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Adolescent IOP/Outpatient

Teens will enter into lOP or an outpatient group based on their initial assessment. Teens are evaluated with a primary caregiver present to engage the family in the patients’ treatment and assist in collecting important information.

Length and Style of Treatment

  • Adolescent outpatient programs are typically based on an 8 week module. Each week, the group will go over a new skill and stay with that skills for one week.  Monday will be psycho-ed/ introduction to the skill and then the rest of the week will reinforcement and process the new skills, tracking the teens use of each skill during the week.
  • When the teens have completed a minimum of 8 weeks and passed any substance use tests, they may petition to step down (completing the form with the skills used) and discuss what they’ve learned in group.

Curriculum Skills

  • Problem solving
  • Stages of change
  • CBT: Relapse prevention and the ABCs of behavior
  • Self-care- Positive psych
  • Triggers
  • Stress management
  • Coping skills
  • Psycho-education on substances
  • Self-awareness
  • Goal planning
  • Impulse control
  • Anger management
  • Family systems
  • Emotional regulation- “riding the wave” (DBT skills)
  • Motivational skill building
  • Interpersonal relationships
  • Communications styles
  • CBT- managing dysfunctional/ irrational thoughts
  • Distress tolerance (DBT)

Problem Solving and Impulse Control skills for Substance Abuse for those with ADHD and lCD

  • This is an integration of cognitive-behavioral therapy, Dialectical behavioral therapy, and family therapy. It is based on evidence-based practices that have proven effective working with adolescents with lCD and ADHD showing positive long-term lifestyle changes for participants
  • Length and Style of Treatment
    • 12-week program that includes weekly individual sessions and at least 3 family sessions
    • It can be done at the OP level of care

Problem Solving and Impulse Control skills for Substance Abuse for those with ADHD and lCD is…

  • Integrative Treatment: provides an integrative treatment for co-occurring  ADHD and substance use disorders.
  • Strength based: based on clinically relevant treatment approaches for those dealing with impulse control issues,delayed gratification and difficulties with attention and focus.
  • Psychoeducation: provides both the adolescent and family education of the origins of ADHD, the neurobiology behind it and evidenced based interventions to manage behavioral symptoms of ADHD, such as substance use, legal issues and school related issues
  • Cognitive-based: It helps identify thoughts, beliefs, and assumptions that have permeated the individuals  life, the “ANTS’ that are often pervasive for those who have ADHD: “I am so stupid.” “no matter  how hard I try, I always disappoint people”””. CBT teaches one to examine in the accuracy of the thoughts  and beliefs that underlie their negative feelings and to challenge and change those thoughts beliefs when they are inaccurate.
  • Focus on the present and future:  It focuses on the “here and now”. It does not dwell on the past or the distant causes of a problem, but instead focuses on what is happening now, guided by the goals or changes the individual  would like to make for the future.
  • Carried into your home life:  This program asks the adolescents to complete homework assignments and to assess their  symptoms weekly through a diary card tracking their impulsive  behaviors. The individual therapist helps the person to learn, apply and master the skills while the individual  practices the skills in their personal life.
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