Clinical Supervision and Individualized Care

“Did you know”, is a monthly e-publication to Summit families that covers various clinical philosophies, standards and practices concerning the treatment and well-being of all students. Summit’s therapeutic team attempt to individualize treatment for each student’s special needs while maintaining a school-wide standard that serves the good of the whole community. The entire clinical team meets weekly to discuss and collaborate the various issues of treatment that arise. These informational tidbits are an opportunity for parents to learn more about the Summit “process” and the recipe of clinical supports and interventions that lead to each student’s success. M. Stemborski, LCPC, LAC

Topic: Clinical Supervision

Every week for a total of three hours, the entire clinical department meets as a group for Clinical Supervision. This time is utilized for reviewing, discussing, and problem-solving the therapeutic process of all the students, their families, and the well-being of the community as a whole. Although a primary therapist is designated to each team, they are not expected to carry the entire team’s therapeutic needs on their own. Each member of the clinical staff has specialties and experiences that can be shared to best serve all the students at Summit. Also included is Dr. Vic Houser, Summit Psychiatrist, who coordinates with all the teams providing medication management and psychiatric insights. Dr. Vic has been with Summit since the doors opened, creating an intimate feeling amongst the clinical staff. Complete therapist biography’s and video snippets can be found on our website to help families get to know all the therapeutic staff.

“Each student and their family may only communicate with a primary therapist but in truth they are being guided by an entire clinical team”. Good to know!

Topic: Individualized Care

“One size does not fit all” is one way to describe the Summit Prep approach to treatment. The question that follows this philosophy is; how can we individualize treatment to meet the unique dynamics of each student and family WHILE preserving the integrity and structure of the entire Summit Program?

 

There are some Summit rules and expectations that are non-negotiable and crucial to the safety and well-being of the milieu. On the other hand, there are special circumstances of each student’s process that needs to be addressed on an individual approach to assure the progress of treatment. Then there are gray areas in-between that require a team approach as opposed to the decision of a single therapist. When a Summit wide guideline or rule is altered to accommodate one student, the entire staffing community is affected. These decisions need to be weighed carefully and communicated efficiently. Individual therapists do not have the authority to make acceptations without the team consent. Many times, it is a therapist, RC, or teacher that is making these individualized recommendations. Every special request is discussed and clinically evaluated between all the departments to find the ongoing balance between modesty and specialty.

Posted in Clinical, Did You Know..., Uncategorized

What are YOU Going to do About It?

Recently Summit Prep said goodbye to Blake, a residential counselor. He is heading back to school to become a teacher. Residential Counselors play a key role in the lives of our students. It is through their support and positive guidance that Summit students grow stronger to believe in themselves.

Before Blake left he shared his thoughts with the entire community about being present in their journey while at Summit Prep. Very powerful words

Dearest Summit Community,

While it has come time for me to make a transition in my life, it makes me think about why we are here, what we are doing, and where do we want to be? While you may say to yourself over and over again that this is not where you want to be, the fact of the matter is that this is where you are. So if you’re not happy about that, I ask what are you going to do about it? 

The urge to fight this reality is incredibly tempting. You could run, you could refuse, or maybe you could simply find the right thing to say to your parents that would melt their hearts enough to get you pulled. – All viable options. However, the sooner we accept that we are here for a reason, the sooner the work begins, and the greater reward at the end of it all.

For the past 2.5 years, Summit has been my job. I came here to work. There were days I didn’t want to be here, conversations I didn’t want to have, sometimes seeing people I didn’t want to see. Yet with every trial, comes the opportunity to triumph, overcome, work through, figure out, and at the end of it all, cash in. But you don’t get to do that until you do the work. And in my opinion, the harder the work, the bigger the payoff. 

Your time here is what you make it. If you consistently complain, say that it sucks, or fight with every fiber of your being to refuse to accept the fact that this is where you are and this is your reality, than more than likely your metaphorical lingering dark castle will grow and the sunshine is going to be ever more difficult to see. However, if you can catch yourself, stop yourself dead in your own tracks, and then tell yourself whatever it is you need to tell yourself (because only you know what that really is) than believe it or not, fight it if you wish, but this so-called horrible soul sucking place you believe is just short of hell’s doorstep, you call Summit Preparatory School, actually, just might actually be the platform launch you to the next level and transform your life – Just maybe. So think about trying it, or talk to those around you who already are doing it. 

