Thunder Road Treatment Manual: A Hybrid Therapeutic Community Treatment Model
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Authors: Patricia Shane, Ph.D., Linda Cherry, M.A., Randy Snowden, Tom Gerstel
Author Contact Information:
Dr. Patricia Shane
510.549.3430
pshane@psi.org
This manual describes a unique hybrid model that integrates aspects of three treatment philosophies: social model/therapeutic community, medical/psychiatric models, as well as 12-step recovery. Thunder Road serves high severity adolescents with substance use and co-occurring psychiatric disorders, through short (30-50 days) and long-term (6 – 12 months) residential treatment tracks with a step-down outpatient continuing care phase. The program’s therapeutic milieu incorporates psychiatric and pediatric services, individual, group and family therapy, an onsite school, multidisciplinary assessments and treatment planning by a multi-disciplinary staff. The manual describes key clinical design concepts and program components of this promising treatment approach.
Included in the manual are the following topics:
- Program background and guiding principles
- Staffing pattern and multidisciplinary team approach
- Treatment environment
- Steps through the treatment model
- Behavior modification and therapeutic milieu concepts
- The residential phase of treatment
- The continuing care phase
- Family systems
- Quality assurance and standards
263 PAGES SOFT COVER 2003
ATM107