's first goal for fiscal year 2002 is to direct the
Department of Mental Health in a manner thatinstills the public's confidence. This
new Mental Health Quarterly is one way we plan to accomplish this goa—l.
Readers may remember this quarterly publication as The ChangingMinds Bulletin
yes, the name has changed, but the purpose remains. The Quarterly is one vehi-
cle we will use four times a year to communicate the Department's activities. It is
intended to look at issues pertinent to mental health and how the Department is
addressing them. The Quarterly's content will be designed to cover broad areas
of interest not only within the Department, but also throughout the mental health
community. As before, research news will be covered—in each issue and the Autumn
edition brings a new regular feature to the Quarterly "Human Rights In Action,"
written by the Department's Human Rights Director Carol O'Loughlin and
Children's Human Rights Coordinator Bernadette Drum.
This inaugural issue as well as subsequent issues of the Mental Health
Quarterlywill be wrapped around a theme, focusingon one aspect of mental ill-
ness. This issue, the Autumn 2001 edition, targets health and wellness. Findings
from the Department's 2001 Mortality Report resonated with the message that
physical health should not be relegated to back burner among people with mental
illness. The study, which found that people with mental illness were seven times
more likely to die from heart attacks than the general population, is a compelling
starting point for a discussion on wellness among our consumers.
Commonwealthof
Kxiii i-jvDie(piiairtmeManistsHoaefcahlMuteshnettatansldHHiuamiainiiServices tiatIinvefsuatunrdeeifsfsouretss, rineacdheirlsdrcean'nslmoeonktfaolrhweaarldtht,oPlAeaCrTninpgroagbroaumts,theemDpelpoayrmtemnetn,t'hsouinsi--
ing and many others. We hope you enjoy the new Mental Health Quarterly.
JaneSwift
Governer
RobertGittens
Secretary
MarylouSudders
Commissioner
*2*
Research News
Ampakines...A New Approach for Treating Schizophrenia
Don Goff, M.D., associate professor of
psychiatry at Harvard Medical School, and "Ampakines are currently the most promising new
his collaborators in the Massachusetts
therapeutic approach to the treatment of schizophrenia."
General Hospital Schizophrenia Program —
Don Goff, M.D.
located at the Erich Lindemann Mental
Health Center in Boston have completed a
small clinical trial of Ampakines with
patients receiving the Ampakine, known as Because this new class of pharmaccuti
patients who were already taking the anti-
CX516, experienced significant side effects. cals increases the strength of signals at con-
psychotic medication clozapine.
nections between brain cells, it may provide
When clozapine (Clozaril) first became Goff reported that the patients taking novel drug therapies for other neurological
CX516 had very large improvements in disorders, such as Alzheimer's disease and
available in 1990, it represented the most
measures of attention, memory and cogni- attentiondeficitdisorders. As a resultof the
important advance in the drug treatment of
tion when compared to those taking the promising early findings of the effects of
schizophrenia since the discovery of chlor-
placebo. The addition of Ampakine to Ampakines in schizophrenia, Goff has
promazine (Thorazine) some 40 years ago.
clozapine in a placebo-controlled trial was received a special grant from the Stanley
Several so-called "atypical" antipsychotics
designed to examine safety and to deter- Foundation to conduct a large, multi-center
soon followed: clozapine: risperidone, olan-
mine the best dose for future studies. trial of Ampakine added to clozapine. With
zapine, quetiapine and ziprasidone.
recent funding from the National Institute
Although all have a less onerous side-effect
The results of this study should be of Health (NIH,) he also will be collabo-
profile than the original antipsychotics, little
viewed as preliminary, sinceonly 19 subjects ratingwith SteveJohnson, Ph.D., on a study
additional progress has been made in more
participated. However, consistent with of Ampakine as an addition to olanzapine
than a decade in the treatment of schizo-
phrenia. Of particularconcern has been the results from animal studies, the effects of (Zyprexa.)
the Ampakine persistedwhen subjects were
lack of effective treatments for cognitive
deficits (attention and memory) and nega- re-examinedtwoweeks aftercompletingthe All this is good news for the 2.8 million
study and at subsequent follow-ups, impres- Americans who suffer from schizophrenia.
tive symptoms (apathy and withdrawal),
sive improvements in negative symptoms Further information about this research is
which are majorobstacles to the recoveryof
continued. available by calling 617-912-7836.
social and occupational functioning.
