Therapeutic Treatment Approaches

Therapeutic Approaches  Therapeutic Treatment Approaches family reunionTrinity Teen Solutions implements many therapeutic approaches to help defiant teens overcome the issues that are holding them back. By using a ranch setting, animal assisted therapy and an individual care plan that is tailored to the needs of each defiant teen girl, our residential treatment center challenges young women and troubled teens alike to create healthier lives and make appropriate choices, which honor God, herself and others.

Trinity Teen Solutions’ Adolescent Counseling, Modalities, Activities and Therapeutic Approaches

  1. Family Systems Therapy: We examine each defiant teen in their context, including family and peer relationships, relationships to authority, relationship to self and to God. We use intensive Family Systems Therapy and tele-psychiatry to involve the entire family in their child’s treatment. Each client will receive intense family therapy at a minimum of weekly and more often as needed according to ITP.
  2. Group Therapy: We use group therapy to help adolescents develop appropriate copying skills, social skills, life skills, to teach them to invent new solutions to old problems, see personal strengths, identify needs and encourage progress. Each client will participate in 4 group therapy session every day they are in treatment. Group therapy session topics will rotate per the daily group therapy schedule.
  3. Individual Therapy: We use individual therapy and develop individual care plans to identify problems, invent solutions, evaluate progress, and prepare to re-enter communities. Each client will receive intense individual therapy sessions at a minimum weekly and more often as needed per the clients ITP.

    TYPES OF THERAPEUTIC MODALITIES:
  4. Dialectical Behavioral Therapy (DBT): is an evidence-based type of cognitive behavioral therapy, meaning a therapeutic approach that looks at changing both thought and behavior patterns. The idea behind DBT is that some people are more likely to react in an intense manner toward certain situations, primarily in relationships closest to them and these people need more specific coaching to effectively cope with these situations. As a treatment modality it is particularly effective in treating people who have intense mood swings, black and white thinking and people who tend to often be in crisis. The main characteristics of DBT include working to identify and grow strengths, identifying thoughts, assumptions and beliefs that make life more challenging, and building effective skills to address interpersonal problems, emotional regulation, distress tolerance and acceptance of reality, particularly through the use of mindfulness practices. DBT is incorporated into each client’s individual therapy and family sessions, as well as 2 group therapy sessions a week as well as written assignments and individually assigned interventions according to each clients ITP.
  5. Eye Movement Desensitization and Reprocessing (EMDR): We use Eye Movement Desensitization and Reprocessing (EMDR) in our adolescent counseling which integrates elements of many effective psychotherapies in structured protocols that are designed to maximize treatment effects. These include psychodynamic, cognitive behavioral, interpersonal, experiential, and body-centered therapies. EMDR is an information processing therapy and uses an eight phase approach. EMDR is an effective way of healing from the trauma of rape, molestation, neglect, abandonment and other traumatic events. EMDR is utilized with clients who are ready and willing to participate in the intensive therapeutic approach. First the patient has to feel safe and have trust with the treatment team, as well as have appropriate skills in order to reprocess the traumatic event. EMDR is utilized individual therapy according to the clients ITP.
  6. TruThought Corrective Thinking Program: is an evidence based cognitive-behavioral therapeutic apprach to treatment, founded upon the understanding that an individual develops behavior patterns, both positive and negative, to explain, support and validate the individual’s world view. It helps to identify and change negative thinking and behavior patterns through group and individual work. Founded in 1995, the TruThought program, tools, and techniques are proven to be effective for prevention and intervention and influencing behavior changes. TruThought is incorporated into each client’s individual therapy and family sessions, as well as 1 group therapy session a week as well as written assignments and individually assigned interventions according to each clients ITP.
  7. Cognitive Behavioral Therapy: We teach the struggling teen to examine the way they think about themselves and their issues. We also help them to identify their emotions. When you change the way the person thinks, you will change the way they feel, and this will change their responses. Cognitive Restructuring is incorporated into the daily interactions that the treatment team will have with the client and her family, as well as in individual, group and family therapy.
  8. Rational Emotive Behavior Therapy: We use direct examination of thought, feelings and action, and resulting problems from poor choices to teach each defiant teen how to monitor and control her behavior. Every client will be assigned a REBT log for them to journal in daily and this will be incorporated into their individual, family and group therapy sessions.
