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State close to choosing hospital site
(December 2005 Issue)

By Phyllis Hanlon

In October, the Massachusetts Department of Mental Health (DMH) Inpatient Facility Feasibility Commission held a public hearing to garner feedback about an appropriate location for the construction of a new facility to combine the existing Westboro and Worcester State Hospitals.

According to DMH General Counsel Lester Blumberg, following the public hearings, a straw poll was taken and the Commission endorsed the majority's wish to build the hospital at the Worcester site with the caveat that, should the project prove impossible, Westboro would be considered as an alternative.

Blumberg says that architects worked closely with the state Division of Capital Asset Management (DCAM) to examine both campuses in great detail. "After narrowing down the possible sites, it was agreed that there were two potential sites, one on each campus that could accommodate the optimal model. Both sites had advantages and both required compromises," he says.

Jeffrey Geller, M.D., M.P.H., professor of psychiatry and director of Public Sector Psychiatry at the University of Massachusetts Medical School, testified before the Commission's public hearing in October. Supportive of the Worcester location, Geller emphasized the historical importance of this site. "Worcester was the prototype for how the state would set up a state-run facility," he says.

Constructed in 1830, Worcester became the model upon which other states fashioned their institutions, according to Geller. He admitted that both facilities play a pivotal role in delivering mental health care, citing the DMH's 2004 Inpatient Study Report for the General Court that indicates that Westboro and Worcester together account for 40 percent (384 in Westboro, 948 in Worcester) of the state's continuing care adolescent and adult inpatient beds. The new hospital will assume responsibility for 37 percent of the state's patients.

Geller points out the Worcester location's proximity to UMass Memorial Medical Center will facilitate efficient delivery of medical and surgical services. Also, Worcester's existing psychiatry and psychology programs as well as its Center for Mental Health Services Research will allow residents superior training and research opportunities.

Blumberg says, "The consultants will now focus on the recommended site to complete their feasibility study including more detailed site and planning work. We expect their final draft report in mid-January and the Commission will make its report to the Legislature as soon thereafter as possible."

He adds that the DMH commissioner has the statutory authority to designate the site for state hospitals and that such a designation would require legislative support.