Residential treatment center

A residential treatment center, often referred to by the acronym RTC, is a live-in therapy/behavior modification facility for adolescents who present a variety of conditions, ranging from drug abuse to violence to sexual behavioral problems. Different RTCs work with different grades of problems, and so the structure and methods of RTCs varies. Some RTCs are lock-down facilities; that is, the residents are locked inside the premises; however, other RTCs don't lock the residents in.

Over 1/3 of the RTCs in the United States are located in Utah, due to the state's lack of children's legal rights statutes.Fact|date=August 2008 However, all RTCs and their employees located in Utah must follow the [http://www.rules.utah.gov/publicat/code/r495/r495-876.htm Utah Department of Human Services Provider Code of Conduct] , which states that RTCs and similar organizations must not abuse, neglect, exploit, or maltreat their clients in any way.

Recently, after Congressional Hearings uncovered rampant abuse and neglect in U.S. RTC's and Wilderness Programs, the FTC issued a press release for parents considering such options for their children. [http://www.house.gov/apps/list/speech/edlabor_dem/rel070308.html FTC RELEASES FIRST FEDERAL GUIDE TO MAKING SAFE CHOICES WHEN CONSIDERING RESIDENTIAL PROGRAMS] The full text of this document can be found as well [http://www.ftc.gov/bcp/edu/pubs/consumer/products/pro27.pdf FTC GUIDELINE]

An example of a locked RTC: [http://www.islandview-rtc.com/ Island View RTC, located in Syracuse, UT]

An example of unlocked RTC's: [http://www.discoveryranch.net/ Discovery Ranch, located in Mapleton, UT]

Children and Teens

Residential treatment centers treat multiple conditions from drug and alcohol addictions, to emotional and physical disorders as well as mental illnesses. It has been discovered through various studies on youth in residential treatment centers, that many children in residential treatment centers have had history in family issues including physical or sexual abuse. Along with these issues, many children display aggressive behaviors. Most residential treatment centers cater to troubled teens with ADHD and ADD, family problems, behavioral disorders, educational issues, and behavioral issues that puts them at risk.Fact|date=August 2008

There are options for children and young adults to become academically successful within residential treatment as well. One program option involves therapy along with a boarding school setting. Therapeutic Boarding Schools provide staffs of social workers, psychologists, and psychiatrists to work with the students on a daily basis. This form of treatment has a goal of academic achievement as well as physical and mental stability in children and young adults.Fact|date=August 2008

Therapy

Residential Treatment Centers are highly effective for individuals who have a long history of addictive behaviors or criminal activityA National Evaluation of Treatment Outcomes for Cocaine Dependence; D. Dwayne Simpson, PhD; George W. Joe, EdD; Bennett W. Fletcher, PhD; Robert L. Hubbard, PhD; M. Douglas Anglin, PhD; Arch Gen Psychiatry. 1999;56:507-514. [http://archpsyc.ama-assn.org/cgi/content/abstract/56/6/507 Abstract] ] Effectiveness of coerced addiction treatment (alternative consequences) A review of the clinical research; Norman S. Miller M.D. and Joseph A. Flaherty M.D.b.; Journal of Substance Abuse Treatment, Volume 18, Issue 1, Pages 9-16 (January 2000) [http://www.journalofsubstanceabusetreatment.com/article/S0740-5472(99)00073-2/abstract Abstract] ] [http://www.nida.nih.gov/Infofacts/TreatMeth.html U.S. Department of Health and Human Services. NIDA InfoFacts: Treatment Approaches for Drug Addiction. Aug. 2007. 18 Oct. 2007.] ] [http://www.nida.nih.gov/PODAT/PODAT1.html U.S. Department of Health and Human Services. Principles of Drug Addiction Treatment: A Research Based Guide. Feb. 2005. 18 Oct. 2007.] ] RTC’s offer a variety of structured programs used to accommodate its residents needs. These programs mainly focus on re-socializing it’s residents to an addiction free lifestyle.

The therapeutic process to recovery generally begins with detoxification, a process that rids the addictive toxins from the patients body. This is often followed by treatment for relapse prevention that eases withdrawal symptoms. Customized treatment plans, medical and mental treatment, and follow-up treatments are also very important factors in the treatment process.

There is no single form of treatment that is appropriate for everyone. Though residential programs last an average of 6-12 months, most patients see improvement in only 3 months of treatment. With follow-up treatment, many addicts can continue life abstinent towards their addictive behaviors. This is to say that residential treatment may not be for everyone. It is important however, to understand that addiction is a chronic illness in which an addict is subject to relapse even after successful treatment.

The twelve-step model, also known as the Minnesota model, is often used along with therapeutic healing in treating addiction. The goal of the twelve steps is to make addicts admit that they are addicted, and to make them abandon those addictive behaviors. This model emphasizes the use of spirituality as a form of treating addictive behaviors, particularly substance addictions.

Where to Look

The internet provides numerous websites developed with the intention to help treat and prevent drug and alcohol abuse. The three most highly recommended websites include: The National Institute on Drug Abuse,The Center for Substance Abuse Treatment,Join Together, The National Institute on Drug Abuse is a good starting point when looking for drug abuse information and to find online resources. It includes expert advice, many useful links, and even an online chat room to talk with other people searching for similar answers. Another useful place to look for information is The Center for Substance Abuse Treatment. This website is a good place to find various links each directing you to find information on more specified areas of treatment. The last of these three most highly recommended sites is Join Together. Join Together is a resource center for various communities working together to stop drug and substance abuse.

External links

* [http://www.rules.utah.gov/publicat/code/r495/r495-876.htm Utah Department of Human Services Provider Code of Conduct]

References