Monte Nido & Affiliates Trauma Protocol

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Individuals struggling with the aftermath of a traumatic experience require an effective protocol ensuring long lasting results. It is important to specifically ask treatment centers to provide detailed descriptions of their trauma protocol and how they offer this important and sensitive support. At Monte Nido & Affiliates, we offer a clear methodology that will treat trauma patients with care, compassion and practices that work.

Cognitive Processing Therapy (CPT) is the chosen model we use at our locations because it has strong empirical research and outcomes. This type of therapy is manualized but still leaves room for flexibility based on the patient’s needs. Features of this treatment include targeting perceived cognitive distortions and challenging the patient through socratic questioning. This type of questioning allows patients to reach conclusions themselves and promotes inner reflection. Somatic experiences, such as mindfulness and yoga, are incorporated into the program as well, although it is not our direct method for treating trauma. The CPT process is also integrated with other modalities such as Dialectal Behavioral Therapy (DBT), Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR).

At every location that offers this programming, there is a trained staff member on call. These treatment plans are administered through certified therapists that have undergone extensive training by Dr. Patricia Resick. She has administered national two-day training programs at locations in Malibu, Miami and Briarcliff. Additionally, Dr. Resick continues to check in with supervision calls with the clinicians at our locations to ensure each patient is receiving the best care possible.

Knowing your loved one is struggling with the aftermath of a traumatic experience can be a devastating process and we are here to help ease your pain. If you are ready to take a step toward healing, please visit our admissions page here.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.


Our Clementine Family: Nicole Palumbo, MS

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Clementine Briarcliff Manor Math Teacher Nicole Palumbo, MS shares her personal journey to joining the Clementine family in this week’s blog post. Nicole shares her passion for teaching and some of what makes the work being done at Briarcliff Manor so special. Read on to learn more about Nicole and the Clementine Briarcliff Manor team…

 

What is your name and what are your credentials?

My name is Nicole Palumbo. I am a graduate of Buffalo State College (B.S.) and Canisius College (M.S.). In addition to serving as a classroom teacher for many years, I have extensive supervisorial and managerial experience, serving as the Mathematics Department Chair at two prestigious New York City private schools, as well as serving as Board President at a large cooperative in Lower Manhattan.

Please give us a brief description of your background.

Born and raised in Buffalo, New York, I moved to New York City shortly after completing graduate school, ultimately landing in Northern Westchester County, New York. With over 20 years experience in the classroom, my primary focus (by choice!) has been the middle school grades. I absolutely love working with adolescents and feel very lucky to be part of an amazing team of people focused on this age group.

What does a typical day look like for you at Clementine?

A typical day starts as one might expect in any educational setting: arrival, clerical duties, and readying the classroom. Once done, I then move on to one of the less traditional aspects (but truly a highpoint), walking down to the breakfast area to greet my students. Seeing their faces light up is incredibly rewarding, and very powerful. My students are happy to see me, happy to come up to the classroom, and happy to get started on their coursework. What more could a teacher ask for? The classroom is one of many safe places in a typical day for our adolescents, but the classroom offers a bit of a divergence from their typical routine, as a result, they come relaxed, focused, and ready to learn.

In your own words, please describe the philosophy of Clementine.

The philosophy of Clementine is pretty straightforward: The whole is incomplete if the parts are not in working order. Like a chain, we are only as strong as our weakest link. The Clementine program serves as the solder necessary for reinforcing the weak points. By shoring up the weak points, we help to cultivate the skills necessary for pushing back against the pressures that weaken our adolescents over time. The Clementine program provides the tools necessary for helping our clients go the distance.

How does your team work together? How do your roles overlap and differ?

The education team works very closely together. Although each team member’s role differs, and we may not all be in the classroom at the same time on any given day, we are in constant communication. We take a hands-on approach to learning, tailoring instruction to meet the needs of the individual. Our adolescents feel supported, and are at ease while working with us. We offer a safe environment that encourages healthy risk taking. We teach our adolescents that it is okay (and perfectly normal) to experience uncertainty, and that it is through mistake making that some of the most profound learning takes place. We teach our adolescents the skills necessary for success inside the classroom, and offer strategies for applying those skills outside the classroom as well.

What is your favorite thing about Clementine?

My favorite thing about Clementine is the caring staff and our amazing adolescents. My job is more rewarding that I ever thought possible. I truly enjoy coming to work each day.

What are three facts about you that people do not know?

  • I rang the opening bell at the New York Stock Exchange twice!
  • I don’t know my left from right (I have to think about it, it isn’t automatic)
  • I love rollercoasters!

