Cascade Mountain Range
Assessment and Evaluation: Mental Health
Our experienced, dually trained therapists provide comprehensive biopsychosocial assessments to identify the intensity and severity of an individual’s needs.
Mental Health Treatment
Rimrock Trails Services provides mental health therapy for individuals and families faced with challenges, including but not limited to:
child, adolescent and family adjustment
difficulty in relationships
difficulty in school
sexual behavior problems
grief and loss
Individuals may receive individual, family and/or group therapy based on the level of need identified in the assessment. Individuals typically see therapists weekly or biweekly in our office or, when necessary, in the community.
In coordination with therapy at Rimrock Trails, support services are provided in community settings. Peer Support Specialists provide emotional support to individuals and families; together, they can informally discuss issues, increase coping skills, identify strengths and barriers to recovery.
What is Dual Diagnosis?
When substance use and mental illness co-occur the condition is called a dual diagnosis. Co-occurring mental illness and substance use are not uncommon. In fact, statistics affirm that co-occurring disorders are the rule rather than the exception. The National Institute of Health estimates that up to 60 percent of individuals with a substance use disorder also suffer from mental illness. Co-occurring conditions have historically been treated as two separate illnesses, leaving one to be treated subsequent to another. Research studies show that dual diagnosis treatment is most effective as opposed to sequential or simultaneous treatment. When mental illness and substance abuse are treated at the same time, the chances of a successful outcome are greatly increased. Rimrock Trails offers a range of comprehensive dual diagnosis treatment programs designed to address the unique needs of each Individual in our care.
Our specialized treatment services target the needs of the dually diagnosed individual by:
Providing cross-trained therapists experienced in both substance use and mental health treatment
Comprehensive screening and assessment for the presence of substance use and mental health disorders
Offering dual diagnosis treatment across the continuum of care in our residential and outpatient programs
Creating a supportive environment that aligns with the goals of the individual and family
Motivating, empowering, supporting, and educating family members
Adolescent Residential Treatment
Rimrock Trails Residential Treatment Program is specifically designed for adolescents 12-17 years of age who are struggling with addiction and mental health disorders. Our dual diagnosis program provides 24-hour structured care and the opportunity for individuals to achieve distance from negative influences within their social environment. While stabilizing and moving through the stage of early abstinence we help individuals build distress tolerance, emotion regulation, and the interpersonal skills necessary to lead a more positive and productive life.
Our residential treatment campus provides a safe and supportive therapeutic environment conducive to learning, empowerment, and change. Our program is intentionally co-ed to replicate a real world environment and provide the opportunity to build interpersonal relationship skills. Our residential program provides a learning center for school credit recovery and enrichment activities such as equine therapy, a low ropes course, and climbing wall to help individuals reconnect with oneself.
Family involvement and participation is also a key component of our treatment program. There is direct evidence that parent participation improves treatment outcomes for the child. Similarly, the degree of environmental support that is present following residential treatment is a strong predictor of success and continued improvement. Environmental supports include family, school, community, peer group, and professional helpers. These supports make it more likely that progress achieved in residential services will be maintained. Gains made in residential treatment are unlikely to be maintained if supports are not in place for the individual upon returning home.
Innovative, creative and experiential approaches are often necessary to successfully engage youth in treatment. Experiential therapy involves actions, movements, and activities as opposed to more traditional “talk therapy.” Structured activities provide youth the opportunity to identify obstacles, develop improved self-esteem, experience successes, and take greater responsibility for their actions. Some of the activities we provide include art therapy, outdoor excursions, rock climbing, a low ropes course, and equine therapy. Rimrock Trails has partnered with Healing Reins Therapeutic Riding Center to provide Equine Facilitated Learning (EFL) for youth in treatment. EFL is a form of experiential therapy that involves interactions between youth and horses. The goal of equine therapy is to help the youth develop needed skills and attributes, such as accountability, responsibility, self-confidence, problem-solving skills, and self-control. Horses are typically non-judgmental, have no preconceived expectations or motives, and are highly effective at mirroring attitudes and behaviors of the humans with whom they are working. By offering a wide array of treatment modalities such as EFL we try to appeal to diverse interests and create opportunities for increased youth engagement.
Rimrock Trail’s residential program is the first of its kind to fully implement Collaborative Problem Solving (CPS) as a method for understanding behavior challenges in a compassionate, accurate and non-adversarial way. We believe people will do well if they can. We also believe that doing well is always preferable to not doing well, but only if one has the skills to do well in the first place. The basic idea behind CPS is a skill not will. Problem behaviors are best understood as the result of lagging thinking skills rather than attention-seeking, manipulative, limit-testing, or a sign of poor motivation. These challenges are best addressed by teaching skills rather than through reward and punishment programs, or the imposition of adult will. CPS is an effective approach for reducing the challenging behavior, improving communication, and repairing relationships. CPS is a strengths-based, neurobiologically-grounded, trauma-informed approach that provides a voice for and empowers youth and families.
The length of time required to complete residential treatment varies according to each youth's individual needs and rate of progress. The length of stay can vary from two to six months.
Adolescents needing residential treatment are at the greatest risk for relapse behaviors when they return home. National studies indicate that 60 percent (or more) of adolescents return to substance use within the first 90 days of discharge from residential treatment. The vast majority of these youth will return to substance use within the first 30 days after leaving residential treatment. Mountains of research show that adolescents who engage in a long-term continuum of care in their home community after residential treatment have far better outcomes. The very best residential treatment experience is only as good as the effort to follow through in outpatient care.
It is very important to link adolescents and their families to continuing care as early as possible during the first 90 days upon returning to the community. It is equally important that individuals and families are supported in sustaining active engagement in these services throughout the first 90 days following completion of residential treatment. Rimrock Trails is invested in the coordination and support of continued care for youth leaving residential treatment. We provide counseling, support, and case management (advocacy, barrier reduction, and follow-up) to assure Individuals and families make linkages to needed services.
Parents and professionals, no matter how diligent, cannot be in all places at all times. They also don't hold the same type of influence that positive peers and mentors can have. We encourage and assist individuals and families to pull from their own local resources - professionals, family, friends, neighbors and others when possible. Rimrock Trails also provides Certified Recovery Mentor services for local Individuals who need more intensive supports. Recovery Mentors engage with and provide support for Individuals and families during both residential and outpatient care. Peer support is a unique and essential element of recovery and rooted in mental health and substance use systems of care. Recovery Mentors are people with similar life experiences who are able to listen, give hope and guidance toward recovery in a way that is different, and just as valuable, as clinical services.
We’re here to help.
Please call our small team of dedicated admissions staff. They look forward to talking with you and are here to help.