With the goal of identifying more effec-
Surgeon General's Study: Disparate Care for Minorities
tive treatments through abetterunderstand-
ing of the illness, emphasis has recendy In a rare look at the mental health needs of minority populations, U.S. Surgeon
focused on receptors in the brain different General Dr. David Satcher released a broad-ranging report that found striking disparities
from the dopamine receptors targeted by in mental health care for racial and ethnic minorities across the nation.
the older medications. Findings of abnor-
mal glutamate receptors in the brains of As a supplement to the Surgeon General's 1999 report on mental health, it documents
peoplewith schizophrenialed researchers to the divide on the level of ca—re between whites and the most recognized racial and ethnic
the "Glutamate Model" of treatment. minoritygroups in the U.S. African Americans, American Indians and Alaskan Natives,
Asian Americans and Pacific Islanders and Hispanic Americans. The study found:
In one such study, Goff enrolled 19
Minorities have less access to and availability of mental health services.
patients who receive mental health services
Minorities are less likely to receive needed mental health service.
at the Lindemann Mental Health Center for Minorities in treatment often receive a poorer quality of mental health care.
the first trial of Ampakines, a family of Minorities are underrepresented in mental health research.
compounds that work on the glutamate
receptors. Patients were maintained on their While more is known about the disparities than the reasons for them, clearly minority
individual optimized dose of clozapine populations carry additional barriers for treatment such as language, mistrust of treatment,
throughout the four-week trial. Some were discrimination and cultural struggles. For a copy of Satcher's "Mental Health: Culture,
randomized for placebo. None of the Race and Ethnicity," call 1-800-789-2647 and request inventory number SMA-01-3613.
On the Cover
—
Wellness continued from front page AS WE BECOME MORE SENSITIVE TO THE IMPOR-
The best example of how doctors TANCE OF SUPPORTING PEOPLE'S STRENGTHS IN
can help their patients make healthy
choices can be found in the troubling THEIR RECOVERY, WE MUST AS A SYSTEM SUPPORT
issue of medications and weight gain.
WAYS TO HELP PEOPLE MAKE GOOD CHOICES FOR
Doctors should anticipate that weight
gain is a standard side effect forthe new THEIR HEALTH AND WELL BEING.
and-psychotics and work with the per-
son to monitor and address it, says
Duckworth.
"This sounds simple, but hasn't
always been part of a symptom-orient-
ed field," he added. "And by the same
token, we have usually accepted that
people with serious mental illness
smoke without being asserdve about
understanding how different interven-
tions can be tried for people who want
to quit."
There is a dearth of research on the
best ways toward smoking cessation,
DMH
"and is now funding research to
find out which interventions help peo-
ple cut down or quit," according to PhotoscourtesyofDavidWeed
Duckworth.
All in the Name of
"We can say the same thing for exer-
cise," Duckworth explains. "We have Good Health
become removed from the idea of ther-
apeutic farms and working in the field. Cultural diversity is inte-
And while sitting and listening is an grated with health and
essential therapeutic skill, we need to wellness atthe Corrigan
recreate the expectation that movement Mental Health Center in
is good forhealth andwellness. A recent KatFhalylTRaibveerr.(Asbtaonvdeingri)g,hta,
study demonstrated that—doctors' advice Native American thera-
to exercise gets results and we need pist, conducts a healing
to implant in our clinical mission a ceremony for the CMHC
mindset of prevention for cardiovascu- staff as part of a health
and wellness program.
lar illness." Below right is Suzie
Bernard, an occupational
DMH
/\mong the initiatives relative therapist assistant stu-
to health and wellness is a priority focus dentwho is learning
watercolorpainting as
on nutrition, exercise and smoking ces-
part of a month-long well-
sation opportunities for consumers in ness series entitled
all facilities and centers. This is accom- "Healthy Pleasures" held
plished through a network of wellness this spring.
coordinators and wellness committees
:.4>
—
Wellness conference from the front page onal grant from Eli Lilly and Company, targets DM!I con-
sumers, staff and contracted providers. Scheduled for
avariety of ways. "For a long time, people have been con- September 28 at the Westboro Wyndham Hotel, conference
cerned that the physical well-being of ourconsumers was nut organizers planned for 300 attendees. Kenneth S. Duckworth,
being addressed," Hilton says, "and at the same time we did not M.D, DMH Deputy Commissioner Clinical & Professional,
DMH
wantourefforts to duplicate what was being done out in the Elaine Hill, Central Mass. Area Director, and Horn, join
community." numerous conference faculty members in what will likely be an
annual event. The latest research on the physical health chal-
DMH
Thomas Horn, M.D., Central Mass. Area medical lenges relevant to individuals with serious mental illness as well
director, established the Area's wellness committee last year, as current approaches to effectively dealing with these chal-
according to Hilton, gathering representatives from the lenges, such as smoking cessation in schizophrenia, lead the
DMH
Department's contracted providers and staff and focus- conference agenda.
ing increasing awareness for the physical health of consumers.
