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Resolute Treatment Facility:  Secure Residential Program

 

The Resolute secure residential program is a 76-bed specialized treatment facility for adolescent males between the ages of 11-18 who have a history of demonstrating sexually maladaptive behaviors in addition to the other emotional and behavioral impairments.  Treatment is designed based on individual need, using a multidisciplinary team approach consisting of childs family, physicians, therapists, nurses, teachers, and the youth care specialists .  Treatment aspects such as: Development of healthy coping, appropriate relationships, moral development, personal and social responsibility, and self-understanding are emphasized. 

 

Special attention is given to family involvement and every effort is made to ensure regular family contact and communication as well as rapid achievement of appropriate community or home passes to begin practicing and implementing learned treatment concepts and skills.  We believe that a strong family support system greatly enhances each childs success and prognosis.  Families are encouraged to be part of the treatment team and assist in guiding the care for their child.  Each child is viewed as unique and each family is viewed as the expert in providing input and guidance regarding their child. 

 

Resolute treatment components include:

 

      Structured Secure Milieu

      24-Hour Supervision

      Psychological Testing

      Clinical Polygraph

      Relapse Prevention and Protection Planning

      Specialized Ancillary Groups

(i.e.:  Assault Cycles, Trauma Outcome, and Healthy Relationships)

      Daily Sexual Process Groups

      Regular Individual, Group and Family Therapy

      Multidisciplinary Treatment Team Meetings

      On Site Accredited Education Services

      Reunification and Aftercare Planning

           

Appropriate referral may include:

 

      Males between the ages of 11-18

      IQ greater than 70

      A substantiated or adjudicated offense  OR  acknowledgement of sexually maladaptive behaviors and an indication that there is a motivation for treatment

      Displays potential to benefit from therapeutic residential placement

      DSM diagnosis with substantiation of the pervasiveness of the disorder

      Deemed incapable of benefiting from a less-restrictive level of care

 

           

Diagnostic & Evaluation Program

 

Resolute offers a Diagnostic and Evaluation (D&E) Program for adolescent males, ages 11-18.  Residents admitted into this program undergo a residential-based intensive evaluation period to help determine the level of treatment and care necessary for that individual.  The typical length of the D&E Program is 45 days.  At the end of the 45 day period, a case conference will be held to determine the level of care necessary for the individual and his family.  In addition to a comprehensive and thorough evaluation, the D&E provides an opportunity for youth to begin the crucial first steps of treatment in a safe and structured environment while safety measures are implemented in the home. 

 

The D&E Program may be appropriate if one or more of the following is present:  the child has complex treatment needs, the propensity of the childs sexual history remains in question, the youth lives within close proximity to the victim, and/or questions exist regarding the safety of the home environment.  

Placement for the 45-day assessment is an ideal option when community safety and family concerns need to be addressed immediately and concurrently with the start of treatment for a child who struggles with sexually maladaptive behaviors. 

 

Each participant in the D&E Program will undergo the following:

 

      Comprehensive Psychosexual Assessment

      Psychological Testing

      Clinical Polygraph

      Milieu Therapy/Evaluation

      Individual and Family Therapy

      Daily Process Groups

      On-Site Educational Services

 

Success Group Home:  Transitional Living Program

 

Success Group Home is a 10-bed facility, providing a less restrictive setting for youth who have completed intensive treatment for sexually maladaptive behaviors and are working on reintegration back into the community.  For youth whose permanency plan does not include family reunification, Success works collaboratively with providers of independent living programs as well as area mental health centers to facilitate a smooth transition into independence.  Success Group Home services include:

 

      Open residential setting

      24-hour supervision

      Reintegration back into the traditional school setting

      GED preparation

      Independent Living Skills

      Therapeutic Aftercare Groups

      Maintenance Polygraph Testing (as needed)

      Individual, Group and Family Therapy

      Employment Assistance

      Permanency Planning

 

 

Community Based Services:  Intensive Home-Based Programming

 

Community Based Services offer treatment in the least restrictive setting to youth with sexually maladaptive behaviors and other emotional and behavioral impairments.  The family component is key in the delivery of services as emphasis is placed on the entire family as part of the treatment process.  It is designed to meet the needs of the entire family by focusing on the unique strengths inherent in each family unit and accentuating those strengths with supports from the community in a broader multisystemic context. 

