Philosophy, Approach & Components

The Clementine Approach to Treatment

Our experienced multidisciplinary team takes a holistic approach to get adolescent girls on the path toward long- term health and full recovery. Our philosophy and culture emphasize the importance of a philosophy of relationship and collaboration—among our team members and with our adolescent’s outpatient providers. We work together to instill hope and trust, and heal the entire family. We believe an important part of residential treatment is preparing our adolescents for the real world outside of residential treatment. Clementine program components include:

  • Twice weekly individual psychotherapy sessions with doctoral or master’s level primary therapist
  • Weekly individual sessions with members of the treatment team; including the clinical director, dietitian, psychiatrist and family therapist
  • Family involvement and empowerment: Close communication and direct access to treatment team | Weekly family therapy (on-site or remote) | Weekly multi-family group (on-site) | Individualized exposure opportunities to practice meals and support the reintegration of the adolescent into family mealtimes after discharge
  • Daily group therapies such as
Dialectical behavioral therapy | Cognitive behavioral therapy | Body image | Art and expressive therapies | Family and relationships | Interpersonal process | Self-esteem | Relapse prevention | Contract groups
  • Individualized treatment for co-occurring disorders such as substance use, mood disorders, trauma, etc.
  • Individualized therapeutic assignments are given weekly and are tailored to the adolescents level in treatment. They are intended to promote awareness, understanding and insight
  • Supported Exposure Therapy – Weekly food challenges | Normalization of a wide variety of foods | Grocery stores and restaurants | Outings could include: museums and bowling | Activities could include: game and movie nights, free play, pottery, jewelry making
  • Life Skills Development – Chores | Hygiene | Homework | Journaling | Relaxation and balance | Time management and prioritization | Peer pressure and assertiveness | School stress | Communication | Decision-making
  • We understand movement and exercise are an important part of a balanced life. We ensure adolescents develop a mindful relationship with movement and their body by integrating movement, exercise, play and life skills into programming. This involves weekly movement sessions, expressive movement therapy, games and dance. More movement and exercise is allowed as the client progresses through the level system, and movement passes are allowed with family when appropriate
  • Thorough Discharge and Aftercare Planning – Detailed comprehensive plans to support a successful return to home and school | Step-down program support | Academic reintegration plan | Personalized meal and exercise plans | Referrals as needed to outpatient providers | In select areas, Opportunity to step down to a nearby Monte Nido & Affiliates partial hospitalization or intensive outpatient program, as needed, that will offer philosophical and programmatic continuity with Clementine

Adolescent girls with a co-occurring disorder will be carefully assessed during their initial evaluation and the issues will be addressed within the context of individual therapy as decided by the multidisciplinary treatment team. The goal for an adolescent with a co-occurring substance abuse disorder is to enhance their understanding about the risks associated with substance use and abuse, increase motivation for change, and understand the connection between the eating disorder and the substance use. Assignments in a therapeutic, recovery workbook that is developmentally appropriate may also be assigned, and further assessments may be required along with additional referrals for an external psychiatric or learning assessment, as needed.

Doug Bunnell - EDTNY - MNewYork - 04

Doug Bunnell, PhD, CEDS
Chief Clinical Officer

It is particularly important that treatment provide experiences and challenges that begin to approximate the realities of the life and environment the adolescent will return to at home. Specific and individualized plans for helping adolescents and families tolerate and manage the distress associated with exposures to fears and emotions must be a focus of treatment. Providing multiple “approximating” challenges, experiences and exposures in treatment creates the opportunity for the adolescent and for the family to practice new skills, review and explore what went well and what needs more work, and will help families recover a sense of confidence that they know how to support their adolescent at home.

Sample Schedule

7:00AM Morning Routine
7:45AM Pre-Meal Process Group / Breakfast / Post-Meal Process Group
9:00AM Community Meeting / Process Group
10:00AM Individual Sessions / RN Assessment
12:30PM Pre-Meal Process Group / Lunch / Post-Meal Process Group
2:00PM Academic Instruction
3:30PM Snack
3:45PM Academic Instruction Continued
4:45PM Body Image Group
6:00PM Pre-Meal Process Group / Dinner / Post-Meal Process Group
7:30PM Art Therapy
8:30PM Nursing Assessments / Medications
10:00PM Downtime / Games / Homework / Journal
11:00PM Lights Out