Monday, October 29, 2012

The Role of a Consultant

I was just reading a report on Lon Woodbury's "Struggling Teens" website http://www.strugglingteens.com/ and was struck by the authors candor. As a new Educational Consultant I am experiencing certain struggles and learning how to interpret the challenges and grow as an individual. The introduction written by Robert Kantar, EC from Vermont, resonated with me. I wanted to share... Thank you, Bob.

Visit by Robert "Bob" Kantar, Educational Consultant
November 16-17, 2010


Far too often, I am humbled by a school visit process in which a consultant, responsible for the placement of a struggling youth, must try to hear, observe and evaluate a particular school to quote "recommend it to a client" or even write a review for a wider audience.

Do we know the student we represent well enough to recommend a placement? What is our rationale for selecting this particular placement over others? For me, equally important, and in some ways more challenging, how do I assure myself that the recommendation will meet the needs of the child, assure the safety of the child and do no harm? It is an awesome responsibility, in many respects the same as that of a parent who rightfully is concerned about their decision to send their child to a program. I have no visions of grandeur or crystal ball which will guarantee anyone that my thoughts are objective, accurate and sound. The child will be sent to a place that I may recommend by a decision of the parents or guardians and neither of us will be present day in and day out to see what happens to their child. A school's state of being is a living process which is constantly in flux and can well be affected by such conditions as the Nation's Economy and personnel changes. No one person that I have met has been able to guarantee me all the knowledge I would need of both the child and the school so that I can provide more than my best advice. After almost 46 years as a consultant and literally hundreds of school visits from colleges to boarding schools to treatment centers across the United States, I still find the task of placement a difficult and very personal challenge. There are no automatic solutions, no boiler plate explanations for each child is, thank God, unique.

Utah Day #5 & 6

On Friday I attended the NATSAP Southern Utah Regional Conference. The conference was held at the beautiful Lava Heights Academy. Lava is welcoming their first 4 residents next week. I was very impressed by the facility and the programs they will be offering, especially the fine arts.

After the conference I stopped by the Sunrise Program. They were in the middle of their parent weekend, so I appreciated their willingness to accommodate me. It was a great experience being able to talk to parents and watch the interactions within and between families. Many of the parents I spoke to had wonderful things to say about the program and staff. I was encouraged to see all of the treatment groups and individualized care many of the girls were receiving. The physical plant was deceiving from the outside. Once inside the building feels very home like with a gorgeous backyard, complete with pool, waterside, fire pit, large grassy area, and sand volleyball court. I appreciate the clinical programming and emphasis on DBT. They work with very challenging and clinically complex, adolescent females. I am looking forward to working with them. http://www.sunrisertc.com/

Day #6: Last Day
After the conference we drove 4 hours to Provo, Utah. Saturday morning we met with Chris Johnstoneaux from the Heritage School. I was overwhelmed by the campus size and layout. The campus looks like a quaint village complete with chapel, horse stables, and large athletic field. We met several of the girls and had a nice talk with one in particular. She was having a difficult day and was spending some quiet time with 2 of the staff. We talked about her stay at Heritage and her desires for the future. I was encouraged to hear that she is planning on being discharged home and will be attending college. (the staff confirmed) The program has an intense behavioral component and is able to take very challenging clients. On the flip side it feels like the program is dedicated to creating lasting relationships with the clients and is clinically supportive. http://www.heritagertc.org/

Right next door to the Heritage School is Scenic View. I was happy to stumble upon this program. The program was established in 1999 by a parent of a child with learning disabilities. The program is a day program but also offers residential options. They serve single adults ages 21+, IQ of 90+, who struggle with learning disabilities, and may have some developmental disabilities. I met some of the residents and they LOVE the program. I was very impressed. http://www.svacademy.org/

Last but certainly not least was Alpine Academy. I was able to meet with one of the families from that program 3 hours before my flight departed from Salt Lake City. Alpine operates on the Family Teaching Model approach. I was able to meet with the girls from the Oak Ridge Home, headed by Derek and Melissa Barney. The girls were great!! Many of them had been there for several months and were getting ready for discharge. They talked about their clinical struggles and how the program has challenged them and ultimately helped them. I am not sure the model is for everyone but it certainly has worked for these young women. They gave me a tour of the facilities and grounds,  and introduced me to the horses. Alpine is getting ready to open their new multi purpose building, complete with a rock wall, full size basketball court, stage for performances, dance room, state of the art workout facility, locker rooms, and racquet ball court. The girls are very excited about using the new room. The clinical facility was in a home like setting and all of the classrooms were very well appointed. The family teachers were warm but offered structure and stability. I am excited to work with this program in the future. http://www.alpineacademy.org/

Thank you to all of the programs for a jam packed, thought provoking, whirlwind of a tour. Total of 6 days, 985 miles driven, and a total of 16 programs seen. Huge thank you to Nathan Meng from the CARE schools for helping to organize my adventure. Looking forward to IECA Atlanta then off to Arizona and Texas for adventures #3 & 4, then NATSAP in Irvine, CA.

