THE NEED FOR MORE FOSTER HOMES IS GREATER THAN EVER. OUR OFFICE IS OPEN.
Our specialty programs are as follows:
(Sexual-Abuse Treatment/Offender Program - youth that have problematic sexual behaviors)
The STOP (Sexual abuse Treatment & Offender Program) program through Community Care Programs, Inc. was developed in 1998. The STOP program provides consumers with evidence-based targeted treatment that promotes positive outcomes and focuses on risk factor reduction so that sexual recidivism is prevented. As with all of our specialized programs at CCP, the STOP program treatment providers use a trauma-informed, holistic approach to treatment. The STOP program combines cognitive behavioral therapy, motivational interviewing, TF-CBT, DBT and various other evidence-based models to meet the individual needs of consumers. This program is not a ??one size fits all? program. This weekly program includes individual, group, and family therapy with a strong emphasis on psycho-education for consumers, their family, and other treatment team members.
It is highly recommended that youth being referred for the STOP program receive a thorough Psychosexual Assessment prior to treatment so that treatment providers have a baseline understanding of the youth??s strengths and needs with regard to risk and treatment planning. CCP offers Psychosexual Assessments as a stand-alone service. The STOP program treatment providers are highly experienced clinicians who stay current with regard to research and practice with youth that have problematic sexual behaviors.
What's involved with STOP? Please see our Program Components.
The following components are included in STOP programming:
Consumers participate in weekly, hour-long sessions with a licensed psychotherapist addressing the above components of the program. Programming can be tailored to the individual??s age, gender, and/or cognitive ability. The individual components of the STOP program often take 9 months to 1 year to complete. Length of treatment varies significantly based on the youth??s age, developmental level, cognitive functioning, trauma history and motivation to complete treatment.
Consumers participate in weekly, 60-90 minute group sessions with other clients in the STOP program. The group focuses on:
This component of the STOP program is geared towards families in which sibling sexual abuse has occurred. The youth??s individual therapist coordinates co-therapy sessions with the victim??s individual therapist with the goal of promoting and practicing healthy and safe sibling relationships. The primary purpose of the sibling reparative therapy component is to assist the victim in his/her ??healing process?. This treatment component also provides the family with guidance regarding safety and supervision planning. The sibling reparative therapy piece is often utilized during the family reunification process after a youth with problematic behavior has been placed outside of the home where the victim(s) resides.
Active parent participation is strongly encouraged in the STOP program. The youth??s individual therapist incorporates family psychoeducation at a frequency determined by the youth??s individual treatment plan. This component focuses on educating parents on issues such as supervision and safety planning, healthy technology/media use, recognizing their child??s grooming behaviors, and understanding their child??s cycle of abuse.
Trauma-Focused Cognitive Behavior Therapy (TF-CBT) is an evidence-based treatment modality that facilitates healing from traumatic experiences. This treatment program offers modules that teach coping skills and provide desensitization for intrusive and disruptive emotions. TF-CBT respects the individuality of the consumer and their unique personal stories and needs. This therapy can be used with all ages and populations. The length of treatment is typically 6-9 months from start to completion.
TF-CBT treats the youth and the caregiving system supporting the youth. This might include biological parents, foster parents and county partners. The treatment starts with psychoeducation on how the emotional brain reacts to toxic stress. We encourage extensive discussion and interaction around how the problem-solving brain (prefrontal cortex) helps to manage toxic stress and re-regulate the emotional brain. Reactions of flight, fight and freeze are normalized as natural reactions of the emotional brain under perceived threat.
Caregivers and youth are taught coping skills to manage the emotional distress from traumatic memories, intrusive thoughts and neuro-emotional hypervigilance. These coping strategies may include breath-based meditation, noticing and naming bodily signs of distress, and helping widen their feelings vocabulary. Therapists teach and coach cognitive strategies including, Errors in Thinking and the causal relationship between sensations, feelings, thoughts, and actions.
The eight components of TF-CBT treatment, which can be referenced via the acronym ??PRACTICE?.
Trauma-Focused Cognitive Behavior Therapy< (TF-CBT) has been shown to be an effective treatment for Post Traumatic Stress Disorder (PTSD) and Childhood Traumatic Grief (CTG) in youth and adults. When the traumas are chronic and began in early development, it is often the only treatment that helps youth heal. Complex developmental trauma affects a youth??s brain by interfering with working memory, reasoning and planning skills. The coping strategies that TF-CBT teaches help to improve executive functions and memory abilities.
TF-CBT can also be used to address Childhood Traumatic Grief (CTG). In CTG, the clinician provides developmentally and culturally appropriate education to the grieving youth and his/her caregivers about death. The therapist inquires about their beliefs regarding death and afterlife. Therapy includes naming inside feelings, observing how inside feelings show on the outside, reviewing positive and negative experiences with the deceased and completing a goodbye. There are exercises devoted to preserving positive memories of the deceased and acceptance of the idea that people may differ in their feelings towards the deceased.
Family Reunification Therapy (transitioning kids from out of home care back to birth homes or to adoptive homes)
In keeping with our belief that every youth deserves permanence, we provide our county partners with a comprehensive and impartial assessment of a family??s strengths and needs. Through collaborative interviews and focused testing, our experienced clinicians identify the interventions and services necessary for successful family reunification. When court testimony is required, we are available to explain our recommendations to judges, juries and attorneys.
Generally, DBT has two main components:
Individual weekly therapy sessions emphasize problem-solving behavior for the past week??s issues and troubles that arose in the person??s life. Self-injurious and suicidal behaviors take first priority, followed by behaviors that may interfere with the therapy process. Quality of life issues and working toward improving life, in general, may also be discussed. Individual sessions in DBT also focus on decreasing and dealing with post-traumatic stress responses (from previous trauma in the person??s life) and helping enhance his or her own self-respect and self-image.
Weekly group therapy sessions generally last 60 minutes and are led by a trained DBT therapist. They focus on learning skills from one of five different modules:
Core mindfulness helps to be in control of your mind rather than letting your mind be in control of you. This section focuses on:
Distress tolerance teaches pain is a part of life and can??t always be avoided; if you can??t cope with painful feelings, it may lead to impulsive behaviors and acting impulsively can lead to hurting yourself or someone else. Participants will learn:
Walking the middle path assists in thinking and acting dialectically. In other words, walking the middle path teaches that there is more than one way to see a situation and more than one way to solve a problem. All people have unique qualities and different points of view and two things that are opposites can be true while honoring the truth of both sides of a conflict. Participants will learn:
Emotional regulation assists in taking control of emotions rather than allowing emotions to take control of you. Participants will learn:
Interpersonal effectiveness assists in keeping and maintaining healthy relationships, asserting oneself, and maintaining self-respect.
Cheryl Hunt is a masters level occupational therapist who travels to the home to provide direct OT services and to teach treatment interventions to the parents.
“CPP is an evidence-based treatment for children 0-7 years of age with histories of acute or chronic/developmental trauma. The intervention focuses on naming the traumas and healing the child’s emotional dysregulation by strengthening safety within the child-caregiver relationship. In contrast to standard play therapy, where healing is expected to happen in the relationship between the child and the therapist, CPP believes that the child’s best chance at healing is within a safe and protected relationship with their caregiver. After all, play therapy happens only 1 hour per week, whereas the child/caregiver relationship is active 24/7. Toys and play are the language of childhood and allow the therapist to intentionally play out the traumas rather than waiting for them to spontaneously appear. Special attention is paid to the caregiver’s own history of traumatic stress with interventions designed to help strengthen their grown-up coping skills.”