“The best part was the kind hearts of staff and how they care about me. Even when they gave me consequences they are still here to talk to me. Also, all of the very helpful therapy and help I have received getting over my trauma. ”—Anonymous program participant
Children's Residential Treatment Center
Intensive care for youth
Children's Residential Treatment Center (CRTC) provides intensive residential treatment for severely emotionally disturbed children and adolescents who suffer primary psychiatric challenges such as mood and anxiety disorders, personality disorders, self-destructive behaviors, eating disorders, thought/dissociative disorders, and history of trauma. Length of stay is typically between 6 and 9 months.
CRTC proudly offers a culturally competent and LGBTQ+ inclusive environment for residents across two units:
Unit A, in which all residents are assigned female at birth
Unit B, in which residents are both male assigned at birth and female assigned at birth.
143 East 19th Street
Monday - Thursday: 9:00 a.m. to 5:00 p.m.
Residential setting provides services 24-hours per day, 7-days per week, 365 days per year
Children and adolescents,
Funding for participant placement is typically received through county social services or private medical insurance.
How we help
CRTC's professional staff assures close supervision and ample opportunity for the ongoing development of therapeutic relationships.
Participants receive comprehensive care including:
- Milieu therapy
- Family therapy
- Individual and group therapy
- Psychiatric consultation and medication management
- Educational and recreational programming
We believe that therapeutic work with children and adolescents best occurs through the development of individualized treatment programs which are administered in a caring and supportive environment. CRTC uses intensive psychotherapies and cognitive and emotional skill building to assist each participant in developing the skills required to relate constructively to his/her environment. Through program participation, children learn to change dysfunctional patterns of behavior, interaction, and communication in order to lead successful lives in their homes and community. The participant’s family is an essential part of successful treatment and must take an active role in the therapy process.
Adolescents admitted to CRTC often have long-standing problems that remain unresolved despite previous attempts at remediation. Residents admitted typically experience symptoms of depression, anxiety, trauma, suicidal ideation/gestures/attempts, self-injurious behaviors, psychosis, running away, school phobia, limited aggression, and oppositional behaviors. Residents are experiencing emotional disturbances that have developed into patterns of life-threatening or high-risk behaviors that require intensive intervention in a contained and highly structured environment. CRTC accepts assigned female/male at birth, ages 11-17 years old, and must continue to be enrolled in school while in treatment.
Acceptance of adolescents is always on a case-by-case basis, with consideration of presenting symptoms, level of functioning, potential risk of aggression towards peers or staff, medical fragility, and current milieu dynamics and functioning.
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 typically between 6 and 9 months. CRTC offers Dialectical Behavior Therapy three times weekly, focused on building healthy cognitive, behavioral and interpersonal skills.
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 focus on aftercare service needs.
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.
- For more information and referrals, contact Anna O'Hagan
- Phone: 612-278-4221