Here are some pictures from days 5 & 6:
Entrance to Heritage
Heritage Horses and Barn
Heritage Athletic Building
Heritage Bedroom

Scenic View Program
Entrance to Alpine Academy
One of the Alpine Homes where the girls reside
Alpine's new dance studio
Alpine's new workout facility

an Alpine resident
Beautiful UTAH! Thank you.

Using outcome tools to improve efficiency of treatment

On Friday we attended the NATSAP Regional Conference in Southern Utah. The conference was held at the new Lava Heights. 

The conference was very informative. I enjoyed meeting admissions directors from several programs and especially enjoyed meeting the CEO of Outcome Tools, Mike Petree (https://outcometools.com/site/). I attended a breakout session presented by John Nielson from Heritage School. John presented on "Improving Clinical Practice using Outcome Studies". We discussed the use of the Youth Outcome Questionnaire to assist with treatment planning and session facilitation.  I think it is imperative that treatment facilities utilize measures that appropriately track progress in order to maximize growth potential. Many facilities I am finding do not track progress, or track at the beginning and end. By utilizing measures throughout, the treatment team is able to effectively tailor programs to the individual. The end result being a more efficient program, minimizing lengths of stay. As a new Educational Consultant some of the questions I have been asking programs are; What types of outcome studies are you using? The frequency and schedule of use? Are the measures published? I think if more consultants require programs to track the progress of their clients the accountablility factor will increase. Side note: as a clinician I understand that many times the measures will point to an increase in behaviors, everything needs to be taken with a grain of salt and understanding that the clients are in need of treatment. Bottom line; when I ask how my client is doing I would like to know based on evidence not subjective experiences. Check out some of the studies currently being conducted at http://natsap.org/research/research-at-natsap-programs/

Friday, October 26, 2012

Utah Day #4: CARE Schools

Today we meet with the representatives from the CARE Schools. First program was Red Rock Academy, then off to Falcon Ridge, ending the day at Lava Heights. All programs use the "PPC"- Positive Peer Culture model for their clinical model.
Falcon Ridge has an incredible equine program and is an "EAGALA" Training site (http://www.eagala.org/). The equine staff put us through an exercise of building a horse halter by tying knots with climbing rope. The end result is very cool.
Lava Heights welcomed us with music, mask making, ballroom dancing classes, and a lovely dinner. The open house was very impressive. The new buildings are all built with sensory friendly materials, and state of the art technology. They are welcoming their first 4 clients next week.

Thank you to all of the clinicians, clients, and horses for making us feel at home. Getting ready for the NASTAP Southern Utah Regional Conference.
http://www.careschools.org/




One of Red Rock's many bridges and water features


Beautiful campus located by Zion National Park
Falcon girls participating in Equine exercise

Falcon Ridge main building.

Lava Heights main building- Notice the giant Labyrinth  in the center

Wednesday, October 24, 2012

Utah Day #3

Lots of driving today (5 hours)! We started in Provo, went to Mt. Pleasant and ended in Toquerville. We visited 3 very different programs. First up was Wasatch Academy, college prep boarding school. We had a great tour by the student ambassador and met several teachers and students. What a beautiful campus!! The program is very well rounded with an exceptional drama/ fine arts program including video game development, sound studio, film and media lab. They have sports, AP classes, dorm parents, rock climbing, and all of the luxuries of the Utah landscape. It was a great visit. http://www.wasatchacademy.org/
Second up was Mt. Pleasant Academy. Very small, new program that specializes in the treatment of male clients that are struggling with sexual addiction. Met with Jim Lewis and was impressed with his clinical skills. http://www.mtpleasantacademy.com/

Last but not least was Ashcreek Ranch Academy. Very new program with great staff, beautiful grounds, strong equine program, and a very exciting upcoming program with an emphasis on equine veterinarian care. We had a great visit and blessed with a beautiful sunset. http://ashcreekranchacademy.com/
Overall, great day!







Wasatch Academy

Wasatch Academy Soccer Field

Warm welcome from Wasatch!

More Wasatch. Beautiful campus!

Mt. Pleasant Academy Log Cabin

Ashcreek Ranch Academy 

Ashcreek companion having fun in the lake on grounds

Incredible Sunset. Great end to a long day!

Tuesday, October 23, 2012

Utah Day #1

Landed at 10:30am, got the rental car, and off we went. Had a nice visit with Solstice and Copper Hills. Nice start to the adventure.

Utah Day #2

Very busy day today. We visited Discovery- Ranch, Academy, Connections, and New Haven. Thanks to all of the staff and clients for making us feel at home!


Discovery Academy
Discovery Connections


Discovery Ranch

New Haven

Monday, October 22, 2012

New vimeo uploaded from Plum Village, Thay's introduction to mindfulness and inner peace. This video includes a guided sitting meditation and chanting. I had the opportunity to meet Thay last year and it changed my perspective on so many things. Enjoy!

Thich Nhat Hanh: Mindfulness and Inner Peace