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Types of Treatment
Individual Therapy
1x/wk for 1 therapeutic hour. Sessions are led by the student’s
assigned Master’s Level Clinician. They are scheduled once a week a
for a length of a therapeutic hour. Should a client refuse to attend
his session, the clinician will offer an alternative time, schedule
permitting. The sessions focus on those issues identified and agreed
upon for the Individual Program Plan, i.e. anger management.
Group Therapy
5x/wk for 1 therapeutic hour each meeting. Sessions are led by a
Master’s Level Clinical assigned to the group topic. Group is held
Monday through Friday for a therapeutic hour. Topics currently
include emotion management, Therapeutic Concepts, Victim Awareness,
and Release Prevention. All students attend a group session
depending on their current therapeutic focus as determined by
Treatment Team.
Family Sessions
2x/mon for 1 therapeutic hour. Sessions are scheduled to be held
twice a month in conjunction with the individual therapy sessions
for a minimum of one therapeutic hour or longer if needed . They are
led by the student’s assigned Master’s Level Clinician. The
Clinician attempts to schedule regular sessions with the family, but
will adjust as needed.
Intensive Cognitive Behavioral Interventions
Continuously for 24 hours per day.All negative behaviors result in a
intervention with staff which allows the student to therapeutically
process his behaviors and look for alternative solutions.
When a student commits a minor offense per the NTYA Student
Handbook, a sanction can be issued by the Direct Care Staff. A
sanction contains natural consequences for the inappropriate
behavior(s) that aid the student in looking at the behavior and
understanding how to correct it.
When a student commits a critical incident per the NTYA Student
Handbook, a Behavior Control Level Contract (BCL) is issued. A BCL
is designed to allow the student to understand the impact of his
behavior on himself and others. While on BCL, the student loses his
program level privileges and has to complete therapeutic assignments
designed for his offense and level of learning.
Follow the above types of interventions, if a student continues to
demonstrate a lack of progress, the Treatment Team may design a
Special Management Contract that outlines specific therapeutic
assignments and sessions the student is to complete in order to
focus on his treatment and engage in the program.
All the above interventions are designed to strengthen both the
areas of need and strengths of the student.
Vocational Training
From 1 hour to 6 hours during the school day. Students who are
identified to participate in the Vocational Educational Training
Program are enrolled when they present themselves as not being a
safety risk to self or others and as long as they do not present a
safety risk. This is imperative due to the nature of the equipment
being used in the classroom. This class meets during school hours.
NTYA has a year round on campus school that is licensed by the
Department of Education. Students learn woodworking, horticulture,
industrial painting, airbrushing, and the business ethics and
management side. HVAC is also available for student enrollment.
Therapeutic Recreation
Weekdays - 1x/dy for 1 therapeutic hour
Weekends - 2x/dy for 1 therapeutic hour each
Students participate in Therapeutic Recreation led by a Master’s
Level Clinician. This activity is scheduled Monday through Friday
for one hour. The focus of this group varies with the activity. It
includes team building, trust and problem solving. The weekend
schedule also includes two hours per day of structured therapeutic
recreation that is monitored by the direct care staff under the
supervision of the Clinician.
Skill Building
School
5x/wk for one classroom period for one semester.
Dorms
5x/wk for one therapeutic hour.
Depending on the skill being taught, NTYA has several different
methods for teaching various skills.
The Education Department teaches an Independent Living / Life Skills
class that focus on the skills needed for each student to live on
their own as well as finding a job.
Direct Care Staff teach the hands on skills of daily living skills,
such as personal hygiene, laundry, cleaning, etc. They also help the
students practice the emotional, behavioral and social skills that
they are taught in their therapeutic sessions.
Clinical Staff teach the emotional, behavior and social skills the
students need to function in society.
The direct care staff also provide structured groups on the dorms
for topics ranging from stress management to problem solving.
Crisis Stabilization
Available 24 hrs per day. Each staff member is trained to identify
when a student may be in a state of crisis. The Clinical Staff is on
call 24 hours per day. When a student is in a state of crisis they
will be assessed by a member of the clinical team. The determination
of that assessment dictates what procedure to follow. If the student
is in a critical state of crisis and is presently an immediate risk
of harm to himself or others, Mobile Crisis will be contacted to
assess the student to determine is Psychiatric Hospitalization is
warranted. If hospitalization is not warranted, the Clinician will
attempt to contract with the student for NO HARM. Depending on the
student and the issue, the student will be placed on Precaution
Watch Status where staff will maintain a 15 minute Watch Sheet on
him. If the student is a risk to the safety of others or actively
suicidal, he may be placed in a special uniform to alert staff to
the behavior cautions. If the student is at risk of harming only
himself and he is not currently active, he will not be placed in a
special uniform. He will be regularly assessed by his assigned
therapist to determine if the state requires an increase or decrease
in focus.
Substance Abuse
NTYA addresses AOD issues in three manners. Students who do not have
a history of AOD use participate in a general educational group
regarding the dangers of drug use. Students who do have a history of
drug involvement, either use or selling, participate in a
psycho-educational group that is held twice a week. If needed, an
AOD assessment will be utilized to determine what treatment is
necessary. Students are also able to address these issues one on one
with their individual therapist.
NTYA does not offer an intense AOD program and does not provide
detoxification services.
Initial & Continuing Bio-Psychosocial Assessment
Treatment Team
1 hour per month total time. Upon entering the program, the assigned
Clinician completes an Intake Assessment and upon discharge a
Discharge Summary is completed. Both assessments identify when the
student needs to focus his treatment and his successes.
During the program, Treatment Team discusses the student’s
demonstrated progress in the program on a weekly basis. Once a
month, Treatment Team reviews the Individual Program Plan for
demonstrated progress. Once per quarter, a Child & Family Team
Meeting is held to discuss with the student, family and referring
agency the completion or lack of completion on the Individual
Program Plan, make adjustments and discharge plans.
Care Management
24 hours per day. Trained Direct Care Staff are on duty 24 hours per
day with a one to five ratio. Staff are trained in de-escalation,
supervision, crisis management, etc.
Medication Management
As needed / available weekly A Psychiatric Nurse Practitioner who is
supervised by a Psychiatrist visits the campus once per week to
evaluate the scheduled students. They are scheduled for evaluations
as needed per the P/FNP. He interviews the student, nursing,
clinical, and direct care staff to determine if the medication is
making a positive difference and to identify any negative side
effects.
Mobilization of family support
Due to the out of state status of the families, the assigned
Clinician works with the assigned agency worker to identify any
resources that may aid the family.
Educational Component
Students attend school year round with sixth through twelfth grade.
The classes are departmentalized in multi-aged groupings of students
learning on or about the same level. Subjects are offered that will
enable the students to follow a technical, university, or dual path
toward graduation. The School is accredited by the Tennessee
Department of Education. Both regular and special education classes,
as well as, GED programs are available. The school calendar follows
that of our local schools and all courses followed are the required
courses for students to graduate.
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