The Healing Lodge of the Seven Nations provides an intensive 60 to 120 day inpatient experience for those youth ages 13 through 17 who evidence cognitive development of at least 11 years of age, have a primary diagnosis of chemical dependency, and require less clinical supervision and behavior management. The treatment program is an ASAM Level III.5 Intensive Inpatient Clinically Managed High-Intensity Residential Treatment Program. A Chemical Dependnecy Professional (CDP) must conduct a clinical assessment of applicants to determine their apporpriateness for youth treatment and forward the information to The Healing Lodge for placement consideration.
Generally speaking, youth participants in this program will not necessarily require intensive therapeutic intervention for other disorders, such as mental disorders or agressive behavior, as part of primary chemical dependency treatment. A Licensed Mental Health Counselor is on staff to provide services to patients who are deemed stable enough to participate in an intensive chemical dependency inpatient program. A mental health evaluation by a licensed mental health professional may be required for placement consideration.
A thorough, multidimensional, individualized interview performed by a Chemical Dependency Professional (CDP) to determine appropriateness for adolescent chemical dependency treatment. Either outpatient or residential treatment providers may conduct assessments.
Required documention (WAC 388-805-310):
A history of the applicant's involvement with alcohol and other drugs, including: The type of substances used; Route of administration; and Amount, frequency and duration of use;
History of alcohol or other drug treatment or education;
The applicant's self assessment of use of alcohol and other drugs; A relapse history; and A legal history.
- If the applicant is in need of treatment, a CDP or CDP trainee (CDPT) under supervision of a CDP must evaluate the assessment using Patient Placement Criteria (PPC) dimensions for the applicant's placement decision.
If an assessment is conducted on the youth, and the client is in need of treatment, the CDP or CDPT, must also obtain the following information:
• Parent and sibling use of drugs;
• History of school assessments for learning disabilities or other problems, which may affect the ability to understand written materials;
• Past and present parent/guardian custodial status, including running away and out-of-home placements;
• History of child or adolescent development problems; and
• Ability of parents/guardians to participate in treatment.
Documentation of the information collected, including:
A diagnostic assessment statement including sufficient data to determine a patient diagnosis supported by criteria of substance abuse or substance dependence;
• A written summary of the data gathered in subsections (1), (2), and (3) of the section that supports the treatment recommendation.
• A statement regarding provision of an HIV/AIDS brief risk intervention, and referrals made; and
• Evidence the client:
♦ Was notified of the assessment results; and
♦ Documentation of treatment options provided, and the client's choice, or
♦ If the client was not notified of the results and advised of referral options, the reason must be documented.
Generally, it is best to refer a youth to an outpatient facility for the initial assessment, although The Healing Lodge will provide assessments for DBHR-eligible youth, without cost, at the facility when deemed appropriate. The outpatient counselor can ensure that those youth that are referred to The Healing Lodge are referred back to the local outpatient program for continuing care support. The Healing Lodge will make every attempt to refer youth back to local outpatient services upon completion of inpatient treatment.