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There are so many different programs out there from hospitals to hiking trips, residential to outpatient or some combination of them all. Helping your troubled teen is not a one-size-fits-all situation and every program has its pros and cons. Let’s take a look at some of the different types of programs and what they offer.
Wilderness therapy involves teens spending 1–3 contiguous months in a backcountry setting. During their stay in wilderness, teens learn survival and camping skills, get lots of physical activity, and can do deep therapeutic work.
Wilderness therapy can be a life-changing intervention for those who can afford it. Be prepared to seek out “aftercare”, as it is often called, which can be any of the following treatment options.
This is generally in a hospital setting and is a short-term solution when you believe that your child’s life is in danger because of a mental health crisis. According to a study in the Journal of The American Academy of Pediatrics, depression, bipolar disorder, and psychosis are the most common conditions associated with hospitalization. Patients are typically released within a week or less.
Troubled teens who struggle with various mood disorders,psychological issues, and substance abuse issues can benefit from a therapeutic boarding school. These schools help to get academics back on track alongside therapeutic treatment. This can be a good option for a teen who has gotten behind in school due to their behaviors or a stay in a wilderness therapy program. The typical stay at therapeutic boarding school is between 6 months and 2 years.
There are many different therapeutic boarding schools around the country and each one offers a slightly different experience and focus. Some are co-ed, and many are gender-specific and may even specialize on a single issue, such as eating disorders for teenage girls.
Sending your teen to a therapeutic boarding school removes them from the family dynamic, which has pros and cons in itself. If you can afford it and think that your relationship would benefit from some distance, this can be a great treatment option.
The focus at a residential treatment center (RCT) is on behavior and safety. During residential treatment a person lives on-site and receives around-the-clock care. This option can range from a full lockdown facility to a sober living house, where clients can come and go at certain times.
RTCs are a good option for maintaining tight supervision and can be more affordable than a boarding school. RTCs can provide supervision and support for your teen when living at home is not an option for them anymore.
Outpatient programs for teens offer a comprehensive program without removing teens from their homes. Good programs will support the whole family, so that parents learn how to support their teens in a way which aligns with the treatment they are receiving. Outpatient programs have the benefit of being able to offer care that fits around school, making it less disruptive. Most teens will gradually decrease the number of hours per week spent in outpatient treatment, allowing for a gradual reduction of care as they stabilize. Outpatient programs can be a sensible next step after one of the residential options listed above.
Transitional living is an option for teens who cannot live at home to get support. These programs are designed to help homeless youth with a place to stay and life-skills support at no cost to them. Most programs can provide psychological and substance use evaluations and support. Transitional living is an amazing option for teens with limited to no options.
While transitional living programs offer remarkable services to those in the greatest need, they should be seen as a last resort. Like homeless shelters, they are doing their best to support as many people as possible on limited resources. For teens who are able to work with their families even a little bit, other options will be able to provide more in-depth care.
Almost everyone could benefit from a good counselor or therapist. For struggling teens, it can be hard to find someone they trust. Finding the right person can make all the difference, so expect to try out a few options before settling for a counselor.
Counseling is generally only one session a week, or even less, so it does not provide enough support for high acuity needs. A therapist can complement other programs, provide support and assessment in the early stages of a teen’s struggles, or as a long-term follow up to an intensive program. Some counselors accept insurance, while others work only with private-pay clients.
There are options for supporting troubled teens and many families use a combination of the options listed above. When parents are in the middle of trying to make a decision about what is best for their child, it can be stressful and overwhelming.
At Sandstone Care, our goal is to provide excellent support for teens struggling with mental health and substance abuse issues. We are happy to answer any questions and provide you with several treatment options if we are not the right fit for you.
Starting the conversation is the best first step. We are here to help in any way possible!