Do your students receive insurance coverage for more than two weeks?
Call for more information

Do you have an insurance utilization person?
Full time staff member

Is the program on any insurance panels?
Yes

State and/or National
CARF (Commission on Accreditation of Rehabilitation)
Joint Commission (JCAHO)
State License

Academic Accreditation
N/A

Religious Affiliation?
No

Please specify the type of religious affiliation
N/A

Minimum Age of Participants
18

Maximum Age of Participants
27

Can program support 18-year-olds if they enroll before 18?
No

Program can accept students with I-20 Visa?
No

Average Length of Stay (months)
2

Maximum Enrollment
28

Location of Program
Rural

Dorm/Housing
Doubles
Triples

How does the program prevent students from leaving (running) from the program
Staff Secured

Does the program have more than one location for this particular program?
No

Family Involvement
HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

Percentage of Aid to Adoptive Family Students
0

Percentage of Court Ordered Students
2

Percentage of Private Pay Students
95

Percentage of School Funded Students
0

Percentage of State Funded Students
0

Is there individual therapy?
Yes

Number of individual therapy hours student receives on a difficult week?
N/A

Number of individual therapy hours student receives on typical week?
2

Percentage of licensed therapists?
All therapists are licensed by the state of operation

Therapist average case load
10

Percentage of full time therapists who have a private practice outside a program?
Not Applicable

Does the Clinical Director carry a case load?
No

Is there group therapy?
Yes

Average number of hours per week facilitated by licensed therapist
24

Average number of hours per week of group processing? (i.e. run by staff, interns, grad students, etc.)
4

Average number of formal family therapy hours per week (not social calls to teen)
0

Is Skype accessible for family therapy?
No

Are there Additional Professionals? (Select all that apply)
Medical Doctor
Neurofeedback Specialist
Nurse Practitioner
Psychiatrist
Psychologist
Registered Dietician
Registered Nurse

Are there Medical rule outs
Yes

Possible Medical Rule Outs
Active Psychosis
Call For more information

Is there a minimum BMI
No

Can Program accept insulin-dependent diabetics
Yes

Psychiatrist
On staff

Percentage of students on meds at enrollment
< 50%

If psychiatrist is available to students, what percentage of students change meds?
> 50%

Types of Therapy Offered
12 Steps Groups
Acceptance and Commitment Therapy
Behavior Tech Trained staff & Therapists
Cognitive Behavioral Therapy (CBT)
Dialectical Behavior Therapy (DBT) Skills
Equine Assisted or Therapeutic Horse Back
Expressive Art Therapy
Eye Movement & Desensitization and Reprocessing
Motivational Interviewing (MI)
Narrative Therapy
Neuro Feedback
Psycho educational
Recreation Therapy

Does the program have a level/phase system?
Yes

If yes, are phases/levels tied to privileges?
Yes

Does program have a milieu-driven residential model? (Staff are trained in model)
Yes

If yes — select all that apply
Twelve Step Facilitation Therapy
Behavior Tech Trained Staff and Therapists
Cognitive Behavioral Therapy
Positive Peer Culture

Integrated Wellness
Art
Meditation
Yoga

Does program use time out rooms?
No

Line staff to student ratio during awake hours
1:2

Does program run background checks on all staff?
Yes

Is there an educational requirement for staff?
Yes

If Yes, what is it?
Other

Average number of hours staff are trained before their first shift
N/A

Are night staff awake or asleep
Awake

What percentage of the line staff are full time employees?
< 50%

Grades Served
N/A

Average student to teacher ratio
N/A

Teaching/Classroom
N/A

Is the program able to implement IEP’s
N/A

Can Program handle a student who is more than two grade level’s behind in reading?
N/A

Academic Calendar
N/A

Can program support a student to complete a GED?
No

Can program support a student who wants vocational training?
No

Does the school have AP Classes or the ability to give or take a student to the AP Test?
Not Applicable

Does the academic program have the ability to provide ACT or SAT Tutoring (on or off site)?
N/A

Does program have transition services for students?
No

If Yes, select all options that apply to your program
N/A

Are there additional fees that apply to transitional options?
N/A

Percentage of families that participate in various transition programming?
N/A

Scheduled or rolling admissions?
Scheduled admissions

Is there an enrollment fee/outfitting fee/payment in advance?
Yes

If applicable, is the last month’s fees due at enrollment?
N/A

Cost per month/workshop/programming (in USD)
N/A

Percentage of clients who return home, or to a more traditional setting (like transitions to college or gap year, boarding school, etc.)
> 50%

Does a student have to sign themself into the program?
Yes

Link to Weekly or Daily Schedule
N/A

For licensed programs, but state or under 18, please select Incidents required to be reported to the state:
N/A

What is the typical amount of time a family should expect before hearing about an major incident?
24

What is the average number of clients you see per year?
350

Professional Associations/Affiliations
N/A

Payment Type
Private | Self Pay
Call for more information

Has the program previously been part of an evidence-based study?
Call for more information

Is the program presently part of an evidence-based study?
No

Link to the study that the organization is part of
N/A

Type of Family Therapy/Work Offered
Family process facilitated by another therapist
Family Workshops Available

Family involvement
HIGH: Family Expected on weekly calls (or more) & to attend all family workshops (weekly , monthly or quarterly)

Who completes the psychological evaluation?
Multidisciplinary Team

Minimum length of stay
35

Does the student receive a neuropsychological evaluation?
No

Type Of Programming For Students
N/A

Typical Student
ADHD/ADD
Post Traumatic Stress Disorder (PTSD)

Minimum IQ
N/A

Interview Requirements for Applicants
Overnight Visit
Call for More Information

Additional Therapy
N/A

Therapist Case Load at Peak Season
> 8

Percentage of licensed therapists?
All therapists are licensed by the state of operation

Average number of days/week therapist is in the field
N/A

Number of Individual Sessions with Therapist
2

Integrated Wellness Support
Art
Meditation
Yoga

Do clinical assistants work with lead therapists?
No

Percentage of full time therapists who have a private practice outside of wilderness?
Not Applicable

Do any of the therapists operate more than one group at peak season?
Yes

What percentage of participants receive psychological evaluations?
> 50%

Does program receive a fee for evaluation or referral?
No

Additional levels of care offered by facility
N/A

Types of eating disorder care provided
N/A

Specialized Programming
Age (pre-teen, adolescent, young adult)

Is program focused on full recovery?
No

Housing
N/A

Community Service Requirement
No

Random Drug Testing
Yes

Transportation Options
Provided by Program

Support Services
Finding Clinician in community

House/Community Meetings
Weekly

Are participants required to do chores in the house/community?
No

12 Step Meetings on Location
Yes

Type of Students
Private Pay

Computer Access
N/A

Cell Phones
Not Allowed

Academic Options
N/A

School Name (if applicable)
N/A

School Website (if applicable)
N/A

Types of Workshops Offered
Addiction | Recovery
Equine
Family | Group
Trauma-Focused
Process Addiction

Accommodations
N/A

Use of Personal Vehicle
No

Use of Electronics
Handed Over to Staff

Location of Workshop
Call For More Information

Average Length of Workshop
4 Days

Professional Associations/Affiliations
N/A