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        <Desc>The Hope Program for Adults at The Menninger Clinic helps adults with complex psychiatric issues that have hindered their capacity to meet important vocational, personal and interpersonal goals.The intensive hospital-based program offers a comprehensive approach to treat men and women with: Mood disorders, including major depressive and bipolar disorders,Anxiety disorders such as generalized and social anxiety disorders, Substance abuse or other addiction disorders, Personality disorders, such as borderline, narcissistic or dependent, Psychotic disorders beyond the acute phase of stabilization, and Trauma-related disorders.</Desc>
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        <InvestmentEarningsOrLossesAmt>622862</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>46922351</EndYearBalanceAmt>
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        <InvestmentEarningsOrLossesAmt>2630096</InvestmentEarningsOrLossesAmt>
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        <EndYearBalanceAmt>39397722</EndYearBalanceAmt>
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        <BeginningYearBalanceAmt>40057505</BeginningYearBalanceAmt>
        <ContributionsAmt>622057</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>288308</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>4962696</OtherExpendituresAmt>
        <EndYearBalanceAmt>36005174</EndYearBalanceAmt>
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        <ContributionsAmt>1412774</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>6746960</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>1376041</OtherExpendituresAmt>
        <EndYearBalanceAmt>40057505</EndYearBalanceAmt>
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        <BookValueAmt>5201574</BookValueAmt>
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        <DepreciationAmt>3306241</DepreciationAmt>
        <BookValueAmt>34605450</BookValueAmt>
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        <DepreciationAmt>9039788</DepreciationAmt>
        <BookValueAmt>8926297</BookValueAmt>
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        <DepreciationAmt>3317578</DepreciationAmt>
        <BookValueAmt>9762410</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>58495731</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>Bond Issuance Costs</Desc>
        <BookValueAmt>536393</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>Due from Menninger Clinic Fdn</Desc>
        <BookValueAmt>3483842</BookValueAmt>
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      <TotalBookValueOtherAssetsAmt>4020235</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Derivative Agreements</Desc>
        <Amt>1363750</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Patient deposits/refunds payable</Desc>
        <Amt>976050</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2339800</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>62982362</TotalRevEtcAuditedFinclStmtAmt>
      <OtherRevenueAmt>8858954</OtherRevenueAmt>
      <RevenueNotReportedAmt>8858954</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>54123408</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>5332868</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>5332868</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>59456276</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>60310820</TotExpnsEtcAuditedFinclStmtAmt>
      <OtherExpensesIncludedAmt>4689421</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>4689421</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>55621399</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>5469577</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>5469577</ExpensesNotRptFinclStmtAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V, Line 4: Intended uses of the endowment fund.</FormAndLineReferenceDesc>
        <ExplanationTxt>Earnings on endowment funds are used to carry out the Menninger Clinic's mission of providing charitable support for clinical and educational purposes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990</FormAndLineReferenceDesc>
        <ExplanationTxt>Revenue of MC Foundation $9800748 Unrealized investment losses of MCF $-1096721 Investment management fees of MCF $-136709 Change in value of derivative agreement $233623 Change in value of benef. trusts of MCF $58013</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant from MCF to Clinic $3707868 Grant from Clinic to MCF $1625000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 2d: Other expenses and losses per audited F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Expenses of MCF $4689421</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S</FormAndLineReferenceDesc>
        <ExplanationTxt>Grant from Clinic to MCF $1625000 Grant from MCF to Clinic $3707868 Investment management fees of MCF $136709</ExplanationTxt>
      </SupplementalInformationDetail>
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      <WrittenPolicyInd>true</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>true</FPGReferenceFreeCareInd>
      <FreeCareOthPercentageGrp>
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        <FreeCareOtherPct>300.000000000</FreeCareOtherPct>
      </FreeCareOthPercentageGrp>
      <FPGReferenceDiscountedCareInd>false</FPGReferenceDiscountedCareInd>
      <FreeCareMedicallyIndigentInd>true</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>true</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>true</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>true</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>false</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>false</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <ActivitiesOrProgramsCnt>8</ActivitiesOrProgramsCnt>
        <TotalCommunityBenefitExpnsAmt>2720586</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2720586</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04450</TotalExpensePct>
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      <TotalFinancialAssistanceTyp>
