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Treatment Programs
STARTING POINTE
TRIAD
NEW CHOICES
TRANSFORMATIONS
SAFE HARBOR
FOUNDATIONS
Key Components of Treatment
ASSESSMENT
TREATMENT PLANNING
THERAPEUTIC MODALITIES
EDUCATION
MEDICAL SERVICES
FAMILY MATTERS
STAFFING
DISCHARGE PLANNING
PERFORMANCE IMPROVEMENT
Phases of Treatment
ORIENTATION PHASE
INITIAL PHASE
HISTORICAL PHASE
INSIGHT PHASE
INTEGRATION PHASE
TRANSITION PHASE
To make a referral, please
contact our National Referral
System at 800-776-6482
Joint
Commission
Accredited
Since
1998 |
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Phases
of Treatment
New Hope employs a system of phases, privileges, and/or levels to
assist with behavior management and teaching adaptive behavior.
Where as behavior problems are addressed through programmatic
consequences and a level system that can change for better or worse
at any given time, the clinical phase system follows a progressive
course. After entering a new clinical phase, residents never move
backward into a previous phase. Each adolescent’s pace of movement
from one phase to the next is an individualized process, carefully
tracked and reviewed by the entire Treatment Team. This rather
unique approach to clinical programming (1) ensures concepts learned
in therapy are effectively internalized and (2) provides a simple
method of tracking progress made by each patient. Our Phase system
outlines a series of clinical milestones based on completion of
specific formal assignments.
• Each assignment is tailored to
teach a specific clinical concept through therapy, education,
and self exploration.
• Each child is coached and carefully monitored through the
completion of each assignment in order to ensure success.
• Residents only move forward through these phases, never losing
a phase for behavioral acuity or deterioration. This ensures
that resident always sees themselves making clinical progress,
which helps them remain invested in the program.
Clinical progress at New Hope Treatment Centers is measured through
a series of six (6) phases. The New Hope phase system charts a
developmental path from the point of admission into the treatment
program (Orientation Phase) to the final leg of the patient’s
treatment journey (Transition Phase). The phase system establishes
clinical milestones that mark forward movement in therapy throughout
the entire length of stay. The phase system emphasizes a thorough
mastery of each milestone through the presentation of written or
oral assignments approved by peer and Treatment Team consensus. The
achievement of these milestones ensures the resident’s integration
of material learned and prepares him for the challenges of the next
phase.
In addition to its emphasis on the progressive clinical course of
the individual, the phase system also emphasizes the individual’s
role in the New Hope therapeutic community. Personal growth is
expected throughout one’s stay and is measured by each adolescent’s
ability to form positive interpersonal relationships with peers and
staff members. To move forward through the phases, the individual
must achieve specific clinical milestones and personal growth
milestones as evidenced in their interpersonal relationships. For
example, positive leadership is an Integration personal growth
milestone.
Each phase has associated requirements and automatic privileges. The
phases are cumulative in the sense that requirements and privileges
from previous phases are included in each higher phase. Finally,
there are several additional privileges available that are grouped
into five levels and require a special written request to the
Treatment Team. These privileges include specific requirements and
responsibilities in addition to those needed to achieve a given
phase. As the individual moves through the phase system, they will
be able to request higher-level privileges. These additional
privileges, unlike phases, can be given and removed by the Treatment
Team based on the individual’s weekly progress in school, group and
individual therapy, and their overall behavior in the Therapeutic
community. If a resident has a level or privilege removed by the
Treatment Team, s/he must wait one week to request that specific
privilege/level again. The Program Team may make exceptions to this
rule with regard to Level one privileges by a consensus decision.
Phase advancement is documented during weekly treatment team
meetings to give all invested parties constant updates on progress.
During their progression through a phase, the resident is required
to review their assignment with their therapist, their process
group, and the community. This allows multiple opportunities for
feedback from peers and clinical staff to ensure that all aspects
are adequately covered. The parent (or other treatment ally) is
expected to parallel the child’s learning through family therapy to
ensure the concepts learned are integrated into the disposition
planning environment. This process of requiring the child to teach,
review, and incorporate feedback in individual, group, and family
contexts, maximizes the likelihood that they have truly internalized
the concept.
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