  9. Personality Inventories/Assessments: A list of possible inventories that maybe used according to treatment plan:
    1. Adolescent Psychological Inventory (APS): To identify psychotherapy in adolescence.
    2. Columbia Suicide Risk Assessment: To identify patients who are at risk for suicide.
    3. Substance Abuse Inventory (SASSI): To identify frequency of substance abuse and related stressors.
    4. Youth Outcome Questionnaire (YOQ): To identify problem attitudes and behaviors from parental and client’s point of view, to track treatment outcomes and to help guide ongoing treatment.
    5. Child PTSD Symptom Scale (CPSS): Assess for history of trauma
    6. Adverse Childhood Experience (ACE): assess for childhood abuse, neglect, sex trafficking and exploitation
    7. Generalized Anxiety Disorder-7 (GAD-): assess for anxiety related issues
    8. Nutritional Screening-to assess for eating disorders
    9. Keirsey Temperament Sorter to assess personality type, how a teen sees themselves in the world, moves in it and solves problems. We also outline their strengths and limitations.
  10. Psychiatric Consultation: We incorporate psychiatric consultation into behavioral objectives, therapeutic directives, spiritual tasks, and homework assignments for each client and their family. This is a bio-psychosocial approach that reaches a girl’s mind, body and soul.
  11. Medication Management: We dispense all prescribed medications as per orders, collaborate with primary care provider to maximize the benefits of prescribed medications, routinely assess the effectiveness of prescribed regimens and help minimize medication-related side effects. We also educate the patient and the family on the importance of medication compliance and possible side effects to look for.
  12. Reality Therapy: uses confrontation, personal choices and natural consequences as challenges for growth for adolescences counseling. This therapeutic approach is at the heart of all interactions the client will have with the treatment team, and in all group, individual and family therapy sessions.
  13. Experiential Therapy: We use the client’s daily experiences to provide opportunities for them to rethink behaviors, solutions and their attitudes. TTS takes experiences that the client may experience in and out of the treatment program setting and will discuss these experiences and their responses in individual, family and group therapy sessions. For example; a client witnesses their parents fighting and it really upsets her, this experience will be a topic of discussion in family and individual therapy, teaching the family and client ways to improve communication, what skills could have been used etc.
  14. Strategic Therapy: We use therapeutic directives to reduce uncontrollable or destructive behaviors in struggling teens. These directives are specifically tailored to the individual, her family and peers. Strategic therapeutic approaches helps guide TTS’s case management for development of the ITP, is used in family therapy with the family and client as well as in individual therapy sessions according to the patients and family ITP.
  15. Animal Assisted Therapy: We use horses, sheep, cows, pigs, cats, dogs etc. to help at risk teens examine their own behaviors, and needs, and to take responsibility for their actions and choices in relationships. Animal Assisted therapy is utilized in individual, family and group therapies to help resistant clients build trust, open up to their family and/or the treatment team. This approach is incorporated according to the client’s ITP.
  16. Equine Assisted Psychotherapy: We use equine assisted psychotherapy (EAP) a powerful and effective therapeutic modality that has an incredible impact on individuals, youth, families, and groups. EAP addresses a variety of mental health and human development needs including behavioral issues, attention deficit disorder, substance abuse, eating disorders, abuse issues, depression, anxiety, relationship problems and communication needs. Equine Assisted Psychotherapy is utilized in individual, family and group therapies to help resistant clients build trust, open-up to their family and/or the treatment team to encourage participation and motivation for change for the client and family. This approach is incorporated according to the client’s ITP.
  17. Christian Counseling: We use the life of Christ and the Bible in our adolescent counseling to instill personal conscience, and a sense of right action in communion with God, self and others. This therapeutic approach is at the heart of all interactions the client will have with the treatment team, and in all group, individual and family therapy sessions.
  18. Confrontive Therapy: Our adolescent counseling confronts negative behaviors by stating the facts about the defiant teen’s behavior and help them to gain insight into how those behaviors are positively or negatively impacting their lives. Confrontive Therapy is incorporated into the daily interactions that the treatment team will have with the client and her family, as well as in individual, group and family therapy.
  19. Insight Therapy: We teach adolescence to understand what is going on interiorly and facilitate an understanding of the cause of their defiant behaviors. Insight Therapy is incorporated into the daily interactions that the treatment team will have with the client and her family, as well as in individual, group and family therapy.
