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Overview
The Adolescent Residential
Program (ARP) at River Centre
Clinic provides female and
male adolescents who have
serious eating disorders with
a higher level of structure
and support than is possible
during outpatient treatment.
Most ARP patients live in
the Adolescent Residence on
the second floor of the main
treatment facility, where
they are monitored by staff
members 24 hours per day,
7 days per week. ARP patients
who live in the local area
usually commute to River Centre
Clinic and stay for 7 to 12
hours each day.
ARP treatment includes individual,
group, and family therapy,
with emphasis on meal planning,
symptom reduction skills,
and relapse prevention. It
also offers training on emotional
skills, social skills, assertiveness,
and stress management techniques.
Educational services provided
include tutoring and coordination
with schools. Adolescent residents
receive assistance from staff
members in daily living activities
such as personal hygiene,
self-administration of medications,
self-responsibility on keeping
their rooms clean and neat,
cooperative management of
common living space, time
management, and participation
in recreational and community
activities. The Adolescent
Residence provides a safe
and comfortable living area
with shared rooms and a common
living space. It provides
supervised Internet access
(with parental permission)
and phone availability during
non-program hours, except
in emergencies. Patients can
pick up mail daily (Monday
through Friday) at the reception
window next to the lobby.
River Centre Clinic is certified
as a mental health agency
and is licensed to operate
a residential facility by
the Ohio Department of Mental
Heath. Staff members include
board-certified/eligible physicians,
licensed psychologists, psychology
fellows, psychology aides,
licensed independent social
workers, licensed professional
counselors, registered dietetic
technicians, and other staff
members who have been trained
to perform specific duties
under appropriate supervision.
Licensed clinicians are available
to assist our residential
staff members 24 hours a day.
Staff physicians are either
on-site or on call at all
times throughout the week.
River Centre Clinic’s
staff-to-patient ratio far
exceeds requirements at all
times.
Program Features
• Supervision 7 days
per week, 24 hours per day
• Adolescent Residence
with 7 to 9 overnight beds
• Capacity for 8 to
12 patients, including both
residents and local commuters
Typical Daily Schedule
7:00-8:30 a.m. – Wake-up,
shower, and clean-up room
8:30-9:30 a.m. – Supervised
breakfast
9:30-10:00 a.m. – Free
time and school work
10:00-11:00 a.m. – Recreational
activity* and individual therapy**
11:00-11:20 a.m. – Clean-up
for day, chores, meal plans
for next day, and restroom
11:20 a.m. – Weight
check
11:30-12:30 p.m. – Lunch
preparation, supervised meal,
and meal planning for next
day
12:45 p.m. – Restroom
break
1:00-2:30 p.m. – First
therapy group (either psycho-educational
or psychotherapy)
2:30-3:00 pm – Supervised
snack
3:00 p.m. – Restroom
break
3:15-4:45 p.m. – Second
therapy group (either psycho-educational
or psychotherapy)***
5:00-6:00 p.m. – Dinner
preparation and supervised
meal
6:00-8:00 p.m. – Education
with teacher and tutors
8:00-9:00 p.m. – Recreational
outing
9:00-1000 p.m. – Supervised
snack
10:00-11:00 p.m. – Room
activities
11:00- 11:30 p.m. –
Restrooms and preparing for
bed
11:30 p.m. – Lights
out
* Examples of recreational
activity include playing games,
taking walks, working on art
projects, watching TV, accessing
the Internet, making phone
calls, and visiting the library.
** Time for individual therapy,
family therapy, and meetings
with other staff members (such
as psychiatrist, psychologist,
social worker, nurse, and
tutors) is interspersed throughout
the day.
*** Only one therapy group
meets in the afternoon on
Saturdays, so adolescents
devote more time to recreational
activity. No therapy groups
meet on Sundays, but each
adolescent meets with a therapy
staff member.
Treatment
Plan
Participation in ARP begins
with an initial assessment
and a medical evaluation.
After admission, each patient
receives an individualized
treatment plan tailored to
their unique psychological
and medical service needs
and includes nutritional rehabilitation.
Patients begin planning for
discharge and aftercare as
soon as they are admitted
into the program.
Initial Assessment. Before admission to ARP, River
Centre Clinic conducts a comprehensive
clinical assessment to gather
information regarding the
patient’s current symptom
picture, history of eating
problems, health history,
family history, current and
prior medications, and various
questions about overall emotional
and physical health. The clinic
also obtains information forms
and questionnaires completed
by each patient. Patient information
from both interviews and questionnaires
is essential to ensure that
we do not overlook important
details of each patient’s
current situation or history.
Medical Evaluation. Before admission
to ARP, patients must receive
a medical evaluation to determine
their general health status.
In most cases, patients receive
the medical evaluation from
their personal physician.
Individualized Treatment
Plan. In the first
week after admission to ARP,
patients receive an individualized
treatment plan tailored to
meet their unique needs, based
on our ongoing assessment
of problems and progress.
