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How Do I Consider Sending My Child to a Treatment Center?

6/4/2015

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I spent years trying to have children.  I longed for nothing more than to hold a baby, with the fresh baby smell, in my arms.  I was poked, prodded, charted, and then disappointed.  I suffered through surgical procedures.  Now years later, how could I now consider turning over the much longed for child to strangers to help him heal emotionally?  Aren’t I, the Mom, supposed to be capable of helping my own child?

I felt like a failure as a parent.  I was isolated from friends.  I lost friends.  My now teen aged son was “that kid”.   My son, and by proxy myself, was the kid whose behaviors were contagious.  He was the one whom good families avoided.  We felt blamed and judged as parents.  We knew our son was a sweet, gentle little boy on the inside which didn’t match what was happening on the outside.  We sought out therapists, psychiatrists, academics and other experts in their fields and still our son’s issue became worse.

We were faced with a choice and a decision that no parents wants to consider. We were advised to send our son to treatment in a residential setting for the underlying emotional and mental health issues. 

Even then, we still could not wrap our head around what this meant or even looked like.  How could we send our strangers?  He would not open up emotionally to therapists he had known for years, so how was this going to happen with strangers? I had a million questions swirling around in my head.  When would be the right time to do this?  What type of treatment did he really need?  Would we find a therapist who really understood what was going on with him?  Would this even work?  What would people think?  Would this fuel his bad boy reputation? And more importantly how in the world were we going to fund this!  There was so much swirling around in my mind and so many things to work through all while managing increasing behaviors and crisis at home.  How were we supposed to make a decision?

If you ask any parent whose child is in a residential program, almost all would say they should have enrolled their child sooner.  That was certainly our case.  And yet, I could not answer the question how does a parent know when the time is right to seek treatment outside the home?

First and foremost is there an issue of safety?  Is your child safe away from your watchful eye?  Included in the umbrella of safety is an increasing drug or alcohol use.  Also included would be suicide ideation, suicide attempts, and other self-harming behaviors.

Another facet of safety is the safety of others in the home.  Are your child’s moods volatile?  Are they aggressive towards you or their siblings?  Do you have internal door locks or a safety plan?  Are there holes in the walls or is property regularly destroyed? Are you constantly looking for a medical miracle and not finding it.  Then it may be time to consider an intensive therapeutic environment.

Therapeutic environments are not just for children who are explosive.  A therapeutic environment is a healing environment for those children who turn their emotions inward.  Does your child have refusal behaviors?  They may refuse to go to parental visitation. Do they refuse to shower or have good hygiene? Do they refuse to go to doctor appointments or see the therapist?  They may even have school refusal behaviors refusing to attend school.

There are some commonalities that all children have with level of need.  The first is the inability for us to be effective parents. My own child and I had a very strong and connected relationship.  And yet, his own internal turmoil would not allow me to parent him. 

Many kiddos also make a lot of promises to their parents.  Everything from I will go to school to I won’t do it again.  Because of that inner turmoil they just don’t have the coping skills to follow through.  That leaves parents with broken trust.  Dr. Ross Greene, author of The Explosive Child, and purveyor of The Collaborative Problem Solving Method strongly believes that a child will do well if they can do well.  Our complicated children want to do well, but they don’t know how to do well.  Doing well is a skill is needed to be learned. A therapeutic environment helps teach them the skills they need to be able to do well.

The therapeutic programs of today have evolved from the boot camp style programs of the past.  Today you may find a large, lovely home sitting on acres of land.   There may be horses or other therapy animals around the property.  Or you may find a large sprawling complex in a more suburban area.  The homes are bright and airy and clean. Students and staff are engaged.  Mentors and staff are always available to work through struggles in the moment that they occur. 