  20. Solution Orientated Therapy: We identify the strength of each adolescent and their entire family. In discovering what has worked in the past we use that insight to eradicate defiant behaviors they display. Solution Orientated Therapy is incorporated into the daily interactions that the treatment team will have with the client and her family, as well as in individual, group and family therapy.
  21. Supportive Maintenance: We use the activities of the daily schedule as opportunities to promote growth in targeted behaviors. The daily schedule will present new challenges and chances to choose different behaviors. Supportive Maintenance is incorporated into the daily interactions that the treatment team will have with the client and her family, as well as in individual, group and family therapy.
  22. System Focused Education: We provide the most current information on symptoms, disorders and treatments. Specific strategies are offered to each family and their teen in individual and family therapy.
  23. Ordeal Therapy: We frequently will make something an ordeal to impact behavior. When at risk teen goes through an ordeal it will impact their behavior and change their lives, for example a ceremony when they graduate. Ordeal therapy is incorporated into individual, group and family therapy according to clients ITP.
  24. Crisis Intervention: We teach each adolescent to deal with each crisis as they arise. We model techniques for resolution with teaching and encouraging the usage of new skills being learned in individual, family and group therapy.
  25. Relationship Therapy: We use the dynamics of relationships to encourage emotional and spiritual growth. Our central philosophy is “the family teaches right action through example, teaching and role models. The family is the safe place where adolescents hear and understand values they need in order to thrive. As a staff, we provide such a family setting; where the client knows, they are special and loved and they feel safe to reciprocate those feelings. We lead, guide, and teach by example. The client will process emotions and feelings in individual and family therapy that she is experiencing with her relationships, the goal in treatment is to work on eradicating negative coping skills and learn and practice new positive copings skills that she is learning in all of the group sessions such as DBT, Truthought, CBT, Seeking Safety, REBT, social skills groups etc. as well as in individual and family therapy.
  26. Career Counseling: We address career choices when age appropriate. We use career tests such as the Self Directed Search, and the Keirsey Temperament Sorter, in addition to individual therapy and group therapy.
  27. Nutritional Therapy: We use complex carbohydrate/high protein diet, and pharmaceutical grade supplements to cleanse and improve physical and emotional health of teens.
  28. Art Therapy: We use art therapy to identify body image problems, future goals, expressing problems and group sharing, to enhance personal insight. Art therapy is incorporated into individual, family and group therapy sessions.
  29. Trauma Informed Care: Our overall therapeutic approach is based off of the physiological, psychological, emotional, neurological and social effects that trauma has on a patient. A history of trauma impacts every aspect of a patient’s life and is paramount to how they receive and participate in therapy. This therapeutic approach is at the heart of all interactions the client will have with the treatment team, and in all group, individual and family therapy sessions.
  30. Seeking Safety: is an evidenced-based present-focused counseling model to help people attain safety from trauma and/or substance abuse. This therapeutic approach is at the heart of all interactions the client will have with the treatment team. Seeking Safety is incorporated into each client’s individual therapy and family sessions, as well as 1 group therapy sessions a week as well as written assignments and individually assigned interventions according to each clients ITP.
  31. Stages of Change: is a therapeutic process based on the concept that people change in steps and not just one large motion. There are 5 stages of change and this concept is used by all staff to address a variety of problematic behaviors but is most often used as a therapeutic tool when treating addiction or abuse of substances.
  32. Motivational Interviewing: serves as a form of collaborative conversation for strengthening a persons motivation and commitment to change. It is a person-centered counseling style for addressing the common problem of ambivalence about change by paying particular attention to the language of change. It is designed to strengthen an individuals motivation for, and movement towards a specific goal by eliciting and exploring the persons own reasons for change within and atmosphere of acceptance and compassion.
  33. Bibliotherapy: We provide clients and their parents with relevant books and tapes to create self-awareness and gain from the problem-solving skills of others.
  34. Journaling: Journals are used to express feelings and reactions to events and to process in their individual therapy sessions with their therapists, it also helps to map progress for client, family and therapist.
  35. Aftercare/Referral: We will help the family make plans for aftercare responsibilities. Roles are clarified; an agreement on rules and responsibilities, supervision, and privileges is reached.