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 Treatment Programs TRANSFORMATIONS Treatment for Girls with General Psychiatric Disorders (IQ75 and above) Transformations is a clinically intensive residential program for high-risk female adolescents with a myriad of mental health disorders, substance abuse, and/or behavioral problems. The Transformations Program encourages positive change by assisting girls with the development of pro-social behavior and adaptive living skills in a structured residential setting. The program is designed to include an array of therapeutic techniques to accommodate the individual needs of residents and aimed at enhancing self-concept and restoring healthy emotional and behavioral functioning. The primary goal of the Transformations Program is to increase each girl’s array of coping skills, enhance the positive aspects of their self-concept, and equip them with the skills necessary to live productively in their community. In order to achieve this goal, the Transformations Program has developed dynamic group process interventions to include an intensive individualized curriculum, extensive experiential exercises, and behavioral rehearsal to help actualize and integrate these concepts. Information is presented through a variety of modalities to reinforce learning and increase the likelihood of good generalization of the skills taught. The Transformations Program provides a highly structured clinical day where therapeutic interventions are occurring almost continuously. Activities are goal driven and occur within small therapeutic groups of 4-5, based on age. Target behaviors are treated with consistency and are modified using the least restrictive support methods deemed effective for each adolescent. The Transformations Program also recognizes the need for adolescents to remain connected to their communities throughout the treatment process. Patients regularly participate in community activities that emphasize normalization and social skills. Specifically, volunteer opportunities will be made available to residents, when clinically appropriate, to encourage, promote, and integrate responsibility to the community at large through providing service to others. Discharge planning begins at admission, and treatment goals are developed with the targeted step-down placement in mind. Development of a more accurate and positive self-concept is the primary focus of the treatment model for the Transformations Program. Self-concept, or the sum of our ideas about ourselves, plays a major role in the choices we make and the behaviors we exhibit. We develop this set of ideas based on the feedback we receive from others. For example, were we treated with respect and admiration by our schoolteachers or were we told we were poorly behaved or not smart. Our school performance and behavior at school would vary greatly depending on which type of feedback we received during our early school years. This is particularly true for girls, as recent research demonstrates that for girls, relationships with others are central to identity development. Development of a more accurate and positive self-concept is achieved by exploration of the positive and negative aspects of each girl’s self-concept. As each girl learns more about herself, she will receive feedback from peers and staff regarding the accuracy of her ideas. She will then be exposed to experiences and treatment interventions that challenge her inaccurate ideas and negative characteristics. Another primary component of the program is the development of coping skills, called tools. Successful completion of the program is dependent upon mastery of a wide variety of cognitive, behavioral, and emotional coping skills. Individual and group therapy are facilitated by experienced doctoral and master’s level clinicians. Appropriate social behavior and coping skills are taught through modeling, role-playing, prompting, practicing, and other techniques. Experiential and traditional/non-traditional group exercises are designed to increase the resident’s self-knowledge and assist her with applying the material learned. Additional methods used to provide feedback and promote change include a contingent reward system. Unit privileges are earned on a weekly basis, and are determined by integrating feedback from staff, client, and peers toward treatment progress. To develop a deeper understanding of abstract moral concepts, the therapeutic community is utilized to support and challenge the resident, promoting accountability to themselves and the therapeutic milieu. |
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