Clinical & Rehabilitation

Aurora Plains Academy provides services to a special population. This population is characterized by high levels of verbal, physical, and sexual aggression. The Academy's intensive program offers higher staff to youth ratios and specific programming for the populations.

Academy staff will guide all youth through our comprehensive programs. This provides each resident the opportunity to be successful in completing their individualized treatment programs so they may become positive and productive community members. View the Academy's clinical and rehabilitation programs and services below.

Aftercare or Transitional Services

A significant time for youth and their families is the completion of treatment and the transition back into their home community.  As part of our reunification/transitional program, Clinicare maintains contact with youth and their families for approximately 3 months after they complete their treatment.  The goal of this contact is to encourage and assist them in their success as well as decrease recidivism.  During this contact, our aftercare specialists will monitor school attendance, medication compliance, ongoing treatment/therapeutic compliance,  employment opportunities, and anything else that might assist the youth in remaining at home. 

Through this contact we also obtain outcome information statistics to help us measure success and identify areas we need to improve.  

Family Thereapy

The Family Therapy component at the Academy is designed to determine and address the resident's emotional impact on and from his/her family. Specific goals are developed by the resident's therapist and family therapist, in cooperation with the referring agency, and become a part of the resident's individual treatment plan.

Trained members of the clinical staff provide a variety of interventions so as to accommodate as many families as possible. Additionally, therapists provide family therapy services at the Academy, and when possible and appropriate, in the home community.

Family therapy and services are an integral part of the resident's overall treatment program as well as sucess. The therapist helps the family to understand the dynamics that led to admission to the academy as well as methods to change those dynamics. If the family is involved and it is possible, a pre-admission visit can be arranged. If the child is under the guardianship of the Department of Social Services or Department of Corrections, they may also chose to make a pre-admission visit.

Family therapy is utilized in creating emotional openness within the family, aiding parents in providing authority and supervision in the family, making decisions regarding home visitation, assisting the referring agency in determining aftercare planning, and helping the family develop some insight into their own family system.

Options for provision of family therapy include:

  • Transportation of residents to home community for on-site family therapy location
  • Family therapy with a provider based in their home community that they can remain with after discharge
  • Video conferencing
  • Speaker-phone family therapy
  • Assistance in transportation costs of the family to the Academy location

Individual and Group Psychotherapy

Rational ? Emotive; Cognitive Behavorial Intervention; Interpersonal; Client Centered; Gestalt; Reality Therapy; Experiential Psychotherapy.  Behavioral Therapies are reflected in the approaches of the primary therapist, treatment coord­inators, and Dialectical Behavioral Therapy (DBT).   Which approach is selected for a particular resident depends upon the needs of the resident.  Individual therapy is provided for each resident at least one hour per week by the primary therapist. EMDR therapy may also be a benefitical treatment component.  This can be discussed with the treatment team as a possible therapeutic intervention.

Group Therapy

Group therapy occurs daily on each living unit. Some groups may provoke more insight and discussion among residents regarding their treatment issues as well. The Clincal and nursing staff conduct the clinical groups (DBT, Choice and Changes, AODA, Trauma Recovery, Health). The Acadmeny staff facilitate daily processing groups as well.  Group therapy topics include: social skills and opportunities to improve peer relationships, relationship problems and proper ways to give feedback and resolve conflict, anger control, education of sexually transmitted diseases, HIV, and birth control, self-awareness and assertiveness, taking responsibility for oneself, values clarification, AODA at-risk behaviors (tobacco use, alcohol or other drug abuse), cultural awareness and heritage issues, divorce and family relationships, and independent living skills. Specialty Group Therapies are offered based on any additional needs of the current population, and conducted by a therapist.

Related Diagnoses:

  • Adjustment Disorder
  • Alcohol and Other Drug Abuse (AODA)
  • Antisocial Personality Disorder
  • Anxiety Disorder
  • Asperger's Disorder
  • Attention Deficit Disorder (ADD)
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Behavioral Disorders
  • Bipolar Disorder
  • Borderline Intellectual Functioning
  • Conduct Disorder
  • Cyclothymia
  • Depression
  • Depressive Disorder
  • Developmental Disability
  • Disruptive Behavior Disorder
  • Dysthymia
  • Enuresis/Encopresis
  • Fetal Alcohol Syndrome Disorder (FASD)
  • Gender Identity Disorder
  • Impulse Control Disorder
  • Intermittent Explosive Disorder
  • Major Depression with Psychotic Features
  • Mild Mental Retardation
  • Mood Disorder (NOS)
  • Obsessive-Compulsive Disorder (OCD)
  • Oppositional Defiant Disorder (ODD)
  • Personality Disorders
  • Pervasive Development Disorder (PDD)
  • Post Traumatic Stress Disorder (PTSD)
  • Psychotic Disorder (NOS)
  • Reactive Attachment Disorder
  • Schizoaffective Disorder
  • Schizophrenia
  • Seizure Disorder
  • Sexual Behavior - Problematic
  • Tourettes Syndrome
  • Victim of Abuse (Sexual, Physical, and/or Emotiona
  • XXY Chromosomal Disorder
  • Youth Who Have Sexually Reactive Behaviors

Intensive Evaluation & Assessment (30 Days)

All youth are engaged in an intensive assessment and evaluation process at adminission that yields the best plan for their individual needs. Additionally, input from the child and the guardian is highly valued and is actively pursued.

