Latest / Connect Call / EP13 – Family Involvement in Adolescent Treatment: Keys to Success with John and Dr. Kathryn

Transcript

EP13 – Family Involvement in Adolescent Treatment: Keys to Success with John and Dr. Kathryn · Connect Call

0:00
[SPEAKER_03]: Hi, you've reached the voicemail of Hanna Brett with Connect Call, just leave a message and I'll get back to you soon as I can.
0:06
[SPEAKER_03]: Thanks.
0:07
[SPEAKER_03]: One for more options.
0:09
[SPEAKER_02]: Hi, Hannah.
0:11
[SPEAKER_02]: We'd definitely spoken before about my daughter.
0:13
[SPEAKER_02]: She's about 15 years old.
0:16
[SPEAKER_02]: You gave great information and recommendations in the past, although unfortunately I didn't write anything at the down, I was dead set on doing local providers and working their first.
0:28
[SPEAKER_02]: We have met now with the therapist.
0:30
[SPEAKER_02]: We have tried local,
0:32
[SPEAKER_02]: DVT skills group with other kids who are age, we've tried IOP and PHP the day treatment and I think it's time now we're looking at residential treatment And it's a bit overwhelming.
0:43
[SPEAKER_02]: There's a lot out there.
0:45
[SPEAKER_02]: I I really just if you could call me back and let me know maybe some good questions to ask what should I be looking for I would really really appreciate it.
0:55
[SPEAKER_02]: Thank you so much
0:59
[SPEAKER_03]: Hi, this is Hannah Brett for another episode of Connect Call, where I often say I do not have a clinical background, but I do have a PhD for picking up the phone for families and crisis.
1:11
[SPEAKER_03]: I know, Katie, that was I warned them that it was going to be a cheesy tagline and they went with it.
1:16
[SPEAKER_03]: It's great.
1:17
[SPEAKER_03]: It's very lucky.
1:18
[SPEAKER_03]: Today's episode, which is near and dear to my heart is because I've talked about this before.
1:23
[SPEAKER_03]: The majority of my career, my passion has been helping young adults and adolescents, and finding really good treatment for adolescents.
1:31
[SPEAKER_03]: And I've mentioned your amazing program many times before, Vision's Treatment Center in California, which in my opinion, by the way, before I introduce my guests,
1:41
[SPEAKER_03]: A vision's to me is the epicenter and the OG of true, amazing clinical, residential treatment for adolescents and still to this day, you guys are doing the good work.
1:52
[SPEAKER_03]: So today my guests are John Lieberman, who is the CEO.
1:56
[SPEAKER_03]: of vision's treatment and also arrow house, which is another program they have in Orange County.
2:02
[SPEAKER_03]: John is a nationally recognized expert in the adolescent treatment, intervention and family dynamics world.
2:08
[SPEAKER_03]: He has traveled internationally evaluating adolescent treatment centers and presented numerous addiction and mental health industry conferences.
2:16
[SPEAKER_03]: And then we also have Dr. Katie Held,
2:20
[SPEAKER_03]: who is the chief clinical officer for visions.
2:23
[SPEAKER_03]: Dr. Held is a licensed psychologist, serves also as majorly as an OCD Specialist at Vision's Adolescent Treatment Centers and bringing over a decade of experience in the mental health field.
2:35
[SPEAKER_03]: Dr. Held focuses on treating disorders, with anxiety spectrum, particularly within the intercontained family systems.
2:42
[SPEAKER_03]: In addition, Catherine is both adept and passionate at working with the LGBTQIA community.
2:50
[SPEAKER_03]: So, well, first I just was just saying I want to wish you guys both a happy birthday John celebrated on Friday, Katie celebrated on Saturday, and another year, right, and happy happy birthday.
3:03
[SPEAKER_03]: And thank you again for being on this episode.
3:05
[SPEAKER_03]: It's, you know, like I say on all my episodes, it was really important for me not only over the years to connect with the best, but collect the best.
3:14
[SPEAKER_03]: And then the point of this episode really was was that each episode would be a tangible resource for people.
3:21
[SPEAKER_03]: And, you know, I want families, and I know there's a ton of them out there that are looking for good residential treatment for 12 to 17 year olds, but you could also turn 18 at visions that they would find this good treatment.
3:34
[SPEAKER_03]: So, John, I'm going to start with you.
3:38
[SPEAKER_03]: What does like excellent adolescent residential treatment actually like like if if you walked into a high quality program, what would you see here and feel at visions?
3:51
[SPEAKER_00]: Well,
3:52
[SPEAKER_00]: Yes, I mean, the question is great.
3:54
[SPEAKER_00]: Thanks.
3:55
[SPEAKER_00]: And no pressure.
3:56
[SPEAKER_00]: You know, it's fine.
3:58
[SPEAKER_00]: I think that I also have organizational psychology background.
4:02
[SPEAKER_00]: And one of the reasons I did that is I think that there are great clinicians within a lot of different programs.
4:07
[SPEAKER_00]: Programs are not always designed to specifically support that.
4:11
[SPEAKER_00]: and that's kind of where I come from.
4:13
[SPEAKER_00]: That's a lot of my framework is how do we support the clinicians to do the best work they can from what you from your questions.
4:20
[SPEAKER_00]: What is a quality program look like is how are the like what's the longevity of the staff?
4:26
[SPEAKER_00]: what's the continuity as far as do they have different areas of expertise and also do they have backup here's what I mean by that so for instance one of her areas of specialty is OCD and anxiety disorders right by she didn't mention that she also has sort of had an addiction treatment as well which a lot of psychologists aren't but I didn't mention that it was probably in her
4:52
[SPEAKER_00]: But I know, and I think that from my point of view, it's really important to have people at the top who understand what you're doing.
4:58
[SPEAKER_00]: And substance abuse is beside line very easily, right?
5:03
[SPEAKER_00]: It just can be, and it becomes a primary issue when people are being need help, especially without a lesson.
5:09
[SPEAKER_00]: Because it's just going to create a whole other facet of treatment requirements, complications, fears for parents, and the programming.
5:16
[SPEAKER_00]: So it's their different programming.
5:19
[SPEAKER_00]: specifically for the needs of each client.
5:22
[SPEAKER_00]: So for instance, one of the things that Katie does is address and work with clients individually, say, who are identified with anxiety disorder and OCD.
5:32
[SPEAKER_00]: We have another therapist who's an expert right now.
5:34
[SPEAKER_00]: Both Katie and end-tory are very busy.
5:38
[SPEAKER_00]: Like seeing these families, seeing the clients, and the reason I bring that up is you could have a therapist say who has a background or is an expertise with OCD and they're say they have a case load of fork so another thing is small case loads.
