not on my turf: therapeutic day treatment roles and concerns october 24, 2011 angela porter, lcsw...
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Does your program work like this???? OR…….TRANSCRIPT
Not On My Turf:Therapeutic Day Treatment
Roles and ConcernsOctober 24, 2011
Angela Porter, LCSWState Director of Therapeutic Day Treatment
Plan for our hour…..What is TDT
& What is it not?
What are characteristics of a great TDT program
How do we reach success?
Does your program work like this???? OR…….
What TDT Is & What It Isn’t
What is Therapeutic Day Treatment
History Purpose Who is this program really for Mandated requirements Cost of the program to the school
Why Do Schools Need TDT?• Therapeutic Day Treatment Services are designed
to focus on issues and behaviors that lead to decreasing:
discipline referrals dropout rate of high school students truancy rate crime rate in communities prevalence of substance abuse teen age pregnancy rates
• Early assessment and intervention of violent behaviors
• Increasing school achievement for students both in the program and out of the program by eliminating classroom disruptions
Cost Saving Therapeutic Day Treatment Services are a
Medicaid funded service and are at zero cost to the school system as compared to the cost of alternative educational settings and services which include:
• Residential Treatment= average of $500 per child per day • Private Day Educational Placements= average of $220 per child
per day • 1:1 in the school= average of $65 per child per day
Putting this in PerspectiveIn a State Executive Council meeting on The Comprehensive Services Act on September 26, 2008 it was reported that “the most prevalent reasons given for placement in special education day programs were because the child’s behavioral needs could not be met in a public setting and the need for specialized services/expertise in private programs.” It went on to say: “Despite a 2.5% decrease in the overall special education population in Virginia over the past five years, there has been an increase of 13% in the number of CSA funded special education private day placements in that time period. She [Susie Cumbia, Office of Financial and Data Services, Division of Special Education and Student Services, Virginia Department of Education] reported that the number of special education private day schools increased 33% in the past five years, increasing from sixty-four in 2003 to eighty-five in 2007. Special education private day schools were filled to 70% of their licensed capacity for the past two years.
TDT myths The counselors are there to critique teaching The counselors are allowed to take clients out
of the classrooms whenever they want to Counselor should be helping in the
classrooms, ie. Passing out papers, etc Counselor are used to assist the school with
layoffs Counselors replace School Social Workers and
Guidance Counselors
What are other myths you have heard?
Characteristics of a Great Program
Understanding the Different DynamicsPublic Providers-School System
Private Providers –TDT Counselor
Closed System Education Based History Culture & Traditions Planned
Very Socially Based Mental Health
Focused New to the
school/families/etc 2 set of cultures to fit
into Crisis Driven
Planning
Who will your program serve? What does the daily schedule look like? Who handles crisis in the classroom? When a child has to be restrained who does
it? Do you have room for your TDT workers? Is the program client centered and client
driven? What are the roles of the SW and how can we
work together for the benefit of the child?
Implementing
Who will handle referrals? How will the TDT counselors be introduced to
the faculty? What is the plan for substitutes if the TDT
counselor is out How does supervision take place for the TDT
counselor? Do you have a manner in which to report
concerns or problems? Share in Behavior Modification
Matching with a Provider
Do they match your philosophies? Do they give back to the school and or the
community? How do they integrate with families and
parents of client? How do they integrate with the school itself-
ie. do they adapt the school culture? What is the communication plan? What type of clinical supervision do the staff
receive? Do you trust them?
Are you in sync?
How Do We Reach Success?
Tools for Success Planning Coordination Acceptance Acknowledgment of
Problems Creativity Collaboration Synergy Excitement
Agree to Disagree
Thoughts on Teamwork• Teamwork is a group of people with various
complementary skills working together toward a common vision
• Members of a team create synergy with a strong sense of mutual commitment
• Teamwork is the fuel that allows common people to attain uncommon results
Final ThoughtComing together is the
beginning………..
Keeping together is progress!!
