When parents call for help with a child, adolescent, or young adult they are often in crisis and we first and foremost need to determine if we are the right people to assist them. Do they need crisis intervention; do they need a therapeutic wilderness program; do they need a therapeutic boarding school or a residential treatment program; or do they need a young adult program? Do they need a medical facility? Do they need an intervention? Some families may just need to hear some local resources, wherever they are, if they cannot afford to place their child. Do they need some advocacy services to assist them with funding or IEP issues? Once we have tweaked out that kind of information and if they agree to engage our services, we do all of our due diligence and come up with a plan.
Sometimes the plan involves a two-step process with a short term program for a couple of months followed by a longer term school or therapeutic program. Parents are extremely eager and anxious to know all that they can and want to know the long term plan right at the beginning. More often than not, we cannot give them the long term plan until the shorter term program along with clinically sophisticated testing and the 24/7 observation, therapy, and assessment are well underway. Sometimes I really wish I had a crystal ball, but without the weekly calls and reports as well as the careful and thorough test interpretation, the view from that crystal ball may not even be accurate!
We acknowledge that this can be very difficult for parents. Therefore, we do everything we can to help them with this rationale. Although it would certainly be easier for consultants and a heck of a lot less work to come up with the two step process at the beginning, it is not always in the best interest of the child, adolescent, or young adult, and that to us at the Goldberg Center is the most important goal.
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