Children's Residential Treatment Center (CRTC)
East 19th Street, Minneapolis, MN
8:30 a.m. to 4:30 p.m., except holidays
and adolescents ages 11-17
FEES: Funding for
participant placement is typically received through county social services or
private medical insurance.
Referral Contact: Brenda Roth
Program Director: Erin Hoffman
Children’s Residential Treatment Center (CRTC) provides intensive residential treatment, in a secure setting, for severely emotionally disturbed children and adolescents who suffer primary psychiatric challenges such as mood and anxiety disorders, personality disorders, self-destructive behaviors, eating disorders, thought/dissociative disorders, and history of trauma. Average length of stay is typically between 7 and 12 months.
The Children’s Residential Treatment Center professional staff assures close supervision and ample opportunity for the ongoing development of therapeutic relationships. Participants receive comprehensive care including:
- Milieu Therapy
- Family Therapy
- Individual and Group Therapy
- Psychiatric Consultation and Medication Management
- Educational and Recreational Programming
We believe that therapeutic work with children and adolescents best occurs through the development of individualized treatment programs which are administered in a caring and supportive environment. CRTC uses intensive psychotherapies and cognitive and emotional skill building to assist each participant in developing the skills required to relate constructively to his/her environment. Through program participation, children learn to change dysfunctional patterns of behavior, interaction, and communication in order to lead successful lives in their homes and community. The participant’s family is an essential part of successful treatment and must take an active role in the therapy process.
Adolescents admitted to CRTC often have long-standing problems that remain unresolved despite previous attempts at remediation. Residents admitted typically experience symptoms of depression, anxiety, trauma, suicidal ideation/gestures/attempts, self-injurious behaviors, psychosis, running away, school phobia, limited aggression, and oppositional behaviors. Residents are experiencing emotional disturbances that have developed into patterns of life-threatening or high-risk behaviors that require intensive intervention in a contained and highly structured environment. CRTC accepts both male and female residents, ages 11-17 years old, and must continue to be enrolled in school while in treatment.
Acceptance of adolescents is always on a case-by-case basis, with consideration of presenting symptoms, level of functioning, potential risk of aggression towards peers or staff, medical fragility, and current milieu dynamics and functioning.
Milieu therapy is a 24 hour daily, therapeutic living environment facilitated by Residential Counselor staff. Milieu therapy is focused on providing planned structure, support, routine and a "therapeutic culture" to allow for improved daily living skills, coping skills, and interpersonal relationship skills. Trust, safety, and respect are core components of the program's philosophy.
Family therapy is provided on a weekly basis by Master’s level clinicians. Our Family Therapists are trained both in DBT and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) The family is an essential part of successful treatment and a critical factor in the long term success of children after they leave our program. Families are expected to take an active role in the treatment process. The goal of family therapy is to assist the family in developing improved communication and problem solving skills and to learn to more effectively understanding and meet their child’s unique emotional needs. In addition, families have the opportunity to participate in parent education and support groups.
Individual therapy is provided to all clients on a twice weekly basis by Master’s level clinicians. Our Individual Therapists are trained both in DBT and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). Intensive individual therapy is a significant component of the treatment program at Children's Residential Treatment Center. The goal of individual therapy is to assist the child in developing an improved understanding of their emotional and mental health problems, to process and work through past difficulties and traumas, and to develop skills in effectively communicating their needs and feelings, problem solving, and coping with their emotional and mental health needs. The Individual Therapists coordinate and consult with the Treatment Team so to compliment work being done in other areas of the program. Clients also have many opportunities for informal counseling interactions with Residential Counselor staff, which serve to enhance the overall therapeutic focus of the program.
CRTC provides intensive, comprehensive treatment designed to meet the individual needs of the client. The length of stay is between 7 and 12 months, with an average length of stay of about 8 months. CRTC utilizes a Phase Program that includes four Phases of Treatment, each focusing on building skills from different DBT Modules. Phase 1 - Orientation, is 2 weeks long, based in Mindfulness skills, and focuses on the adolescent and CRTC getting to know each other. Phase 2 - Stabilization, is a minimum of 12 weeks long, and is focused on Distress Tolerance and Middle Path skills. Phase 3 - Building Mastery, is a minimum of 12 weeks long, and focuses on Emotion Regulation and Interpersonal Effectiveness skills. Phase 4 - Transition and Integration, is an average of 4-5 weeks, and focuses internalizing skills while preparing for discharge. CRTC offers DBT skills group 3 times/week, plus an additional Phase 4 group that includes both current residents preparing to discharge, as well as successfully discharged residents returning to CRTC to support their integration back into the community.
CONSULTATION AND MEDICATION MANAGEMENT
All clients see a Board Certified Child and Adolescent Psychiatrist as part of the initial evaluation process and on an ongoing basis. Frequency of ongoing psychiatric contact depends on each client’s specific needs. Clients are seen minimally on a monthly basis and can be seen as frequently as weekly if indicated. While most clients at Children's Residential Treatment Center take psychoactive medications, our goal is to have clients take the lowest doses of psychoactive medications necessary to effectively treat their mental health conditions.