This plan is developed based
on the initial assessment,
then applied within the framework
of evidence-based treatment
principles and protocols,
and continually revised as
changes occur during treatment.
The treatment team works closely
with each patient to set realistic
treatment goals, and staff
members are available to patients
and parents to explain the
rationale behind various aspects
of treatment. While in the
program, patients learn how
to address the main symptoms
of their eating disorder.
They also learn how to identify
and start resolving the emotional
issues that have contributed
to the development and maintenance
of symptoms. Patients and
their families are encouraged
to participate in the treatment
plan’s development and
evolution as changes occur
throughout the treatment process.
Nutritional Rehabilitation. ARP treatment provides complete
nutritional rehabilitation
in a safe and structured environment.
The goal of this aspect of
treatment is to help patients
achieve and maintain a healthy
body weight, as well as to
develop appropriate eating
patterns that will lead to
true control over the eating
process. Since food and meal
planning are key elements
of nutritional rehabilitation,
each patient has a food plan
tailored to meet individual
needs under a dietitian’s
or physician’s supervision,
and specially trained staff
members supervise meal planning
and meals. ARP provides all
meals and snacks, seven days
per week.
Medical and Medication
Services. One aspect
of the ARP treatment plan
is evaluating and addressing
each patient’s ongoing
medical needs, and is provided
by our staff psychiatrist
and consulting physicians.
River Centre Clinic’s
medication/somatic service
provides medical interventions
including physical assessment,
prescription, or supervision
of medication(s). This service
is aimed at educating patients
who require medication so
they may develop an understanding
of their medication regimen
and other health issues.
Educational Plan. If continued schooling is
considered appropriate, given
the nature and seriousness
of the patient’s eating
disorder, River Centre Clinic
can provide individually tailored
educational plans so the patient
can continue to meet educational
goals. This can be accomplished
in several ways:
• The patient’s
home school district can coordinate
the curriculum and provide
the patient with all materials
required to maintain current
classes or a partial course
load.
• Patients can enroll
in the local Sylvania school
system, but payments for this
service must be made by the
patient’s home school
district.
• Patients in grades
5 through 12 can earn credits
through nationally accredited
correspondence courses.
Discharge Planning
and Aftercare. Discharge
planning is an ongoing process
that begins upon admission
to ARP. The ARP treatment
team works closely with each
patient to set realistic treatment
goals and develop an aftercare
(continuing care) plan for
applying the behavioral management,
communication, and problem
solving skills that have been
effective in treatment. Aftercare
involves a range of options,
including weekly aftercare
groups, relapse prevention
therapy, or phone follow-up
to provide safeguards against
relapse. River Centre Clinic
also assists patients and
their families who need referrals
for additional treatment or
support in their home communities.
Therapy
The ARP treatment plan involves
a mix of individual, group,
and family therapy. The plan
also encourages family visitation
that is prearranged with clinical
staff members.
Individual Therapy. Each ARP participant is assigned
to one or two staff members
for individual therapy meetings.
One of the aims of individual
therapy is to help patients
overcome some of the fears
and inhibitions they might
experience in a group setting.
Group Therapy. The ARP treatment plan places
strong emphasis on group therapy
because it provides an opportunity
for patients to learn by interacting
with other people who suffer
from eating disorders. The
group therapy format also
plays a valuable role in recovery
by providing hope, reassurance,
and understanding. Nevertheless,
our approach is very flexible.
We recognize that some people
take longer than others to
feel comfortable in groups.
We encourage patients to express
any concerns they have about
our treatment format so that
our staff members can explain
the rationale behind various
aspects of treatment.
Family Therapy. River Centre Clinic encourages
each ARP participant’s
family to be involved as part
of treatment. We emphasize
family therapy as one of the
cornerstones of treatment
and require it for nearly
all patients who are under
the age of 18 or who are living
at home. From a practical
perspective, parents or guardians
are legally responsible for
the patient’s well being,
and parents can provide powerful
directives that support therapeutic
goals. From a theoretical
perspective, the interaction
between family members and
the patient’s thinking,
feeling, and behavior is usually
so salient that it compels
family involvement. We can
schedule family meetings or
therapy sessions regularly
or periodically, according
to the patient’s individual
treatment plan. Each patient’s
individual treatment plan
may change over the course
of treatment.
Visitation. River Centre Clinic encourages
family and friends to visit
ARP participants, but it is
best if these visits are prearranged
with clinical staff members.
The aim is to provide maximum
benefit for patients by considering
all factors pertaining to
their treatment goals and
progress. Hotel accommodations
for family and visitors are
available nearby at:
Wingate by Wyndham –
Sylvania/Toledo
5480 South Main Street
Sylvania, OH 43560
U.S.A.
Local Phone: 419-517-2000
Toll-Free Phone: 866-502-5381
Website: http://www.wingatesylvania.com/
Please ask for the River Centre
Clinic corporate discount
rate for rooms
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