Home Treatment Philosophy

Treatment Philosophy, Goals and Methods

Valley Oak is committed to meeting the health, safety and therapeutic needs of adolescents whose only alternative is to be placed in out of home care. Our goal is to create a safe atmosphere and structured environment in which our residents can begin looking at their life situation and problems. Only then will they be able to work through their emotional issues, develop skills and prepare themselves to return to a less restrictive and structured level of care. The primary focus is to enable our residents to resolve their problems and function responsibly at home, school and in the community.

To accomplish this, we combine the use of milieu therapy with a strong clinical approach. The homes provide a structured environment, facilitated by a Level System, which is used to monitor and reinforce improved behavioral functioning. The basic premise of the program is designed around respecting oneself, others, property and the community. Contingency contracting, time-outs and problem solving techniques are utilized to introduce and strengthen new behaviors, as well as to teach conflict resolution skills and basic skills of keeping one’s self safe and not violating the safety of others. Progression through the Level System is a reflection of the resident’s ability to make the necessary changes, internalize new skills, demonstrate good decision making skills and fulfill the norms of the program. As residents progress through the Level System they are reinforced and rewarded with increased privileges and access to the community.

The clinical program focuses on the resident’s individual treatment issues, evaluates and assesses personal and interpersonal problems associated with family, school, and the community. Our residents participate in individual therapy, group therapy and other support groups as needed. Family therapy is facilitated whenever possible and appropriate.

Upon arrival at Valley Oak, an Initial Needs Assessment Plan is written based on referral information and social history. This appraisal/needs and service plan is the working treatment plan approved by the placing worker and focuses on assessing the resident’s treatment needs for the first 30-45 days of placement.

After the initial adjustment period, the social worker prepares an Initial Treatment Plan detailing outcome oriented goals and objectives. The treatment plans address specific behavioral, family, school, and relationship issues for each resident. Progress and changes to the treatment plan are identified in subsequent Quarterly Reports.

Each house holds a weekly team meeting in which the staff reviews each resident’s progress toward the treatment goals identified. In order to facilitate this process each resident has a BI-Weekly treatment plan, which is written by the on-line counselor with the resident. This plan identifies specific, measurable objectives derived from the Initial/Quarterly treatment plans. Residents are actively involved in the writing and reviewing of theses BI-weekly objectives and their progress in the program.

Residents residing in our Level 11 programs review their behavioral and clinical progress on a weekly basis in a house meeting. Although the level system is designed to be for a one week period of time, some resident have difficulty maintaining for that length of time, therefore the level system can be adjusted to a daily or three day level. The ultimate goal being for the resident to be successful and eventually work their way back to the weekly level system.

Residents residing in our Level 14 programs review their behavioral and clinical progress on a daily basis in a house meeting. Additionally some residents may be placed on a token economy or a point system to assist them in succeeding the program. The ultimate goal being for the resident to develop and internalize the skills needed to maintain appropriately for extended periods of time and progress to a less restrictive environment.

In both levels of care, the format for reviewing the resident’s status is for both staff and residents to give feedback to each resident about positives and problem areas and to vote on their level status. The residents are reinforced by increases in level status and privileges for the progress made both behaviorally and clinically.