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Author Topic: TREATMENT: Residential Treatment Program / Intensive Outpatient Program (IOP)?  (Read 6434 times)
lbjnltx
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« Reply #25 on: May 12, 2016, 09:53:01 AM »

This may be a resource for more information or recommendations for your son's care:

www.mcleanhospital.org/programs/mclean-franciscan-child-and-adolescent-inpatient-program
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lbjnltx
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« Reply #26 on: May 13, 2016, 08:00:33 PM »

Hi again Saphirewidow,

Here are some that look promising for your son.  Check into them and let us know what you think.

Evolve Treatment Centers at Sky Crest (CA)

Riverview Behavioral Health (Texarkana)

Paradigm Malibu (CA)

Menningers (TX, hospital setting)
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« Reply #27 on: May 13, 2016, 10:16:41 PM »

I know that dual treatment is best. Not sure about the places you have mentioned, but make sure they treat the personality and the addiction at the same time or you are wasting money. Look at the NAMI site for help. I have heard about a dual treatment center in Connecticut that is good. Maybe it's the one you mentioned not sure. Good luck...
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lbjnltx
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« Reply #28 on: May 14, 2016, 07:14:33 AM »

Thanks Herodias,

Though saphirewidow doesn't say her son is using illegal drugs, all of the facilities I listed are dual diagnoses except perhaps Menningers, since it is a hospital it most likely has the capabilities to treat addiction/withdrawl as well.


The facilities listed were from the Psychology Today website of inpatient resources for adolescents.

The search criteria I used was for:

Adolescents

Males

BPD

DBT
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saphirewidow
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« Reply #29 on: May 15, 2016, 03:28:04 PM »

Thank you for the suggestions.  I would love to do a place like Paradigm...I've looked at it before but it is super expensive and not the first choice for insurance.  My son is on our state children's insurance (chip) which is blue cross blue shield.  I work at a non profit, have a son starting college next year, and am the sole provider for my family so money is a huge issue.  Menninger's also looks awesome but it looks like they don't work well with or bill insurance.  It seems like I have a little time because my son is stuck in our acute unit which has a monopoly in our area.  From the regular hospital he had to go to the local psych acute hospital.  He hates it there so much that he is refusing groups and has had several episodes of head banging and punching the wall. I think part of it is he is coming down off of the ssri's cold turkey which makes you feel really terrible on top of his usual depression. I think he cracked his hand and I put in a request last night that they get it x-rayed, but that means transporting him to get it xrayed and his behavior is not safe at all right now.  He also has a black eye and a giant bloody scab and goose egg on his head from all the banging and being put in a hold to try to protect him from himself.  So he doesn't meet any criteria yet to even get into an RTC because he is still on eyesight suicide and self harm precautions.  When he does go I am thinking he will need longer then the typical 6-8 weeks because seems to hold it together usually (not right now apparently) in treatment long enough to get home and then after about a week he just crashes.  Has anyone had any experience with Willow Creek in Reno?  They are supposed to have DBT.  Not many places are really willing to take someone so suicidal as my son is right now.  I am hoping for the best.  
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lbjnltx
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« Reply #30 on: May 15, 2016, 03:34:17 PM »

When you say "typical 6-8 weeks" what are you referring to?

My d was in RTC for 10 months.  Lasting change takes time, lots of time.  Most kids in RTC don't even begin to work the program until month 3 (average).

Cutting down RTC time by first attending wilderness sometimes works as the kids are ready to get down to it and have accepted responsibility for themselves.

I know $ and insurance play a huge role in the decisions we have to make (sucks!).  Have you tried working with his school to get any part of RTC covered?
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saphirewidow
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« Reply #31 on: May 15, 2016, 10:06:09 PM »

The 6-8 weeks is what I'm finding many online ads for rtcs are saying as typical stays.  I know my son needs longer.  I'm hoping for 7-8 months or more if needed. His insurance has already covered two 2-3 month stays here in our local facility.  And they may cover some others but prob not the really amazing sounding ones like paradigm or menningers.  I left a message with McLean 3east asking if they could suggest good male teen rtcs for kids with borderline traits.  Haven't heard back yet.  One day at a time. Smiling (click to insert in post)  
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saphirewidow
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« Reply #32 on: May 18, 2016, 10:37:14 PM »

Any experience with Youth Care in Draper Utah?  That is a possibility and apparently they do focus on DBT.  They have accepted my son if the insurance is a go.  The wait will be a few weeks probably but he is stuck in an acute facility right now anyways.  Hoping that if this works out it will be a good place for him. 
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lbjnltx
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« Reply #33 on: May 19, 2016, 08:50:33 AM »

My concerns about this program is that it is a behavior modification program and implements the levels system. 

An investment of your time into exploring what a behavior modification program is and how the levels system works would be worth while in the decision making process for an rtc for your son.

Just my opinion. 

lbj
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saphirewidow
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« Reply #34 on: May 21, 2016, 12:30:38 PM »

Regarding Youth Care in Draper. I don't really like the level system and behavior part of the program but when I called they said that they focus on DBT therapy in groups and individual which I thought was weird for it being advertised as so behaviorally focused. Apparently they have been trained by Marsha Linehan for the DBT.  I am nervous about it however I haven't been able to find any other RTCs willing to take him because of his high level of suicidality and that will also take his insurance.  They told me I might have to sign him over to the state to get him on medicaid to get him into some places and I definitely won't do that.  He is my boy and I am not signing him over to dfs.  Crazy.  So the plan right now is Youth Care in Draper.  It has to be better then the acute unit he is stuck in right now.  One day at a time and I will try to let you guys know how it goes. 
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lbjnltx
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« Reply #35 on: May 21, 2016, 05:05:11 PM »

I was told the same thing about giving up my parental rights to have RTC covered...and then I would have no voice in which RTC they might have (or not) sent her to.

Let us know how it goes.
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« Reply #36 on: June 20, 2016, 09:59:11 PM »

Just a quick update on Youth Care in Draper, Utah for teens.  So far I am very pleased with the facility.  The living area is open and doesn't feel like a prison. They have good supervision yet it doesn't feel like a prison.  The therapists are really good and the kids have 3 individual therapy sessions per week, music therapy, biofeedback, plus group therapy and dbt skills built into the entire program.  I went to the parent days and they really seem to care about the kids and the communication is really good.  We do a family therapy via skype every week.  They are finishing up his psych testing this week and I am interested to see what they say. My son has a really long way to go and some of it will depend on how willing he is to dig deep and make changes in his thinking which he is struggling with.  He wants to hold onto the dark and "bad" thoughts because they set him apart and he doesn't feel like he deserves to be happy/doesn't want to be happy.  At least this stuff is coming out and he is fairly honest with his therapist.  I am hoping the insurance will continue to cover this as long as he needs to be there but I will also be looking into the IEP route for special education because many of the families have the entire stay covered by their schools.  So far (only 3 weeks in) I am really happy with Youth Care. 
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« Reply #37 on: June 21, 2016, 01:36:40 PM »

We are in the same situation and are looking at the 3E McLean, it looks good very focused on BPD. Silver hill is beyond our financial means like $49,000 a month I think ouch.

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saphirewidow
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« Reply #38 on: June 22, 2016, 11:38:58 AM »

I thought McClean 3E looked very good but it was just for girls and I needed a place for boys.  If you are able go with them let us know how things work out.  I heard they will be setting up a boys RTC there as well but it wasn't coming until at least October so it didn't work for our situation. 
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