5:52
[SPEAKER_00]: Yes.
5:52
[SPEAKER_00]: Our therapists have about four on their case load.
5:55
[SPEAKER_00]: They also have an individual therapist, so that allows the adolescent, the client to have somebody that they can go to, who's not about to talk to their parents, who can focus on, say what's going on.
6:07
[SPEAKER_00]: They're the milieu, milieu meeting in the community.
6:10
[SPEAKER_00]: Maybe how a family session felt when there may be challenged as to what they are going to do in therapy.
6:16
[SPEAKER_00]: They have somebody who's just in their corner, and that's the goal.
6:20
[SPEAKER_00]: But the other piece is that
6:23
[SPEAKER_00]: That therapist is going to be dealing with therefore client.
6:26
[SPEAKER_00]: What if there's another client that has an anxiety sort of that needs additional support?
6:32
[SPEAKER_00]: So what we designed at visions over time is what we call our specialty clinic, or I call it our bench.
6:37
[SPEAKER_00]: So I can basketball or football, sport from a sports point of view, how deep is our bench?
6:43
[SPEAKER_00]: You know, and so we have experts in OCD, dialectic behavioral therapy, eating disorders, trauma, LGBTQ plus support.
6:52
[SPEAKER_00]: So, and they're waiting basically.
6:55
[SPEAKER_00]: So when somebody has a need, we say, we need to add this person in, two psychologists to do testing.
7:01
[SPEAKER_00]: So I think that's a big piece when it comes to being a good program.
7:05
[SPEAKER_00]: And probably one of the other parts is not having a defined time limit for treatment.
7:12
[SPEAKER_00]: There could be not having a specific time limit that just says this is how long things are going to be because there's no way to know that now look if you're in it if there's a program and you were looking for a certain result There are program third design that way there's no longer going to be there this is what we're going to do and then we're going to be figuring out how you go on to the next step.
7:29
[SPEAKER_03]: All right.
7:30
[SPEAKER_00]: But with revisions or arrow hosts for that matter, we think that because we're a systemic model programs, systemic meaning family family family family family, family should be involved, family should be integrated into this sport and we should have clinicians who know how to do family therapy.
7:48
[SPEAKER_00]: That makes a difference.
7:49
[SPEAKER_00]: Longjewity makes a difference.
7:51
[SPEAKER_00]: How long staff has been there, makes a difference.
7:54
[SPEAKER_00]: Of course, we look at, you know, are they certified licensed,
7:59
[SPEAKER_00]: You look, anybody can get credentialed, you can get credentials for programs, right?
8:06
[SPEAKER_00]: But that doesn't necessarily mean that it's unique, that the program can uniquely identify and treat the areas that your child needs.
8:15
[SPEAKER_03]: And can I just interject because a couple things that you know spoke always volumes to me about looking for treatment programs and by the way, just to mention visions yes they can work with a child with substance use disorder, but they also can work with a kid who solely just is is dealing with their mental health the other reason why I've always been like love visions is how small your milio is how many how many beds do you have at visions currently.
8:39
[SPEAKER_00]: Well, it visions currently what we have resident embed right now.
8:42
[SPEAKER_00]: So 10 beds residents will ferment primary mental health.
8:45
[SPEAKER_00]: Okay.
8:46
[SPEAKER_00]: Six beds primary for dual diagnosis and that can switch.
8:50
[SPEAKER_00]: It just happens.
8:51
[SPEAKER_00]: We have mental health.
8:53
[SPEAKER_00]: Still a very, very small milio in the very small and then we have another six beds for extended care, which could be another three months into a year.
9:02
[SPEAKER_00]: But right now.
9:03
[SPEAKER_00]: all small programs.
9:05
[SPEAKER_00]: I think that makes a big difference.
9:06
[SPEAKER_00]: Huge.
9:07
[SPEAKER_00]: We would say we don't want kids to fall through the cracks.
9:10
[SPEAKER_00]: So if the program's small enough, there are no cracks.
9:13
[SPEAKER_00]: That's.
9:14
[SPEAKER_01]: And the staff to client ratio, you know, that I think is very unique, right?
9:21
[SPEAKER_01]: Like it's like three staff to one kid, especially during the day.
9:25
[SPEAKER_01]: So it's like we have a small milieu.
9:27
[SPEAKER_01]: And so on and out of so heavily.
9:30
[SPEAKER_03]: Right.
9:31
[SPEAKER_03]: And I need to stress this, you know, and we're going to go on to the next question.
9:34
[SPEAKER_03]: And these, these, your answers were great.
9:37
[SPEAKER_03]: John, you know, I think, you know, like anything else, and again, and more in every episode, and we're going to talk about this with Katie's next question is kind of like, what did the things to look for and what are the things to avoid?
9:50
[SPEAKER_03]: You know, there was a period of time where there was this kind of ramp up that everybody was trying to do adolescent treatment.
9:58
[SPEAKER_03]: you know, and big facilities over a hundred, two hundred beds.
10:03
[SPEAKER_03]: And we were just seeing a lot of kids falling through the cracks.
10:06
[SPEAKER_03]: Yes, insurance may take it, but you know, these kids were not being individually treated.
10:12
[SPEAKER_03]: And you know, something I talk about on every episode is that treatment kind of got that 30-day model piece from the military, you know, because that was like their break.
10:21
[SPEAKER_03]: But there was no documentation that said 30 days was it, especially when we're talking about
10:25
[SPEAKER_03]: anybody really, but without a lesson, you know, it's for every individual going into treatment and for every family going into treatment to be with, you know, to do the work, you know, it's going to take what it's going to take, you know, like my mom said when I went to treatment the second time, you know, and I said, well, I'm going to be out in 30 days and she goes, how long's the piece of string, you know, and I was like, oh,
10:47
[SPEAKER_03]: That's don't like that answer, but it's true like everybody, it's going to take what it's going to take and and ideally I'd love for these adolescents to be able to fit it in their summer breaks, but you know, it is going to take what it's going to take and I guess with the next question, I'm going to look to you, Katie, something that I saw that was really frustrating the Derek daily and I spoke about recently, you know, with wilderness treatment is.
11:09
[SPEAKER_03]: Rightfully so, Paris Health and then others have had dot experiences with what was called treatment back in the days.
11:17
[SPEAKER_03]: To me, there's a big difference.
11:19
[SPEAKER_03]: There's the trouble team industry where you will see these words, trouble team and behavioral modification when you're looking at programs.
11:27
[SPEAKER_03]: And it's still alive and well.
11:29
[SPEAKER_03]: I mean, I was given three programs the other day by a family where their church congregation had recommended that these programs.
