Children and families who have experienced trauma need help. They need social connection. They need community-based resources to perhaps meet basic needs. They need therapy. They need streamlined care to address their biopsychosocial needs, and often it is not just a child but an entire family who needs care. At CBC, we do all of this. Today, we do it not just at our 93 Edwards Street location but also in schools, community health centers, doctors' offices, hospitals, and even a local supermarket. In this way we are removing traditional barriers to care (like transportation and stigma) and reaching more children and families than ever to address a wide array of traumatic experiences. Through our efforts we are strengthening families and creating a community that is both happier and healthier.
Typically, CBC measures success by comparing assessment data at intake vs. discharge. Because the average length of stay for our children and families is six months, long-term success is difficult to measure empirically; however, many children and families in our care stay in touch with the clinicians and therapists with whom they worked, and often we hear wonderful stories. For example, some years ago we served a teenage girl with an extensive trauma history and significant needs (i.e., her drug-addicted mother threw her out, she had no housing, she had little other family support) and we recently learned she graduated high school with honors and was awarded a science scholarship at a public university! Another boy who was once in our care bumped into his former CBC therapist, and he reported he was married and attending fathering classes so he would not repeat the mistakes his father made. Fortunately, these are just two of the many stories that indicate our efforts have impact!
Jasmine's story is a good one to share!
When we met her, Jasmine was an energetic two year old. Her mom, Bethany, brought Jasmine to CBC concerned by Jasmine's social-emotional development. Jasmine had lots of tantrums and was aggressive (throwing, hitting and biting). Teachers had a hard time controlling Jasmine.
Outpatient Services: Even though we have increased our presence in nontraditional ways to increase access to behavioral health care, we still have a robust outpatient practice. It suits many children and families to seek counseling in the traditional setting, whether it be individual, group, or family therapy. Also, with your support that setting remains flexible and responsive to what the community needs. For instance, we recently recognized the need to address the specific traumas related to military services, e.g., deployment of a family member, his/her return from active duty, or combat-related PTSD. We responded with an "HONORS" program that helps families work through these issues. Also, given the increase in Autism Spectrum Disorder ("ASD"), we are currently piloting a program to serve families with ASD members.
Ciera and her family need a lot of help.
When they first came to Clifford Beers, her two oldest children had already experienced some pretty horrible things (she asks that they not be disclosed), and she was pregnant but separated from her husband. She knew she needed help, so she brought her family to CBC and worked with our therapists and care coordinators to get the help they needed and to heal.
Our increased presence in the community has us grouping together several programs/services. These include: "bridging," which provides short-term counseling for children and families in the immediate aftermath of a report of sexual abuse; Child First, which occurs in homes of family with children 0-5 to help ensure strong parent-child bonds are formed; MOMs, which is a partnership devoted to reducing the chronic stress of mothers in the community by setting up convenient locations (like a grocery store!) where they can connect to resources to help meet basic needs (diapers, housing, food); Newtown Recovery, which helped to support Sandy Hook after the tragedy of December 2012; and EMPS, which is a mobile response to a crisis in the community.
EMPS Crisis Services:EMPS Crisis Services provides an immediate response to children, adolescents and their families when a behavior health crisis is occurring. When a family dials 2-1-1, EMPS Crisis Services staff respond to a location within 45 minutes of the call.
EMPS Crisis Services provides a good example of short-term success. EMPS aims to (1) serve children and families in their homes, (2) divert use of costly hospital ERs, and (3) keep children out off expensive inpatient care. The average length of stay is 11 days, and the idea is to stabilize the issues and thoughtfully problem-solve. Treatment plans our drafted, and our data indicate that for FY15 77% of children met their treatment goals. During treatment, 4 out of 5 children (81%) of children with a history of inpatient psychiatric care were not readmitted. Also telling is the parent's ability to manage their child; at intake, 39% felt incapable of managing their child, but for FY15 this drops to 19% -- which means only 1 in 5 parents felt incapable of managing their child after treatment.
Stephen was seen by our EMPS clinician.
It happened fast for him. He had significant rage, wanted to hurt someone, and was hospitalized. School suspension followed.
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