Here at Vive Adolescent Care, we believe in using a clinical model that is rooted in evidenced-based treatment. Group therapy is provided multiple times a day by a licensed therapist. Dialectical Behavioral Therapy (DBT) is the basis for most of our group therapy. It provides an excellent framework for our clients to learn skills and gain insights into getting more effective outcomes.
Vive also offers a deeper dive into the following types of clinical therapies:
Cognitive Behavioral Therapy (CBT) is a form of psychological treatment that has been demonstrated to be effective for a range of problems including depression, anxiety disorders, alcohol and drug use problems, eating disorders, and severe mental illness. Numerous research studies suggest that CBT leads to significant improvement in functioning and quality of life. In many studies, CBT has been demonstrated to be as effective as, or more effective than, other forms of psychological therapy or psychiatric medications.
Strategic Family Therapy combines two major therapeutic models, strategic therapy and family therapy. Within the safety of therapeutic setting, strategic family therapists replicate family interactions and conversations, prompting and engaging participants with provocative questions and discussions. During these sessions, problems present themselves, and the therapists can uncover the person's strengths and abilities at solving their own problems drawing on internal resources that they hadn't before acknowledged or even realized that they possessed.
Motivational Interviewing is a counseling method that helps people resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior. This type of therapy is often used to address addiction and helps people become motivated to change the behaviors that are preventing them from making healthier choices. It can also prepare individuals for further, more specific types of therapies.
Mindfulness and Meditation is a focus on being intensely aware of what one is sensing and feeling in the moment, without interpretation or judgement. Practicing mindfulness and meditation involves breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. The overall evidence of mindfulness and meditation exercises cna help with stress, anxiety, pain, depression, and insomnia.
Recreational Therapy (RT) is a systematic process that utilizes recreation and other activity-based interventions to address the needs of individuals with illness and/or disabling conditions, as a means to psychological and physical health, recovery and well-being. The purpose of the RT process is to improve or maintain physical, cognitive, social, emotional, and spiritual fuctioning in order to facilitate full participation in life.
Dialectical behavioral therapy (DBT) is a type of cognitive behavioral therapy. Cognitive behavioral therapy tries to identify and change negative thinking patterns and pushes for positive behavioral changes. DBT may be used to treat suicidal and other self-destructive behaviors.
Personalized Treatment Plan
While at Vive Adolescent Care, each client receives a personalized treatment plan created together with the therapist to which they are assigned. Upon admission, each client also receives a battery of assessments that helps to formulate specific clinical approaches applicable to them.
Clients will meet with their assigned therapist for individual therapy as client and therapist deem appropriate, with most meeting with their therapist twice a week. In addition, the client's family also receives weekly family therapy.
Standard Vive Assessments
We run each patient through the following assessments while at Vive:
- Beck's Anxiety (Anxiety scale)
- Columbia Suicide Severity Rating Scale
- PHQ-A (Depression scale)
- SCARED Anxiety Questionnaire (Differentiates types of anxiety)
- SWAN - ADHD Rating Scale (ADHD & types)
- MDQ (Mood Disorders/Bipolar)
- SQAY (Suicide risk & resiliency questionnaire)
All of the above assessments are scored and reviewed by a therapist and psychiatric provider. Once completed, there is a Vive Assessment Summary Form that is completed by the case management team.
Vive Assessment Summary
Upon Discharge, the clients complete the Beck's Anxiety, PHQ-A, and SQAY Assessments once more and then added to the Vive Assessment Summary Form. This Assessment Summary is finalized upon Discharge and provides insights into their progress during their stay. A copy is provided to parents/transport team as part of their discharge packet.
There are also two separate Discharge Summaries completed upon discharge. One is completed by their therapist (Clinical Summary) and the other by their psychiatric provider (Medical Summary). A copy of these will also be provided to parents/transport team as part of their discharge packet.
The discharge packet will also include other information such as educational materials on safety, their diagnoses, discharge medication list, medication education sheets, lab results, client's current medications plus a 1-month prescription, personal rec therapy activities, etc.
We also can do further testing for personality disorders, scales for side effects of the medications, etc. We typically do not do any Weschler or other IQ/processing speed assessments. We can do some Autism Testing, either standard or high-functioning via CARS-2 and/or ADOS-2.