Therapeutic & Clinical Services
The following therapeutic and clinical services are available on-site for our residents, based on each individual’s person-centered plan:
- Psychiatric Services provided by our Medical Director
- Psychiatric Nurse Practitioner
- Registered Nursing
- Attending Physician Services
- Social Work (LMSW)
- Group Counseling/ Dialectical Behavioral Therapy (DBT)
- Behavior Therapy
- Structured Activity Program
- Horticulture Activity Programs
- Vocational Training
- Skill Building Program
- Clinical Services
Psychiatric Team
As part of our ongoing effort to provide quality services while continuously improving our ability to effectively manage psychiatric care, Turning Leaf Residential Rehabilitation is proud to announce the addition of Psychiatrist, Dr. Razvan Adam MD. Dr. Adam will serve as both treating psychiatrist and Medical Director. In addition, Turning Leaf has also recruited Miriam Adam a Nurse Practitioner to join our psychiatric team.
Here at Turning Leaf, we understand that it is important for our residents to have readily accessible contact with doctors and nurses to provide rapid medication adjustments. The addition of our psychiatric team, along with our onsite RN, allows Turning Leaf to focus on residents’ medication needs and respond much more rapidly to changes in psychiatric stability. Dr. Adam and Miriam Adam, NP have many years of service in multiple Community Mental Health settings, serving adult populations with Mental Illness and Developmental Disability.
Registered Nursing
Our full-time registered nurse has extensive experience in psychiatric nursing and plays an integral role in the rehabilitation process through the daily monitoring of physical health as well as medication management, a standard service available to residents within each of the residential programs.
Attending Physician Services
Our attending physicians understand the short- and long-term effects of injury and illness, which is imperative to both the recovery process and the maintenance of the gains made during recovery. At Turning Leaf, our attending physicians work in conjunction with our internal psychiatric team to provide comprehensive, coordinated on-site care for our residents.
Social Work LMSW (Counseling)
Our licensed clinical social workers work closely with our residents to assist with the development of an individualized reality-based plan of treatment, designed to attain the best possible outcome. These services may include individual and group therapy, social rehabilitation, daily living skills/activities and crisis intervention. They are also available to help plan for any supportive services a resident may need upon his or her return to the community.
Social Work LMSW (Internal Case Management)
Our internal case managers work closely with our residents, their families, funding sources and other members of the interdisciplinary team to assure that things are progressing as they should. Internal case managers function as the liaison between all aspects of our program internally as well as external supports.
Group Counseling DBT- Dialectical Behavior Therapy
Dialectical Behavior Therapy (DBT) is a modification of cognitive behavioral therapy (CBT) designed specifically for individuals with self-harm behaviors, such as self-cutting, suicidal thoughts, urges to suicide, and suicide attempts.
Behavior Therapy
At Turning Leaf, the advantages to psychosocial rehabilitation through tailored behavioral programs are clear. By analyzing the social system that the person lives in, we can identify how maladaptive and adaptive behaviors are maintained. A behavioral approach helps the resident develop methods for better coping with the difficulties presented by a brain injury or mental illness. This approach consists of reinforcement, consequence, and prompts for desired behavior, available in one setting useful for facilitating change in another. Progress in one social situation is often a prerequisite before improvement is possible in another. Services are provided by different disciplines as part of an integrated behavioral plan. Individual behavioral plans are designed to meet our residents’ unique needs and improve their skills in daily living activities that will help them become more independent. With this type of plan, residents would potentially graduate from a "Residential Rehabilitation Living" placement to "Transitional Living" and ultimately one that is in a "Supported Independent
Structured Recreational Activities
Our structured recreational services are tailored to meet each resident’s needs, with a goal of helping to restore or rehabilitate an individual’s physical and mental functions and independent living skills. Our staff members provide resources and opportunities geared to improve overall health and general well being, such as group activity in our on-site recreation center, community outings and exercise either on campus or at local health clubs.
Horticulture Activity Programs
Turning Leaf’s restive setting lends itself perfectly to horticulture activities, where our staff members create outdoor programs to improve behavioral and prevocational skills. As the weather permits, our horticultural activity program engages residents in working with flowers, vegetables and outdoor crafts, offering stimulus and variety, promoting physical, social, educational and psychological interactions.
Vocational Training
To support our residents’ transitional development, vocational training is offered to relearn or develop new work skills. Our staff members work with each resident to develop individual training objectives and intervention strategies so their progress can be evaluated on a consistent basis. Assessing our residents’ interests and skills, independent living needs, and matching them with the needs of local employers is part of our process.
As a part of the vocational rehabilitation process, before competitive employment is considered, our internal vocational program enables our clients to work in a setting similar to that of competitive employment under the supervision of our staff members.
Skill Building Program
Our new Skill Building Program consists of 6 domains, each with goals to encourage movement towards maximum independence. For levels 1-4, Turning Leaf’s Cottages have been designated to teach classes to reinforce the individual areas of focus in the Skill Building Program. Levels 5 and 6 begin in the cottages and are continually reinforced in our Supported Independent Living Program.
When a resident is admitted to our program, he or she is placed in the skill building level which most appropriately matches the residents’ current skills, abilities and needs for further rehabilitation. Skill building groups are taught daily and the resident is responsible for practicing the skills between the time that the skill is presented and the time at which the evaluation is performed. Once a resident has completed the skills for a particular skill building group, he or she may be considered for promotion. The resident must demonstrate mastery of the skill set in which he/she is currently working through completion of an evaluation for promotion.
If a resident does not continue to use the skills learned, a recommendation may be made to place the resident back in a previous cottage to relearn and practice the necessary skills.
Level 1- Self Care
Level 2- Social Skills
Level 3- Home Care
Level 4- Community Skills
Level 5- Vocational Skills
Level 6- Mental Health Skills
Clinical Services
The following services are available, as necessary, on-site through contracted providers, or in the community through community based providers:
- Occupational Therapy
- Physical Therapy
- Speech & Language Pathology
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