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Summer at Clementine

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Summer provides a finite time frame for treatment. At Clementine, the multidisciplinary team is committed to making the most of each and every day a patient is with us by providing the care and environment necessary for healing and growth.

Our specialized programming integrates highly personalized and sophisticated medical, psychiatric, clinical and nutritional care with comprehensive academic and family support. We place a focus on back-to-school preparedness while delving into the developmental needs of the adolescent girls we treat. We do this through daily supported exposure therapy, the development of life skills, step-down programs and aftercare planning. Aftercare planning begins upon admission and places a strong focus on academic reintegration.

Through progress-indicating benchmarks, Clementine’s level system offers the possibility of measurable change in a defined time frame. It provides time-sensitive opportunities to evaluate readiness for movement; family outing passes; and self-portioning, which allows the adolescent to gradually handle food more independently as she progresses in treatment. We also evaluate readiness for step-down programing and discharge.

Embedded in the Clementine culture is a philosophy of close collaboration – among our team members and with our patients’ outpatient providers. We work together to instill hope and trust, and heal the entire family. We take a holistic approach to get our patients on the path to long-term health and a sustained recovery.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.


The Recovery ABC’s

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Clementine Miami Pinecrest Clinical Director Bertha Tavarez, PsyD discusses the “Recovery ABC’s in this week’s blog post. Dr. Tavarez explains how she and her team use the framework to help guide adolescents on their recovery journey.

As a clinical director of Clementine, my team and I guide adolescents in sculpting a recovered identity that will sustain them through the later stages of treatment and beyond. As you can imagine, helping carve out this identity presents with additional challenges because adolescents in general are just beginning to individuate from their families and develop a standalone “I am.” What follows this “I am” statement can set an individual on a path toward wellness or self-destruction.

The Recovery ABC’s is the undercurrent of living a recovered life. At Clementine, adolescents learn to self-define these terms, notice when they are in alignment or in conflict with them, and learn to communicate these terms to their loved ones. They are the foundation that will stabilize nutritional and clinical treatment gains.

A-Accountability

When an adolescent faces a challenge with accountability, they usually find out through feedback that is difficult to internalize. Over time, it becomes such an intolerable value, that many clients cannot access it through feelings of shame, guilt, and victimization. What we teach clients is that accountability is not a bad word. Accountability does not mean blame. Accountability in its purest forms means taking part ownership over a situation so that it can serve as a stepping stone to self-efficacy in resolution.

B- Boundaries

Teaching an adolescent about the importance of boundaries goes in alignment with their drive toward individuation. Adolescents enter into a phase of noticing emotional proximity in relation to others and are guided in vocalizing their experiences with physical and emotional closeness within the family system and social settings. For example, normalizing the need for “space” and verbalizing, “no” in an effective manner are self-protective actions that can help clients hold relationships with integrity and safety.

C- Consistency

When adolescents experiment with new value-systems, there is a period of time in which they will verbalize recovery-oriented statements, but not be able to carry them through to action. It is important that actions are held to the standard of values-congruency. Consistency is seen as an element of building trust with the self and others. When an adolescent is struggling with consistency, it is our job as providers to bring this to their awareness, challenge conflicting behaviors, and reinforce their mastery over consistency in all the areas of their recovery. Adolescents are also taught to differentiate consistency from perfection so that their motivation is not hindered by unattainable recovery goals.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To learn more about our newest location, Clementine Briarcliff Manor, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Clementine Briarcliff Manor

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Clementine Briarcliff Manor Clinical Director Danielle Small, MS, LMFT and her team are ready to accept adolescents into their care. Clementine Briarcliff Manor is a unique residential treatment program exclusively for adolescent girls seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. It is the only licensed residential treatment center for adolescents in the state of New York. Read on to learn more from Danielle about Clementine Briarcliff Manor…

As a clinical professional in the field of eating disorders and a veteran Monte Nido team member, I am excited about the arrival of Clementine Briarcliff Manor, our eating disorder program exclusively for adolescent girls, in mid-April.

Adolescence is a time of growth and struggle. It can be both anxiety provoking and exciting navigating new challenges and figuring out one’s place in the world. When grappling with eating disordered thoughts and feelings it complicates this process even more, planting seeds of doubt and fear. At Clementine, we believe you and your loved ones can connect to a place of hope – a place where the eating disorder doesn’t feel necessary to cope.

Within our community there is space to not only speak your truth and face your fears, but experience laughter, friendship and adventure. Part of this adventure is empowering you to connect to a healthy sense of self that will move you toward being fully recovered. It won’t always be easy, but I have faith that when your struggles are explored without judgment and new skills are integrated into your daily life, subtle yet powerful transformations will occur.  These subtle shifts lead to great change and incredible emotional and spiritual growth. This growth is the gift that truly makes this difficult yet amazing journey of recovery so worthwhile.

