Our Clinical Pathways

As the foundation of our evidence-based practices, Lifeskills offers Clinical Pathways, and each is led by a doctoral-level or licensed clinician with additional national certifications in their area of expertise. Based on an assessment of clinical need and diagnosis, each client is prescribed the most appropriate primary and secondary clinical pathways. Throughout treatment, we’re flexible within our clinical pathways to ensure that each client’s recovery journey is right for them.

What Our Clinical Pathways Entail

As the foundation of our evidence-based practices, Lifeskills offers Pathways, and each is led by a doctoral-level or licensed clinician with additional national certifications in their area of expertise. Based on an assessment of clinical need and diagnosis, each client is prescribed the most appropriate primary and secondary clinical pathways. Throughout treatment, we’re flexible within our clinical pathways to ensure that each client’s recovery journey is right for them.

Two common examples of prescribed primary and secondary clinical pathways include:
Trauma Treatment and Dialectical Behavior Therapy (DBT): It’s vital that clients have the emotional regulation skills necessary to process trauma without becoming emotionally dysregulated or experiencing suicidal ideation. For this reason, prior to entering the Trauma Treatment Pathway, a client may enter the Dialectical Behavior Therapy (DBT) Pathway to address their emotional dysregulation.

Substance-Induced Psychosis:
For a client suffering from substance-induced psychosis, we treat the psychosis symptoms first using the Cognitive Remediation Therapy (CRT) Pathway. Treating the psychosis symptoms prior to the individual entering the Substance Use Disorder Pathway allows them to have better insight into their substance use.
Once the client is stabilized, we transition them to the Substance Use Disorder Pathway.

Our Clinical Pathways include:

This pathway is primarily used to treat personality disorders including borderline personality disorder (BPD) and emotional dysregulation.

At Lifeskills, the DBT Pathway incorporates four core components

  • Skills-training groups
  • Individual DBT therapy
  • Phone coaching
  • Weekly consultation team meeting.

To ensure continuous support, a DBT clinician is available 24/7 for phone coaching for both residential and Partial Hospitalization Programming. 

Cognitive Behavioral Therapy (CBT) is an evidence-based approach for managing mood disorders such as depression, anxiety disorders, and obsessive-compulsive disorder (OCD). CBT enhances awareness of irrational and self-defeating thoughts, helping individuals understand their responses to these thoughts while building essential coping skills.

 

The Substance Use Disorder pathway supports individuals with Substance Use Disorders and co-occurring mental health issues by integrating CBT, REBT, and DBT principles with a 12-Step philosophy. It involves clinical groups and various supports.

Primary modalities include cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) for substance use.

Cognitive Remediation Therapy (CRT) is a treatment designed for individuals with thought disorders and psychosis due to substance use disorder (SUD).

Our skilled clinicians facilitate individualized computer-based Cognitive Remediation Therapy (CRT) programs designed to enhance cognitive functions such as executive functioning, processing, decision-making, impulsivity, and overall comprehension. This evidence-based approach, combined with our life skills training, supports clients in managing their symptoms, thereby promoting longer periods of stability and sobriety. 

The trauma treatment pathway addresses PTSD, complex trauma, and Dissociative Identity Disorder (DID) using modalities such as Cognitive Processing Therapy, Seeking Safety, and Exposure and Response Prevention Therapy (ExRP) as needed. Treatment follows a 3-stage approach: safety and stabilization, trauma processing, and reintegration, including gender-specific groups in our Women’s Program.

Primary modalities include cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), seeking safety, and dialectical behavior therapy (DBT).

 

Targeted to individuals that are at risk of developing cardiometabolic syndrome and includes culinary arts, fitness training, and nutrition coaching (provided in tandem with our other clinical pathways).

The Metabolic Fitness pathway supports individuals with sedentary lifestyles or those experiencing lethargy and weight gain related to mental health conditions or psychotropic medications. It aims to improve overall wellness through lifestyle changes, nutrition, and physical activity.

Key components include:

  • Initial Nutritional Assessment: Conducted by nutritionists and nurses, complemented by health and wellness psychoeducational groups.
  • Ongoing Support: Includes coaching, grocery shopping, meal plans, and weekly culinary arts groups.
  • Personalized Exercise: Individual and group sessions supervised by a certified personal trainer.
  • Additional Activities: Regular yoga, meditation, pool access, and gym membership.

Note: Services are tailored to clinical appropriateness for individuals with eating disorders, but primary treatment for eating disorders is not provided.

This pathway was designed for individuals who have been diagnosed with complex psychiatric and co-occurring disorders.

These individuals may have experienced any of the following: higher symptom acuity, medical-related complications, lack of adherence to medication, treatment resistance, escalated risk-taking behaviors, and multiple treatment episodes.

Our staff engages with residents in real-life situations to ensure that treatment plans remain accurate and effective. By combining recreational, social, and life-skills activities with various therapeutic sessions, we  support our clients by  reintegrating them into everyday life and reclaiming control in their lives.

Social Integration Model Components

Relevant
This approach helps clients achieve their personalized treatment goals and regain control of their lives. Clients select activities that align with their individual recovery progress.

Real Time
Our licensed professionals observe clients and provide interventions. These observations are integrated into each client’s treatment plan, allowing them to practice and apply learned skills to various situations beyond treatment.

Life Strategies
Clients receive expert clinical care and guidance from our licensed staff, practicing essential life skills for a sucess post-treatment.

Our distinctive Social Integration Model equips residents for life beyond treatment and aims to help them achieve the highest level of individual recovery.

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