Newport News Behavioral Health Center provides evidence-based psychiatric treatment options for adolescents in care. The staff recognizes the importance of individualized treatment. The treatment team (including the therapist, case manager, nurses, physicians, teachers, guardian, and referring agency) will work together to identify the areas of concern for each adolescent. The master treatment team report will be created from this information and will be updated every month. The interventions will be appropriate for the specific needs of the resident. Research indicates that some treatments are more effective in addressing certain issues than others. The therapist may use one or more of the following treatment modalities.
Cognitive Behavioral Therapy
Cognitive Behavioral Therapy (CBT) and Trauma-focused Cognitive Behavioral Therapy (TF-CBT) employ a framework based upon the cognitive triangle which builds an understanding of the relationship between a person’s thoughts, feelings and behaviors. The therapist will guide the resident in order to identify negative thought patterns and behavior cycles while gaining positive coping skills. Through this understanding residents will learn new ways of replacing maladaptive thoughts, feelings, and behaviors.
Dialectical Behavior Therapy
Dialectical Behavior Therapy is a skills-based therapy that focuses on distress tolerance, mindfulness, emotions regulation and interpersonal effectiveness. DBT has been shown to be effective treating Borderline Personality Disorder. As a whole, DBT is effective at helping people with overwhelming emotions. DBT assists people in learning how to manage their emotions by providing skills on how to manage stressful situations, remaining in the present moment, interacting and communicating with others, and helping people learn how to not act destructively or lose control.
Equine Therapy is a form of experiential therapy that involves interactions between the residents and horses. The goal of equine therapy is to aid residents in the development of needed skills and attributes, to include, self confidence, problem-solving skills, communication, trust, social skills, impulse control, and responsibility. Equine therapy is currently being utilized in the treatment of trauma. PATH-accredited program model.
Seeking Safety is a therapeutic present-focused process that can be used for individual sessions, in a group, for males and females. It is effective in the early stages of treatment with clients that have experienced trauma. It is an evidence-based practice that is beneficial in teaching coping skills, to building resilience and to increase feelings of safety.
Stages of Change
Stages of Change is a therapeutic process based on the concept that people change in steps and not just one large motion. There are five stages of change. This concept is used to address a variety of problematic behaviors but is most often seen as a therapeutic tool when working with addiction or abuse of substances.
Motivational Interviewing serves as a form of collaborative conversation for strengthening a person’s motivation and commitment to change. It is a person-centered counseling style for addressing the common problem of ambivalence about change by paying particular attention to the language of change. It is designed to strengthen an individual’s motivation for, and movement towards a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion.
Sand Tray Therapy
Sand Tray Therapy is a method of using small objects to create a scene in a sand tray. This type of therapy is useful when an individual is unable or unwilling to talk about issues. The client chooses various items to create the real world in the sand tray. The trained therapist observes the choices and placement of items/figures helpful in exploring the symbolic nature of the items in the tray. This therapy is particularly helpful when working with loss, trauma, and the younger population. The non-intrusive nature of this therapy makes it easier for clients to access and express difficult issues.
Art therapy is provided with a board-certified art therapist. Art therapy is a creative expression in various mediums to enhance the expression of the individual. This is sometimes used as a supplemental treatment for residents who have difficulty with verbal expression.
Recreation therapy is provided by a team of dedicated professionals who provide opportunities for outings, sports activities and social skill building games. The residents have the opportunity to channel energy and practice focus and concentration as they work toward team or individual goals.
Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program. Music Therapists use music as an intervention, primarily live, to facilitate changes that are non-musical in nature. Music therapy programs are based on individual assessment, treatment planning, and ongoing treatment evaluation. Through the assessment process, goals and objectives are created (with the patient, family, or treatment team) to target the specific needs of the patient or group and interventions such as songwriting, music listening, improvisation, and music discussion may be utilized.