11:36
[SPEAKER_03]: On the guys of Christ
11:39
[SPEAKER_03]: Again, nothing against faith-based treatment, but all I saw was trouble teen and behavioral modification, and they were calling that adolescent residential treatment.
11:48
[SPEAKER_03]: And so I guess, and it was alarming, because that's, that's, in my opinion, we're a lot of the bad things can happen, and, and, and,
11:57
[SPEAKER_03]: You know, none of my teens or kids that I put into treatment, I looked at as troubled, none of them are troubled, they just need help with their mental health and with their substance use disorder and their family needs help, no one's a troubled anything, you know, so I guess what would be the biggest green flags you would see in like high quality residential program and then we're going to go into like what are some red flags that you would see the way.
12:25
[SPEAKER_01]: Sure.
12:25
[SPEAKER_01]: Yeah.
12:26
[SPEAKER_01]: I mean, I agree with everything you said.
12:28
[SPEAKER_01]: I think like the Paris Hilton thing like exposing that.
12:32
[SPEAKER_01]: I mean, it's great to express that.
12:34
[SPEAKER_01]: I mean, that was extremely traumatic.
12:37
[SPEAKER_01]: What happened to her.
12:38
[SPEAKER_01]: And then I think the
12:40
[SPEAKER_01]: The positives of exposing that, but then there's such negatives because then I think it just cast this net over all the really helpful therapeutic places and so I love that just like distinguishing that is super important because that was clearly not therapeutic I think green flags to me I just want to interject and say one thing it's a nice one family say this stuff to me I'm like kind of like Bernie made off right.
13:10
[SPEAKER_03]: He was, there's some bad apples in financial investment.
13:12
[SPEAKER_03]: 100%, but that doesn't mean you then, like, rule out all the financial planners out there that are doing the good work for you.
13:19
[SPEAKER_03]: You know, 100% bad apples and everything.
13:23
[SPEAKER_03]: Yes.
13:24
[SPEAKER_01]: Yes.
13:25
[SPEAKER_01]: Which goes into my point is like, I think the biggest green flag are the people.
13:30
[SPEAKER_01]: So it's like, you know, meet the people, like, speak to, one thing I love about visions is, you know, when families call us, the people who speak to the families are John, myself, Chris, the founder, you know, it's like not just admissions that's talking to them.
13:53
[SPEAKER_01]: It's leadership.
13:54
[SPEAKER_01]: It's the people who are on the floor.
13:56
[SPEAKER_01]: Like Chris is on the floor with the kids.
13:59
[SPEAKER_01]: John's on the floor with the kids.
14:00
[SPEAKER_01]: I'm on the floor with the kids.
14:01
[SPEAKER_01]: So it's like the people are the green flags.
14:04
[SPEAKER_01]: The people are what is going to make a break the program.
14:08
[SPEAKER_03]: And I didn't say this before the founders of visions are Chris Schumel and Amanda Schumel both have done again pioneered in this amazing like amazing work, so, but yes, I think the people it's so important I remember I was talking to a family who was looking at a treatment program and when I went on their page, he were the red flags for me right or things to avoid and we can talk about what you think one is when we talk we got to the about page the staff page.
14:36
[SPEAKER_03]: There was no staff.
14:38
[SPEAKER_03]: There was no bows.
14:40
[SPEAKER_03]: There was no pictures.
14:41
[SPEAKER_03]: There was just all the stock footage.
14:43
[SPEAKER_03]: And I was like who are the people?
14:45
[SPEAKER_03]: Because we refer to people, not programs, right?
14:48
[SPEAKER_03]: We refer to people who are licensed, who are credentialed, who, you know, like have bios like you guys, you know what I mean?
14:55
[SPEAKER_03]: Like then you know the networks being done.
14:58
[SPEAKER_03]: So what are some like red flags you're going to see that you should have from.
15:05
[SPEAKER_01]: I said that you should run run the other direction run I think that that treatment centers who say and this goes for therapists for me too.
15:14
[SPEAKER_01]: This is such a red flag when a therapist has I treat like and there's everything listed right it's like how can how can you specialise in everything right.
15:25
[SPEAKER_01]: or, you know, treatment centers who are just like, yeah, we treat every single thing.
15:30
[SPEAKER_01]: We have all the buzzwords listed to me, like what it's not about the buzzwords.
15:35
[SPEAKER_01]: Yes.
15:36
[SPEAKER_01]: Sure.
15:36
[SPEAKER_01]: We can do EMDR.
15:37
[SPEAKER_01]: We can do ERP.
15:40
[SPEAKER_01]: We can do
15:41
[SPEAKER_01]: all the things, but that's not what is going to really like drive treatment for an adolescent to me.
15:49
[SPEAKER_01]: It's a kid.
15:50
[SPEAKER_01]: It's going to come in.
15:51
[SPEAKER_01]: It's going to have a stable and consistent relationship with a therapist.
15:56
[SPEAKER_01]: Yes, they're going to get their individualized treatment.
15:58
[SPEAKER_01]: They're going to get what they need.
15:59
[SPEAKER_01]: But they're going to do
16:01
[SPEAKER_01]: the family dynamics work, right?
16:04
[SPEAKER_01]: So if you call if you're a parent and you call and the treatment centers trying to sell you all these buzzwords, like, to me that's just like, it's a distraction and I think that like anyone can say that, right?
16:17
[SPEAKER_01]: And it gives you the answer to this.
16:19
[SPEAKER_01]: That's not this.
16:20
[SPEAKER_03]: yeah right like my red flag for treatment centers when a parent says hey listen they're on school break from you know this private school for like another three weeks can they come in yes you know can you guys fit it into this family break yes you know can you guarantee my son will be return yes you know what I mean and that's honey is that those are red flags you know again
16:45
[SPEAKER_03]: No, it's like we don't want to be difficult, but we also want to be like there are no like I mean I remember at one of the problems I worked with with which were more young adults so we're looking at 18 plus so many parents were like can you make sure that they're going to be able to go for second semester of brown like can we put it on the dotted line for medical leave and we were like no we can't do that because we don't know how to work it and you guys are going to show up.
17:12
[SPEAKER_01]: Yeah, and I think that's the piece too that you bring up is like is the is the family going to show up and and is the program going to mandate that the family shows up right because the kids aren't going to return to
17:28
[SPEAKER_01]: facilities that kids are going to return to families.
17:31
[SPEAKER_01]: And so programs that don't require family work.
17:36
[SPEAKER_01]: And we got a lot of kids who come to visions from prior residential treatment centers who have done no family work and have made no progress.
17:44
[SPEAKER_01]: They come to us.
