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  Florence Crittenton serves adolescent girls age 13-18 with major mental illnesses, substance abuse experience, and/or unmanageable at-risk behaviors requiring containment and a controlled, nurturing environment with active psychiatric treatment. Most of the residents have multiple acute needs and have been impacted by substance abuse and/or domestic violence. Often they lack experience with healthy, positive relationships. Many have mental health issues such as depression, aggression, anxiety, impulse control, and antisocial behavior and have not succeeded in other care facilities. Additionally, some are pregnant and/or parenting when they come to Florence Crittenton. Moreover, many have been involved with the foster care system-some with more than 40 placements before arriving at Crittenton.

Florence Crittenton Services believes each person is a biological, psychological, spiritual and social being. Each young woman is more than her medical and psychiatric diagnosis or set of behavioral problems. Every resident is unique and has the ability to improve the quality of her life today and in the future with appropriate adult support, guidance and validation.

 
Active Gender-Specific Treatment
A growing body of research and practical experience shows that young women in treatment for substance abuse, trauma, and/or involvement in the juvenile justice system have different circumstances and needs than their male counterparts.

Gender-responsive treatment recognizes and responds to the unique needs, challenges and strengths of women and girls. Florence Crittenton provides a multi-dimensional program addressing women specific issues, such as addiction and chemical dependency, domestic violence, sexual abuse, pregnancy, parenting, relationships and connectivity. This approach is cutting-edge and is being implemented across the country.

 
Active Treatment
Active treatment is defined as programming for all aspects of a resident's life which supports the accomplishment of specific treatment goals. The young women are involved and participate in developing the goals and related services they will receive at Florence Crittenton. A major goal of the program is to increase each resident's ability to manage their life in a constructive, appropriate and acceptable manner. Florence Crittenton uses a Dialectical Behavioral Therapy model (DBT) which focuses on building skills to help residents keep themselves safe, get their thoughts organized and achieve greater capacity to manage instability.
 
Dialectical Behavioral Therapy
Dialectical Behavior Therapy (DBT) is an empirically-supported treatment approach designed to increase regulation/organization in various aspects of a resident's life. Florence Crittenton uses DBT to help residents replace current behaviors with new skills as follows:

FROM  TO
Emotion Instability  Emotion Regulation
Impulsivity  Distress Tolerance
Distorted Thinking  Middle Path Thinking
Confusion About Self  Identity Development/Mindfulness

Increased self regulation allows residents to manage symptoms more effectively and, as a result, improves functioning in self-care, social, family, and academics. The treatment program incorporates many opportunities for residents to practice skills each day based on their current functioning. The treatment team closely monitors a resident's ability to stay organized at various levels of independence and the individual plan of care is adjusted accordingly. The resident's pattern of organization is a crucial component in planning for discharge to a less structured environment.

Residents are also encouraged to start the process of building a life worth living. Part of this process is a shift in locus of control from external forces (authority figures, point systems) to internal forces (personal goals and values). We want the resident to begin to envision a life that they can feel proud of and get joy out of living. This is a two-fold process of learning how to incorporate positive experiences into everyday living and also setting long term goals for a future that brings hope.

 
Staffing and Setting
The youth counselors provide continuing opportunities for residents to practice new DBT skills, try out new behaviors, experience limit setting and develop ongoing supportive relationships. These staff members are always present 24 hours per day and do the very important interactional work within the milieu.

Our homelike setting is comfortable and nurturing with no more than 10 residents in a living unit with staffing that exceeds regulatory requirements. An on-site school uses a variety of teaching modalities to meet the needs of each individual student. Working together we provide opportunities for growth and support each resident in the development of tools and skills that can change the course of her life.

(Click below to get more details about our services)

For further information, send your inquiry via e-mail to Dana Schoffelman, Clinical Director

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