That said, I want to say that this place is full of people who care. There is no mischievous wizard trying to hide behind the elusive dark curtain. There are only people who care. There are only people who give a damn about you and come to work every day with the intention of bringing out the very best you. Not to mention your family who more than likely seeks the same. You know this your reality, and you know that there will be challenge that comes with it. So the question still remains – what are you going to do about it?

-Blake

 

Posted in General, Health and well being, Uncategorized

ACA – Against Clinical Advice

 

At times, families consider or make plans on behalf of their child that contradict or oppose Summit rules and guidelines. It is never Summits desire to engage in argument or conflict over these incidents. In most cases, a solution can be identified that meets the needs of the family, while promoting the integrity of the Summit model. If differences arise, it is Summit’s clinical responsibility to present the “evidence and experience” of similar past scenarios to inform the family of the potential risks at hand. This information needs to be communicated in an honest and direct manor, allowing dialogue for a successful solution.
 
Every parent of a Summit student is asked to fully participate and contribute to the healing process. The parent assignments, therapy phone calls, workshops, and dedication on your behalf are crucial and surmount to the positive changes made. Each family makes tremendous sacrifices to humbly allow a therapeutic program to care for your child. During the New Parent Orientation, the clinical staff and founders explained the developmental model and professional approaches in which Summit values.  These approaches have been studied, and proven over time to provide a service that prevail positive, life-long results. Years of accumulated data, outcomes, and professional experiences have shown this to be true.  It is in this philosophical foundation that I believe you chose to enroll your child at Summit.
In some cases, parents do not follow the recommendations of the entire treatment team. Against Clinical Advice or A.C.A. is a medical term used by Summit to  describe any situation where a parent or student over the age of 18 years chooses to make decisions on behalf of their child or themselves that directly conflict with (a) the clinical advice of the primary therapist and clinical director, (b) the structure and rules of the Summit program as pertains to the entire student community, and (C) an integral piece of the individualized treatment plan that possess a significant risk to the successful outcome of clinical, academic, and/or residential goals.  After an ACA occurs, Summit will schedule a Clinical Peer Review with the parent(s) and their entire treatment team, comprising of education consultants, home professionals, etc. to collectively evaluate and reassess the student placement within the Summit program.   
 
Some common examples that arise; vacations and home-passes outside the Summit schedule, home-passes before stage 3, off-campus visits before stage 2, off-campus passes when under academic probation, I propose some questions and comments to all parents in this situation to help explore the pros and cons, potential risks, and therapeutic value of an ACA (Against Clinical Advise) decision.
 
What are your personal motives for this decision and do they meet your needs more than your child? Many ACA decisions arise around holidays and visitation. The absence an entire family feels for a child away is known to be immense. Sometimes, the only consolation (or justification) is held in the uncertain future, hoping your child will live a happy and productive future. It requires some kind of faith that the present work will be worth the difficult feelings in the moment.
 
Is this a past parenting technique that has been shown to be damaging or counterproductive?  Collectively, parents around the world are learning to raise and teach a new generation that has different needs and approaches than we had.  This is a truth and we are all held to its challenge. Summit families too, are learning a new way to parent that may contradict, even oppose some of our deepest paternal instincts. For example, sending a child to a wilderness or intervention program can be a very unnatural act made out of fear for the lives of our children.  Now that the immediate threat of life and limb is removed, parents start to witness student changes. In this comfort, there is a tendency to slip back into old parenting techniques that may have contributed to the problem in the first place. Please be careful of rescuing, guilt, over rewarding, coddling, and gaining approval of your student.
 