So how do you find this wonderful environment to help your family heal?  Look to add an Independent Educational Consultant to your team.  Why an Educational Consultant?  An Educational Consultant is a professional who spends a significant amount of time traveling from program to program.  This gives them the opportunity to know the staff, and the environment. Traveling allows a professional to be your eyes and ears.   It makes it possible to find the best fit for your family.  An Educational Consultant also spends time learning, attending Conferences, webinar trainings, and immersing themselves in a variety of diagnostic disorders.  And most importantly, an Educational Consultant who is independent does not take any funds from programs they recommend but are paid for services by the family.  You may find an Education Consultant at either Independent Educational Consultants Association, at www.iecaonline.com or listed as Associate Members of National Association of Therapeutic Schools and Programs www.natsap.com  And educational consultant does not have to be close to you geographically.  Most educational consultants have clients from all over the world.  I too have clients everywhere and prefer a boutique practice in order to better serve my clients.

How has all of this served me personally.  Now, years later, after all the struggles, trying to find appropriate help, turning over my child to strangers, having an extended stay in a treatment program, I can hold my child in my arms again.  He is no longer that baby with fresh baby smell.  He is 6’1”.  He smells like fresh shower, and old spice deodorant. He has insight, is resilient, and has coping skills.  And like most other parents who have been through this process, I wish we would have done this sooner.

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Discovery Ranch for Girls

5/25/2015

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We visited Discovery Ranch for Girls on a beautiful, sunny, spring day in April.  Discovery Ranch sits on 66 acres located in Cedar City, Utah about an hour north of St. George Utah. 

The main building on the campus began as a private vacation home for an American industrialist. This beautiful log home features a dining room, a game room, theater room, an indoor pool and a commercial kitchen which a professional chef who prepares tasty and nutritious meals for the girls.

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May 25th, 2015

5/25/2015

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Visit With King's Daughter

2/13/2015

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We visited Kings Daughter on a beautiful, sunny, winter day in between sessions of a conference we were attending in Nashville. 
It was a pleasure to tour with Nikki Rogers, Peak Educational Consulting and Mary Jo Barnett, Pathways Educational Consulting. 

The King's Daughter School is a residential school  located in Columbia TN about an hour south of Nashville.  They are a large sprawling campus that serve children, adults, and young adults, with intellectual disabilities and those who are on the more severe end of the autism spectrum, including children who are non verbal.

We were enthusiastically greeted by Dr. David Craig and Shauna Bryant, the Executive Director and Assistant Executive Director. Their warmth and generosity of spirit, and commitment to their students shine through the moment you meet them. 

Dr. Craig and Ms. Bryant began our meeting by telling us, about the different types of students who attend their school. They work with children who are all special education with an IQ below 70.  Some of the disorders that they work with are, Prader Willi, Down Syndrome, Autism, Intellectual Disabilities, and Fetal Alcohol Syndrome.  Dr. Craig and Ms. Bryant described a type day for students.   Incorporated throughout the day in the  school setting are, life skills, social skills, recreation, and of course academics.  The school class periods are reduced to 35 minutes and they have more class periods than the average school on a typical day.  There is strong recognition that students have limited attention spans, and low frustration thresholds and become easily overwhelmed.   The school also provides outings and excursions in the community and invites the community to partner with the school.  They provide many different therapies but are especially proud of their recreation therapy.  Dr. Craig was beaming when he showed us the wall of trophies for the  19 different sports the Special Olympians participated in. 

The program is all encompassing offering a preschool to local families. Total enrollment for  the school program is 120 students who come from throughout the United States. Also offered is a transition program for its young adults and even a separate program for adult graduates.  Students have vocational opportunities including a sheltered workshop on site.

The program works with a concrete behavioral system, with points, a token economy, reward bucks where the students earn privileges throughout the day. The students operates in two groups according to the pace of their work. As we toured the physical facilities, we were greeted by several students who couldn't wait to say hello. They were happy, enthusiastic, curious and engaged. It was a pleasure to get to know them.

Our tour included the school, the gym, the pool, and the residences.  The boys house was bright, spacious and airy. It was so clean that we doubted that boys actually lived there.  We commented that the house smelled like fresh laundry!  Unusual for even the most neurotypical of teens.  We thoroughly enjoyed our time at King's Daughter and thank them for their time to show us around.


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    Mindy Goodman
    Therapeutic and Educational Consultant,
    Parent Coach

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