17:45
[SPEAKER_01]: We are biggest rule out is family involvement.
17:49
[SPEAKER_01]: And so I really am suspicious of programs for an adolescent.
17:55
[SPEAKER_01]: knowing that knowing that it is so dependent on family dynamics, that this kid is going to go back to the system and you're not going to require that you're just going to send the kid away fix this kid and put him right back in the same system.
18:10
[SPEAKER_03]: And stress, I mean, I think I see that the family is when I was doing marketing and still I am when I talk to families about no matter what age that you think you're just doing your due diligence.
18:20
[SPEAKER_03]: You're going to pay the bill, use the insurance, drop them off and they're going to be fixed without you having to do any work.
18:27
[SPEAKER_03]: And yes, quickly, I just want to say this, I use this as story, or as an example, like one of my really good friends her daughter has been struggling with anxiety ever since she was a very, very little.
18:38
[SPEAKER_03]: And they had tried everything.
18:40
[SPEAKER_03]: And finally, they were in Connecticut and Yale was doing, you know, they were doing a case study or something with really small kids in anxiety.
18:48
[SPEAKER_03]: So when her and her husband and her daughter came to this, you know, interview period, you know, the doctors or whoever at Yale said, no, you know, thank you for the information we need this, but really the study that we're gonna be doing is for you guys.
19:03
[SPEAKER_03]: It's with the parents.
19:03
[SPEAKER_03]: It's not with the child.
19:07
[SPEAKER_03]: Listen, we can show kids all day long what they need to do, but unless there's changes at home, you know, if your child is anxious and doesn't know how to walk down the hall at night from their bedroom to the bathroom, it's great if we show them some skills, but it's even better if you know how to react to that, you know, because even as an adult when I would struggle with anxiety, my mom'd be like, there's nothing to be anxious about.
19:31
[SPEAKER_03]: I'm like, well, that's really
19:32
[SPEAKER_03]: really purple.
19:33
[SPEAKER_01]: Thanks.
19:34
[SPEAKER_03]: That was really helpful.
19:36
[SPEAKER_01]: Yeah.
19:37
[SPEAKER_03]: And they're not their fault, but like part of like what work you guys are doing at visions is really working with the family finding out kind of the ins and outs of you know.
19:48
[SPEAKER_03]: how why a child is showing up like this but also like how everyone can work together and work differently so that when you know it's it's again it's like when I have kids go to treatment and they're like you know can you just take away the house from no we can't they're going to call we're going to show you how to message differently you know you're going to need to do some work 100%.
20:12
[SPEAKER_03]: So John
20:14
[SPEAKER_03]: I'm going to go with you for the next question.
20:15
[SPEAKER_03]: What are some, when we're talking about a residential treatment program and we're treating the underlying issues, how do you, how do you know if a residential treatment program is really treating those underlying issues rather just than the symptoms, right?
20:31
[SPEAKER_03]: And maybe explain like the symptoms are like, for instance, for me, a child who is self-medicating, right?
20:37
[SPEAKER_03]: Would self harm using, you know,
20:41
[SPEAKER_03]: abusing their vape, abusing alcohol, all that kind of stuff.
20:44
[SPEAKER_03]: That's a symptom of an underlying mental health situation that isn't being treated, right?
20:50
[SPEAKER_03]: So how do you know, residential treatment program is really doing that good work for underlying issues?
20:59
[SPEAKER_03]: Like for instance, you know, if you have a kid like I just said the substance abuse, but they're being treated really for their anxiety, their depression trauma, ADHD, you name it.
21:07
[SPEAKER_03]: How are, how's a, how is a treatment program really treating that dual diagnosis well?
21:13
[SPEAKER_00]: Well, you should have a integrated multiple, multiple disciplinary treatment team, you know, to make sure.
21:20
[SPEAKER_00]: And I think having a team that there is clinical supervision to support that.
21:25
[SPEAKER_03]: Yes.
21:26
[SPEAKER_00]: So that, so for instance, part of what we do is bring up every case every week.
21:30
[SPEAKER_00]: in a large team and then everybody's getting supervision gets to do that a second time during the week and they can bring cases to a clinical psychologist that's Adam to discuss what they're dealing with and Adam's always available for all the clinicians to discuss any cases so in mind and kidney as well.
21:47
[SPEAKER_00]: So that's part they need to support.
21:49
[SPEAKER_00]: The complexities around symptoms and diagnosis are really are important so that when we're talking about
22:00
[SPEAKER_00]: We're addressing it in a way that is integrated, say, with the attention deficit, with the anxiety disorder, with, say, the spectrum response that that child is having so that we are coming to the table, we call it meeting the child where they're at.
22:17
[SPEAKER_00]: Or, and sometimes meeting them where we'd like them to be a little bit forward and helping them move forward and understanding maybe what happened at home.
22:26
[SPEAKER_00]: Part of our team are psychologists that do testing and evaluation to help us better to define a roadmap for the kit.
22:35
[SPEAKER_00]: for the family and and and and it makes it different for the team I think to have confidence because like Katie said earlier you can't be you can't do everything I think you know goes back to a long time ago when you and I had a discussion you were working with a family who had been you know from the parkline shooting in Florida and yes there was trauma with this family and with this individual
23:00
[SPEAKER_00]: But as we did history, there were things that this child was dealing with before that, right?
23:05
[SPEAKER_00]: That affected how they were impacted by the violence, you know, right?
23:12
[SPEAKER_00]: And by the horror of what happened there.
23:14
[SPEAKER_00]: And that made a difference.
23:15
[SPEAKER_00]: That makes a difference in the long-term treatment and success for those kids in understanding that.
23:22
[SPEAKER_00]: And I think this is, sorry, continuing jam.
23:25
[SPEAKER_00]: I think that when it comes to things like attention deficit and anxiety, it's also important from the assessment side of things.
23:33
[SPEAKER_00]: the interventions and treatment are different for anxiety than it is for attention deficit.
23:38
[SPEAKER_00]: The medication interventions are different and that's where having, you know, you could because sometimes you're just frustrating that poor kid if you're not, if you're missing that.
23:47
[SPEAKER_00]: And we pivot during treatment, but that's for parents to know, too, that in form parents,
23:52
[SPEAKER_00]: as to what we're doing and form the treatment team keep asking questions so that we're looking at how are the symptoms changing throughout treatment.
24:00
[SPEAKER_00]: The tendency we play, we hear about it treatment, you kind of whack them all as you deal with one thing something else might come up.
24:07
[SPEAKER_00]: That doesn't mean that that negative treatment, it just means we're learning more about that child.