Each youth's mental health and physical well-being is a priority in our treatment programs. Our psychiatrists, nursing departments and clinical teams constantly strive to establish and maintain a therapeutic balance for everyone in our care.

Through Clinicare's assessment and evaluation process, our staff consider the child's or adolescent's historical data as part of the overall treatment plan. Upon admission, the child/adolescent begins a short-term course of assessments that include the following:

Assessment:

  • Psychiatric Assessment
  • Nursing Assessment
  • Social Assessment
  • Psychoeducational Assessment
  • Group Living Assessment
  • Family Assessment
  • A.O.D.A. Assessment
  • Effects of Trauma Assessment

A list of possible testing:

  • Minnesota Multi-Phasic Personality Inventory-Adolescent (MMPI-A)
  • Youth Triage Screening
  • Criminal Justice Screening-Adolescent
  • Jesness Inventory
  • Million Adolescent Clinical Inventory (MACI)
  • Test of Variable Attention (TOVA)
  • Shipley Institute of Living
  • Substance Abuse Subtle Screening Inventory (SASSI)

This clinical assessment and evaluation is the optimal process in the development of a successful treatment plan. Using historic data together with current information and comprehensive assessment, the Clinicare facility, agency, and family can follow an appropriate therapeutic direction.

Related Diagnoses:

  • Adjustment Disorder
  • Alcohol and Other Drug Abuse (AODA)
  • Antisocial Personality Disorder
  • Anxiety Disorder
  • Asperger's Disorder
  • Attention Deficit Disorder (ADD)
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Behavioral Disorders
  • Bipolar Disorder
  • Borderline Intellectual Functioning
  • Conduct Disorder
  • Cyclothymia
  • Depression
  • Depressive Disorder
  • Developmental Disability
  • Disruptive Behavior Disorder
  • Dysthymia
  • Enuresis/Encopresis
  • Fetal Alcohol Syndrome Disorder (FASD)
  • Gender Identity Disorder
  • Impulse Control Disorder
  • Intermittent Explosive Disorder
  • Major Depression with Psychotic Features
  • Mild Mental Retardation
  • Mood Disorder (NOS)
  • Obsessive-Compulsive Disorder (OCD)
  • Oppositional Defiant Disorder (ODD)
  • Personality Disorders
  • Pervasive Development Disorder (PDD)
  • Post Traumatic Stress Disorder (PTSD)
  • Psychotic Disorder (NOS)
  • Reactive Attachment Disorder
  • Schizoaffective Disorder
  • Schizophrenia
  • Seizure Disorder
  • Sexual Behavior - Problematic
  • Tourettes Syndrome
  • Victim of Abuse (Sexual, Physical, and/or Emotiona
  • XXY Chromosomal Disorder
  • Youth Who Have Sexually Reactive Behaviors

Intensive Treatment

The primary focus for residents admitted for intensive treatment programming is to concentrate on individually identified areas of need.

The Individual Treatment Plan focuses on at least the following eight areas:

  • Behavioral
  • Emotional/psychological
  • Personal and social development
  • Family
  • Health
  • Educational/vocational
  • Independent living skills/adaptive functioning
  • Recreation

As appropriate, focus is added to the treatment plan to include alcohol and other drug abuse (AODA), and/or harmful sexual behaviors. The extent of focus for all of the treatment plan areas is determined by the placing agency's identification of outcomes desired. The individual needs of the resident will determine the extent of services.

Length of Stay:

The length of stay is determined individually for each resident. The placing agency directs this decision, with permanency planning occurring from the day of admission. Determining factors include:

  • Resident investment in treatment
  • Agency identified desired outcomes
  • Resident ability to be successful in a less structured setting
  • Availability of a viable discharge resource
  • Resident age

Treatment Approaches:

  • Individual therapy
  • Group therapy
  • Case management
  • Residential program
  • Family Therapy

Medical Care

Medical care can be provided on site for students with medical needs on a consistent basis. Medical care is administered based on recommendations from the academy nurse and is monitored consistenly to ensure the anticipated outcomes are occurring.  The Academy's Nurse assists in guiding the resident's medical health and education in conjunction with their mental health needs.

