FAILURE TO LAUNCH, is a pejorative jargon term used in two different ways: for 18 + year olds who withdraw from college due to performance problems, or the college grad who moves home and is not motivated to move out. Both of these situations might be symptoms of anxiety, depression, executive functioning weaknesses, social skills weaknesses, entitlement, or lack of life skills. Many of the young adult treatment options have tracks or specifically focus on developing life skills, treating the underlying psychological weaknesses and successively increasing challenges on young adults toward their full independence.
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The Family Choice Behavioral Healthcare Interventions Industry (FCBHI), also referred to as “private-pay” treatment providers focus on the treatment/recovery options for teens and young adults who are primarily going to pay for the treatment out of pocket and not through an insurance-driven model. This subset of the larger Behavioral Healthcare industry has many boutique treatment centers that are owner run and operated that specifically focus on troubled teens and young adults. In 2016 the first economic impact study was completed, estimating that in the state of Utah alone, FCBHI brings in over $423 million each year. This was a low number because of many different factors from the economic modeling that was used by the University of Utah. However, this number is the only benchmark for the FCBHI, to over 3 billion dollars annually on a national level. Many of the FCBHI industry members are also members of NATSAP and OBH
Note: some of these treatment providers like Wilderness Therapy programs are becoming more successful with insurance reimbursement in 2017.
Given in 21 sessions over a 9 month period, Family Focused Therapy is a therapy for Bipolar Disorder consisting of sessions 1 - 7 covering psychoeducation about BD and then focused Communication training on expressing positive feelings, listening, requesting changes and constructive anger expression. Sessions 15-21 conclude with problem-solving skills.
Maudsley Method or Family-Based Treatment (FBT) that is designed to treat anorexia nervosa (AN). This type of treatment was conceived by a team of child and adolescent psychiatrists and psychologists at the Maudsley Hospital in London.
There is a great deal of research that has been done at the University of Chicago and Stanford in this country to show the efficacy of the this type FBT treatment.
The Maudsley approach is a type intensive outpatient treatment (IOP) where the family is an active and positive role in the child or adolescent's treatment. The goals are around restoring the child’s weight to normal levels for age and height; give the control to eating back to the child and encourage typical adolescent development through an in depth discussion and the developmental issues that pertain to each particular child.
There are three phases to the Maudsley Approach that are within 15 - 20 treatment sessions over a 12 month period.
Phase I: Weight restoration
Therapist focuses on the dangers of severe malnutrition associated with AN.
Phase II: Returning control over eating to the adolescent.
This phase of treatment is about the adolescent taking more control over their own eating.
Phase III: Establishing healthy adolescent identity
This phase does not begin until the adolescent is able to maintain weight above 95% of ideal weight on her/his own and self-starvation has ended.
Read more about all three phases here.