Initial & Continuing Bio-Psychosocial Assessment
Upon entering the program, the assigned clinician completes an Intake Assessment with the student, and upon discharge a Discharge Summary is completed. Both assessments identify where the student needs to focus his treatment and his successes.
During the program, NTYA’s Treatment Team discusses the student’s demonstrated progress in the program on a weekly basis.
Once a month, the team reviews the student’s Individual Program Plan for demonstrated progress.
Once each quarter, a child and family team meeting is held to discuss the completion or lack of completion on the Individual Program Plan, make adjustments and discharge plans with the student, family and referring agency.
Trained Direct Care staff are on duty 24 hours per day, with a 1 to 5 student to staff member ratio. Staff is trained in de-escalation, supervision, crisis management, LSCI etc.
NTYA’s psychiatric nurse practitioners, supervised by a psychiatrist visits the campus once per week to evaluate the scheduled students. Students are scheduled for evaluations as needed. The PNP 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 designated agency worker to identify any resources that may aid the family.
Intensive Cognitive Behavioral Interventions:
Interventions are held continuously, 24 hours/day. All negative behaviors result in an 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 and logical 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.
Following 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.
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. These skills are taught in the dorms, Monday through Friday for one therapeutic hour. The direct care staff also provides structured groups in the dorms on topics ranging from stress management to problem solving.
Treatment Services include:
Held once a week, for a therapeutic hour. Sessions are led by the student’s assigned master’s-level clinician. The sessions focus on those issues identified and agreed upon for the Individual Program Plan, i.e. anger management. Should a student refuse to attend his session, the clinician will offer an alternative time, schedule permitting.
Held Monday through Friday, for a therapeutic hour. Sessions are led by a master’s-level clinician assigned to the group topic. Topics currently include emotion management, therapeutic concepts, victim awareness, and relapse prevention. All students attend a group session depending on their current therapeutic focus as determined by the treatment team.
Held twice a month for one therapeutic hour. Sessions are scheduled to be held in conjunction with the individual therapy sessions for a minimum of one therapeutic hour or longer if needed. Led by the student’s assigned master’s-level clinician, we will work with the family to schedule these sessions.
Held Monday through Friday for one therapeutic hour and on weekends, held twice a day, for one therapeutic hour. Students are led by a master’s-level clinician, and the focus of this group varies with the activity. It includes team building, trust and problem-solving.
Available 24 hours/day, each staff member is trained to identify when a student may be in a state of crisis. When a student is in a state of crisis, he will be assessed by a member of the clinical team. The determination of that assessment dictates what procedure to follow.
NTYA addresses alcohol or drug (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 using 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.