"This conference is justone way we're doing that," Hilton says. Highlights of conference offerings: "Smoking in DMH:
What Clients & Staff Have to Say;" "Healthcare Advocacy
DMH
"Pathways to Wellness," jointly sponsored by Central Skills," which discusses the issues around preparing a client for
Mass. Area, UMass Medical School Department of Psychiatrv aphysician visit; and "MajorMental Illness, Weight Gain and
& Office of Continuing Education and funded fully by an edu- Glycemic Control: Where do we go from here?"
—
Wellness from page 4 less environments in ourresidential pro- to the major risk factors of smoking,
grams and establish training programs obesity and a sedentary lifestyle have
DMH
operating across the Commonwealth. for staff on tobacco education." been put into action in a number of
DMH W
While is developing new initia- ways. rhile wellness and health promo-
DMH
tives and opening new avenues for its In a survey of clients, led by tion are incorporated into staff orienta-
DMH
clients' physical health needs, such as Foti, certain attitudes and perceptions tion and training. clients are pro-
the "Pathways to Wellness," the first regarding tobacco became evident: vided a range of wellness opportunities
DMH
DMH-sponsored health conference in People served by begin smoking ranging from regular walking groups,
Westboro this fall, some of these are earlier and smoke twice as many ciga- monthly brown bag lunches addressing
well established. rettes as their non-disabled counter- nutrition, diabetes management and
parts. And in further sharp contrast to exercise among others. The Corrigan
DMH
Since 1998, Metro Suburban the general population, the survey Mental Health Centerin Fall River hosts
DMH
Area has operated the Smokeless found that clients are in the "pre- its annual Wellness Month in April each
Coalition in response to concerns about contemplative stage" when it comes to year to bring special attention to health
the high rate of smoking among the quitting, which means that they have no promotion and prevention for clients
DMH
population. plans to stop smoking. and staff and—conducts dozens of well-
ness groups Weight Watch—ers, aero-
Led by chairwoman Mary Ellen Foti, "What this means," Weber says, "is bics, yoga, fitness walkers operate
M.D, Metro Suburban Area Medical that our next efforts need to be focused regularly at Taunton State Hospital.
Director, since March of 1998, the on tobacco education. Before cessation
group has been meeting quarterly. can be approached, we need to educate "These examples are just a fraction of
About 37 people are active coalition ourclients and get them prepared to get the wellness initiatives relative to the
DMH
members and include staff, rep- more out of the cessation services we physical well being of our consumers
resentative from the Department of provide." and how the Department is approaching
Public Health and contracted providers. this need," says Commissioner Sudders.
The group's work is coordinated by In the Department's Southeastern "Ourmissionisveryclear: Mentalillness
Eileen Weber, a member of the Massachusetts Area, the Wellness is a double burden and the Department
Department's Quality Management Committee, under the direction of Area is committed to eliminate the societal
division in the Metro Suburban Area. Medical Director David Klegon, M.D, stigma that keeps people from receiving
has implemented a number of health not only mental health services but also
"Among the important things we've initiatives in the Area's facilities. the necessary medical attention for their
done," says Weber, "is to create smoke- Recommendations for education related physical health and well being." ^
5*
Children's Mental Health
'Visions for Tomorrow' Today
is
—
Ittookthreeyears of work,butcollab- me about another program she a—ttended grown to more than 500 for the course,
orative efforts to bring a highly- it was the "Visions" program and we which shows that the demand is intense."
regardedmentalhealth educationalprogr—am knewwe wanted this in Massachusetts."
to Massachusetts is a clear success Central to the "Visions for Tomorrow"
"Visions for Tomorrow" courses began in OriginatinginTexas by the NAMI chap- curriculum is a balance of education and
morethanadozencommunitiesthismonth. ter there, "Visions" was not meant to be skills training focusing on self-care, emo-
exported, except to a few adjacent states, tional support and empowerment. Some of
Funded by the Department of Mental mainly because of compatibility concerns the diagnoses addressed during the course
Health, "Visions forTomorrow" is a family between the curriculum and other states' of 12-week program are ADD/ADHD,
member-to-family member course made up special education and juvenile justice law PDD/autism, Tourette's disorder, conduct
of a series of workshops aimed forprimary and regulations. disorder, bipolar disorder, depression, eat-
caregivers of children and teens with a psy- ing disorders, obsessive-compulsive disor-
chiatric disorder. Sponsored by the state At the same time Lambert was placing der, schizophrenia, panic and anxiety disor-
chapter of the National Alliance for the calls to Texas NAMI, so was Ann Khudari der.
