Collaborative Therapies Provided

Dialectical Behavioral Therapy (DBT) is a psychosocial treatment developed for individuals with borderline personality disorder which combines intensive individual and group therapy. Transition Rehab, wraps the crucial collaborative developmental services around an individual for success. There is also a higher incidence of Emotional Dysregulation Disorder in females. DBT skill training will also be adjusted and taught to individuals with other emotional disorders also.

Acceptance and Commitment Therapy (ACT) was developed by Steven Hayes, Ph.D., and builds on the tradition of Cognitive Behavioral Therapy with the use of mindfulness and acceptance strategies to build psychological flexibility. One of the core tenets of ACT is accepting one’s painful emotions, thoughts, memories, body sensations, and present circumstances in an effort to make suffering optional. Suffering is viewed as non-acceptance, resistance, or avoidance of painful realities in living. Acceptance and Commitment Therapy is designed to help you realize your flaws, examine your full potential, and put in place methods of care that will help you carry out successful action to benefit your overall wellbeing. Acceptance and Commitment Therapy is highly effective when treating particular disorders, as it helps an individual accept their psychological situation and commit themselves to their own personal recovery. Acceptance and Commitment Therapy is helpful for a wide variety of people, especially those who are suffering from a psychological or behavioral disorder.

Motivational Enhancement Therapy (MET) is an approach that helps individuals resolve their ambivalence about engaging in treatment. This approach aims to evoke rapid and internally motivated change, rather than guide the individual stepwise through a rescue process. Motivational interviewing techniques are used to strengthen motivation and build a plan for change. Coping strategies are developed, mutually, and discussed and reviewed continuously with the individual. Change is monitored, cessation reviews are strategized and used to continue with encouraging commitment to change or sustain abstinence or indulgences. Individuals with addiction problems are encouraged to have and partner with a sponsor or buddy to assist with the process for strength and insightful guidance.

Trauma-Focused Cognitive Behavior Therapy:
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a components-based model of psychotherapy that addresses the unique needs of an individual with PTSD symptoms, depression, behavior problems, and other difficulties related to traumatic life experiences. The specific components of TF-CBT are summarized by the acronym PRACTICE:

  • Psychoeducation is provided to females and their caregivers about the impact of trauma and common childhood reactions.
  • Parenting skills are provided to optimize a female’s emotional and behavioral adjustment.
  • Relaxation and stress management skills are individualized for each female and their parent/guardian.
  • Affective expression and modulation are taught to help the female and parents/guardian identify and cope with a range of emotions.
  • Cognitive coping and processing are enhanced by illustrating the relationships among thoughts, feelings and behaviors. This helps the female and parents/guardian modify inaccurate or unhelpful thoughts about the trauma.
  • Trauma narration, in which the female describes their personal traumatic experiences, is an important component of the treatment.
  • In vivo mastery of trauma reminders is used to help the female overcome their avoidance of situations that are no longer dangerous, but which remind them of the original trauma.
  • Conjoint resident-parent/guardian sessions help the female and parent talk to each other about the child’s trauma.
  • The final phase of the treatment, Enhancing future safety and development, addresses safety, helps the female to regain developmental momentum, and covers any other skills the resident needs to end treatment and transition for safety.

Frequently Asked Questions

1. Your transition begins at time of intake. Your contract and monthly service fees will be contingent on motivation towards changing negative thoughts, negative actions and impulsive behaviors; along with willingness to commit daily to making a change to improve your insight, mental health and daily life.
After a full M/H & S/A Evaluation, a Biopsychosocial Assessment and a determined probationary period, progress will be reviewed f/f monthly and updated and documented during f/f meeting the third (3rd) week of every month after residential admission for six consecutive months.

Note: - A physical exam and TB test is required within the first 30 days of admission. If you recently had a physical and/or TB test (within six months) all results must be submitted during intake.

1a. What are grounds that can terminate me from services?
You will be given a 48 hour notice after incident and asked to leave, however, Transition Rehab will transfer you to another facility or program; Transition Rehab feels that you aren’t ready for this level of intensive care and will consider referring you elsewhere for treatment and services if you commit the following acts.

Crimes of moral turpitude – see website under “privacy policy”; Prescription fraud or non-compliance of medication or treatment; Doctor hopping; 3 positive drug screens with no intention of changing behavior or usage; Driving under influence or revocation of license; Elopement 1x; Suicide or Homicide or attempts or completion.

2. What does Life Skill Training involve and look like working with a Life Skills Coach?
A life skill coach, who may also be a Certified Peer Specialist and is there to motivate and guide you. If part of the program is writing in a journal, your coach will stay on top of you to keep writing when the novelty runs out. If part of the program is attending a yoga class, or getting up in time to complete your ADL skills for an appointment, work, school, your coach will stay on top of you to keep your documented schedule, Life Skills Coaches might even take the classes with you and provide the transportation. It’s not just your accountability that’s important; it’s the fact that your coach becomes invested in your progress. Your Life Skill Training will also consist of group sessions.

