Adolescent Services

Adolescent Integrative Services

Yellowbrick recognizes that many adolescents are struggling with psychiatric challenges which strain their well-being and ability to function effectively at school, with peers or at home. Adolescent Integrative Services at Yellowbrick provide a range of services geared toward preventive intervention within the context of a developmentally facilitating platform for teens who have already begun to manifest disruptive psychiatric difficulties.

The principles and emphasis of Adolescent Integrative Services are:

Individualized Assessment
Individualized Treatment Plans covering a spectrum of care combining individual services and groups
Self-regulation/governance skill development
Identity integration, secure attachment and social effectiveness
Integration of education and treatment
Emotional development

Interventions available include:

Further assessment as indicated
Psychotherapy and psychiatric services as needed
Collaboration with schools, professionals and currently existing providers
Education and educational support, including classes that maintain existing school curricula
Cognitively based skills development, including MBSR, DBT, Open DBT, ACT, CBT (anxiety, depression, insomnia)
Emotion regulation through sensorimotor mind-body integration
Family therapy and weekend family workshops
Trauma, addictions & eating disorder consultation/counseling
Narrative, drama, improv, and yoga as integrative therapeutic activities
Pharmaco-genomic medication & nutraceutical treatment
Neuropsychiatric interventions including neurofeedback and deepTranscranial Magnetic Stimulation

Paths to engage treatment based on level of care desired and needed

The Adolescent Services program is designed to provide the initiation of treatment through several assessment paths. Once initiated, treatment can involve a limited package of therapy services, a package drawing on a broader range of interventions, or participation in our After School Intensive Outpatient Program that integrates the full range of available services.

Assessment

Treatment begins with one of three assessment paths:

A 3-interview initial assessment (individual, family, psychiatric), designed to occur during one morning or afternoon. This initial assessment concludes with a feedback session a day or two later that focuses on and serves to initiate immediate treatment needs.
Further assessment that co-occurs with initial treatment and that builds toward a more comprehensive and integrated formulation, moving toward an extended Collaboration Conference providing findings and recommendations of treatment components.
A comprehensive original assessment that integrates all assessment components, culminating in an extended Collaboration Conference providing findings and recommendations of treatment components.

Available Assessment Components

Adolescent and parent psychological interviews
Psychiatric interview involving input from parents
Family interviews with parents and adolescent
qEEG (quantitative Electroencephalogram)
Educational needs assessment, including consultation with the school
Genomic testing
Surveys and Questionnaires
Specialized Psychiatric Interview with the Medical Director to assist in understanding underlying etiology and dynamics
Components directed toward specific needs, including

Executive functioning
Life skills
Eating disorders and issues of relation to the body
Addictions
Trauma

Treatment

There are three paths of treatment engagement varying by level of comprehensiveness and involvement. There is flexibility to move from one level to another as the need and desire indicates.

Individual and/or family therapy, educational support, and either psychiatric oversight or direct psychiatric services including medication management.
Additional individual and group treatment and educational interventions towards establishing stability in meeting the developmental tasks of adolescence, including parent-child relationships. This path involves additional prescriptive individual and/or group services.
Participation in Neurofeedback, Transcranial Magnetic Stimulation and other neuro-regulation technologies

Compare Yellowbrick’s Adolescent Integrative Services

	Routine Adolescent IOP	Yellowbrick Adolescent Integrative Services
Staffing	Generally junior masters level	Experienced Masters and senior Doctoral level
Assessment	1-2 hours interviews	Flexibility ranging a spectrum from brief initial assessment to a fuller assessment including genetic testing, neuroimaging, interviews and a 90 minute Collaboration Conference
Service Integration	Splintered	All components available on-site
Educational focus on Adolescent-specific developmental challenges	Possibly	Essential to the full treatment model and available as needed
Continuation of school	General classes available	Classes are individualized and coordinated with home school district
Schedule	3-5 days full or part time	Flexible, depending on need, desire and availability, ranging from limited therapy services to 5 days after school with extensive family therapy
Skills-based CBT/DBT	Sole intervention model	CBT, DBT, RODBT, ACT, MBSR, Sensori-motor approaches integrated into a fuller spectrum of treatment modalities
Mind-body work to regulate emotion/behavior	Infrequent, if at all	Essential to the full treatment model and available as needed when there is more limited treatment engagement
Clinical Neuroscience Interventions	Rarely available if at all	On-site MD’s: neurofeedback, dTMS, medications, nutraceuticals, genomic testing
Family Therapy	Usually 1x/week as an adjunct	Integrated fully into the treatment model, available 1-3 times/week
Family education & support	Usually part of family therapy	Availability of bi-monthly family workshops and of a Family Liaison for ongoing and as-needed round-the-clock consultation