Mentally 111 (NAMI-Mass.) and the Parent of NAMI-Mass., "and we all eventuallycol-
Professional Advocacy League (PAL), hav- laborated with Texas NAMI for permission Unique among educational programs,
ing the curriculum available in the to offer 'Visions' in Massachusetts," teachers of the "Visions of Tomorrow"
Commonwealth is a great coup, says Lisa Lambert says. Andwith one importantcon- course are not mental health professionals
—
Lambert, PAL assistant director. It also dition: that"Visions" teachersbe directcare rather, theyare experienced familymem-
marks the first official collaboration givers for young people under 25 whose bers who know first-hand the rewards and
between PAL and NAMI. onset of mental illness occurred in child- challenges of raising a child with mental ill-
hood or adolescence. ness. "Visions for Tomorrow" offers pri-
"We first heard about this program mary caregivers of children with brain dis-
about three years ago when I took a psy- Training, partially funded by Worcester orders the chance to share experiences and
choeducation program called "Family to Communities of Care, is ongoingwith high lessons learned, at the same time gaining
Family" with Lois Pulliam of NAMI- expectations for full classes. "In the three new skills and knowledge through the edu-
Mass.,"Lambertexplained. "Thiswas apro- years this program has been offered in cational material in each workshop. "In the
gram aimed atadults, notkids. ButLois told Texas," Lambert says, "a waiting list has past we've done a lot around support,"
Lambert says, "but this is the educational
piece that's been missing."
A TYPICAL 12-WEEK "VISIONS FOR TOMORROW" The goals of "Visions for Tomorrow"
WORKSHOP SCHEDULE are specific and include how caregivers can
best communicate with their child's treat-
Workshop 1: Introduction/Brain Biology mentteam;howtocopewiththeday-to-day
Workshop 2: ADD/ADHD, PDD/Autism, stressesoflivingwithachildwith mentalill-
Tourette's Conduct Disorders
ness as well as strategies for self-care; and
Workshop 3: Bipolar, Depression and Eating Disorders how to deal with various agencies including
Workshop 4: Anxiety Disorders
Workshop 5: Early Onset Schizophrenia/Schizoaffective the school system, the special education
Workshop 6: Empathy: Sharing Our Unique Life Experiences department and the judicial system.
Workshop 7: Organization of Data &. Record
Keeping/Communication Skills The "Visions for Tomorrow" program
Workshop 8: Coping, Self-Care began this fall in Cambridge, Framingham,
Workshop 9- Problem Management Gloucester, Greenfield, Lexington, Lynn,
Workshop 10: Rehabilitation, Recovery and Transition Maiden, Pepperell, Pittsfield,Quincy,Salem,
Workshop 11: Advocacy, Stigma and Judicial System SpencerandWorcester.AJanuary2002start
Workshop 12: Celebration - PARTY!!!
is set for Brockton and Haverhill.
*6*
Human Rights in Action
By CarolO'Loughun and Bkrnadi:ttf. Drum
Massachusetts regulation in 1983. These
This is the debut of a feature devoted regulations articulated the human rights val- 4" A humanepsychologicalandphysicalenvi-
to human rights in our newly ues and standards that guide all child, ado- ronmentthatprovidesprivacyandsecurityinresting,
revamped MENTAL HEALTH QUARTERLY. lescent and adult facilities as well as pro- sleeping, dressing, bathing and personal hygiene,
grams that are operated, licensed and con- reading, writingandtoileting
Itis not, however, thedebut of attention tracted by the Department. The Office of
paid to human rights in Department of Human Rights was established in the 4" To receive orrefuse atany reasonable time
Mental Health facilities. From an historical Department of Mental Health to assist in visits andtelephone callsfrom a client's attorney or
perspective, in 1832, the Legislature author- overseeing the implementation of the new legaladvocate,physician,psychologist, clergymember
ized and appropriated $30,000 for the pur- regulations. orsocialworker, regardlessofwhetherthepersonini-
chase of land inWorcester to build a hospi- tiatedorrequestedthe visitorphonecall
tal to accommodate "120 persons or DMH Directors of Human Rights are
lunatics furiously mad." Bernadette Drum, who specializes in child DMH has a numberof human rights ini-
and adolescent issues, and Carol tiativesunderwayand future articleswill pro-
The trustees of the new hospital were O'Loughlin, whose primary focus is on vide updates on these projects. Several of
obliged to report annually to the Legislature adultissues. With responsibility foroversee- theseareanoutgrowthof recommendations
on the progress of the new institution and, ingtheDepartment's HumanRights system, made in a report by Clarence Sundram, a
in 1836, their annual report enumerated the Bernadette and Carol participate in policy notedpatients'rightsattorney,whoconduct-
DMH
rules of behavior of attendants to patients: and regulation development and large-scale ed a review of inpatient units at the
projects related to ensuring that rights are request of Commissioner Sudders. His
The attendants are to treat the inmates with integrated throughout the service system. report praised the overall climate of respect
respectandattention... Underallcircumstances, the Carol and Bernadette also provide guidance for human rights within DMH, while mak-
patients must be treated kindly and affectionately, and support to Human Rights staff across ing some specific suggestions for improve-
must be spoken to in a kind andgentle tone of the state. ment. One initiative includes expanding a
voice, soothedandcalmedwhenirritated, encouraged "concerns" process, which would address
andcheeredwhen melancholyanddepressed. ... The Office of Human Rights also pro- certain types of grievances thatdo not meet
motes awareness and understanding of the criteria for investigation under the cur-
Iftheattendantbeprovokedbyinsultandabu- established human rights through training rentregulations.