Located in Westchester County, NY, just north of Manhattan, our new Clementine Briarcliff Manor blends personalized and sophisticated care with the latest research and strategies for adolescents suffering from eating disorders. The highly specialized medical, psychiatric, nutritional and clinical approach, sensitive to the developmental needs of adolescent girls, offers the highest level of care for teens outside of a hospital.

We have assembled an experienced group of professionals who will provide high quality medical, psychological and clinical care for adolescents who are suffering from eating disorders and their families.

Clementine Briarcliff Manor is now accepting adolescents into their care. Please contact an admissions specialist at 855.900.2221 or stayconnected@clementineprograms.com for more information.

For further reading…

http://briarcliff.dailyvoice.com/business/eating-disorder-treatment-center-opening-in-briarcliff/706241

http://www.lohud.com/story/news/local/westchester/ossining/2017/04/03/former-briarcliff-house-treatment-center/99779534/

http://westchester.news12.com/news/treatment-facility-for-teens-with-eating-disorders-to-open-in-briarcliff-manor-1.13356354

http://www.prnewswire.com/news-releases/monte-nido–affiliates-treatment-programs-for-eating-disorders-opens-clementine-residential-program-for-adolescent-girls-in-westchester-county-ny-300434995.html

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Treating Eating Disorders in Adolescents: Complexity, Connection and the Course to Full Recovery

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Monte Nido & Affiliates Chief Clinical Officer Doug Bunnell, PhD, FAED, CEDS, Monte Nido & Affiliates Senior Director of East Coast Clinical Programming Melissa Coffin, PhD, CEDS and Clementine adolescent programs Director of Nutrition Services Amanda Mellowspring, MS, RD/N, CEDRD-S will present “Treating Eating Disorders in Adolescents: Complexity, Connection and the Course to Full Recovery” on March 29th and March 30th.

To be effective, treatment of eating disorders has to reflect the complexity of these illnesses. Treating eating disorders in adolescents adds another layer of complexity that requires a deep appreciation for the influences of cognitive, emotional and physiological development. It also requires a thoughtful and systematic approach to helping families support their adolescent’s recovery. This comprehensive model provides a roadmap for helping teens and families establish a quick remission of the acute impact of eating disorder symptoms and behaviors so they can work their way to a full and lasting recovery.

Through this presentation, participants will be able to accurately explain the role of temperament, traits and neurobiology in the etiology maintenance of eating disorder symptoms in adolescents, as well as the psychiatric, psychological, nutritional and medical issues that are unique to this age group. Participants will learn to identify at least three developmental aspects of addressing motivation and readiness for change in the treatment of adolescents and be able to list and explain four skills families can implement to help adolescents develop strategies for managing anxiety and fear. Lastly, participants will learn to define and describe emotional response and attunement, communication and meal support—skills families need to develop when managing the challenge of their teen’s recovery.

Join us on Wednesday, March 29th in New York City at 3 West Club or on Thursday, March 30th in Westchester Country at the Doubletree by Hilton Hotel. Registration, networking and breakfast will begin at 8:30 and the presentation will take place from 9:30-11:30am. 2 CEUS will be provided! RSVP to Regional Outreach Manager Jenn Vargas at jvargas@montenidoaffiliates.com.

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Article Spotlight

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Join us in reading inspirational and informative articles we have cultivated from across the web. If you have found an article you feel is inspirational, explores current research, or is a knowledgeable piece of literature and would like to share with us please send an e-mail here.

 

Surviving Spring Break while in Recovery Angie Viets 

Movement Therapy the Supports Weight at Every Size Eating Disorder Hope

On the Importance of Community in the Path Toward Self-Acceptance and Recovery NEDA

Signs of Disordered Eating in Children and Teens Project Heal

5 Strategies to Relieve Anxiety Psychology Today

What I Want Parents to Know about Eating Disorders More Love

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on Facebook, Twitter, and Instagram.

To visit or tour a Clementine locations with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.

 


Seven Key Developmental Needs: Creative Expression and Structure

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In this fourth and final post on the seven developmental keys series, Senior Director of East Coast Clinical Programming Melissa Coffin, PhD, CEDS discusses the final two keyscreative expression and structure. Read on to learn how Clementine adolescent treatment programs incorporates both keys in treatment…

The Center for Early Adolescence has defined fundamental developmental needs during adolescence as the following: Self-Definition, Meaningful Participation, Competence, Creative Expression, Physical Activity, Social Interactions and Structure. Today I want to write about the combination of Creative Expression and Structure and how they are integrated in the treatment of adolescents with eating disorders.

