How to Begin
All intensives follow the same developmental process from expressed desire through to the discharge conference and continuing care focus. Each step will be highlighted below for your reference.
- Expressed Desire
While you or your fellow participant/s might have been encouraged to consider a therapeutic intensive by your therapist it will be your responsibility to express to a member of the LCCS team your desire for a more intensive program for addressing the therapeutic needs that you have.
- Developmental Team
The developmental team will be comprised of those LCCS supervisors selected to participate in the assessment and treatment planning process. Generally, the team will consist of the Primary Partner, John V. Leadem, LCSW and the Clinical Director, Shawn Leadem, LCSW, CSAT, CMAT.
- Assessment
The assessment process begins with a thorough review of course in treatment that all each of the prospective participants have traveled at LCCS to date. If a prospective participant has been in primary therapy outside of LCCS the review of his or her previous treatment will occur during the evaluation or treatment planning process. Once the brief assessment period is concluded a mutually agreed upon date for the evaluation will be scheduled for a pre-determined block of time.
- Evaluation
The evaluation could be an event or a process if multiple steps are required. The evaluation includes an in-depth review of each participant’s biopsychosocial developmental and experiential history, an identification of historical and current internal and external emotional threats that could pose challenges to the satisfactory achievement of the short and long-term goals of the intensive, and sources of meaningful support outside of the treatment team. Every effort will be made to determine evaluation resources that are needed prior to the evaluation.
During the course of the evaluation event or process each participant will be alerted in real time to sources of concern that have been identified and what each participant might consider addressing if they were not going to continue in the intensive treatment process. The participants are invited to raise questions with expectation of a real-time response at any point in the evaluation event or process. The evaluation will conclude with a mutually agreed upon date for receiving the findings and establishing the goals and objectives for the intensive. A projected LCCS proposal for the length, depth, scope, and cost of the intensive will be presented for consideration before moving on to the treatment planning process.
- Treatment Planning Process & Report
The Developmental Team will review all the evaluation findings and prepare a proposed set of Goals and Objectives to review with the participants. The challenges identified in satisfactorily achieving the goals and objective will be reviewed in depth. The meeting will include a review of the LCCS staff that have been identified to participate in the delivery of the intensive. Any budgetary concerns of modifications will be addressed prior to the setting a date for the intensive and accepting the down payment to lock in the date.
- Intensive Course in Treatment
It is understood that the goals and objectives might need to be adjusted if emotional obstacles are encountered on the part of any of the participants. The budget for the intensive will not be changed because of the additional work that may need to be done in exchange for removing treatment objectives. The clients will be permitted to request additional time be added to the existing schedule and if the team’s schedule permits enhancements can be added to the time and budget.
- Discharge Planning
Therapeutic issues that warrant addition attention following the intensive will be suggested during the course in treatment and reviewed in the discharge meeting. During that time all outstanding therapeutic concurs will be reviewed with the participants. If the client’s primary therapist is outside of the LCCS system that person is welcome to attend the conference at the participants expense to share in the review process.
