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

Do you have an insurance utilization person?
N/A

Is the program on any insurance panels?
No

State and/or National
State License
Other
AEE Accreditation

Academic Accreditation
Other

Religious Affiliation?
No

Please specify the type of religious affiliation
N/A

Minimum Age of Participants
9

Maximum Age of Participants
17

Can program support 18-year-olds if they enroll before 18?
Yes

Program can accept students with I-20 Visa?
No

Average Length of Stay (months)
12

Maximum Enrollment
12

Location of Program
Urban

Dorm/Housing
Other

How does the program prevent students from leaving (running) from the program
Other

Does the program have more than one location for this particular program?
Yes

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
0

Percentage of Private Pay Students
100

Percentage of School Funded Students
25

Percentage of State Funded Students
0

Wilderness Therapy Model
Base Camp | Adventure Therapy

Number of Phases or Levels
Not Applicable

If program has phases/levels, are they tied to privileges?
N/A

Percentage of students who complete all phases/levels prior to leaving the program
Not Applicable

Average Length of Stay
N/A

Religious Affiliation
No

Is there individual therapy?
Yes, part of the program cost

Number of individual therapy hours student receives on a difficult week?
6

Number of individual therapy hours student receives on typical week?
3

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

Therapist average case load
6

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

Does the Clinical Director carry a case load?
Yes

Is there group therapy?
Yes

Average number of hours per week facilitated by licensed therapist
16

Average number of hours per week of group processing? (i.e. run by staff, interns, grad students, etc.)
24

Average number of formal family therapy hours per week (not social calls to teen)
3

Is Skype accessible for family therapy?
Yes

Are there Additional Professionals? (Select all that apply)
Behavior Specialist
Neurofeedback Specialist
Psychiatrist
Recreational Therapist
Other

Are there Medical rule outs
Yes

Possible Medical Rule Outs
Active Psychosis
Need for Detox?
No Definitive Guardianship
Pregnancy
Call For more information

Is there a minimum BMI
No

Can Program accept insulin-dependent diabetics
Yes

Psychiatrist
Contracted psychiatrist as needed

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
Behavior Modification
Behavior Tech Trained staff & Therapists
Cognitive Behavioral Therapy (CBT)
Dialectical Behavioral Therapy (DBT)
Dialectical Behavior Therapy (DBT) Skills
Exposure Response Prevention Therapy (ERP , type of CBT)
Expressive Art Therapy
Eye Movement & Desensitization and Reprocessing
Family Focused Therapy (FFT)
Motivational Enhancement Therapy
Motivational Interviewing (MI)
Moral Reconation Therapy (MRT)
Narrative Therapy
Neuro Feedback
PEERS Model
Play Therapy
Psychodynamic Therapy
Psycho educational
Recreation Therapy
Social Thinking model
Telephone Therapy
Other

Does the program have a level/phase system?
Yes

If yes, are phases/levels tied to privileges?
Call for more information

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

If yes — select all that apply
Behavior Tech Trained Staff and Therapists
Client Centered/Person Centered Therapy
Cognitive Behavioral Therapy
Positive Peer Culture
Other

Integrated Wellness
Art
Breathing Techniques/Breath Work
Meditation
Yoga
Other

Does program use time out rooms?
No

Line staff to student ratio during awake hours
1:3

Does program run background checks on all staff?
Yes

Is there an educational requirement for staff?
Yes

If Yes, what is it?
College Degree

Average number of hours staff are trained before their first shift
120

Are night staff awake or asleep
N/A

What percentage of the line staff are full time employees?
All

Grades Served
Call for more information

Average student to teacher ratio
1:3

Teaching/Classroom
Teachers support blended learning

Is the program able to implement IEP’s
Yes

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

Academic Calendar
Other

Can program support a student to complete a GED?
Yes

Can program support a student who wants vocational training?
Yes

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)?
Yes

Does program have transition services for students?
Yes

If Yes, select all options that apply to your program
Additional Therapist To Work With Student Or Family As Transition
Formal Transition To Another Therapist
Individual Therapist Goes Home With Student To Facilitate
Family Or Student Coaching Support For Certain Amount
Support Family And Participant Until 18 Years
Other

Are there additional fees that apply to transitional options?
Yes

Percentage of families that participate in various transition programming?
Call for more Information

Scheduled or rolling admissions?
Rolling admissions

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

If applicable, is the last month’s fees due at enrollment?
No

Cost per month/workshop/programming (in USD)
8500

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?
No

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:
Other

What is the typical amount of time a family should expect before hearing about an major incident?
1

What is the average number of clients you see per year?
N/A

Professional Associations/Affiliations
American Association of Children’s Residential Centers
National Association of Challenge Course Technology (ACCT)
Young Adult Transition Association (YATA)
Other

Payment Type
Private | Self Pay

Has the program previously been part of an evidence-based study?
N/A

Is the program presently part of an evidence-based study?
N/A

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

Type of Family Therapy/Work Offered
N/A

Family involvement
N/A

Who completes the psychological evaluation?
N/A

Minimum length of stay
N/A

Does the student receive a neuropsychological evaluation?
N/A

Type Of Programming For Students
N/A

Typical Student
N/A

Minimum IQ
N/A

Interview Requirements for Applicants
N/A

Additional Therapy
N/A

Therapist Case Load at Peak Season
N/A

Percentage of licensed therapists?
N/A

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

Number of Individual Sessions with Therapist
N/A

Integrated Wellness Support
N/A

Do clinical assistants work with lead therapists?
N/A

Percentage of full time therapists who have a private practice outside of wilderness?
N/A

Do any of the therapists operate more than one group at peak season?
N/A

What percentage of participants receive psychological evaluations?
N/A

Does program receive a fee for evaluation or referral?
N/A

Additional levels of care offered by facility
N/A

Types of eating disorder care provided
N/A

Specialized Programming
N/A

Is program focused on full recovery?
N/A

Housing
N/A

Community Service Requirement
N/A

Random Drug Testing
N/A

Transportation Options
N/A

Support Services
N/A

House/Community Meetings
N/A

Are participants required to do chores in the house/community?
N/A

12 Step Meetings on Location
N/A

Type of Students
N/A

Computer Access
N/A

Cell Phones
N/A

Academic Options
N/A

School Name (if applicable)
N/A

School Website (if applicable)
N/A

Types of Workshops Offered
N/A

Accommodations
N/A

Use of Personal Vehicle
N/A

Use of Electronics
N/A

Location of Workshop
N/A

Average Length of Workshop
N/A

Professional Associations/Affiliations
N/A