24:14
[SPEAKER_03]: And when we say whack a mole also I use that analogy to it's kind of like, you know, when I went into treatment and you took away my drugs and alcohol, then for me it was I had a love addiction with everybody in treatment, you know, and I mean it was like certain or exercise like other things came up for me to try and self medicate.
24:32
[SPEAKER_03]: I also really want to stress in a lot of what you know you guys have been saying is just like this is why I can't say enough how important it is especially with adolescents that you're going to a facility where all the staff are like credentialed and have mastered level mastered level licensing licensure.
24:53
[SPEAKER_03]: I mean and what I mean by that is LCSW using PhDs and
24:57
[SPEAKER_03]: You know, MDs and all of the rest because I have to tell you even recently when I'm talking to you about this this I had a dad who's you know, is that
25:05
[SPEAKER_03]: the profile of his son was a very alarming.
25:08
[SPEAKER_03]: And it was actually more extreme than most cases.
25:11
[SPEAKER_03]: I would be putting into an adolescent residential setting.
25:14
[SPEAKER_03]: And he was looking at these trouble team behavioral modification programs where they were kind of kind of to beat the sobriety into this kid or kind of mentally beat the good kid and not be troubled.
25:29
[SPEAKER_03]: And there was no license professionals to do the clinical work.
25:33
[SPEAKER_03]: And at the end of the day, you know, and I'm dealing with a kid with really severe major clinical stuff going up, you know, being at the core of what is going on, his mental health was really deteriorating and just sending to a program and again, nothing against faith based and a lot of these programs, but unless you have that master level clinicians working with your child, you're in my opinion, flushing money down the toilet, you know, an amen.
26:00
[SPEAKER_03]: That's a big statement.
26:01
[SPEAKER_03]: I just made the, I've made it so there you go.
26:07
[SPEAKER_03]: Katie, like, yes, going back to families, what role should parents and families play during residential treatment and what should they be ready for?
26:16
[SPEAKER_01]: So it's a good question.
26:17
[SPEAKER_01]: I mean, I think that the most successful outcomes I've seen my families are parents who are like
26:27
[SPEAKER_01]: for so many reasons.
26:28
[SPEAKER_01]: And one of the reasons I think is like the modeling for kids is like, hey, I'm I'm doing work as well.
26:36
[SPEAKER_01]: And so when the kids like I don't want to do therapy, it's like, well, I'm I'm doing this.
26:42
[SPEAKER_01]: You can
26:42
[SPEAKER_01]: can see you doing the work, right?
26:44
[SPEAKER_01]: And I think it's not always like, oh, the parent is bad.
26:49
[SPEAKER_01]: The parent is wrong.
26:50
[SPEAKER_01]: So they need therapy.
26:51
[SPEAKER_01]: It's like, hey, I'm going to model for you what it looks like to care of myself, to get better, to practice skills.
26:57
[SPEAKER_01]: to show you what it's gonna look like for our family to heal together.
27:01
[SPEAKER_01]: So part of it I think is the modeling.
27:03
[SPEAKER_01]: And part of it I think is like what I named before, right?
27:06
[SPEAKER_01]: Is that like, it's the entire system.
27:08
[SPEAKER_01]: It's that no one piece is the identified patient, no one person is like the bad person.
27:15
[SPEAKER_01]: It's just the way the system is functioning together.
27:18
[SPEAKER_01]: So I think the parents have to be involved.
27:21
[SPEAKER_01]: And I think that,
27:22
[SPEAKER_01]: Unfortunately, I mean, we do get families where one piece of the equation is not fully participating and can they make progress?
27:33
[SPEAKER_01]: Yes, but is it going to be as strong or as positive and outcome as a family where everybody's fully participating?
27:42
[SPEAKER_01]: No.
27:43
[SPEAKER_01]: You know, so I think that full participation,
27:47
[SPEAKER_01]: family therapy, which means like parent coaching, which means maybe individual therapy or support therapy, whatever it is, right?
27:56
[SPEAKER_01]: Yeah, support groups.
27:57
[SPEAKER_01]: And then continuing when you leave residential.
28:01
[SPEAKER_01]: So when when the kid leaves the parents, the parents also continuing.
28:07
[SPEAKER_01]: I mean, we have an alumni group for families that I think is really important because it's so important.
28:16
[SPEAKER_01]: I mean, there's, you know, 45, 60, 90 days in residential depending on the family.
28:21
[SPEAKER_01]: But it's kind of like what happens afterwards?
28:25
[SPEAKER_01]: What happens when like shit hits the fan when you leave?
28:29
[SPEAKER_01]: When you go home and the same stuff comes up.
28:32
[SPEAKER_01]: When, you know, Joey grabs his phone for me and won't give it back or when he doesn't come home and then what?
28:40
[SPEAKER_01]: Right.
28:40
[SPEAKER_01]: So it's like having parents,
28:42
[SPEAKER_01]: still involved in some type of support and coaching so that they've already practiced their part and they have the skills and they know how to function together.
28:52
[SPEAKER_03]: And for me, not a red flag, but something that I ask families to look at when I'm speaking to them.
28:59
[SPEAKER_03]: And I can tell like when it comes to the admissions part of like going, you know, getting out of analysis paralysis and going for it, when there is pullback, a lot of times I ask them, what are you afraid?
29:13
[SPEAKER_03]: Like what are you not wanting to work through yourself possibly because, you know, I mean, listen,
29:21
[SPEAKER_03]: My mom knew nothing about mental health treatment.
29:25
[SPEAKER_03]: knew nothing about how to help her kid who was an alcohol like right, but also I can say that and I say this to parents is there's no way you love your kid more than the way my mother loved me, but the best things she did from the jump.
29:40
[SPEAKER_03]: is she listened to the professionals.
29:42
[SPEAKER_03]: She recognized, from even the first go around a treatment, you know what, Hannah's gonna call me a million times a day, but I can't help Hannah, because I am, you know, I'm not an alcoholic.
29:53
[SPEAKER_03]: I don't struggle with depression and anxiety.
29:56
[SPEAKER_03]: And so the messaging pretty much changed really early on in my residential stay where my mom's like, I'm sorry, you're really struggling, but I really am gonna need you to ask and talk to the people
30:10
[SPEAKER_03]: I didn't have a network and my mom's like, well, I'm sorry, but I'm going to a meeting tonight, and I'm going to ask for them.
30:15
[SPEAKER_03]: So if I can ask for a number, so can you?
30:17
[SPEAKER_01]: Exactly.
30:17
[SPEAKER_03]: And that power in that is huge.
30:21
[SPEAKER_03]: And it is true.
30:22
[SPEAKER_03]: I'm not saying that every case is dependent on how the family shows up, because my mom did show up, my dad.