Did you consult your education consultant, therapist or treatment team prior to making the decision? You have chosen to create an entire team to consult your family.  The Summit academic, residential, and clinical teams are at your disposal. You have invested tremendous resources and trust in this group of professionals. In many cases, these individuals have formed genuine and intimate relationships with your child. In some cases, parents and select team members may not see eye to eye, but what does the entire team feel about this decision. A note of caution, Summit discovers ACA decisions were discussed between the student and their parents prior to notifying the team. Are you able to trust such a gathering of gifted and dedicated people and value their collective feedback?
 
Are your requests extraordinary or appropriate to the current situation? It can be a parent’s natural desire to acknowledge and reward their children. In this particular population, many students have received unearned or unwarranted rewards and praise that may not reflect the reality and healthy standards of the world around them. We are all biased and somewhat “blinded by love” when it comes to family. How do we “keep it real”?  Parents are presented the task of instilling morals and values to help their children succeed in the world. An internal sense of accomplishment is of greater value than external or immediate rewards.  This is accomplished through hard work and discipline.  Your child has been presented a roadmap with clear and precise directions how to graduate Summit. The sense of triumph when graduating is the greatest prize and it may not be valued by a student until later in life.
 
Does this decision set a precedent that rules and guidelines are negotiable? When set standards are made negotiable, an individual can assume the belief that they are unique, an exception, and their circumstances don’t apply. When parents model the behavior of making exceptions and negotiating rules, an adolescent will quickly adopt the same. When student’s sense an alignment with the parents against Summit, resistance towards the program tends to increase. This behavior can eventually transfer back unto to parents when they later in life set a clear guideline, yet the child will begin to negotiate and defy.  Summit holds Five Primary Values as the foundations of strong relationships; RESPECT, RESPONSIBILITY, TRUST, SAFETY, and COOPERATION.  Does the request for an ACA uphold these core-values?
 
Can your therapist work with your decision for therapeutic gain?  Are you willing to prolong or compromise this decision for the good of the “Big Picture”.  Many ACA request are made in the presence of fear, pressure, immediacy, guilt, or a sense of lost opportunity. You have committed to the Summit Plan, knowing the theory and guidelines behind its methods. Summit values any opportunity to grow. We try to discourage risky approaches where the learning curve stems from “tough lessons”.  A common scenario is parents bringing students home before approval and having the visit fall apart, requiring some level of “therapeutic damage control”.  As students’ progress through the 4 stages, the privileges increase as the student develops better skills to handle more difficult situations.  Can your decision be prolonged until a later phase or post-graduation as something to work towards?  Whatever your decision, the Summit Team will make all attempts to utilize this experience for growth.  It is our nature to be optimistic while being prepared for challenge.  Please keep in mind, some decisions can damage the student’s progress, undermine the therapeutic process, instill distrust, leave gaps for authority splitting or damage the community at large.  This destructive process can start with one seemingly unimportant decision that can snowball. Please, proceed with caution.  
Posted in Clinical, Did You Know...

A Trek Through Yellowstone with Focus and Purpose

By Sara Smithson MSW Clinical Therapist

Sara-Smithson

I’m not one to read too much into omens, but I passed two rainbows and a bald eagle as I drove up the road to Summit to begin our Spring 2016 Challenge Trip, which seemed like an okay way to kick off our backpacking trip through the Black Canyon of the Yellowstone River in Yellowstone National Park.  Arriving to a group of Red Team students all packed up, in good spirits, and ready to hit the road on time was another good sign.  We’d talked together in recent weeks about what we all thought our team needed to gain most out of our adventure, and the two words that came to my mind were “perspective” and “focus.”  Spending time on top of a supervolcano in the U.S.’s first national park and backpacking through a diverse, wild ecosystem in unpredictable spring weather seemed like a solid setting to highlight the importance of both of those skills.

At Eagle Creek on the edge of Yellowstone, we were greeted by a gigantic free range bison that the campground caretaker had named “Itchy” due to his constant use of the camp signs and picnic tables to help shed his winter coat.  We swung by the Park’s permit office to review their safety procedures and then made a stop at Mammoth hot springs to check out one small example of Yellowstone’s incredible, other-worldly geothermal features.  After setting up camp we celebrated a special 18-year-old birthday and then settled in for a campfire talk by a local naturalist who shared with us fascinating details about the Park’s wildlife populations and, in particular, the dramatic social lives of its wolf packs.  A full moon broke out of the clouds as we ended our night by talking more deeply about our personal goals and intentions for the trip.

