Yellowbrick recognizes that many adolescents are struggling with psychiatric challenges which strain their well-being and ability to function effectively at school, with peers or at home. Emerging Adult Integrative Services at Yellowbrick provide a range of services geared toward preventive intervention within the context of a developmentally facilitating platform for teens who have already begun to manifest disruptive psychiatric difficulties.

The principles and emphasis of Emerging Adult Integrative Services are:

• Individualized Assessment
• Individualized Treatment Plans covering a spectrum of care combining individual services and groups
• Self-regulation/governance skill development
• Identity integration, secure attachment and social effectiveness
• Integration of education and treatment
• Emotional development

Interventions available include:

• Further assessment as indicated
• Psychotherapy and psychiatric services as needed
• Collaboration with schools, professionals and currently existing providers
• Education and educational support, including classes that maintain existing school curricula
• Cognitively based skills development, including MBSR, DBT, Open DBT, ACT, CBT (anxiety, depression, insomnia)
• Emotion regulation through sensorimotor mind-body integration
• Family therapy and weekend family workshops
• Trauma, addictions & eating disorder consultation/counseling
• Narrative, drama, improv, and yoga as integrative therapeutic activities
• Pharmaco-genomic medication & nutraceutical treatment
• Neuropsychiatric interventions including neurofeedback and deepTranscranial Magnetic Stimulation

Paths to engage treatment based on level of care desired and needed

The Emerging Adult Services program is designed to provide the initiation of treatment through several assessment paths. Once initiated, treatment can involve a limited package of therapy services, a package drawing on a broader range of interventions, or participation in our After School Intensive Outpatient Program that integrates the full range of available services.

Assessment

Treatment begins with one of three assessment paths:

1. A 3-interview initial assessment (individual, family, psychiatric), designed to occur during one morning or afternoon. This initial assessment concludes with a feedback session a day or two later that focuses on and serves to initiate immediate treatment needs.
2. Further assessment that co-occurs with initial treatment and that builds toward a more comprehensive and integrated formulation, moving toward an extended Collaboration Conference providing findings and recommendations of treatment components.
3. A comprehensive original assessment that integrates all assessment components, culminating in an extended Collaboration Conference providing findings and recommendations of treatment components.

Available Assessment Components

• Emerging adult and parent psychological interviews
• Psychiatric interview involving input from parents
• Family interviews with parents and adolescent
• qEEG (quantitative Electroencephalogram)
• Educational needs assessment, including consultation with the school
• Genomic testing
• Surveys and Questionnaires
• Specialized Psychiatric Interview with the Medical Director to assist in understanding underlying etiology and dynamics
• Components directed toward specific needs, including
  • Executive functioning
  • Life skills
  • Eating disorders and issues of relation to the body
  • Addictions
  • Trauma

Treatment

There are three paths of treatment engagement varying by level of comprehensiveness and involvement. There is flexibility to move from one level to another as the need and desire indicates.

1. Individual and/or family therapy, educational support, and either psychiatric oversight or direct psychiatric services including medication management.
2. Additional individual and group treatment and educational interventions towards establishing stability in meeting the developmental tasks of adolescence, including parent-child relationships. This path involves additional prescriptive individual and/or group services.
3. Participation in Neurofeedback, Transcranial Magnetic Stimulation and other neuro-regulation technologies