TRS ACCESS NETWORK

Improving patient outcomes for treatment-resistant schizophrenia

We support clinicians and health systems with expert guidance, implementation support, and education so patients receive timely, safe, and effective evidence-based TRS treatment locally from their own providers.

About TRS ACCESS Network

Building a network for accessible evidence-based TRS treatment

Clozapine is the only FDA-approved medication for treatment-resistant schizophrenia (TRS), yet it is significantly underused. In the post-REMS era, with simplified monitoring requirements and updated clinical guidelines, there are fewer barriers to clozapine access than ever before. TRS ACCESS—Advocacy, Clinical Consultation, Education, and Support Service—is building a network of clinicians and clinics ready to deliver timely, evidence-based TRS care. We help health systems and providers expand safe, effective use of clozapine and long-acting injectable antipsychotics, improving outcomes for people with TRS.

The TRS ACCESS Network is supported by the generous philanthropy of the CNR Foundation.

Team group photo
30%
OF PATIENTS WITH SCHIZOPHRENIA HAVE TREATMENT-RESISTANT SCHIZOPHRENIA
5%
OF PATIENTS WITH SCHIZOPHRENIA CURRENTLY RECEIVE CLOZAPINE TREATMENT

What Does TRS ACCESS Stand For?

Abigail Donovan, MD explains our mission

Learn about the comprehensive approach behind TRS ACCESS and how we're helping clinicians become capable of prescribing clozapine and long-acting injectables safely and effectively for patients with treatment-resistant schizophrenia.

Our Mission

Clozapine is proven to be the most effective treatment for TRS, but many patients never receive it. The TRS ACCESS Network exists to close this gap by supporting earlier, safer, and more consistent use of clozapine and other best-practice interventions.

What We Do

We partner with clinicians, clinics, and health systems to:

  • Support implementation of clozapine and long-acting injectable programs
  • Educate providers and care teams on evidence-based TRS treatment
  • Consult on clinical care and treatment planning for TRS cases

Our Approach

  • We combine advocacy, consultation, education, and hands-on support to remove barriers to effective TRS care—prioritizing safety, adherence to best practices, and solutions tailored to local needs.
  • We are building a collaborative network of expertise that connects specialists with local providers to ensure best practices reach every patient who needs them.

Our Impact

  • Timely access to effective treatments improves outcomes—relapses decrease, lives stabilize, and recovery becomes more achievable.
  • Proactive side-effect management supports both psychiatric and physical health for whole-person care.

Provider & System Benefits

  • Education and support empower clinicians to deliver the highest-quality, evidence-based TRS care—treatment that can transform lives.
  • High-quality TRS treatment reduces Emergency Department visits and hospitalizations, resulting in more effective care at a lower overall cost to the health system.

Why Outcomes Matter?

Abigail Donovan, MD explains the importance of patient outcomes

Understanding the critical importance of measuring and improving patient outcomes in treatment-resistant schizophrenia, and how evidence-based approaches can transform lives and healthcare delivery. Our focus on outcome-based care ensures that every intervention we support leads to measurable improvements in patient well-being and recovery.

Our Team

Expert clinicians dedicated to TRS ACCESS services

Oliver Freudenreich

Oliver Freudenreich, MD

Co-director, MGH Psychosis Clinical and Research Program

Oliver Freudenreich directs the TRS ACCESS program and leads our consultation service, providing expert guidance to clinicians managing complex cases and supporting clinicians to become capable of prescribing clozapine safely and effectively.

Abigail Donovan

Abigail Donovan, MD

Director of Clinical Services, MGH Psychosis Clinical and Research Program

Abigail Donovan specializes in the early detection and treatment of schizophrenia in adolescents and adults, with a focus on outcome-based care and quality improvement initiatives.

Carol Lim

Carol Lim, MD, MPH

Medical Director, MGH Clozapine Clinic

Carol Lim serves as the medical director of our Clozapine Clinic and leads educational initiatives to help other healthcare systems establish safe and effective clozapine monitoring programs.

Sarah Maclaurin

Sarah Maclaurin, PMHNP-BC

Psychiatric Nurse Practitioner & LAI Specialist

Sarah Maclaurin provides expert clinical care and specializes in long-acting injectable antipsychotic medications, offering consultation and training to healthcare providers.

Cheryl Foo

Cheryl Foo, PhD

Clinical Psychologist & Implementation Specialist

Cheryl Foo leads implementation efforts to help clinicians and healthcare systems become capable of prescribing clozapine and long-acting injectables safely and effectively.

Marta Hernandez

Marta Hernandez

Program Coordinator

Marta Hernandez coordinates program activities and provides administrative support to ensure seamless patient care and program operations.

Leah Namey

Leah Namey, MPH

Program Manager

Leah Namey manages program operations and oversees quality improvement initiatives within the TRS ACCESS program.

Our Services

Our Services

Comprehensive support for evidence-based TRS care

Clinical Consultation

Expert consultation for clinicians managing complex cases of difficult to treat psychosis, providing guidance on diagnosis, treatment planning, and clozapine initiation and management.

Oliver Freudenreich, MD on consultation services

Learn More Request a Consult

Development of Clozapine-Capable Clinics

We specialize in optimizing clozapine treatment, navigating today's regulatory landscape to ensure safe, effective prescribing. Our support includes protocol development, staff training, and education to uphold best practices in clozapine management.

Carol Lim, MD on clozapine clinic services

Learn More

Development of Long-Acting Injectable Clinical Services

Training and consultation on long-acting injectable antipsychotic medications, helping clinicians optimize medication adherence and improve treatment outcomes.

Sarah Maclaurin, PMHNP-BC on LAI expertise

Program Implementation

Implementation support to help healthcare systems and clinicians become capable of prescribing clozapine and long-acting injectable safely and effectively, including staff training, workflow development, and ongoing support.

Cheryl Foo, PhD on program implementation

Ask about implementation support

Resources

Educational materials and publications from our faculty

Books by Our Faculty

Psychotic Disorders: A Practical Guide

by Oliver Freudenreich, MD

Second Edition - A comprehensive guide to understanding and treating psychotic disorders in clinical practice.

Facing Serious Mental Illness

by Oliver Freudenreich, MD, Corinne Cather, PhD, and Theodore A. Stern, MD

A guide for patients and families dealing with serious mental illness.

Substance Use and the Acute Psychiatric Patient

by Abigail L. Donovan, MD and Suzanne A. Bird, MD

Emergency Management - A comprehensive guide for managing substance use in psychiatric emergencies.

Suicide by Security Blanket

by Laura M. Prager, MD and Abigail Louise Donovan, MD

And Other Stories from the World of Emergency Psychiatry.

Educational Videos

Secondary Psychosis

Oliver Freudenreich, MD discusses secondary psychosis and differential diagnosis considerations.

Oliver Freudenreich Diagnosis

Schizophrenia: Causes, Symptoms, Risk Factors

Abigail Donovan, MD explains the spectrum of schizophrenia, covering causes, symptoms, and treatment approaches.

Abigail Donovan Education

Treatment-Resistant Schizophrenia Overview

Educational presentation on treatment-resistant schizophrenia and clozapine therapy approaches.

TRS Clozapine

Clinical Research in Psychosis

Research seminar discussing current clinical research initiatives in psychosis treatment and management.

Research Clinical

Contact TRS ACCESS NETWORK

Get in touch with our specialized team

Send us a message