The next morning we packed up in a little light snow and eagerly began our decent into the scenic river valley lined with fragrant sage and juniper bushes.  Spring melt and recent rains had swollen the Yellowstone River to a roiling roar as we hiked along through blustery, dynamic conditions and eventually set up camp on the banks.  Our forethought and effort to come prepared with the right gear, practice good self-care, and set up a cozy group tarp shelter was rewarded by an enjoyable afternoon and evening unfazed by the intermittent precipitation.  We primarily celebrated relationships that evening, honoring each member’s unique contributions—old, new, student, and staff—to the Red collective.

Monday was a long, largely uphill trail day and our lagging, lackluster morning and evening routine highlighted and underscored one of the areas of collective growth potential for our team.  Majestic, grazing bison, herds of elk, stray antelope, and the stark bones and skulls of large animals picked clean by the Park’s predators captured our imagination, and we all did well in moments clearly demanding our exceptional efforts or attention (including great hiking form on difficult terrain), but we were less inspired, aware, and engaged in our daily, unglamorous routine responsibilities, an issue that has certainly been reflected on our team back on campus and resulted in missing homework assignments, extensions on dishroom duty,  demerits for poorly attempted chores or careless attention to rules, and “how did you get here and what are you working toward right now?!” reminders from the Treatment Team.  Perspective: why do we (and the things we do) matter?  Focus: recognizing that ourselves, our choices, and our actions do matter, how do we achieve the ones we want to reflect ourselves and our goals?

Despite these moments to further consider our areas for improvement, we made it just fine to the end of our trail and the end of our day as the landscape opened up into grassy hills and bluffs along the river.  Another lone bison with a flock of birds on his back stood by the river bank to welcome us in to camp.  Following night group and a primal, surprise stage 4 promotion, we retired to our tents just in time to beat another round of rain.

On our final frosty morning, we packed up in some sun and began our hike back out of the canyon, stopping in a field along the way to recognize our achievements and plan a strong return to “civilization.”  The team’s united effort to push with consistency and dedication through the final, uncomfortable mile of relentless uphill elevation highlighted our impressive capability when we are sufficiently committed and motivated to achieve a difficult challenge.  There is a time for pride and rest at the end of such a climb, and we hope to bring that perspective and focus back to campus to summit this new semester.

Posted in General, Uncategorized

Message From a Mom at Graduation

 

Your name means source of delight that’s why I chose it- your middle name Kathleen was after my dearest friend Kathy Page Kathleen means pure, so you are my “pure source of delight “.
I have seen you transform before my very eyes at this program at Summit. You came in so angry and didn’t want to be here.
As time went by I saw little changes and then suddenly great leaps.
I cannot even express in words how proud I am of you, so grateful to see you happy again and confident. Most of all you know who you are; and that is priceless to me.
Thank you for showing me through this process how much I needed to examine myself and have courage and to be brave – to look at my part in things. So through you and your program here at Summit Prep I have worked hard through my own program to put down the magnifying glass and pick up the mirror, which is the greatest gift I could’ve ever been given.  I will be forever grateful to you for that.  So parents who are here today I challenge you to put down the magnifying glass and pick up your mirror because this is a family process..

Summit staff I want to say thank you and when you lay your heads down on your pillows at night please know that you are making such a difference in the world -providing a program and structure, with each and everyone of you playing an intricate part of helping each student to find their true meaning and their potential in life. I can’t think of anything else that someone could do that would be more significantly important because each life changed & saved impacts the world in a positive way.

 

Abbi you are very smart , capable beautiful inside and out and are determined , resilient.  You have so so much to offer this world and we all need you to be in it.
Congratulations on this most special day it’s not just about a high school graduation for me it’s about you launching into the dreams for your future.

You are my sunshine my sweet sweet sunshine. I love you!

 

 

Posted in By Parents, Uncategorized