RiverValley Behavioral Health Hospital is an 80-bed private, not-for-profit psychiatric hospital providing specialized inpatient services exclusively for children and adolescents ages 3-17 located in Owensboro, Kentucky. The 70,000 square foot hospital sits on a 40-acre campus that houses its own school, large gymnasium, and extensive activity areas. RiverValley Hospital provides a safe, structured environment for its patients, and a child and adolescent psychiatrist oversees their care. The primary goal for RiverValley Behavioral Health Hospital is to provide services that diagnose, treat, and stabilize mental and behavioral health issues thus resulting in an improvement of the individual’s overall capacity to function.
Psychiatric Services – Upon admission, each child will receive a complete psychiatric evaluation by a licensed psychiatrist within 24 hours of admission. Each child will meet with the psychiatrist weekly at minimum. A psychiatrist is on call twenty-four (24) hours per day, seven days a week, should additional or emergency psychiatric services be needed on site.
Medical Services – Upon admission, each child will receive a history and physical exam completed by a pediatrician within twenty-four (24) hours of admission to ensure that medical issues are addressed and reviewed, as applicable, to optimize each child’s Individual Therapy – Each patient will receive individual therapy by a master’s level clinician to address emotional, behavioral and social learning issues. The frequency of the individual therapy sessions will be determined by the therapist in conjunction with Interdisciplinary Treatment Team. A variety of evidenced-based psychotherapy modalities are utilized to meet each patient’s needs. Such modalities include cognitive-behavioral therapy, motivational interviewing, collaborative problem-solving, and behavioral therapy.
Group Therapy – Each patient will receive group therapy by a master’s level clinician as determined by the Interdisciplinary Treatment Team. This process group format will address issues that the patient has previously demonstrated deficits in coping or managing. The variety, frequency, and subject matter of the groups will be determined based on the milieu and the Treatment Team recommendations.
Family Therapy – Each patient will have the opportunity to involve the family into treatment with a Master’s level clinician. This modality is not limited to biological families but rather the “family” as determined by the individual case presented and may include extended relatives, the Department of Child-Based Services, the Department for Juvenile Justice, foster parents, case managers, referral sources, etc.
Recreational Therapy – Each child will receive an assessment of the leisure, play and social skills in which he shows interest, and an individualized program will be developed and implemented based on the child’s needs. The recreational groups are also incorporated within the Cluster Specific Treatment model and are designed to assist the child in managing his appropriate expressions of feelings.
Educational Services – Through a cooperative agreement with the Daviess County School Corporation, Valley School, an accredited school, is located on site at RiverValley Behavioral Health Hospital. Under the direction of the principal, each child will immediately begin school following evaluation and placement into the appropriate classroom. Valley School follows the Daviess County School Corporation’s academic calendar.
Nursing Services – Licensed nurses are available twenty-four (24) hours per day to supervise, monitor, assist, and evaluate the child’s progress in the program as well as address any health issues that may arise during the child’s treatment. Additionally, nursing services also provide education to patients a minimum of 3 times per week.
Case Management – Beginning at the time of admission, case managers will begin working with the Treatment Team to develop an appropriate after care plan and placement, as applicable. These individuals serve as a liaison between the treatment team and the family, foster parent, residential treatment, placement and referral agency as well as other providers working with the child to address any concerns/questions or needs that may arise during the course of treatment.
Treatment Planning – Under the direction of a psychiatrist, each child will become part of a Treatment Team which consists of the following members:
- The patient
- The “family” as applicable, available or appropriate
- Recreational Therapist
- Nursing Personnel
- Case Manager
- School Personnel
- Other agency’s personnel as appropriate or warranted
TRAUMA FOCUSED COGNITIVE BEHAVIORAL THERAPY
The primary goal of this acute service is to integrate trauma sensitive interventions, cognitive-behavioral principles, attachment theory, developmental neurobiology theory, and elements of family theory to treat children, ages 3 to 18, who have experienced some form of trauma. The program is 16 to 20 weeks in length.
Program components include:
- Psychoeducation and parenting skills
- Affective expression and regulation
- Cognitive coping
- Trauma narrative development and processing
- In vivo gradual exposure
- Conjoint parent/caregiver-child sessions
- Enhancement of safety and future development
INPATIENT SUBSTANCE ABUSE TREATMENT
After meeting criteria for inpatient acute treatment, admission criteria for the substance abuse program will be determined through the Global Appraisal of Individual Needs Short Screener (GAIN-SS) and the Adolescent Kentucky Treatment Outcome System (AKTOS). The program is open to males and females, ages 14-17 and will receive individual, family, and group therapy for approximately 3 weeks before a planned transition to outpatient substance abuse.
Three types of programs will be used to provide evidence-based interventions to adolescents who qualify for substance abuse treatment. These are:
- Relapse Prevention Therapy
- Multi-systemic Therapy
- Seeking Safety.
Because patients will have co-occurring substance abuse and mental health disorders these programs will be specific to adolescents with drug problems with one or more drugs. The programs will provide training, coaching, and mentoring, increasing quality assurance of treatment provided.
ACUTE SERVICES WITH FOCUS ON BEHAVIOR ANALYSIS
Behavioral Analysis is an intensive therapeutic program appropriate for children with significant behavioral problems which impair the child’s daily functioning. The full time Behavior Analyst, who specializes in treating children with Autism Spectrum Disorder, will provide the behavior analysis for this focused treatment.
The format consists of a highly structured behavior modification program intended to replace the child’s negative and problematic behaviors with positive and healthy ones. Participants practice healthy behaviors and learn to master some of the challenges associated with functioning in society. The program provides a positive, supportive and nurturing environment for children. An individualized treatment plan will be developed for each child that focuses on that child’s specific needs and goals.
Each child will be assigned an individual therapist to provide whatever therapeutic interventions are deemed necessary by the child’s treatment team. In addition, a behavior analyst will work with Hospital staff and therapeutic services to create individualized behavior modification plans and strategies. The behaviors for children in the program will be closely monitored and analyzed on an ongoing basis to ensure successful behavior modification. The length of stay, on average, is approximately 3 to 5 months.
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