Milieu therapy is a 24 hour daily, therapeutic living environment facilitated by Residential Counselor staff. Milieu therapy is focused on providing planned structure, support, routine and a "therapeutic culture" to allow for improved daily living skills, coping skills, and interpersonal relationship skills. Trust, safety, and respect are core components of the program's philosophy.
Family therapy is provided on a weekly basis by Master's level clinicians. Our clinicians have training in both DBT and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). The family is an essential part of successful treatment and a critical factor in the long term success of children after they leave our program. Families are expected to take an active role in the treatment process. The goal of family therapy is to assist the family in developing improved communication and problem solving skills and to learn to more effectively understand and meet their child's unique emotional needs. In addition, families have the opportunity to participate in parent education and support groups.
Individual therapy is provided to all clients on a weekly basis by Master's level clinicians. Our Individual Therapists have training in both DBT and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Intensive individual therapy is a significant component of the treatment program at Children's Residential Treatment Center. The goal of individual therapy is to assist the child in developing an improved understanding of their emotional and mental health problems, to process and work through past difficulties and traumas, and to develop skills in effectively communicating their needs and feelings, problem solving, and coping with their emotional and mental health needs. The therapists coordinate and consult with the Treatment Team so to compliment work being done in other areas of the program. Clients also have many opportunities for informal counseling interactions with Residential Counselor staff, which serve to enhance the overall therapeutic focus of the program.
CRTC provides intensive, comprehensive treatment designed to meet the individual needs of the client. The length of stay is between 6 and 12 months, with an average length of stay of about 8 months. CRTC utilizes a Phase Program that includes four Phases of Treatment, each focusing on building skills from different DBT Modules.
Phase 1 — Orientation, is 2 weeks long, based in Mindfulness skills, and focuses on the adolescent and CRTC getting to know each other.
Phase 2 — Stabilization, is a minimum of 12 weeks long, and is focused on Distress Tolerance and Middle Path skills.
Phase 3 — Building Mastery, is a minimum of 12 weeks long, and focuses on Emotion Regulation and Interpersonal Effectiveness skills.
Phase 4 — Transition and Integration, is an average of 4-5 weeks, and focuses internalizing skills while preparing for discharge. CRTC offers DBT skills group three times/week, plus an additional Phase 4 group that includes both current residents preparing to discharge, as well as successfully discharged residents returning to CRTC to support their integration back into the community.
PSYCHIATRIC CONSULTATION AND MEDICATION MANAGEMENT
All clients see a Board Certified Child and Adolescent Psychiatrist as part of the initial evaluation process and on an ongoing basis. Frequency of ongoing psychiatric contact depends on each client's specific needs. Clients are seen minimally on a monthly basis and can be seen as frequently as weekly if indicated. While most clients at Children's Residential Treatment Center take psychoactive medications, our goal is to have clients take the lowest doses of psychoactive medications necessary to effectively treat their mental health conditions, and ideally their medications will decrease as their understanding and utilization of skills increases.