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        <TotalCommunityBenefitExpnsAmt>2720586</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>2720586</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04450</TotalExpensePct>
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      <CommunityHealthServicesGrp>
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        <TotalExpensePct>0.00140</TotalExpensePct>
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        <TotalExpensePct>0.01180</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>3442827</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.05630</TotalExpensePct>
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      <BadDebtExpenseAmt>525803</BadDebtExpenseAmt>
      <WrittenDebtCollectionPolicyInd>false</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>false</FinancialAssistancePrvsnInd>
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          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77035</ZIPCd>
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        <WebsiteAddressTxt>www.menningerclinic.com</WebsiteAddressTxt>
        <StateLicenseNum>100144</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
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        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
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        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
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        <TakeIntoAccountOthersInputInd>false</TakeIntoAccountOthersInputInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>www.menningerclinic.com</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
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        <StrategyPostedWebsiteInd>false</StrategyPostedWebsiteInd>
        <StrategyAttachedInd>false</StrategyAttachedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <FPGFamilyIncmLmtFreeCarePct>300.0000</FPGFamilyIncmLmtFreeCarePct>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
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        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 13h - Other Factors Used in Determing Amounts Charged Patients</FormAndLineReferenceDesc>
        <ExplanationTxt>Box checked for efiling purposes only. No other criteria to describe.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 15e - Other Method For Applying For Financial Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>An individual who has been classified as "financially indigent" and who requests inpatient or outpatient psychiatric care at The Menninger Clinic shall be processed in accordance with the charity care policy and are not charged for their provided care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Part V, Line 22d - Other Billing Determination of Individuals Without Insurance</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients eligible for financial assistance are not charged for their care their full care is free.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>The amount of bad debt expense recorded each period and the resulting adequacy of the allowance at the end of each period are determined using a combination of historical loss experience and customer-by-customer analysis of accounts receivable balances each period.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4 - Bad Debt Expense</FormAndLineReferenceDesc>
        <ExplanationTxt>Patient accounts receivable are reported at their estimated net collectible value, after adjustments for contractual allowances and allowances for doubtful accounts. In evaluating the collectability of accounts receivable, Menninger analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for doubtful accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, Menninger analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), Menninger records a provision for doubtful accounts in the period of service on the basis of its past experience. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. It is possible that managements estimate regarding collectability will change in the near term resulting in a change in the carrying value of patient accounts receivable.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Needs Assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Annual community needs assessment reports from local agencies, leadership and participation in trade organizations, internal customer service and satisfaction data and market analysis through business development department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Patient Education of Eligibility for Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Information is discussed at the time of admitting.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Local, regional, and national patients suffering from mental illness who qualify according to the admission criteria. There are no geographic or demographic limitations for our service area.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Explanation Of How Organization Furthers Its Exempt Purpose</FormAndLineReferenceDesc>
        <ExplanationTxt>Continuing education programs in the local, regional, and national market and clinical presentations; active membership and/or leadership in trade organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Affilated Health Care System Roles and Promotion</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - States Where Community Benefit Report Filed</FormAndLineReferenceDesc>
        <ExplanationTxt>TX</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part V - Explanation of Number of Facility Type</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization only has one facility.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI - Additional Information</FormAndLineReferenceDesc>
        <ExplanationTxt>Schedule H, Part I, Line 6a: A community benefit report is required every 3 years; the next report is due for our fiscal year ending in 2016 and we are currently revising Menninger's community health needs assessment.Schedule H, Part III, Lines 9a and 17: The hospital currently uses its financial contract as its separate billing and collection policy. To comply with the final 501(r) regulations, the hospital is currently revising the document.</ExplanationTxt>