 

The program is based in best practices and draws upon four areas of research and treatment.  Those areas are:

 

    1. Family therapy with serious juvenile offenders, sexually maladaptive youth, and families with multiple problems;
    2. Supervision based on family therapy and community programs of sexually maladaptive youth and juvenile delinquent youth;
    3. Cognitive behavior therapy of sexually maladaptive youth;
    4. The What Works literature concerning delinquent youth.

The program is designed for low-moderate risk youth who have had no prior treatment or moderate-high risk youth who are coming out of residential programming.  Services are available for males and females ages 8-18, though children outside of this age-range may be accepted on a conditional basis.   The program is offered in a flexiable manner where service delivery frequency is varied based on need and risk variable of the child and family.  Contact frequency can vary from 1 hour a week (when cases are stable and ready for closure) to 5 hours per week (when risk and needs are greater to perserve the family unit or to facilitate reunification). 

 

 

Treatment of Victims of Sexual Abuse: 

Treatment services are offered to victims of sexual abuse in the least restrictive setting.  Often times victims of sexual abuse will present with unique trauma based treatment needs that require intensive therapeutic measures.  The issues often transcend to the family and require a holistic approach to meet the needs of both the child and family.  Therapeutic interventions are specialized to each unique situation based on age, treatment needs, strengths, and other protective factors.  Individualized treatment will focus on achieving normalized reactions, and developing adaptive coping strategies to address symptions of depression, anxiety, PTSD and other adjustment problems which are commonly associated with being a victim of abuse.  The primary focus family intervention is to strengthen the parent-child relationship in order to help process the trauma and to ultimately increase the level of family functioning. 

 

Cornerstone Programming:

Treatment services are offered to children and families of general abuse and neglect in the least resistive setting.  Services vary in intensity from basic case management to very intensive therapy, preservation, and reunification.  Service intensity varies based on the child and family needs, strengths, protective factors, and referral source goals. Services are provided in a holistic approach to include family, friends, school and the community.  It involves the whole family as partners, and takes place where the child lives, goes to school, and participates in his / her community.  The services are based on best practice criteria and have a strong fidelity adherence component to tract individual treatment progress insuring that treatment targets are addressed, modified, and most importantly achieved. 

 

Community Based Services include:

 

      24-hour on call availability

Crisis Management

      Home-based individual and family therapy

      Preservation Services

Reunification Services

Case Management Services

      Clarification Sessions

      Clinical Polygraph (SMB Treatment Specific)

      Safety / Prevention Planning

      Cross system collaboration

Safety / Informed Supervisors / Containment Team Planning

 

 

Assessment and Consultation

 

Resolute provides comprehensive psychosexual evaluations and risk assessments, for male and female children and adolescents.  The assessments help to determine the dynamics of the sexualized behaviors, level of risk, and most appropriate treatment needs.  Evaluations may take place at the Resolute main campus, in the office of the referring agent or at the home of the child being evaluated.  They typically last between 2-4 hours and involve both the child and the primary caregiver(s). 

 

The testing battery for each child differs and is based on both need and relevance.  A multitude of instruments are used to assess risk of reoffense, intellectual functioning, executive functioning, criminality, coping patterns, family dynamics and diagnostics. 

 

Prior to scheduling the evaluation, the following documentation will be requested:

 

      Police Reports

      Predisposition Report/Preliminary Inquiry

      Probable Cause Summary

      310/311 Reports

      Victim Impact Statements

      Previous Evaluations/Assessment Reports

      Discharge Summaries from previous treatment providers

      Previous Polygraph Results

 

Community Consultation / Training

 

Resolute Treatment Center has specialized staff available for community consultation on difficult or problem issues.

 

We can also provide on-site in-service trainings on a myriad of issues including, but not limited to:

 

      Levels of risk

      Community safety and supervision

      Reunification Services

      Prevention Services

      Assessment and Evaluation

      Assault dynamics

      Family Driven Treatment