30:29
[SPEAKER_03]: couldn't and didn't want to show up.
30:31
[SPEAKER_03]: But the thing is, is we let him know that you have no skin in this game.
30:34
[SPEAKER_03]: And you can't really have opinions on how treatment is going to work out, or, you know, about going forward unless you're going to be all in, you know, and it's it's
30:46
[SPEAKER_03]: It's it's it's everybody and nobody has to be in crisis to go to therapy and I always stress that too It therapy is used or coaching is so you can become a better person, you know It's just the better version of yourself and there's no harm in that and there's no you know But again, especially you know, we'll see these with a lot of families where they just want to drop their kid off like camp and just like 100% and and that's not how how it works
31:14
[SPEAKER_01]: Yeah, I mean, I've literally had parents like say that, you know, so it's like, yeah, it's tough.
31:19
[SPEAKER_01]: And then I think that other thing I was going to say really quickly is, I think it's important because like at least for us, right, it's like parents are getting, if parents are doing coaching, if parents are coming to the groups that summer required summer optional, then they're getting the same curriculum that the kids are getting.
31:37
[SPEAKER_01]: So when the kids are saying like, I'm going on past with my parent for the first time and I'm,
31:42
[SPEAKER_01]: having, you know, I'm having a reaction or I'm just regulated.
31:46
[SPEAKER_01]: Then the parent can remind them of XYZ skills that they've learned in the group, which the kid has also learned in the group.
31:54
[SPEAKER_01]: So it's cohesive.
31:55
[SPEAKER_01]: And I think maybe that's also goes into like what parents should look for.
31:59
[SPEAKER_01]: Like, is the curriculum for the parents similar to the kids?
32:02
[SPEAKER_01]: Are we learning the same thing like red flags and green flags?
32:06
[SPEAKER_03]: Right.
32:06
[SPEAKER_03]: And you're only helping your kids like I have to tell my my girlfriends who have kids like who struggle with anxiety and it's like the more work you guys are getting done to for yourselves.
32:17
[SPEAKER_03]: You're also able to assist your kid in those situations so much better than being like just breathe.
32:24
[SPEAKER_03]: There's nothing to be anxious about you know what I mean.
32:26
[SPEAKER_01]: Yeah.
32:28
[SPEAKER_03]: All right, also this is also a really good question because a lot of times I'm going to go look to you to jump on this is a lot of parents, you know, whether it's a young adult or an adolescent or even a adult we try the easier softer approach first meaning we try outpatient we do therapy right and then it's like how do we know.
32:49
[SPEAKER_03]: Outpatient's not going to be it.
32:50
[SPEAKER_03]: We have to go with residential.
32:52
[SPEAKER_03]: My personal, I will stress this.
32:54
[SPEAKER_03]: My personal thing out the gate.
32:56
[SPEAKER_03]: Let's do what you are all comfortable with, but I really feel like no work can really get done if you're amongst people places and things.
33:04
[SPEAKER_03]: Are the same thing.
33:05
[SPEAKER_03]: So you can have a kid in my opinion go to outpatient right out the gate and then have them, they're having their issues at school or at home and have them learn all these things of how to
33:16
[SPEAKER_03]: You know, work with their mental health or their substance use problems, let's say, but then haven't still be in that school or that home.
33:22
[SPEAKER_03]: I just feel like it's it's counterproductive, but what are your thoughts?
33:27
[SPEAKER_03]: Like when when is a family or a child ready for residential in your opinion, John?
33:34
[SPEAKER_00]: Well, the first thing is the place I come from is I don't want a parent to try to do something they can't get behind.
33:40
[SPEAKER_03]: Right.
33:41
[SPEAKER_00]: because, you know, their parents have their own reasoning or fears or whatever, and sometimes you can work them through that.
33:48
[SPEAKER_00]: But if they think that outpatient is the way that they want to go in this, even though I might be concerned, barring a safety concern, and there are
33:56
[SPEAKER_00]: Sometimes I would bring those things up, for instance, your sons been speaking out at night, and gotten ahold of this chemical or has had cutting or made suicide threats, or there's safety issues.
34:09
[SPEAKER_00]: Let's bring that up and how does that work into an outpatient setting?
34:13
[SPEAKER_00]: How will you support them in this?
34:16
[SPEAKER_00]: And that's a question that really for the parents and for somebody who's a clinician to assess what the best level of care might be.
34:24
[SPEAKER_00]: Again, parents are going to ultimately make that decision, and some parents and families going to outpatient, that's their place, it will set the line if that doesn't work, so they can be all in if they're traveling to go to residential.
34:40
[SPEAKER_00]: Here, one of the things about outpatient treatment is that there are a lot of times those kids are in there with a bunch of other kids who do not want to be there and have less supervision.
34:51
[SPEAKER_00]: So that can be tough, and an outpatient treatment, the clinician has to work differently.
34:56
[SPEAKER_00]: They kind of got to work with a velvet glove a little bit because everybody's getting in the car together to go home together.
35:03
[SPEAKER_00]: We're in residential treatment.
35:05
[SPEAKER_00]: We can work a little bit faster from a clinical point of view.
35:08
[SPEAKER_00]: You can have a really tough session and then Johnny or Susie's going to go up and be with their individual therapist to spend time processing that.
35:15
[SPEAKER_00]: The family can get some processing through their family coach and the family therapist.
35:20
[SPEAKER_00]: to get the support they need and then come back together and continue to do that process so it can go faster, even for medication changes.
35:27
[SPEAKER_00]: So the psychiatrist can work a little bit faster in a residential program because we're seeing them 24-7.
35:33
[SPEAKER_00]: We're watching sleep cycles.
35:35
[SPEAKER_00]: We know exactly when they get their medications and things like that.
35:37
[SPEAKER_00]: So all of that kind of intertwines into making a decision as to
35:43
[SPEAKER_00]: is it residential or outpatient?
35:46
[SPEAKER_00]: I like to see outpatient as kind of a great aftercare landing pad.
35:50
[SPEAKER_00]: Me too, John.
35:51
[SPEAKER_03]: I was just going to say I love outpatient for aftercare.
35:55
[SPEAKER_00]: But not all outpatient programs are designed for aftercare.
35:58
[SPEAKER_00]: Again, you bring a kid who's done really good in residential treatment.
36:01
[SPEAKER_00]: And then they want them to start with the kids who just came in.
36:04
[SPEAKER_00]: It's important to work with that outpatient or, you know, page P program to, which is, you know, to get them into the best group possible.
36:14
[SPEAKER_00]: Some programs have that a bit, you know, flexibility and some don't.
36:18
[SPEAKER_00]: Also, if I was going to write a book about residential treatment, I would title it aftercare dammit.
