Program admission involves several comprehensive assessments of each resident’s condition and their 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.
A licensed medical doctor, with experience in the area of mental health and substance abuse treatment, has assumed responsibility for ensuring the initial medical evaluation is properly performed on each resident and medical services are provided as needed. Additional medical needs of each teen are evaluated when needed. A history and physical is conducted by the doctor or by the resident’s personal physician. All residents must be medically cleared. If further medical services are indicated, the resident will be referred back to his or her primary care physician or will be treated by the doctor.
Substance Abuse Assessment
The chemical dependency screening 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 educational issues. The assessment will also help determine if there are any psychological issues that would prohibit the resident from attaining complete recovery, and 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 resident’s treatment and recovery belief systems and determines any indication of treatment resistance.
The psychosocial assessment reviews a resident’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 resident’s treatment process. If indicated, additional assessments may be conducted as a result of the findings from the initial assessments.
These can include:
After the initial interview, the resident will see the medical director for an evaluation. If a resident 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 and substance abuse treatment for 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. Residents 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 resident is on psychiatric medication for a diagnosis, the medical director will assess the resident every week for medication management.
Utilizing information collected during the assessment process, a treatment plan is created. The plan identifies issues and desired goals. Barring therapeutic contradiction, resident’s review their treatment plan with their counselor to ensure the goals and expectations are fully understood. Action steps and goals are generated.