INPATIENT PROGRAMS Vancouver | Spokane

Daybreak operates a 16 bed Intensive Inpatient Chemical Dependency treatment program for adolescent males in Vancouver, WA, at 2924 Falk Road. This program is certified by the Division of Alcohol and Substance Abuse and meets the ASAM criteria as a Level III, medically monitored inpatient treatment program.
The Vancouver Inpatient facility serves boys, ages 12 17, from Vancouver and from communities throughout Washington and Oregon. This is a secure, drug free treatment environment, fully self contained, providing all treatment and therapeutic services, on site academic school, recreation, and introduction to 12 step recovery programs. The length of stay is variable, depending entirely upon the severity of the young person's situation, and upon the progress in meeting the ASAM Patient Placement criteria. The median length of stay is approximately 40 days.

Daybreak is committed to serving youth from all communities and situations. The costs for Inpatient services are usually covered by major health insurance providers, and financial aid is available on a sliding free scale to those families who meet state and federal low income guidelines. Nearly 70% of the client families served as Daybreak receive some sort of financial assistance.

Admission is by prior reservation only. Daybreak cannot accept clients needing acute care or detoxification. Requests for admission and information can be made by calling the Admission Counselor at 1(888) 454 5506, extension 18, Monday through Friday, from 8:00 a.m. to 4:00 p.m.

Vancouver Inpatient Program Description

Our Goals:

Provide an in depth assessment regarding the problems, strengths, and needs of the client and family.

Provide clear recommendations regarding home structure and follow up therapy to the client, parents or guardians, and other professionals.

Help the client to understand, internalize and embrace not only the program of recovery from the chemical dependency but also a healthy lifestyle. To this end Daybreak counselors are trained in and utilize elements of two research-based therapies: Motivational Enhancement Therapy (MET) and Dialectical Behavior Therapy (DBT).

Motivational enhancement therapy is a therapeutic approach based on the premise that clients will best be able to achieve change when motivation comes from within themselves, rather than being imposed by the therapist. Motivational interviewing, the primary element of MET, was developed by William R. Miller and Stephen Rollnick (1991). It is a model derived from a number of sources, including stages of change theory, client centered approaches, and research into what clinician behaviors are associated with the best client outcomes.

Dialectical Behavior Therapy (DBT) is a new model of therapy which was originally designed for severe and chronic multi diagnostic, difficult to treat patients, but increasingly is being used with adolescent and adult patients who exhibit impulsive and inappropriate acting out behaviors. Developed at the University of Washington by Marsha Linehan, PhD, DBT has been described as a community treating a community and focuses on developing a balance between change and acceptance.

DBT blends specific styles of individual (largely cognitive behavioral therapy) and group therapies into a coherent approach that emphasizes clients assuming responsibility for their own actions.

DBT addresses four areas of mental health which are most problematic for people: mindfulness, emotion regulation, interpersonal effectiveness, and distress tolerance. It includes two components: a regular group session which usually lasts for two hours and regularly scheduled individual therapy sessions. The group setting is designed to provide an accepting environment where clients learn effective strategies for coping with situations and practice these skills using situations they have experienced personally. The skills are further reinforced during individual therapy and coached within the treatment environment.. Individual therapy also provides the avenue for working with issues specific to each group member's needs so that the group session does not lose its focus.

Treatment Team Approach:
The treatment team is multi disciplinary by design, consisting of Chemical Dependency Counselors cross trained in mental health counseling, or social workers and mental health counselors cross trained in chemical dependency counseling. All staff receive training in Motivational Enhancement Therapy and Dialectical Behavior Therapy.

Because our clients range in age from twelve to seventeen, and because they frequently suffer from many disorders, we attempt to individualize the treatment plans and the nature of therapeutic interventions.

Program Design:
The goal of the initial days of treatment is to formulate a profile of the young person's behaviors, strengths and weaknesses.

During this period the following activities are underway:

The Primary Counselor conducts interviews with the clients and the parent/guardians, and continue to gather collateral information.

The Consulting Psychiatrist or Mental Health Specialist may interview with the client. The case is “staffed” with the Consulting Psychiatrist. Initial diagnoses are proposed and discussed, and the ongoing treatment plan for the client is recommended. The staff and consultant may raise questions about various issues that will require more data gathering or may set up interventions designed to test or evaluate the client's behavioral responses. Medications may be recommended.

The Milieu Counselors begin to coach more skillful behavior, document the client's behavior, and responses to interactions with staff and peers.

The Clients attend Skills Training Groups, individual therapy, and work on behavioral and written homework, such as an autobiography and a Step I assignment.

The School Teacher will conduct academic testing to assess grade level and cognitive deficits. School credits are awarded at the end of treatment based upon the amount of contracted work completed.

The treatment milieu (environment) is designed to be warm and safe, but highly structured, wherein behavioral coaching and interventions may occur. The clients live in twoor three person rooms. We maintain a 1:3 staff/client ratio during weekday day shifts and a 1:5 staff/client ratio in the evenings and on weekends. The goal of this design is to maintain close observation of the clients so we can make the immediate behavioral interventions and be available to give them the attention that they need.

Within the treatment environment, Milieu Counselors respond to clients' problem behaviors (inappropriate or hurtful language and gestures, threatening behavior, uncooperative behavior, and other treatment interfering behavior). Clients earn daily “points” recorded on a daily “Goal Sheet” by which they receive quick feedback regarding behavioral progress. Point percentages are tied to movement through a five phase Level system. They also may earn other rewards for movement in the direction of increasingly appropriate behavior.

We expect. that clients do approximately one hour of daily chores ranging from making their beds to cleaning up the kitchen and dining room after meals. At least one hour of structured recreation and two half hour blocks of free time are included in the treatment weekday, with more structured recreation and free time provided on Saturdays and Sundays. Saturday activities often take place off site, and include field trips, roller skating, winter snow tubing, swimming, rafting, etc.

Skills Training Groups comprising eight to ten clients and two counselors are conducted in four two hour blocks on weekday mornings and afternoons.

Education regarding issues pertinent to recovery from chemical dependency, self esteem, gender issues, and adolescent development take place at least five times weekly at various times during the day and evening.

Individual Therapy sessions are held throughout the day and early evening, with each client receiving a minimum one hour per week. Clients often receive several 20 30 minute brief sessions weekly in response to crises or to prevent building up of tensions.

Family Therapy sessions are scheduled at the family's convenience, often during the visiting hours on Saturday and Sunday.

Clients attend 12 step meetings three times weekly.

A certified teacher provides 2.5 hours of daily academic instruction on weekdays.

Inpatient Information (You will need Adobe Acrobat Reader to download these forms.) Inpatient Admissions Form (You will need Adobe Acrobat Reader to download these forms.)