Are you wondering what types of places a child who needs out-of-home care might go? Here is more information on the types of programs that could be recommended for your child.

​*Please note that I do not accept fees, commissions or compensation of any type from any program.

When more information is needed to develop a treatment plan, a residential assessment program can be used to understand the complexity of presenting issues and medical stabilization. Comprehensive psychological evaluations, observation and therapeutic services can give us the information we need to confidently make recommendations for next step for placement. Length of stay is generally 3-6 weeks, sometimes longer depending on the complexity of issues. In many cases, some insurance benefit can be utilized to cover costs.
Wilderness Therapy is a therapeutic intervention model that happens as kids live in the great outdoors. A variety of treatment modalities are utilized and programs exist for a variety of different kids including those with substance abuse issues, learning differences and autism spectrum disorders. Participants learn to live in community, to trust and to make good life choices. In addition to therapy, healthy lifestyle routines are established as kids eat nutritious food, hydrate, stay physically active through adventure based therapy and trekking, establish good sleep habits and take a break from digital devices. This is a powerful environment for self-reflection and cultivating resiliency. Many teens and young adults returning from a wilderness therapy program feel empowered to face challenges in a way they haven't before. There is typically a family component that includes lots of letter writing and parent visits. Through this process, families can learn to reconnect. There are several wilderness models in a variety of landscapes in the United States and beyond. Wilderness is not a punishment or punitive and we never refer to "boot camp" style programs. Length of stay averages somewhere between 8-12 weeks but varies with individual circumstances. Insurance typically does not cover this service and families finance wilderness therapy in a variety of ways. A therapeutic consultant can help you find the best program to meet your child's individual needs.
Residential Treatment Centers (RTC's) are for youth needing intensive help with serious emotional and behavioral issues and whose health is at risk while living in their community. These programs are clinically intensive, closely supervised and a highly structured environment. A variety of therapy modalities are used and lots of self-regulation and emotional skill building takes place. RTC's range from hospital-based locked facilities to smaller programs in a more home-like setting. RTC's are helpful for those who have not responded to outpatient treatments, who have education needs that cannot be met in less restrictive settings at their local schools, or who are in need of further intensive treatment following acute inpatient psychiatric care. There is typically a family therapy component to most programs. RTC's can specialize in eating disorders, substance abuse and other addictions, sexual behavior issues, sexual trauma , severe attachment disorder, mood or personality disorders, anxiety and depression. Length of stay varies but can be for up to 12 months and sometimes longer. A therapeutic consultant can help you find the right fit for your child's individual needs. Some RTC's take insurance.
Therapeutic Boarding Schools (TBS's) are less clinically intensive than RTC's and there is a greater focus on practicing social/emotional skills and academic development. TBS is often utilized as a step down from a more intensive Residential Treatment Center. Many TBS's require a short term intervention such as Wilderness therapy prior to admission. In some cases, a TBS can be used as an initial intervention for students not functioning well at home or in their current school environment. There is typically a family therapy component and students take "practice" trips of increasing length home during the course of their enrollment. Parents also get several opportunities to visit campus, go on adventures with the school and connect with other parents whose kids are in the program. The average length of stay is 12-18 months. TBS's are most often private pay. Insurance will sometimes reimburse for clinical services. Admission is highly individualized and there is a wide range of programs serving a variety of student profiles. A therapeutic consultant can help you find the right fit for your child's individual needs.
Many young adults are having a hard time finding their way. There are a variety of programs that exist to help including Wilderness Programs, college support programs, and residential transition homes that focus on independence and community as well as therapeutic support. Many programs focus on helping young adults find a vocation, obtain internships or prepare to go a more traditional college route. Some programs specialize in learning differences and autism spectrum disorders. A therapeutic consultant can help you find the right fit for your child's individual needs.