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  • Pediatric Advanced Care Team (PACT)

    Dana-Farber/Boston Children's Cancer and Blood Disorders Center logo

    Our staff of compassionate and experienced pediatric specialists includes clinicians and other healthcare providers with expertise in palliative care, symptom management, complementary medicine, and speech-language pathology.

    About the PACT Team

    Joanne Wolfe, MD, MPH - largeJoanne Wolfe, MD, MPH, Division Chief of Pediatric Palliative Care at Dana-Farber Cancer Institute, Director of Palliative Care at Boston Children’s Hospital

    Pediatric palliative care is intended to optimize the quality of life, promote healing, and provide comfort for children with life-threatening illnesses.

    The Pediatric Advanced Care Team (PACT) at Dana-Farber/Boston Children's Cancer and Blood Disorders Center, part of the Department of Psychosocial Oncology and Palliative Careis a team of interdisciplinary clinicians with expertise in pediatric palliative care, who add an extra layer of support to the care of children with serious illness and their families.

    The PACT team consults with you, your family, and your primary care team to bring together information and guidance needed to make the best health care decisions for your child.

    Our services include:

    • easing pain and managing symptoms and side effects
    • fostering communication between families and health care providers
    • coordinating inpatient, outpatient, and homecare services

    We bring together experts from a wide variety of disciplines to care for your child. Our care team includes:

    • physicians with advanced training in palliative care
    • a nurse practitioner with extensive experience providing pediatric palliative care
    • a social worker with expertise in emotional support and community resources
    • dedicated spiritual care services
    • other pediatric specialists as needed

    We consider you and your child to be integral parts of the care team and not simply recipients of care. We work closely with you to customize a plan of care for your child.

    Our Services

    Dana-Farber/Boston Children's Pediatric Advanced Care Team has served as a model program for pediatric institutions around the United States. Joanne Wolfe, MD, MPH, our Division Chief and medical director, is nationally recognized for her pediatric palliative care expertise.

    Wolfe and other members of the team participate in regional and national efforts to improve care for children with advanced illness.

    The Pediatric Advanced Care Team's services include:


    PACT members will work closely with your child, family, and primary care team to develop a comprehensive quality-of-life care plan. We do not replace your child's primary care team; rather, we support treatment of the illness and at the same time strive for optimal quality of life.

    During your consultation, we will evaluate factors such as you child's feelings and health, your family's needs, and the care team's medical plan in order to make the best possible recommendations. Our clinicians can meet with your child and family at the hospital, at one of our outpatient facilities, or at your home..


    Our team members want your child and family to make educated decisions. We are available to talk with you and provide educational resources on a variety of topics, including communication and decision-making, pain and symptom management, palliative care, hospice and home care, family dynamics, sibling issues, school interactions, and spiritual concerns.


    It's important that your child and family have support both at the hospital and when you return home. We can help identify supportive agencies and community-based organizations. In addition, we can provide emotional and psychosocial support, and help arrange end-of-life care when necessary.

    A consultation can be arranged at any time during your child's treatment. Our team is available to provide consultation 24 hours a day.

    The Care Team

    Our staff of compassionate and experienced pediatric specialists includes clinicians and other healthcare providers with expertise in palliative care, symptom management, complementary medicine, and speech-language pathology. Our team also includes an expert in interfaith spiritual care.

    Our clinicians are focused on family-centered care. From your first visit, you'll work with a team of professionals who are committed to supporting your family's physical and emotional needs.

    James Tulsky, MD
    Chair, Department of Psychosocial Oncology and Palliative Care

    Joanne Wolfe, MD, MPH
    Division Chief of Pediatric Palliative Care, Dana-Farber Cancer Institute
    Director of Palliative Care, Boston Children's Hospital

    Richard Goldstein, MD
    Attending Physician

    Emma Jones, MD
    Attending Physician

    Shih-Ning Liaw, MD, FAAP
    Attending Physician

    Jonathan Mullin, MD
    Attending Physician

    Christina Ullrich, MD, MPH
    Attending Physician

    Janet Duncan, RN, MSN, CPNP
    Pediatric Nurse Practitioner
    Founding Nurse Practitioner for the Pediatric Advanced Care Team (PACT)

    Jenna Freitas, CPNP
    Pediatric Nurse Practitioner

    Rachael Menius, MSN, CPNP-AC, CPON
    Pediatric Nurse Practitioner

    Marsha Joselow, LICSW, MSW
    Clinical Social Worker
    Pediatric Palliative Care Social Work Fellowship Director

    Nicholas Purol, LICSW, MSW
    Clinical Social Worker

    Rita Fountain
    Practice Coordinator

    Andrea Kolligian
    Administrative Support Specialist

    Palliative Care for Children with Cancer

    This video from the American Cancer Society shows how the pediatric palliative care team at Dana-Farber/Boston Children's is helping children with cancer survive and thrive.


    Contact Us

    Our team is available by page 24 hours a day. For urgent matters or after hours:

    To call the Dana-Farber page operator, dial 617-632-3352 and ask for the clinician by name or the Pediatric Advanced Care Team clinician on call.

    To call the Boston Children's Hospital page operator, dial 617-355-6000 and ask for the clinician by name.

    For non-urgent matters Monday-Friday, please call 617-632-5042 during regular business hours or email (for children with neonatal, neurological, metabolic or genetic conditions), or (for children with cancer, cardiac, pulmonary, or renal conditions, or solid organ transplant candidates or recipients). If you are unable to reach us at this number or through email, please use the paging instructions above.

    The Pediatric Advanced Care Team provides consultations in inpatient, outpatient, and home settings.

    Mailing address

    Pediatric Advanced Care Team
    Dana-Farber Cancer Institute
    450 Brookline Avenue, SW 411
    Boston, MA 02215

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  • Top Ranked for Children

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      Boston Children's has been ranked #1 or #2 for pediatric cancer care nine times since 2008 by U.S. News & World Report.
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