36:24
[SPEAKER_00]: You know, so that, you know, that's what we're doing.
36:27
[SPEAKER_00]: It's like, but it's like, we, we, I can't wait for that book, John.
36:31
[SPEAKER_00]: You should write.
36:32
[SPEAKER_00]: Well, we think about it.
36:33
[SPEAKER_00]: But that's not any different than if you got a total, a total need trans, you know, transplant, you know, the doctor says what you do in physical therapy.
36:42
[SPEAKER_00]: is what's going to make the work that I put in here.
36:45
[SPEAKER_00]: Absolutely successful, right?
36:47
[SPEAKER_00]: You can go limp the rest of your life or you can be hiking, you're going on hiking six months.
36:52
[SPEAKER_00]: It's a view how you're going to focus on this next step.
36:55
[SPEAKER_00]: And that's that just is very much in line in what we see in treatment for kids.
37:00
[SPEAKER_03]: And I always stress this to any age, you know, you know, I've worked now with, you know, I started my career with doctors, pilots, W-W-E wrestlers went into adolescence and young adults and now back kind of working a little bit with physicians.
37:14
[SPEAKER_03]: And I have to say that the coolest thing that I would see with physicians and pilots especially was you would go into these like PHPs where there are these
37:22
[SPEAKER_03]: programs per state that would keep you accountable for at least two years.
37:28
[SPEAKER_03]: And to me, if everybody had something like that, young and old, there would be such a higher level of success.
37:36
[SPEAKER_03]: I say this because, you know, the primary piece which we're talking about right now, that is a piece of this puzzle.
37:42
[SPEAKER_03]: You know, and I say this to parents all the time when we're looking at resources or we're looking
37:46
[SPEAKER_03]: like we got to like think about hypothetically like the next year, you know, because they're going to then do outpatient and then they're going to continue with therapy and just, you know, there's going to be a relapse of some sorts here there, but like we have to give it's it's a process, you know, it's it didn't come here overnight with everything and so with campy
38:07
[SPEAKER_03]: kind of fixed overnight.
38:08
[SPEAKER_03]: I think also, you know, we're a lot of parents.
38:11
[SPEAKER_03]: And this is another subject for another time.
38:13
[SPEAKER_03]: A lot of the schools are really pushing out patient first is the first line of fire.
38:18
[SPEAKER_03]: I think that's kind of maybe to keep them in school a little bit, but for a lot of adolescents that I've seen.
38:25
[SPEAKER_03]: Wait, I'm not anti-alipation if that's what the families are comfortable with.
38:30
[SPEAKER_03]: But I say this, if this is what you're comfortable with, that's fine.
38:33
[SPEAKER_03]: But when this starts not working, and it probably will not work, like you have to also acknowledge that.
38:41
[SPEAKER_03]: And then at the time that you are going to be having your child now patient, you're also going to be doing this information interviewing on programs to get ready for residential.
38:50
[SPEAKER_03]: Because that, you know, that...
38:52
[SPEAKER_03]: I don't know many kids that I've worked with where it was just outpatient and we were good to go, you know what I mean?
38:58
[SPEAKER_03]: And that was what straight mental health or dual diagnosis.
39:02
[SPEAKER_03]: Katie, do we miss any kind of misconceptions out there that you might think of about adolescent residential treatment like something that people?
39:10
[SPEAKER_01]: Yeah, I can think of maybe two, two things come to mind for me.
39:14
[SPEAKER_01]: It's kind of a little bit off of what you guys were just talking about like
39:21
[SPEAKER_01]: residential and outpatient and like one misconception I can think of is like, you know, like, like, like, bad kids go to residential, like, you know, we had talked about, like, or like, my kids are a failure because they're going to residential.
39:32
[SPEAKER_01]: Right.
39:33
[SPEAKER_01]: And I think, and that parents wait.
39:36
[SPEAKER_01]: Just it's like the last stop is I got the I don't want to tell anyone you know and I think that like I see a lot of like let's try to send them to outpatient like you're saying but I tend to see obviously because of my specialization I tend to see these anxious school refusal type kids right and it's like.
39:56
[SPEAKER_01]: how it's like, what makes us think that if they're refusing school, they're not going to refuse outpatient, you know?
40:03
[SPEAKER_01]: And so it's tough.
40:05
[SPEAKER_01]: It's like they're not a bad kid.
40:07
[SPEAKER_01]: There's nothing like wrong with the family because they're anxious and they can't go to school and they can't go to outpatient.
40:12
[SPEAKER_01]: And I think that sometimes families are waiting too long in some ways to send them to residential.
40:19
[SPEAKER_01]: maybe because they're scared, maybe because of some of the media around bad teen treatment, you know, I don't know what the reasons are, right?
40:28
[SPEAKER_03]: But I think one of them is doing this up gentle parenting where they're scared to actually drop the hammer and do that's for their kid because they don't want to upset them.
40:37
[SPEAKER_01]: 100% I get a lot of the I don't want them to think I'm abandoning them you know and I think what my answer to that is always like you're not abandoning them especially at our program you're going to be doing all of the work with them you're going to be up here doing family therapy with them you're going to be doing the family intensive with them you can tell them you're going to be required to do many of your own groups you're not abandoning them and so one of the misconceptions I think is
41:04
[SPEAKER_01]: like residential treatment is for bad kids or the last stop and it doesn't have to be the last stop.
41:10
[SPEAKER_01]: And the other one I was thinking of is I got a lot of calls from families where right fully so I got a lot of questions around well what's their daily schedule?
41:20
[SPEAKER_01]: How many times do they have therapy a week and those are all great questions right?
41:25
[SPEAKER_01]: Like how many times are they going to see their therapist?
41:27
[SPEAKER_01]: How many times do they see their psychiatrist?
41:29
[SPEAKER_01]: The doctor and
41:31
[SPEAKER_01]: does are great.
41:31
[SPEAKER_01]: And I think one of the important things I would say to families at least about I could speak to our program is for me the
41:42
[SPEAKER_01]: big, big driver of change in residential is the way it's structured is the meals is the chores is the structure of the schedule are the stage systems.
42:01
[SPEAKER_01]: I know that there's a lot of
42:04
[SPEAKER_01]: at least I find and speaking to families, there's a lot of hesitance does your program have a stage system or a level system.
42:12
[SPEAKER_01]: We're really scared of that.
42:13
[SPEAKER_01]: Is it punitive?
42:14
[SPEAKER_01]: It's not punitive.
42:17
[SPEAKER_01]: I could go off on a soapbox about punitiveness.
42:20
[SPEAKER_01]: I wrote a lot about it in my dissertation, but it's not punitive.
