Psychiatric Residential Treatment Facility Services (PRTF)
Eliada Homes, Inc. opened the first Psychiatric Residential Treatment Facility program, in western North Carolina in 2006, beginning with one 9 bed cottage for adolescent females. Eliada’s PRTF program today has 39 total beds in five unique cottage programs, serves children and adolescents, in a residential campus setting. Each program is supervised by a leadership team consisting of a licensed clinician/clinical supervisor, program manager, and a case manager. All students receive individual, group and family therapy by licensed clinicians. PRTF students receive specialized and individualized education by certified teachers within the programs. Psychiatric and medical oversight is under the direction of our Medical Director/psychiatrist. A centralized RN nursing team provides 24/7 nursing oversight for the students. We provide crisis management on campus during evening and weekend hours to ensure that crisis situations are managed safely and effectively. PRTF students have access to therapeutic recreation services including team and individual sports, physical fitness activities, a therapeutic horse/animal program (TASC), a mini-bike program (NYPUM), and outdoor experiential activities.
Adolescent PRTF Programs
In our adolescent PRTF programs, treatment occurs in three 9 bed cottages with well-trained, compassionate staff who guide student behaviors through the use of logical consequences, in a setting which most closely resemble a natural home and school environment. Students entering the program are given assessments to determine their current skill levels; then begin their treatment journey which incorporates the following:
- Aggression Replacement Training (ART): ART is an evidenced based, multi-model intervention program. This training program is a cognitive based intervention designed to help children and adolescents improve social skills, management of anger, and moral reasoning. These three components are delivered within 10 weeks of intervention training that provides skill learning, practice of techniques and guided group discussions. It is a revolving program, so no matter when a student enters treatment, they will have the opportunity to complete the training at least twice.
- Participation in Therapeutic Recreation: Students participate in weekly groups with TASC and NYPUM which work directly with our students’ treatment goals to support their healing and growth, using mini-bikes and equine-assisted therapy.
- School/Educational Activities: Students attend three classes each school day which include Math, English, and therapeutic recreation; all taught by certified teachers or recreation specialists, and individualized to the students’ needs.
- Progressive Level System: Students demonstrate their treatment progress through the completion of program projects, assuming increasing cottage responsibilities, handling expanding privileges in the milieu, and culminating in a formal graduation from the program when they are ready to transition from PRTF to a less restrictive environment.
Lions PRTF is a locked and staff secure co-ed treatment facility designed to treat adolescents who have been diagnosed with a variety of mental health diagnoses, mainly diagnoses which manifest with more acute aggressive behaviors. These diagnoses include Bi-polar, Oppositional Defiant Disorder and Conduct Disorder. The model and therapeutic tasks related to the model focus on Aggression Replacement Training. It is effective with this population to reduce aggressive and antisocial behaviors as well as promote anger management and social competence.
Reynolds PRTF is a locked and staff secure treatment facility for adolescent females. The model and therapeutic tasks related to the model focus on Dialectical Behavior Therapy skills. This cottage is appropriate for girls who struggle with significant emotion regulation issues, poor distress tolerance skills and self injurious behaviors in addition to trauma. The treatment model includes:
- Dialectical Behavior Therapy (DBT): Students attend one skills education group and one skills practice/review group each week, as well as having the use of DBT skills reinforced in the milieu and in individual and group therapy.
- Stress/Anxiety Reduction: Students attend at least one group each week focused on teaching stress reduction techniques such as progressive muscle relaxation, deep breathing, and guided imagery.
Reuter PRTF is an unlocked, staff secure, co-ed facility in which the treatment model and therapeutic tasks focus on EQUIP, a program that incorporates Positive Peer Culture and components of Aggression Replacement Training. Students appropriate for this cottage tend to have less acute and impulsive behaviors than in our locked units and we provide treatment for a myriad of diagnoses. Treatment focuses on motivating and equipping youth to help one another act responsibly. Students also attend groups in moral reasoning, anger control and social skills streaming.
- Positive Peer Culture (PPC): A mutual helping program where students participate in daily goal, reflection, and peer support groups, as well as attending a mutual help group led by a clinician. Students identify their general and primary behavior problems and work on thinking errors/cognitive distortions throughout the course of treatment.
- Stress/Anxiety Reduction: Students attend at least one group weekly focused on teaching stress reduction techniques such as progressive muscle relaxation, deep breathing, and guided imagery.
Earle PRTF and Cummings PRTF
Cummings and Earle PRTFs are unlocked, staff secure treatment facilities designed for pre-adolescents, six to twelve years of age, who have been diagnosed with a variety of mental health diagnoses. Treatment occurs in 6 bed co-ed home-like cottages with well-trained, compassionate staff who guide student behaviors through the use of positive reinforcement, individualized motivators, and logical consequences, in a setting resembling a natural home and school environment. Students entering the program are introduced to the treatment approach which incorporates the following:
- Skillstreaming the Elementary School Child: A training curriculum which addresses the social skill needs of students who display aggression, immaturity, withdrawal, or other problem behaviors. Groups are conducted three times a week during the academic day and skills are categorized to meet the needs of the children. The skills are taught, rehearsed, reinforced, and practiced throughout the day, which assists the students in developing competence to deal with interpersonal conflicts and in learning to use self-control.
- School/Educational Activities: During the school days, a special education teacher focuses on academic classes, while a recreation specialist facilitates group building activities, skillstreaming groups, community activities, creative expressions through art, and physical education, all of which are individualized to the students’ needs and developmental stages.
- Participation in Therapeutic Recreation: Students participate in weekly groups with TASC and NYPUM which work directly with our students’ treatment goals to support the students’ healing and growth, using mini-bikes and equine-assisted therapy.
- Progressive Badge Advancement: Students demonstrate their treatment progress through learning and demonstrating skills associated with treatment goals, and progressing to the next level through a badge advancement process. The badges, symbolize skill mastery and are displayed in the cottage. A graduation ceremony celebrates the child’s success when they are ready to transition from PRTF to a less restrictive environment.