Neuro-Psychological Evaluations

Clinicare uses it's Neuro-Psychologist throughout it's programs to strengthen the assessment and evaluation process.  Every youth at a Clinicare program has the ability to complete a Neuro-Psych Assessment if one is warranted. Additionally all children are screened for a need of the assessment.

  • About 90% of our clients have significant learning struggles. Unidentified and unsupported learning can create “class clowns”, school avoidance, angry behaviors and chemical dependency concerns.
  • About 10-15% of our clients have had significant brain injuries. Anoxia at birth, concussions, seizures, loss of consciousness, falls, assaults, sports injuries, etc. all impact the functioning of the brain.  Damage in one area eliminates feelings of empathy; another area creates significant impulsivity and anger. Seizures constantly change the brain chemistry. 

 

Many different specific tests and assessments are used during a typical Neuro-Psychological Assessment. The main areas of concentration are:

  • Cognitive Assessment
  • Academic Assessment
  • Learning Processes
  • Executive Functioning
  • Attitudes

In “A Handbook of Neuropsychological Assessment”, Edgar Miller outlined three broad goals of neuropsychological assessment. Firstly, diagnosis, to determine the nature of the underlying problem. Secondly, to understand the nature of any brain injury or resulting cognitive problem and its impact on the individual, as a means of devising a rehabilitation program or offering advice as to an individual's ability to carry out a certain tasks. And lastly, assessments may be undertaken to measure change in functioning over time, such as to determine the consequences of a surgical procedure or the impact of a rehabilitation program or over time.

Pathways Program

The Pathways program is designed for the intensive residential treatment of adolescent male sex offenders. The program is a cohesive, closed unit, operating apart from the general Academy population. Single room occupancy, and high staff-to-resident ratio increase structure and security. Daily group therapy and treatment assignments direct focus upon: victim empathy, understanding the "cycle of abuse," cognitive restructuring, and behavioral rebuilding. Polygraph testing is provided at key intervals during treatment in the Pathways program to enhance internalization and effectiveness.

Pet Therapy

Our certified therapy dog assists in calming students who may be anxious, slightly agitated or upset, aids in motivating students, helps build confidence and self esteem within the student and teaches pet care skills.   Her overall foundation is to teach respect and compassion.  

Pets have been utilized for therapeutic purposes for over 100 years.  Pets of all shapes and sizes are proven tools for working with trauma victims, those suffering from depression and many other mental health needs.  

Equine therapy is also utilized through partnerships with local equestrian centers. 

Psychiatric Evaluation and Treatment

The Academy provides treatment for children/adolescents who present more complex psychiatric diagnoses or deficits in development. Through a greater staff-to-resident ratio and a less stimulating environment, psychiatric monitoring, on-campus nursing services, individual therapy, behavioral management, and crisis intervention assist the resident to better manage and cope with their symptoms. Psychopharmacological therapy is also provided as a combined effort of the psychiatrist, pharmacy, nurses, clinical staff, education staff, and residential treatment workers. Psychiatric evaluations include the Nurse and the Program Therapist to give the most well rounded picture of treatment progress for the psychiatrist.

Psychological Testing

Clinicians work with your child to identify his/her needs on a psychological level.

Structured Recreation

The Academy provides structural recreation through extensive, well-equipped on-ground facilities. This gives your child a safe environment to relieve stress and anxiety through physical activity. Off grounds activities are regularly planned as well, so that each resident can practice the skills they are learning in the structured environment.

Substance Abuse Treatment

Alcohol & Other Drug Abuse (AODA) treatment programming is provided as the need is identified. All residents who receive treatment at the Academy for alcohol and other drug abuse are dually diagnosed, meaning that the concerns related to AODA typically coincide with other physical, mental, emotional, or behavioral issues. As such, the AODA concerns are a secondary reason for placement.

AODA programs utilize a 12-step model in the daily group therapy. Individual relapse prevention plans are developed with the resident as they approach discharge. The expectation is for the residents to obtain sobriety, develop a greater awareness of the impact that drugs and/or alcohol have upon their lives, and create a plan to prevent future relapses.

All residents are screened for AODA treatment needs. Decisions to transfer the resident to the AODA program are made jointly with the placing agency and the parent/guardian.

Transportation

Every program will coordinate the transportation to and from the Academy for all needs. We pride ourselves in minimizing the geographic impact of our programs. Our programs routinely transport youth back home for any appointment that is important to their overall treatment success.

Treatment of Sexually Acting Out Behaviors

This program is designed for the intensive residential treatment of adolescent males with a history of sexual acting out behaviors. The program is a cohesive unit with single room occupancy, alarmed doors, highly supervised classrooms and higher staff to resident ratio increased structure and security. Daily group therapy and treatment assignments direct focus on: victim empathy, understanding the "cycle of abuse", cognitive restructuring, and behavioral rebuilding. The program uses the Pathways format and also Roadmaps to Recovery.