42:23
[SPEAKER_01]: It teaches how to manage disappointment.
42:27
[SPEAKER_01]: how to, if I'm a perfectionist kid who might be anxious, and I don't get to stage up because I,
42:36
[SPEAKER_01]: acted out in the milieu.
42:38
[SPEAKER_01]: That's really useful for me.
42:40
[SPEAKER_01]: It's really useful to manage to manage that.
42:43
[SPEAKER_01]: I don't get to stage up this week and how do I show up with that?
42:48
[SPEAKER_01]: How do I have emotion?
42:50
[SPEAKER_01]: How do I still work to move forward next week that the misconception that like
42:57
[SPEAKER_01]: stages are bad that consequences in the milieu are bad.
43:01
[SPEAKER_01]: I think the milieu of residential is one of the most useful pieces therapeutically for kids.
43:07
[SPEAKER_01]: I think their therapy and all the pieces.
43:10
[SPEAKER_03]: And I think for a lot of these kids there haven't been consequences.
43:13
[SPEAKER_03]: So the parents are very uncomfortable around that.
43:15
[SPEAKER_03]: Also, I just want to stress something that you really spoke on that I say to parents all the time.
43:20
[SPEAKER_03]: Even my friends who say, isn't it sad that so and so needs treatment or I can't believe we're in this place where my kid needs treatment.
43:27
[SPEAKER_03]: And this is what I say and I'm not just saying it.
43:30
[SPEAKER_03]: It's the truth.
43:32
[SPEAKER_03]: These children, I remember I had admissions director I worked with, which she would say it so beautifully.
43:37
[SPEAKER_03]: This is an opportunity.
43:39
[SPEAKER_03]: This isn't sad.
43:40
[SPEAKER_03]: And I agree.
43:41
[SPEAKER_03]: I was 27 when I went into treatment.
43:44
[SPEAKER_03]: If my mom had found an adolescent treatment like visions when I was a kid and like intervened on my mental health at a much younger age, man could I have saved so many years of suffering.
43:59
[SPEAKER_03]: you know, and my family suffering and having to go to such depths with self-medicating, you know, and I feel like the families are lucky that they can do this, it's such a, you know, with these kids, it's such a young age, where, you know, it's a, it's a beautiful thing, like I've had a kid who we had to pull out freshman year from college and he went to treatment and did all these things for about a year and a half.
44:22
[SPEAKER_03]: about a year and a half and then went back to the same school which was shocking but great and he succeeded so like it was an opportunity for him to become a better version of himself to find healthy coping skills to know how to ask for help like all these skills that are actually really important for anybody in the day-to-day life.
44:42
[SPEAKER_03]: You know, name me and so it to me it's as important if not better and sometimes, you know, we don't say like, oh, it's so sad that so and so didn't make it to algebra, too, it's the same, you know, anything so it's just this is an opportunity for these kids to be better.
44:58
[SPEAKER_03]: Before we wrap up, I just want to ask you guys one question to ask all my guests at the end, you know, you all have family callers if there's one thing you want.
45:08
[SPEAKER_03]: your families that you're speaking to on the phone to just walk away remembering what would it be.
45:14
[SPEAKER_03]: Mind for instances whoever has the pesos has the pesos.
45:16
[SPEAKER_03]: It doesn't work because I do believe that that if like parents who don't have power and I always say well if you're paying for the anyway it was supposed to be a joke and either one of you laughed.
45:22
[SPEAKER_03]: John, go first.
45:22
[SPEAKER_03]: Go first.
45:23
[SPEAKER_03]: Sorry.
45:23
[SPEAKER_03]: Is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is it, is
45:33
[SPEAKER_00]: What I think of is I want the parents to know that I will, we will be a resource for them.
45:39
[SPEAKER_00]: That what I think about the privilege of answering the phone when many times it's the first time that parent has talked openly about the challenge and the trauma and the hurts that they're feeling and fears that I want to respect that call.
45:55
[SPEAKER_00]: It is, it is, it is, it is, it is,
45:59
[SPEAKER_00]: It kind of give it some reverence that they're making that call and to know that if the path is with us Great if the path if I can help them find a path that meets their needs for their child I want to do that because we get calls from all all kinds but because a lot of times when somebody's called us They've been frustrated by the system.
46:19
[SPEAKER_00]: You know, right so so hopefully if they can leave with you know I have a resource these are some of my options
46:27
[SPEAKER_00]: And we're going to be there for them.
46:29
[SPEAKER_00]: They can make all the difference considering what the poor family is going through.
46:32
[SPEAKER_03]: And I teach that, you know, the reps I work with, I often say, you know, it is an honor and privilege that these families are calling us.
46:39
[SPEAKER_03]: We must, you know, handle each caller with, you know, kitten gloves.
46:43
[SPEAKER_03]: We should also, if it's not a fit for our program, you know, walk them to the next program, you know, because for a lot of these families, it's a really big deal they're calling.
46:52
[SPEAKER_03]: So we have to honor that Katie what would what would something you would like the families to be left with us.
46:59
[SPEAKER_01]: Yeah, I mean, I think just like for them to know that like especially parents of adolescents that like
47:08
[SPEAKER_01]: like it's not they're fault and then it's not like I think they they come with a lot of did I do something you know did I did I mess up my kid right and it's that that you're not to blame that like it's it's a whole family system thing and that there's gonna be help for you and like John said like we're happy to be a resource and that you can help you are the best agent of change for your child so like a lot
47:35
[SPEAKER_01]: You're not, you're not the cause, but you can be like the best agent of change to like help make a difference for your kid if you participate in their healing.
47:47
[SPEAKER_03]: That's awesome.
47:47
[SPEAKER_03]: First of all, I just want to, or second of all, third of all, I just want to thank you guys for being on Connect Call.
47:53
[SPEAKER_01]: I will have a guest.
47:54
[SPEAKER_03]: I am a huge fan of the work you guys are doing.
47:58
[SPEAKER_03]: Thank you for tuning into this episode of Connect Call.
48:00
[SPEAKER_03]: As we conclude, remember that Insight shared are intended for informational and educational purposes only and should not substitute professional medical advice, diagnosis or treatment.
48:11
[SPEAKER_03]: We strongly recommend consulting a qualified medical health professional or health care provider for personalized advice tailored to your unique needs.
48:20
[SPEAKER_03]: Your mental health journey is important and having the right support is essential.
48:24
[SPEAKER_03]: If you're experiencing a mental health crisis or require immediate assistance, please reach out to a mental health provider or emergency services in your area.
48:33
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48:37
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48:43
[SPEAKER_03]: We're here to support you every step of the way.