Mental Health Treatment and CORE Methodology

Mental Health Treatment and CORE Methodology



hello and welcome to health professional radio I'm your host Neil Howard thank you for joining us today our guest in studio is jennifer's steiner she's the CEO of interchange it's a family and residential and outpatient mental health treatment program for adolescents young adults and their families and she's with us today to talk about core methodology or c.o.r.e methodology welcome to the program Jennifer hi Neil thank you for having me now you're the CEO of interchange talk about interchange what exactly is interchange and how long has it been an existence interchange is we are a mental healthcare company we've been in existence for actually almost 20 years in some form or fashion and we provide primarily residential treatment services for adolescents and young adults who are experiencing fairly severe mental health issues and we also have now a community-based offering where we provide wraparound support for for families who have adolescents and young adults that are you know struggling to to thrive in their home environment and where outpatient therapy just isn't enough now when you say wraparound are you talking about counseling for the patient and the family as well as that type of support or does there is it more involved exactly so we have teams that provide both a youth mentor as well as a parent coach and and that team of folks is responsible for for supporting both the parents and the child as well as facilitating really a strong connectedness for that family within the community so helping them to tap into other resources that will help them in their in their healing journey what would you say sets you apart from some of the other facilities or programs that I'm sure you're aware of yeah so this is my favorite topic and you touched on it in your introduction so so interchange is doing some things that are truly unprecedented in mental health in general even just beyond the work with lessons and young adults and it is it is in within our core methodology that you referenced which co re stands for four different concepts so if I if I can take just a moment I'll give you a little overview of each please great so the sea and core stands for Quebec connectedness and what we really mean by that is a family systems approach we don't fix broken kids kids have trouble because they have a family system that needs that needs to get better that needs to learn how to function in a healthier way so we approach the problems that a kid may be presenting with by addressing the entire system and in giving therapy and coaching and training to an entire family system on how to improve to improve the way they function together the Oh Stanton core is the next concept and that stands for outcomes this is very very important we are we for over a decade we have been measuring the effectiveness of the treatment that we provide we can tell you if someone is is is improved in their diagnosis and other and other surrounding issues when they go through our treatment we can tell you that they stay out of treatment for years afterwards and even even on top of that what we can do is we can watch the patient and the family throughout the course of treatment and make course corrections in the way that we're treating this family based on the data so we are we are doing things with data that truly are unprecedented in mental health the r is the third concept that stands for relational what that means is we are not a medical model approach we don't have kids sitting you know on laying on a couch with a therapist sort of talking them through their issues we have real relationships with our kids we do real experiences with them because we find that actually the relationships that they develop through treatment are are really the motivator for for them to get well and so we are we are doing it through through and via relationships is walking someone through therapy in a medical sort of separated sort of way and then the last piece is experiential e experiential and again I just touched on that but what it means is we get kids out doing stuff in order for them to get well it's it's much it's much more realistic to work through the challenge as a child might face as they're you know hanging off of the side of a big rock face and in feeling terror then again sitting on a couch in a therapist office so when you talk about severe mental mental health issues are we talking anything from severe depression and an adolescent or young adult or are we talking about things that are you know much more in my mind the layman's mind as being so severe as schizophrenic tendencies antisocial things and that's I guess some when it comes to the severity that a child presents where do your services end and someone else takes over great question and thank you for clarifying that so I like to define the chines of treatment that we provide as recoverable mental health issues we are not a provider for what I would deem as permanent and acute psychoses like six schizophrenia and some of the things that you've listed but we but when i say severe what i mean is that there are many of the the kids that come into treatment within our facilities that have been hospitalized for suicide um where their families are feeling very worried about their safety and and often it's not uncommon that when we have a child admit into treatment you know mom and dad have not been able to leave the house for months because they feel like their child isn't safe so so severity is in their safety and the conditions are are what I would deem more recoverable meaning depression anxiety kids that have gone through some kind of trauma children that are self harming bipolar disorder borderline and personality those sorts of things in in the course of treatment if certain things are revealed in the course of that treatment that may ring raise a red flag as far as some wrongdoing or criminal activity do you have support in that arena as well and do you guide these families through that process or do you leave them to do with it legally on their own um that's that's a great question so I think what we do well is we know what we're capable of treating and when things have gone outside the scope so if we if we begin to see you know that there has been that there are some kind of psychoses emerging that that is going to need much much more rigorous medical intervention you know we will we will help a family to transition into the appropriate level of care and so that would be the case in any instance where you know we were beyond our capability set does your care and treatment ever involve many pharmaceuticals well we do have a psychiatry as part of as part of our offering and so you know we have a collaboration between the psychiatrist are our therapists and clinicians on staff as well as the family and oftentimes the home psychiatrist the psychiatrist that may have been treating the child for years previous so it's a collaborative a collaboration that we have that we then will make decisions around the appropriate medication for kids but many many of our kids are are you know augmenting the systemic treatment with appropriate medications for their conditions when it comes to the sharing of information about your patience and your clients and their families is there anything in place where the family or the patient can consent to have their results shared with another facility or other doctors just in case they find themselves in another part of the country of the world or just for research purposes in order to make your services even better absolutely we are as I touched on in the beginning my interview we are passionate about the the power of data and information in the treatment of kids and families and in the continuum of care so we have actually been we have been a leader in imaging providers both that are higher cutie than we are lower acuity to to be willing to share the data because you know us owning data and holding it to ourselves doesn't do a tremendous amount of good for for the future of that child so we work we work very closely to transfer the data to the next care provider and to actually be available as a reference for for treatment if things are going well or if there needs to be additional additional conversations about the course of treatment well I'm hoping you'll come in and talk with us in other segments a little bit more about your organization and your core methodology as well as other things that interchange is involved in Thank You Neil it's been a pleasure thank you you've been listening to health professional radio I'm your host Neil Howard in studio with jennifer steiner CEO of interchange which is a family of residential and outpatient mental health treatment programs for adolescents young adults and their families transcripts and audio of this program are available at health professional radio com au and also at HP re FM and you can subscribe to this podcast 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