Our facility will only incorporate Evidence-Based Therapy Practices (EBP) approach, using the best available research with clinical expertise, in the context of patient characteristics, culture, and preferences (Corey, Corey, & Callanan, 2011). As a summary of therapies, the select tools that will be used to accomplish this integrated model at FLYR include (a) 12-Step Therapy, (b) Individual Therapy, (c) Group Therapy, (d) Experiential Therapy, and (e) Family Therapy.
*PLEASE NOTE: While our treatments and therapy options can help,
no result is guaranteed. Individual results can vary per person.
The following individual therapies will include the following, based upon recommendations from Gerald and Corey (2013). Eye Movement Desensitization and Reprocessing (EMDR) is an integrative psychotherapy approach that has been extensively researched and proven effective for the treatment of trauma. EMDR is a set of standardized protocols that incorporates elements from many different treatment approaches.
A current study reports that Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) yield some of the highest success rates among all individual therapies, specifically with adolescent youth who suffer from disorders such as Conduct Disorder, Post-Traumatic Stress symptomology, and other mood disorders (Bass, Nevel, & Swart, 2014). As a result, these two critical therapies will be utilized at FLYR, in tandem.
CBT is a time-sensitive, structured, present-oriented psychotherapy directed toward solving current problems and teaching clients’ skills to modify dysfunctional thinking and behavior. This therapy will be used to treat issues such as phobias, self-harming, negative thought patterns, anxiety, substance abuse, and eating disorders.
DBT is a specific form of cognitive-behavioral therapy that seeks to build upon the foundation of CBT, in order to help enhance its effectiveness and address specific limitations, found to be inherent in CBT. This therapy will be used to further treat issues
such as distress impulsiveness, emotional irregularity, and distress intolerance.
Choice Theory / Reality Therapy works from the assumption that all humans have five basic needs (survival, freedom, fun, power, and love/belonging), through which one attempts to satisfy individual behavioral choices. Individuals who enter reality therapy generally have a specific issue of concern, and the therapist may ask the individual to consider the effects that one’s behavior has on that area, helping that client to focus on things that the client can actually change, rather than things that are beyond the client’s control.
Group therapy can have many facets, depending on the outcome needed. According to Waack, Bridbord, Kleiner, and Nitza (2006), these groups focus on the accomplishment of the group rather than the individual members, in order to be effective. As a result, the following group therapies have been selected for FLYR:
Psychoeducational/Guidance Groups focus on skill building. This kind of group allows for the opportunities to practice new skills within a group setting and promotes norms of self-disclosure, self-exploration, and the giving and receiving of feedback.
Counseling and Therapy Groups are not based on a single theoretical perspective, but can take from many theories what seem to be most helpful. The techniques used in group therapy may be verbal, expressive, or psycho-dramatic. The approaches may vary from psychoanalytic to behavioral, from Gestalt to encounter, from existential to rational.
Experiential therapy is a therapeutic approach that encourages patients to identify and address hidden or subconscious issues through activities such as role playing, guided imagery, the use of props, and a range of other active experiences. At FLYR, these therapies will include (a) a ropes course, (b) Horticulture Therapy, (c) Animal-Assisted Therapy, and (d) Wilderness Therapy.
The ropes course as a therapy has been researched, and reported to have significantly mitigated adolescent depression, as well as to prevent, treat, and rehabilitate adolescent delinquency (Weersing, 2010; Wolf & Mehl, 2011). The course will have a range of elevations from 25 feet
to 50 feet, as well as low ropes that will straddle just a few feet above ground. These facilities will be situated at the “ropes course complex.”
Horticulture Therapy, developed by the “father of psychiatry” Benjamin Rush, has been reported through numerous studies to increase physical activity, and subsequently improve social skills through interactions with their peers, while serving to develop a communal cooperation with other participants (as cited in Monroe, 2015; Farmer, 2014). Consequently, FLYR will conduct this therapy through garden farming, within a 50’ x 100’ facility greenhouse. These facilities will be located within the “agriculture complex.”
Animal-Assisted Therapy (AAT) has been widely reported to help create a healing atmosphere for individuals struggling with depression and other mental health related issues (as cited in Parshall, 2003). As a result, FLYR will conduct this therapy through farm and domestic animal
care and grooming practices. This will include a cow barn, chicken barn, and equestrian stables with a round-pen. These facilities will also be located within the “agriculture complex.” Additional opportunities will be Puppy Kuts Pet Boutique, for more advanced experiential
therapy volunteer clients, as an after-care service deliverable option.
Wilderness Therapy is a growing field of mental health care for youth, combining outdoor modalities with therapeutic interventions. This type of therapy has been demonstrated to deliver more healthy body mass index (BMI) measures, mental health functioning, improved body image
perceptions, greater healthy levels of independence from parents, and decreased personal resentment and anger towards parents (Tucker, Norton, DeMille, & Hobson, 2016; Bettman, Tucker, Behrens, & Vanderloo, 2017; Gillis et al., 2016). Consequently, FLYR will
accommodate this therapy with mountaineering, guided wilderness outings, and outdoor skills training.
Art Therapy is a great for at-risk and justice involved youths, as the arts can provide an outlet for addressing emotional and/or problem behaviors through opportunities to learn new skills, develop new talents, and express thoughts and ideas in creative and therapeutic ways (Ezell and Levy 2003). Similarly, for youth dealing with trauma and victimization (including exposure to violence), the arts can help them to cope with painful experiences by fostering resiliency (Heise 2014). Creating art can strengthen a youth’s problem-solving skills, autonomy, sense of purpose, and social competence. Moreover, art can help encourage positive emotions and strength, allowing youths to view themselves as survivors and not as victims (van Westrhenen and Fritz 2014).
FLYR will offer a family therapy, based on the Family Systems Therapy model. This model regards the family as a whole, as the unit of treatment, and emphasizes such factors as relational and communication patterns, rather than as traits or symptoms in individual members. This model offers a unique benefit of therapy outcomes, with the dynamics being positively different in fostering future behavior changes, once the client ultimately returns to be reunited with the family unit (Jones & Butman, 2011). As such, FLYR has selected a single therapy for Family Therapy.
The Internal Family Systems (IFS) model fosters clients' acceptance of all parts of themselves, regardless of how destructive the client’s perceptions may be. This therapy affords a level of acceptance that is intended to ultimately lead to the transformation of those perceptions of
themselves and others (Schwartz, 2013).
FLYR will use an accredited home school program to help the clients, as students, to improve their scholastic efforts and outcomes, even during their time at the facility. While FLYR is still deciding on the exact academic program and curriculum for the operation, the home school accredited programs that are currently being considered include the following:
Calvert Education Homeschool
James Madison High School
Western Christian Academy.
Pursuant to the state of New Mexico’s regulation Title 7 (Health), Chapter 20 (Mental Health), Part 11 (Certification Requirements for Child and Adolescent Mental Health Services), section 26, FLYR will comply with the Comprehensive Community Support Services (CCSS) requirement. This requires that FLYR coordinate with community support service professional in the area to continue to promote recovery, rehabilitation, and resiliency for their clients after discharge from the program. FLYR will appoint the Licensed Professional Clinical Counselor-Supervisor (LPCC-S) staff member as the designated community service worker (CSW), to coordinate this with each individual client or
family upon discharge, ensuring that the services will not be duplicated. Additionally, the LPCC-S will structure the necessary aftercare program for every client, upon discharge. A portion of the aftercare will include Alcoholics Anonymous and Narcotics Anonymous.