Outpatient Wellness

Private Practice and Outpatient Wellness Services for Teens and Families

Visions Outpatient Wellness Center provides services ranging from private practice therapy to intensive outpatient programming. The center provides a relationally based, clinical program to meet client objectives on an individual, group and family basis.  This level of care is often the introduction to the therapy process or a continuing care option for adolescents and their families. 

  • Individuals 13 to 18 years old

A Visions client is often struggling with one or more of the following issues:

  • Anxiety disorders
  • Bipolar & depressive disorders
  • Eating disorders
  • Gender dysphoria
  • Learning disorders
  • Impulse – control & conduct disorders
  • Neurodevelopmental disorders
  • Obsessive – compulsive and related disorders
  • Personality disorders 
  • Substance abuse disorders
  • Trauma disorders

First Step Program

The First Program is an individualized program offered on an outpatient basis and tailored through assessment and presenting clinical needs.  This program serves teens and families seeking to explore individual stretches and challenges, family dynamics and specialized therapies for targeted therapeutic needs. 

Intensive Outpatient Program

Intensive Outpatient Program is a non-residential option for adolescents and their families seeking comprehensive clinical support while living at home or in a local transitional living facility. 

  • Clinical support with master’s level clinicians
  • Individual sessions
  • Family sessions
  • Counseling sessions
  • Multi-modal group sessions
  • Parent support group
  • Dbt & mindfulness meditation parent group
  • Random drug & alcohol testing

Twelve step program support implemented where clinically indicated.

IOP admission involves:

  • Biopsychosocial assessment
  • Psychiatric assessment
  • Substance abuse assessment
  • Eating disorder assessment
  • Sexual compulsivity assessment
  • Trauma assessment
  • Educational assessment
  • Psychological testing 

Treatment Team

Our treatment team consists of highly skilled professionals who use effective techniques and evidence based modalities.  Families are assigned a lead therapist and counselor who works directly with them throughout their treatment. Clients also work with several other professionals over the course of treatment to get maximum results.

Please learn more about our Clinical Team on our staff listing.

Objectives & Goals

Visions aims to support every client to seek out and actively become involved in community-based resources including healthy peer groups.

Mental Health

  • Encourage and motivate the client to achieve and sustain a healthy lifestyle
  • Help the client to develop new, more effective problem-solving strategies
  • Assist the client with recognizing and acknowledging the existence of destructive behaviors and mental health issues and the impact they have on their family, friends and future
  • Help the client recognize and change problematic attitudes which stimulate a relapse, behavioral or otherwise
  • Involve family and significant others in the treatment process to reduce dysfunction within the family
  • Assess and meet the psychological and psychiatric needs of the client
  • Assess and meet the medical needs of the client, by referral
  • Assist the client in identifying unhealthy and/or negative coping mechanisms

Substance Abuse & Co-Occurring Disorders

  • Encourage and motivate the client to achieve and sustain abstinence
  • Assist the client with identifying situations where drugs and alcohol were used to cope with life’s problems, and in understanding that using drugs and alcohol to cope with or solve problems does not work
  • Help the client to develop new, more effective problem-solving strategies
  • Support the client to use the 12-step philosophy and encourage participation in Narcotics Anonymous (NA), Alcoholics Anonymous (AA), and/or Cocaine Anonymous (CA)
  • Assist the client with recognizing and acknowledging the existence of destructive behaviors and mental health issues in their lives and the impact they have on their family, friends and future
  • Help the client recognize and change problematic attitudes and behaviors which stimulate a relapse
  • Involve family and significant others in the rehabilitation process and reduce dysfunction within the family
  • Assess and meet the psychological and psychiatric needs of the client
  • Assess and meet the medical needs of the client, by referral
  • Assist the client to address any legal issues, which may involve criminal activity

The clients themselves determine additional treatment goals.  Examples of self-selected treatment goals include pursuing educational and vocational interests, examining psychological conflicts, and exploring new or previous recreational pursuits or interests.

Program admission involves several comprehensive assessments of each client’s condition and specific issues or needs, including medical, psychiatric, and psychosocial status. Whenever possible, collateral information is collected from additional resources including family, schools and previous treatment providers.

 

Psychosocial Assessment

The psychosocial assessment reviews a client’s medical history, family history, leisure and social functioning, developmental history, educational functioning, legal history, drug and alcohol history and any significant events that could impact a client’s treatment process.  If indicated, additional assessments may be conducted as a result of the findings from the initial assessments.

