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The Stadter Center
4-Stage Treatment Program
Stage One
Evaluation/Assessments
Psychological Testing:
Personality testing may be conducted to help determine
diagnostic issues, and to identify dynamics to explore
in treatment. Cognitive testing may be conducted
to help determine intellectual functioning, academic
concerns, and level of cognitive ability. Neuropsychological
testing may be conducted to determine if any brain
injury exists that would result in cognitive impairment.
Educational testing and learning disabilities assessments
may be conducted to assess functioning.
Therapeutic Recreation Assessment:
Individuals are involved in an assessment of recreational
activities. The goal is to restore and maintain optimal
levels of physical and psychosocial functioning.
Through the assessment process individuals determine
their current level of activity, socialization, attitude,
mood, energy, concentration, cognitive level and
general physical functioning. They participate in
identification of what they may want different in
their lives, goals to achieve change, and ways to
eliminate and replace unhealthy recreation with alternative
healthy recreation. The assessment outcome is integrated
into their recreational groups to assist in development
of coping mechanisms and avenues to achieve the specific
goals.
Occupational Therapy Assessment:
A basic Occupational Assessment is provided to determine
the individual’s psychiatric and functional abilities
and/or needs. Additional assessments may be completed
if deemed necessary. Occupational performance consists
of self-care, productivity and leisure. The focus is
to determine, with the client, their skill strengths
and deficits that impact their success in areas of
work, personal (self) care and interpersonal relationships.
Primary roles are identified, and the occupations that
support them (activities/tasks which engage a person’s
resources of time and energy. The intervention determined
through the assessment assists clients in learning
self awareness relative their performances and anticipate/plan
for future challenges.
Psychosocial:
Family, financial, educational, medical, and psychiatric
aspects of the individual’s life are explored.
Developmental history is reviewed. Discharge needs
are identified. Assessment and treatment recommendations
are made relative to the above areas with the focus
on establishing a discharge plan, follow-up services
and goals needed to accomplish the transition home.
Clinical Evaluation:
The Clinical Therapist utilizes a psychodynamic approach
to help the client define personal issues and gain
insight into one’ self. Educational materials
relative to shame, guilt, boundaries, healthy self
care, violence and losses, secret keeping, dependency
patterns are utilized in the facilitation of group
and individual intervention. Tools utilized include
Time Lines, Genograms, Autobiography, and List Work.
The client is assisted in preparation for Family
Program to address with their family those issues
that surface during this treatment process.
Medical Assessment:
A routine history and physical is completed on each
individual to determine physical limitations that
may exist. Lab testing of blood and urine, EEG, EKG
and other testing may be ordered as part of the assessment.
In addition, an M.D. may be consulted to provide
a medical work-up to include an exploration of any
number of medical issues that may be necessary in
determining diagnosis and treatment of an individual.
Consultation:
The Psychiatric Assessment consultation is completed
by a Board Certified Child and Adolescent Psychiatrist.
Adults in need of consultation are provided access
to a Board Certified General Psychiatrist. Certain
individuals may require assessment by a medical specialist,
nutritionist, physical therapist and an avenue of
other consultations that are based upon need.
Stage Two
Intensive Group Work
Each individual is integrated into multiple group
therapies throughout the week. The schedule includes
numerous therapy groups and activities designed to
help the individual begin processing issues and gain
insight into patterns.
The goal is to continue completion of Primary assignments
to learn more about one’s self, address family
issues, develop effective coping mechanisms, learn
healthy problem solving techniques, learn assertive
and clear communication, address anger patterns, work
towards resolution of grief and loss, learn ways to
self nurture, recognize and change self destructive
behaviors, begin to learn healthy leisure activity
and relaxation, work toward resolution of trauma, and
address any other issue that may surface.
Individuals who are unable to gain movement in their
treatment, or who are not yet ready for the community
reintegration phase of treatment may continue on in
the group work therapies, on a day by day basis, until
they are ready for the final stage in their treatment.
The Stadter Center’s program has a variety of
group therapies that focus on healing:
- Psychodrama
- Art Therapy
- Self Nurture Group
- Choices Group
- Self Awareness Group
- LEAP (Leisure Education Awareness Program)
- Occupational Therapy
- Pet Therapy
- Horticulture
- Kick Boxing
Stage Three
Family
Program
The Family Program is based on the philosophy that
while only one member may be identified as needing
treatment, the family as a whole is affected by and
has effects on its individual members. Family Program
is a three day program designed to help the family
understand how each member is affected, and how they
affect each other. Each family member has the potential
to gain insight into their family dynamics, the effects
of the dynamics on each other, and each person’s
role within the family. The intensive program includes
warm-ups, educational lecture, therapeutic exercises,
challenge course-work, peer group work, communication,
self-care, and follow-up planning.
The Family Program participants meet together with
their family member who is undergoing treatment. They
work therapeutically in a multifamily setting. By having
this opportunity to interact with each other in a safe
environment, the family can be assisted in recognizing
and dealing with feelings and defenses that can hinder
well being. Family members have the opportunity to
uncover and build on the assets and positive characteristics
that have been submerged and now can be used in affecting
the growth of a new, healthier family system, as well
as healthier individuals within that system.
The long term success for families and individuals
will depend upon their willingness to use the new tools
that have been designed and introduced to them during
their participation in the program. At the conclusion
of the program each individual member of the family
is expected to outline their own aftercare plan. Participation
in follow-up for continuing care is implemented in
the final days of treatment, the reintegration phase.
The continuing care recommendations are included in
the individual’s aftercare plan.
Stage Four
Community Reintegration
During this final stage of treatment each individual
puts into practice techniques that they have learned
to assist in dealing with their personal difficulties
and life situations that impact them. They focus on
increasing awareness and utilization of those techniques
and identify barriers to success.
Goals include demonstration of: effective problem
solving and coping skills to deal with stressors; improved
self esteem; insight into own self defeating patterns
of behavior; depression, impulsiveness, anxiety, etc.;
assertive and clear communication; sharing of feelings;
establishment of healthy boundaries; effective relaxation
and/or calming techniques such as relaxation, journaling
and healthy leisure; compliance to medication regime;
healthier choices; awareness and reduction of old defenses;
utilization of cognitive techniques such as thought
stopping; successful stress management; exploration
of experiences; stabilize mood state while increasing
ability to function on a daily basis; formulation and
implementation of an after-care plan.
The individual is transitioned into the community
to help assess coping ability, increase tolerance,
and achieve/maintain stability. After-care planning
is finalized and set into motion prior to discharge.
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