Monte Nido & Affiliates mixes adolescent and adult clients with excellent results. Our founder and Chief Clinical Officer, Carolyn Costin, developed and served as Clinical Director for several inpatient, residential, day treatment and intensive outpatient programs prior to opening Monte Nido. Her experience initially involved adolescent-only and adult-only programs. Carolyn successfully obtained waivers to mix adult and adolescent clients because she was able to demonstrate, a) a more cooperative milieu with less problems when the ages were mixed, and b) that it was beneficial to the recovery process of all clients to mix both age groups together.
Assessment & Admission
Due to licensing issues our programs vary as to the age limitations we can accept. In programs licensed to take adolescents we accept ages 13 and up. In other programs we are usually able to obtain waivers to treat adolescents, except for our residential program in Oregon. We do a thorough assessment of both the adolescent and the parents, with input from existing outside treatment providers to be sure the client is a good fit for our program. An adolescent client goes through the same process as anyone seeking admission, but in addition to the parent assessment, we encourage, and in some cases require, a face-to-face interview, tour and meeting to determine suitablility. Family sessions are held at least once a week, if not more and there is constant communication with the parents. The specific academic needs of each client are assessed prior to admission and an individualized treatment plan is developed to address those needs.
We offer a variety of treatment modalities, but most of our groups are based upon Cognitive Behavioral Therapy principles and focus on skill building and helping clients gain control over their thoughts and behaviors. Our groups are run in a very directive nature with therapists maintaining control over the process and discussion.. At any given time, if we assess the need to have an adolescent only group, we separate the adolescents from the adults and offer two separate groups. Underlying issues regarding issues around sexuality, abuse or trauma may contribute to eating disorder behavior. Discussing these issues in group can be triggering to other clients regardless of age and are not considered appropriate group topics. These issues are best discussed in individual therapy.
Family Based Therapy
Certain staff members of Monte Nido and Affiliates are trained in the only recognized evidenced based treatment for adolescents with anorexia nervosa, originally referred to as The Maudsley Method and now referred to as FBT (family based treatment). FBT is a home-based treatment and does not work for all clients. We have admitted many clients to our program for whom FBT has been unsuccessful. We combine the structure and containment of a treatment program with concepts from FBT in order to create the best of both worlds. We ensure the family is included in the treatment and recovery process. Our educational and therapy sessions coach parents on a variety of issues including how to structure a meal, what to say and not to say for the best success, and how best to avoid power struggles Parents participate in meals at the facility, on passes and at home with the support of therapists who teach the necessary skills needed for the family to help their child recover.