These can include:

  • Psychiatric evaluation
  • Psychological testing
  • Educational assessment
  • Neurological testing
  • Trauma assessment
  • Eating disorder assessment
  • Sexual compulsivity assessment

 

Substance Abuse Assessment

Visions’ substance abuse assessment interview examines psychoactive substance use, establishes a baseline and identifies areas of need. The assessment measures seven chemical dependency-related domains: drug use, alcohol use, medical problems, psychiatric issues, legal issues, family/social issues, and employment/support issues. The assessment will also help determine if there are any psychological issues that would prohibit the client from attaining complete recovery, if there are any risks for danger to self or others and whether there is any propensity towards mood, personality or cognitive disorders.  This assessment also evaluates the client’s treatment and recovery belief systems and determines any indication of treatment resistance.

Psychiatric Assessment

After the initial interview, the client will see the medical director for a psychiatric evaluation. If a client has been discharged from an inpatient psychiatric unit, the attending physician will be contacted for treatment planning suggestions.  A licensed psychiatrist who has experience in the areas of mental health, substance abuse treatment and in the area of adolescents has been designated as the medical director. The medical director will assume responsibility for ensuring that the initial psychiatric evaluation is properly performed and psychiatric services are provided as needed. Clients who are diagnosed with a Mental Health or Co-Occurring Diagnosis (mental health and substance abuse disorders) will be admitted to the program with approval from the medical director.

If a client is on psychiatric medication for a diagnosis, the medical director will assess the client every week for medication management.

 

Treatment Planning

Utilizing information collected during the assessment process, a treatment plan is created.  The plan identifies the issues to be addressed in the treatment program and the desired goals. Barring therapeutic contraindication, clients review their treatment plan with their counselor to ensure the goals and expectations are fully understood.  Action steps and goals are generated. The client meets with their program counselor to review the treatment plan and to ensure  the client understands all expectations and goals.

 

Family Treatment

Mental Health and substance abuse issues affect the entire family and studies have shown that the best outcomes for treatment depend on the family’s understanding of and participation in the therapeutic process. The family component of treatment is a critical aspect of what we do.

We find that nearly 100 percent of our families feel the same way about their child’s issues prior to and during treatment.

  • Fear
  • Helplessness
  • Hopelessness
  • Anxiety
  • Anger

With the support of the Visions team our families move towards:

  • Hope
  • Trust
  • Acceptance
  • Awareness
  • Healthy communication
  • Multi-family group

This group is held weekly. It is facilitated by the family therapist. The multi-family group addresses issues that are common to all families such as communication, handling conflicts, and maintaining boundaries. Family members and clients share in a supportive atmosphere. This group also provides families with feedback and support from other family members who are experiencing similar difficulties.

 

Individual Family Sessions

Individual sessions with clients and their family members will be conducted by a family therapist primarily for the purpose of assessing family therapy needs to complete treatment goals and addressing conflicts that the family may feel too uncomfortable with to bring up in group sessions. When it is assessed that an individual family member needs additional therapeutic services outside the scope of Visions treatment, they will be referred to appropriate professionals.

 

Family Education

In education groups, clients and families are provided with information on the family progression and stages of family illnesses including adjustments/ reactions made.  These presentations also address roles, rules and interaction patterns commonly found in families. They discuss common issues parents bring into treatment when addressing their own family of origin and determining what to pass on to their children. The goal is to teach the client and family members an understanding of typical roles, such as interaction patterns and family rules that people act out in dysfunctional families.

 

 

Discharge & Aftercare

The discharge plan is a continuing care plan that is developed by the counselor with input from both the clients and the treatment team prior to the client leaving the program. It addresses, as appropriate:

  • Continuing care needs
  • Physical and psychiatric needs
  • Twelve step meeting schedule (if clinically indicated)
  • Family relationships
  • Academic needs
  • Social needs
  • Accessibility to community resources
  • Indication of anticipated problems following discharge and suggested means for dealing with them.

The continuing care plan, when indicated, provides recommendations and arrangements for support services, with an identification of providers.

Alumni

Following completion of the active treatment program phase, clients can benefit from continued participation in the Visions Alumni Program. They use what they have learned in the active phase of treatment program and bolster that learning by attending aftercare groups and continued participation in self-help groups.

  • Clients become members of the Visions alumni
  • Individual sessions are available to alumni on a fee for service basis
  • Support calls received from Visions alumni coordinator

It is the goal to foster the client’s utilization of community and personal resources in their new healthy way of living.

Annual Alumni Events:

  • Winter ski/snowboard trip
  • Alumni family weekend
  • Alumni vs. staff softball game
  • Knott’s Scary Farm night
  • Magic Mountain