Psychiatric Residential Treatment Facility (PRTF)

Eliada opened the first PRTF program in western North Carolina in 2006. Today our PRTF program has four cottage programs for youth 12-17 years old. PRTF runs 24 hours a day, 365 days a year and provides 24 hour supervision.  Students in our PRTF’s have a variety of mental health diagnoses and may struggle with difficulty regulating emotions, tolerating distress, self injurious behaviors, aggression, trauma reactions, running behaviors, and substance use.

Students receive individual, family, and group therapy by Licensed Mental Health Clinicians. Treatment also occurs daily by well trained and compassionate direct-care staff who guide student behaviors with trauma informed perspective through the use of structure, youth development skills, and a variety of evidence based practices. Treatment approaches vary in the cottages, including some or all of:

Aggression Replacement Training (ART): Trained direct care staff lead weekly groups to help students improve social skills, moral reasoning, and manage anger. 

Dialectical Behavior Therapy (DBT): Trained direct care staff lead weekly groups and help students practice mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. DBT concepts may also be used in individual and equine therapy. 

Education: Students receive daily instruction in English/Literature, Math Foundations/Concepts, General Science, and Health & Wellness in a highly-structured small classroom setting. Project-based units are frequently used to enhance student engagement. All lessons follow NC Common Core/Standard Course of Study objectives. Additionally, students who need remediation receive instruction from a licensed Title One Teacher and special education students receive instruction from a licensed Special Education Teacher. High school students who are independent learners and intrinsically motivated to complete specific high school credits may utilize Gradpoint, an online core academic credit program. The summer educational program blends academic remediation, credit recovery, thematic activities, field trips, and arts and crafts experiences.

EQUIP: The EQUIP program blends the components of Positive Peer Culture through daily goals, reflection, peer support groups, and ART. Treatment focuses on motivating and equipping youth to help one another act responsibly. 

Equine Assisted Growth and Learning Association (EAGALA): Certified Mental Health Clinicians and an Equine Specialist use this model of equine therapy in individual, family, and group settings. 

Participation in Therapeutic Recreation: Students have the opportunity to participate in therapeutic after school activities including sports and creative arts.

Progressive Journey System: Students demonstrate their treatment progress through the completion of therapeutic projects, assuming increased responsibilities, and handling expanded incentives; all culminating in a formal graduation from the program.

Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS): Certified Mental Health Clinicians lead this group therapy that provides a combination of psychoeducation and skills for students who have experienced trauma or chronic stress. This group is particularly helpful for students who are not ready, or safe enough, for Trauma Focused-Cognitive Behavioral Therapy. 

Therapeutic Animal Service Cooperative (TASC): Students participate in weekly groups with the animals while developing interpersonal skills such as communication, listening, asking for help, problem solving, empathy, emotional awareness, and self-confidence. 

Eliada’s Cottages

Students are placed in cottages based on treatment and safety needs. 

Lions Cottage

Lions PRTF is a 9 bed locked and staff secure treatment facility designed to treat adolescent males 12-17.

Reynolds Cottage

Reynolds PRTF is a 9 bed locked and staff secure treatment facility designed to treat adolescent females 12-17. 

Reuter Cottage

Reuter PRTF is a 9 bed unlocked and staff secure treatment facility designed to treat male and female adolescents 12-17. 

Cummings Cottage

Cummings PRTF is 9 bed unlocked and staff secure treatment facility designed to treat adolescent females ages 12-17. 



Eliada Wellness Policy for Students in Day Treatment, Level III and PRTF

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