In adolescence, the prefrontal cortex is still continuing to develop. As a result, adolescents are able to think more creatively during this time. This flexibility of thought allows them to see things in a different way than we do as adultsthey are great “outside of the box” thinkers. We enjoy this quality of adolescence and encourage our adolescents to use creativity and flexibility to challenge their eating disorders or other areas of life where they are stuck.

At Clementine, we integrate time for both creativity and expressive therapies to appeal to their cognitive flexibility. Being able to teach and talk about important concepts in treatment through a creative modality helps to enrich our programming. It is also a non-threatening way to therapeutically approach more sensitive or challenging topics. For example, having a client create a collage of their goals rather than writing them down in a list helps them visualize goals in a different way. This activity can perhaps bring to light some goals that were not at the forefront of their mind when they started the assignment.

Coupled with honoring their creativity and flexibility, Clementine programming and staff naturally provide structure for our teens. With our multidisciplinary Level System, and structured programming, we provide a safe container in which our teens can flourish during this special time in their lives. We have found this balance of structure and creativity to be the perfect blend for our adolescents. 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.

 


Our Clementine Family: Ingrid Senalle

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Ingrid SenalleClementine South Miami Recovery Coach Ingrid Senalle, LPN shares her personal journey to joining the Clementine Family, as well as an inside look into the treatment center. Learn more about Ingrid and Clementine adolescent treatment program by reading this weeks “Our Clementine Family”…

What is your name and what are your credentials?

My name is Ingrid Senalle, I am a Licensed Practical Nurse/Recovery Coach. My role as “RC” at Clementine South Miami (SoMi), began on March 2016.

Please give us a brief description of your background.

Miami has been my home since birth, I attended nursing school at MedVance Medical Institute and attained my diploma in Practical Nursing in August of 2012, I have been licensed with the state of Florida since 2013. My nursing career has always been focused on work with adolescent clients, prior to Clementine, I was a school nurse working with special needs high school students. My passion for working with eating disorder patients began when my older brother developed a severe case of Anorexia Nervosa, our entire family was devastated, at the time I was only 14 years old and watched him go through hospitalization after hospitalization. The eating disorder in him got worse before it got better, he was in a wheelchair with barely any strength at all, at my young age I researched as much as I could on eating disorders to help get him out of his poor state. Luckily, with an amazing family and medical team he was able to recover over the course of a year and a half. It was then that I developed a passion for a future career in knowing further about eating disorders and helping children and adolescents with severe eating disorders and/or special needs.

What does a typical day look like for you at Clementine?

A typical day for me consists of making sure our clients are safe, as safety if the number one priority,  and making sure all of our girls are in tune with what goals need to be achieved to meet their needs. Our clients rely on us for everything, whether it be emotional support to what is portioned for them to eat, my job is a vital role in the process of recovery.

In your own words, please describe the philosophy of Clementine.

Clementine is a program that prioritizes the needs of our clients, helping clients get in tune with their hunger/fullness cues and to normalize the act of eating without judgement.

How does your team work together? How do your roles overlap and differ?

Teamwork is such a vital part of the Clementine program, our team works together in every aspect, communication is a big part of our work together. Communicating information on a day to day basis on each client, helps us stay on the same page with each individual client and their specific needs. Clementine is one big family, we all have different tasks to complete daily, but never hesitate to help even with things out of our normal routine. We all watch out for one another and have found that it helps maintain our warm, friendly and reliable atmosphere.

What is your favorite thing about Clementine?

My favorite thing about Clementine, would have to be the ability to help our clients in so many different way, we are given so much to work with, it is very satisfactory to see the positive progress that our clients make from start to finish. Clementine is a great place to work, the staff is also one of my favorite things, everyone is great to work with. The opportunity for growth within the company, this is a job that I get excited for in the morning!

What are three facts about you that people do not know?

1.      I’m terrified of dark water and what may lie beneath!

2.      I never learned to ride a bicycle.

3.      I have never seen snow in person.

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.


Talking to Kids about Body Image with Dr. Zanita Zody

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Clementine Portlandzanita Clinical Director Zanita Zody, PhD, LMFT guides her team with warmth and compassion as they provide comprehensive care to the adolescents who entrust their treatment in them. Recently, Dr. Zody sat down with Portland Today to share some of her expertise in supporting adolescents with body image issues. Watch Dr. Zody’s appearance on Portland Today here: 

 

For more information about Clementine adolescent treatment programs, please call 855.900.2221, visit our websitesubscribe to our blog, and connect with us on FacebookTwitter, and Instagram.

To visit or tour a Clementine location with one of our clinical leaders, please reach out to a Clementine Admissions Specialist at 855.900.2221.