3. What services does a Clinical Care Manager Provide?
A Clinical Care Manager, who is a licensed Social Worker, oversees your daily functional life and clinical needs. The Licensed Social Worker assists with setting the pace of your progress and transition. The CCM will often let you set your own goals, objectives and interventions and by doing so, seeks more accountability towards your progress on a deeper level than if the CCM were to establish their own standards. This gives you the ability to take control and ownership of your decisions, but also encourages you to trust a responsible authority figure, for help and perspective.
For example, in the case of a non-compliance with medication or medication isn’t appropriately working, CCM contacts collaborative medical provider to have changes made, or when seeing another collaborative provider, who is part of your support team, the CCM provides information that knowingly will assist with progress or that you may be lacking in progress; changes, to gain better insight and for processing, so as a team, all collaborative supportive system providers and family are involved. The CCM acts as a conduit for you to express your uniqueness and individuality, and your entire support system. The CCM facilitates group therapy sessions, assists with building positive and progressive relationships, community resource avenues and social skill training.

4. Under Supportive Housing Management, what does social skills building include?
For you, it will be a reframe of thinking and actions. You will learn how to interact with people in a more appropriate manner and learn how to balance your life expectations and have appropriate friendships. Suggestions for social skill training activity is/or a day/overnight trip with resident peers a day or a few hours spent with family/friend. It’s about learning tolerance and other people’s needs, including classmates and work colleagues. This is part of an action plan. This can or may be the hardest task, and strategies will need to change, but showing the potential to learn is the outcome.

5. When will life skills training be provided if I am working, going to school or involved in a day or volunteer program?
Life Skills is ongoing and will be provided daily and based on your needs and schedule. This will be where the trust is earned. Life Skills training is provided for each individual and if within a group setting it will be for common learning activities.

6. Will meals be cooked together by and for residents or will I have to cook my own meals separately?
In Harmony House I & II, meals are prepared and provided for by each resident. This may be a group activity or individual. Meals will not be provided nor will food be purchased for any resident by Transition Rehab. Part of Life Skills Training is meal preparation, budgeting, developing menus and shopping. Part of social skills training is learning to work together, clean up and take care of your own personal space. There is a minimum of two residents per bedroom. Each resident is involved in meal planning and preparation and maintenance of their personal space. Refrigerator space will be provided for each resident.

7. During what hours will the mental health group and individual sessions be provided?
Scheduled clinical services, including group activities will be posted in common areas and each resident is required to attend.

8. Is there an aide on staff in Harmony House I and/or Harmony House II?
Harmony House II is a licensed transitional home, where intensive clinical work is provided. There is a Resident Assistant assigned and living on premise an assigned for overnight duty. Harmony House I, a lesser restrictive environment and a Supportive Independent Living program that is the step-down towards independence and transition. Each resident must show a consistent level of independence based on monthly updated assessments from Harmony House II or if transitioning from another program the same skills are required. Staff is available from 9:00 a.m. – 9:00 pm and someone is always on call 24/7.

9. Will transportation be provided?
Transportation will be coordinated and the use of community transportation support will be established.
Residents in Harmony House II - If you own a vehicle and want it parked on premises in order to have access and use of vehicle you MUST have a VALID & CURRENT INSURANCE CARD, a VALID DRIVERS LICENSE, and a VALID REGISTRATION for that vehicle. There will be a 60-90 day black out period until all initial evaluations, medication & drug screen compliancy’s along with collaborative providers are scheduled and seen at least 2x within the 60-90 day period.
Residents in Harmony House I – This will apply for 30 days if transitioning from another program. A duplicate vehicle key will be required and a formalized and structured schedule MUST be submitted daily for accountability when living in either home.

10. Will my health insurance be used or do I have to pay for all services offered out of pocket?
Transition Rehab wraps all resources available to the client and family to assist with outcomes and moving a resident forward. If you currently have Medicaid, Medicare, Private insurances, even Food Stamps these resources are also used to make sure a resident has full comprehensive services wrapped around them with collaborative providers who accept these benefits.
While Transition Rehab will provide you with a monthly invoice for contracted services not covered by your benefits, along with a monthly documented Wellness Plan Update, Transition Rehab is not responsible for filing insurance claims or for your insurance company's final decisions regarding reimbursement.
Transition Rehab provides Clinical Care and Management Oversight that is not covered or paid by private or government insurance providers. Therefore, Supportive & Intensive Therapeutic Housing, Clinical Care Management, Life Skills Training and any Adjunctive Therapy services offered at Transition Rehab are out of pocket costs due to the level of time required and needed to reframe and assist each female individually to transition and develop a new sense of purpose.