sivelanguage, hemustkeep cool,forbearto recrimi- andpolicydevelopment, facilitatingcollabo-
nate, to scold, orirritate; neverlav violentbandson ration among staff, children, adolescents, Establishing a training curriculum for
apatient, exceptinself-defense, topreventhisinjur- adults, family members, guardians and legal Human Rights Officers and others in all
ing himself orinjuring others, andin no instance advocates through the statewide Human service settings with the goal of providing
inflict a blow on apatient. He mustmaintain his RightsAdvisoryCommittee and otherrelat- morefrequentandin-depthtrainingopportu-
authoritybydignityof department, andnevercower ed committees. nities for staff across the state is also under-
orsufferhimselftobelookedoutof countenance.... way. The curriculum will be based on core
How do we define human rights? The competencies includingnegotiation skills.
Themuffs, mittens, orwristbandsarenevertobe Five Fundamental Human Rights became
puton unless by orderof officers. ... law in Massachusetts in 1997. They include Additionally,theDepartmenthascommis-
but are notlimited to: sioned the production of a human rights
The attendants must never ridicule thepatients, video forchildrenandadolescentsthatwillbe
normocknorirritatethemtowoundtheirfeelings;... 4~ Reasonable access to a telephone to make professionally produced under the direction
DMH
and receive confidential telephone calls (not of a of Express Yourself! and featuring
While the language is antiquated, the criminalnature) childrenandteens.The five-minutevideowill
principles are consistentwith contemporary explaintherights of children and adolescents
values,which emphasize respect forthe dig- 4" The ability to send and receive sealed, in "kid-friendly" language.
nity of the individuals we serve. unopened, uncensored mail (if contraband is sus-
pected, mailmay beopenedandinspectedinfrontof Readers can send their suggestions for
Patient's rights, the roles of the Human theperson, butnotread) topics forHuman RightsinActionbye-mail-
Rights Officers and Human Rights ing [email protected] or
Committees within the Department of 4" To receive visitors of such persons own [email protected],ma.us.
Mental Health were first established by choosingdailyandinprivateatreasonabletimes
*7>
WESTERN MASSACHUSETTS AREA METRO SUBURBAN AREA
JamesDuffy,Ph.D.,AreaDirector TheodoreKjrousis,AreaDirector
P.O.Box389 MedfieldStateHospital
Northampton,MA01061-0389 45HospitalRoad
Phone[phone] Medfield,MA02052-1099
Fax[phone]or(413)587-6205 Phone[phone]
TTY(413)586-6592 Fax[phone] TTY(508)242-8008
CENTRALMASSACHUSETTSAREA SOUTHEASTERN MASSACHUSETTSAREA
ElaineHill,AreaDirector JackieK.Moore,Ph.D.AreaDirector
WorcesterStateHospital BrocktonMulti-ServiceCenter
305BelmontStreet 165QuincvStreet
Worcester,MA01605 Brockton,MA02302
Phone[phone] Phone[phone]
Fax[phone] Fax[phone]
TTY(508)752-0127 TTY'[phone]
NORTH EASTAREA METRO BOSTON AREA
CarlaSaccone,LICSW, AreaDirector CliffordRobinson,AreaDirector
P.O.Box387 85EastNewtonStreet
Tewksbury,MA01876-0387 Boston,MA02118
Phone[phone] Phone[phone]
Fax[phone] Fax[phone]
TTY(978)863-5089 TTY(617)566-2327
Commonwealth of Massachusetts
Department of Mental Health
25 Staniford Street
MA
Boston, 02114
617-626-8000
DMH on theWeb at http://www.state.ma.us/dmh/