Adolescent Day Treatment Programming

Monte Nido is sensitive to the developmental needs of adolescents, and our highly skilled and encouraging team takes a holistic approach to assisting them become fully recovered. We understand the complexity of eating disorders and provide exceptional programming to treat teens, whether they’re stepping down from a residential treatment center or looking for a partial hospitalization or intensive outpatient level of care when residing in the home.

Monte Nido requires a technical approach blending adolescent-only and mixed-milieu programming, including balancing age-appropriateness and clinical considerations. This allows for greater exposure to the art building and thought, feeling and behavior direction related to all customers.

Using the same philosophy, approaches and protocols offered in other Monte Nido programs, our teenage day treatment programming is geared toward teenage clinical and developmental problems, diligently keeping up a positive and healthful environment. Topics are dealt with in person sessions. Schedule offerings include:

  • Clinical material and research classes that appropriately reflect the particular developmental and social needs of adolescents
    Two human treatment sessions per week | Relationship groups |Adapted abilities classes
  • Nutrition and meals
    Weekly human nourishment session using Registered Dietitian | Coached household meals | Nutrition exposures coordinated with outpatient team | Spicy foods
  • Family programming as appropriate and available
    Weekly human household sessions | Multi-family classes | Parent schooling series | Extensive psycho-education to help gain understanding and tools to support recovery | Weekly telephone calls to provide updates on teenager’s advancement
  • Academic service
    Programming happens during the afternoon to allow adolescents to attend college in the mornings | Medical staff works closely with every adolescent in their school schedules and needs | Individualized Education Programs (IEPs) are followed and developed in cooperation with each teenager’s school so parents can have confidence their child’s academic needs are being fulfilled while they’re working toward healing in the eating disease

When they’re ready, adolescents can resign from partial hospitalization to Monte Nido’s intensive outpatient programming (IOP), that offers continued clinical help and containment when allowing for full school involvement. Whenever possible, adolescents will retain the identical primary therapist and dietitian for their unique sessions.

Benefits of Treating Adolescents and Adults at Precisely the Identical Milieu

Doug Bunnell, PhD, CEDS, FAED               Chief Clinical Officer

The typical age of onset for many eating disorders sits squarely in early to middle of adolescence. Even with early detection and treatment, a lot of people move from adolescence to maturity with their eating disease in tow. Many things concerning the eating disorder change in this transition. Included in the nature of health dangers of the eating disease, the role of the family in therapy, the tone and content of motivation and ambivalence about change and the level to which the person is absolutely free and capable of creating their own decisions concerning therapy. In many ways the eating disorder effectively interrupts maturation; that is, the symptoms, behaviours, anxieties and core cognitions stay similar throughout the developmental range.

There are certainly benefits to simplifying intensive therapy plans along developmental lines. Separating teenager from mature customers enables programs to tailor clinical content and core therapy interventions. 1 common rationale in favor of separate programming would be that separation allows for greater emphasis on household support and work. These problems are especially significant at the home level of attention. I think, however, there are powerful arguments in favor of providing opportunities for adolescents and adults to work together in therapy as they go to lesser levels of care like day treatment plans.

Adolescents with eating disorders are ordinarily more overtly resistant to therapy than adults. Generally, adolescents minimize the impact of the eating disease in their own lives and tend to see the eating disease as a tool that enhances them in some significant way. This will make therapy participation especially challenging because adolescents often see treatment for a procedure that may take something precious from them. Infants, by virtue of maturation, might frequently have developed a greater perspective for what the eating disorder has put them in terms of their bodily and behavioural health. Even young adults have a better capacity to search forward and start to wrestle with the consequences of moving through their lives without fully resolving their eating disease.

Combining adolescents and adults in day treatment programs helps bridge this motivational divide. Teen-only classes can coalesce around a negative or resistant perspective about therapy. Young adult and adult classes are not as likely to remain stuck in a defiant posture. This openness to the prospect of change and recovery can have a potent impact on a teenager that isn’t sure they’re ready to engage. Hearing from an elderly peer about the impact of their eating disorder could divide the defiance in a way a therapist or a relative can’t. These minutes, in which an adult patient connects and emotionally touches a teenager with this issue of desire for change, can be enormously successful, even transformative. Mixing teens and adults can also minimize group comparisons and rivalry. These dynamics can flourish in adolescent-only classes and inhibit healing. Many adolescents and adults tell us they frequently feel energized or set-apart in their own relationships. Treatment environments that offer a assortment of healthy relationship opportunities, with employees and with fellow customers, increase the chances for a meaningful relationship which may help build the momentum for change and healing.  

It takes a powerful and expert therapy team to produce and manage these interactions. Teens do need their own different spaces to handle their unique developmental issues. They need specialized family treatment services and support. The group treatment content in mixed classes requires thoughtful monitoring by employees. Day applications that mix adolescents with adults need to offer these separated program components. Programs that mix adolescents and adults need to have distinct models and goals for family treatment and support. With thoughtful and careful attention to such modifications, mixed day treatment programming for both teens and adults can benefit from the ability of relationship between a teenager with an eating disorder and an adult who will recognize where that teenager is currently and, possibly more importantly, give a glimpse at where they’re headed.