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          <BusinessNameLine1Txt>The Menninger Clinic Fd</BusinessNameLine1Txt>
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          <AddressLine1Txt>12301 Main Street</AddressLine1Txt>
          <CityNm>Houston</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>77035</ZIPCd>
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        <PurposeOfGrantTxt>General support</PurposeOfGrantTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Grantmaker's Description of How Grants are Used</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization only makes grants to its supporting organization. The close relationship between the organizations serves to monitor the use of the funds.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SeverancePaymentInd>false</SeverancePaymentInd>
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        <TitleTxt>Dir Quality Res</TitleTxt>
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        <PersonNm>Ian Aitken</PersonNm>
        <TitleTxt>CEO to Nov</TitleTxt>
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        <PersonNm>Jimmy Revis</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Juanice Colwell</PersonNm>
        <TitleTxt>Dir. Pharmacy</TitleTxt>
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        <ExplanationTxt>OTHER PROGRAM SERVICES 4: The Comprehensive Psychiatric Assessment Service Program (CPAS)at The Menninger Clinic works closely with adults and their families who are dealing with challenging psychiatric issues or crisis, particularly patients who have not responded to previous attempts at treatment and medication. The CPAS also works with patients who require a comprehensive assessment or second opinion. Our patients in the program for stabilization struggle with a variety of issues, including depression, anxiety, mania and cognitive issues.The program offers two distinct services: stabilization for acute symptoms and discharge planning and comprehensive assessment, diagnosis and recommendations for next steps. OTHER PROGRAM SERVICES 5: The Menninger Clinic provides meals and medicine as part of its inpatient programs. OTHER PROGRAM SERVICES 6: Pathfinder is a Community Integration program designed to provide therapeutic support to clients with a history of mental illness. Clients receive individual, family and group therapies to create a highly individualized approach to treatment. Additionally, clients are offered a choice of either living with additional therapeutic support in the Pathfinder apartment or in the more independent and self-directed day program. OTHER PROGRAM SERVICES 7: Menningers Adolescent Treatment Program treats adolescents ages 12-17 who have complex psychiatric disorders or co-occurring disorders, that is, a psychiatric disorder coupled with substance abuse or dependence. The program has 15 beds. With its wide-ranging clinical expertise, the programs interdisciplinary treatment team stabilizes acute symptoms to help identify core issues and determine next steps in treatment. 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They help develop individualized treatment plans and counsel adolescents and adults with co-occurring disorders, following patients from assessment through discharge planning for substance-related, gambling, sexual, spending, technology and other addictions. OTHER PROGRAM SERVICES 9: Eating Disorders Services: Our Eating Disorders Services are designed to support Menninger patients who have a co-existing eating disorder or whose eating-disorder behaviors have resurfaced during inpatient treatment for major depression, anxiety or other mental illness. OTHER PROGRAM SERVICES 10: Wellness: At The Menninger Clinic, our focus is on treating patients psychiatric illnesses. Exercise is an important aspect of treatment, as its been proven to reduce stress, improve sleep habits and influence self-esteem. To encourage patients to engage in exercise, Menninger offers a Wellness Center with an array of features that offers something for everyone. The Wellness Program also offers lectures on healthy eating, stress management, cardiac care and other topics related to mental and physical health. OTHER PROGRAM SERVICES 11: Outpatient Assessments: A four and one-half-day (4.5-day) outpatient assessment is available for anyone seeking a greater understanding of their symptoms and current issues in their personal or work life. The outpatient assessments team takes a look at the questions posed by you and the medical, genetic, psychological and social issues that may affect your current situation, health and well-being.Outpatient Therapy: We offer a range of outpatient therapy services for children, adolescents, adults, couples and families at The Menninger Clinic, including: Individual, group, marital and family psychotherapy, Dialectical behavior therapy, Cognitive behavioral therapy, Psychological testing, Substance abuse assessment, counseling and education, and Vocational assessment and education plus career counseling. OTHER PROGRAM SERVICES 12: The Gathering Place: In the fall of 2010, The Gathering Place, a psychosocial clubhouse, joined the array of Menninger programs. It is located about one mile from The Menninger Clinic. The Gathering Place provides free psychosocial rehabilitative services to more than 300 clubhouse members with severe and persistent mental illness. The most prevalent diagnoses among our members are schizophrenia, schizoaffective disorder, bipolar disorder and depression. The program provides support to its adult members through: Vocational skills training, Employment assistance, A wellness program, and Recreational and social activities. OTHER PROGRAM SERVICES 13: Professional Assessments: An inpatient Professional Assessment at Menninger is a diagnostic service designed to assess individuals struggling with issues including:Drug or alcohol addiction, Psychiatric and co-occurring disorders, Sexual boundary violations, Disruptive behavior in the workplace, and Career stress and burnout. OTHER PROGRAM SERVICES 14: The Clinic also made a grant to its related organization, The Menninger Clinic Foundation.</ExplanationTxt>
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