Trauma Informed Therapeutic Day Treatment
ATI is committed to moving beyond basic behavior management strategies with the primary goal being long term sustainable success by increasing the child’s social and emotional capacities to include impulse modulation, cooperation, empathy, fair assertiveness, helpfulness and emotion regulation. Additional goals include:
- Addressing severe behaviors within the school, community and home settings through individual counseling, family counseling, effective care coordination and group counseling.
- Supporting a healing process whereby painful experiences from a child’s past can be identified, processed and expressed and thereby integrated so they are no longer reacting from the past.
- Provide opportunities to learn and use daily skills to enhance social and interpersonal skills (i.e. problem solving, emotion regulation, impulse modulation, cooperation, empathy, fair assertiveness, helpfulness, emotion regulation)
- Coordination with school personnel to maintain stability and progress in the school setting
- Observation/Classroom monitoring to assist in the ongoing assessment process
- Increase the guardian’s ability to relate and understand his/her child in order to reduce the potential for out of school and/or home placements.
- Empower the guardians to be a the conduit of healing, replacing the need for continual intensive therapeutic interventions
- Reduce violent and aggressive behaviors that perpetuate the cycle of multiple placements and intensive interventions
- Provide families community connections for ongoing support
- Provide medication education and monitoring
- Consistent coordination with additional providers servicing the client
These goals are achieved by committing ourselves to ongoing advanced training for all of our therapeutic day treatment (TDT) workers in the most effective client and family centered therapeutic interventions to reduce severe behaviors in children. This includes ongoing trainings in Conscious Discipline by Dr. Becky Baily, the official model of treatment utilized by ATI Therapeutic Day Treatment Services. This is a researched based comprehensive self-regulation program that combines social and emotional learning with discipline and guidance. It is built on the foundation of current brain research, child development theories, social neurobiology and developmentally appropriate practices. It is a premier model that integrates behavioral management with social and emotional learning. It utilizes everyday events as the social emotional curriculum, addressing the counselor and guardian’s emotional intelligence as well as the child’s. Additional ongoing trainings provided to TDT workers include:
- The Impact of Trauma on the Developing Brain (Single Incident and Chronic Stress)
- Attachment Formation and Repair
- Inclusive Family Systems
- Effective Care Coordination.
The Attachment and Trauma Institute is committed to raising the standard of quality day treatment services to families in need. We achieve this goal through ongoing advanced training and accountability on multiple levels within our agency including a requirement of weekly in person supervision meetings lead by a Licensed Mental Health Professional, alternating individual and group supervision. These required meetings give employees the opportunity to discuss client progress/concerns and receive clinical feedback concerning specific issues with an approved clinical supervisor.
Furthermore, on site crises response and behavior management in the school setting and summer based program will be provided by the TDT worker throughout the duration of services. Crisis response will include a “debriefing” with the identified client and family to discuss the incident; how to recognize triggers; identification of alternative coping mechanisms and providing feedback on the use of those alternative coping mechanisms.
The focus of ATI’s trauma informed therapeutic day treatment services is to alleviate the presenting issues that put the client at risk of an out of home and/or school placement. The development of an individualized service plan (ISP) will reduce the possibility of patterns that may create similar crises in the future. Each child’s ISP is developed as a collaborative effort with the child, guardian, TDT worker, and school personnel to address problems related to the client’s mental health diagnosis. The ISP is a working document intended to provide the therapeutic framework for day treatment services and is based off of a client’s mental health diagnosis.
ATI is committed to providing quality Trauma Informed Day Treatment Services to children and families with high-risk tendencies including but not limited to: family disruption factors, single incident and/or compounded trauma, court involvement, school difficulties, psychiatric needs, family transitional issues, prevention of out of home and school placements, as well as transitional services from more restrictive environments.
Identified populations will include children who have difficulty establishing and/or maintaining developmentally appropriate interpersonal relationships to such a degree that they are at risk of hospitalization, out of home placement and/or out of school placement due to conflicts in the home, community and school settings. Children will exhibit difficulty in recognizing personal danger, and have significantly inappropriate social behavior to such an extent that multiple interventions by the mental health, social services or judicial system are necessary. Furthermore eligible clients will have deficits in social skills, peer relations, dealing with authority, are hyperactive, have poor impulse control and/or are extremely depressed or marginally connected with reality.