Our therapy and treatment programs for troubled teens have been designed to integrate a variety of modalities into a comprehensive and dynamic treatment whole. The following are the major components of our treatment:
- Individual and Group Therapies
- Psychopharmacological Therapy
- Family Therapy/Consultation
- Milieu and Activities Therapy
- Chemical Dependency Counseling
- Educational Activities
|Individual Therapy||2 X 50 min. per week|
|Group Therapy||5 X 50 min. per week|
|Family Therapy/Consultation||1 X 50 min. per week|
|Chemical Dependency Group||1 X 50 min. per week|
|Leisure Education||1 X 1 hour per week|
|Recreational Therapy||1 X 1 hour per day|
|Diversionary Activities||1 X 1 hour per day|
|Cardiovascular Activities||1 X 1 hour per day|
|Structured Classroom Learning||5 x 4 hours per week|
|Primary Care and Medication Administration||24 hours per day/7 days per week|
|Daily multi-disciplinary rounds
Clinical Staffing conducted by a Psychiatrist
|1 x per week|
|Informal Milieu Groups including Activities for Daily Living||Daily|
Individual and Group Psychotherapies are core elements of treatment for each resident at the Institute. Individual and group psychotherapies are provided by a primary therapist. These Licensed Clinicians meet the facility’s professional staff organization’s criteria for clinical privileges in individual and group psychotherapy, and specialty groups such as drug and alcohol group on an as-needed basis. The provision of psychotherapeutic modalities is evaluated by the facility’s quality improvement and utilization review programs.
Individual Psychotherapy is a regularly scheduled, at least three times per week, formalized psychotherapeutic session usually conducted through confidential interventions. Individual psychotherapy is a form of interpersonal therapy, focused on improving the resident’s overall level of adaptive functioning in the areas of reality testing, behavior, emotional expression, and interpersonal relationships. Techniques may vary in accordance with the theoretical orientation of the individual therapist and the presenting problems and cognitive level of the resident, as prescribed in the master treatment plan.
Group Psychotherapy is a regularly scheduled formalized psychotherapeutic session held in a group format five to six times per week. This modality assists residents’ work toward individualized goals and objectives established by the physician and treatment team members, resident, and family. Generally accepted rules of organization and conduct govern group psychotherapy.Groups may be centered on verbal communication or use other strategies such as art and common group interests. Group psychotherapy addresses several specific areas. These areas are: interpersonal relationships, dysfunctional patterns of behavior, and an awareness of others as whole, feeling human beings who experience painful, as well as joyful events in their lives.
Family Therapy. The Institute considers family involvement in their child’s treatment an essential part of providing quality care. All residents and their families are involved in some type of family therapy/consultation. Family therapy is a form of “systems therapy,” focusing on relationships within the family with treatment of one or more members.
A primary goal of family therapy is to provide the best assistance to the family by facilitating decision-making for follow-up care after discharge from the Institute.
Family therapy is conducted by primary therapists and physicians. The Institute recognizes the need to foster positive changes within the family structure in order to promote the resident’s response to treatment.
Psychopharmacological Therapy is used for those residents who may benefit from medication in conjunction with their psychiatric disorders. Psychopharmacological therapy is used to facilitate a resident becoming more cognitively receptive and the reduction of impairing psychiatric symptoms. Psychopharmacological therapy is provided and monitored by the attending physician and is based on assessment data and individual resident needs. Psychopharmacological therapy is indicated in the master treatment plan. Trained staff, including Registered Nursing staff, assists the physician by administering medication and documenting medication usage and effects. Education for residents and families regarding the nature of prescribed medicines is provided by the attending physician.
Milieu Therapy. Milieu therapy is a social and organizational model for the delivery of psychiatric care which utilizes scientific manipulation of the environment to produce changes in the personality and behavior of the resident.
The Status System consists of two levels. These two levels are primarily a function of participation in the assessment and treatment regimen. Level 1 refers to a resident that is resistant to the process and Level 2 represents a resident who is cooperating and demonstrating personal investments to improve his/her psychosocial functioning. Correspondingly, as the resident progresses from Level 1 to Level 2, he/she enjoys greater positive consequences.
Community Roles have been developed to assist residents to maintain momentum, engage them in activities for daily living, and provide diagnostic information about their overall functioning. The assignment of a community role to an adolescent is not contingent on his/her status. Such an assignment provides an adolescent with opportunities to become meaningfully involved with his/her peers regardless of the level they have reached.
Behavior Management is accomplished through the use of several techniques. It is the aim of the Institute to minimize the utilization of special treatment procedures to its lowest possible frequency without jeopardizing the safety of each resident or staff member.
Various Community Meetings such as a meeting to start the day and a meeting to end the day are considered an integral part of the treatment program. These community meetings provide opportunities for residents to assist one another by acknowledging and addressing their treatment issues. Peer feedback assists each resident in gaining a full appreciation of the manner in which he or she is relating to others and progressing toward his/her treatment goals.
Recreational and activity services are designed to eliminate barriers to leisure participation and satisfaction, develop positive leisure attitudes and skills, and optimize leisure involvement through rehabilitation, leisure education, and activity programs.
The Recreational and Activity Services component of the program and therapeutic milieu is a seven-day-per-week program which is both habilitative and rehabilitative in design. The program utilizes structured activities designed to assist the resident in developing and maintaining creative, physical, leisure, and social skills. Objectives for the recreational and activity programs include a focus on social areas of positive interactions and group settings, the ability to follow rules, having success and shared experiences, support of others, and motivation to participate.
Recreational and activity services strives to eliminate barriers to leisure participation and satisfaction, developing positive leisure attitudes and skills, and optimizing leisure involvement through rehabilitation, leisure education, and activity programs.