Edwards Day Treatment Building brighter futures with children and families

Building brighter futures with children and families
Edwards Day Treatment
Family Guide to Services
1715 SE 32nd Place.
Portland, OR 97214
(503) 963-4920
Welcome to Edwards School Day Treatment!!
We are excited for this opportunity to provide treatment and educational services to your child and
family. We are a collaborative program that specializes in individual and family therapy, group skills
training, psychiatric oversight, treatment planning, care coordination, and educational services to
students ages 5 – 18 who experience emotional or behavioral difficulties impacting their ability to be
successful in the school and home environments.
We are a multi-disciplinary group of mental health and educational professionals working as a team
with students and families to assist them in managing mental health symptoms, demonstrate safe
behaviors, and engage successfully in the classroom and community.
Day Treatment offers several classrooms that are a part of the Portland Public Schools system,
including elementary, middle, and high school classrooms. These classrooms are each led by a PPS
teacher, supported by milieu staff, and guided by the clinical team. During the school day, your
student will receive academic instruction, supportive coaching, skills training, and therapeutic
groups to assist them in meeting both their mental health and educational goals. In addition to these
daily services, your child and family will receive individual and family therapy on a weekly basis,
participate in treatment planning and review meetings, and attend psychiatric medication
management appointments. We look forward to getting to know your child and family throughout
this experience and we are committed to building brighter futures for children and families.
Treatment Services
Treatment Plans
Each child at Edwards School will have an Individual Plan of Care (IPC) which outlines his/her
personal goals for treatment. Treatment plans are designed to meet the individual needs of each one
of our clients. Goals are determined by the client’s treatment team as part of the admission process.
This team includes the client themselves, you as their parent or guardian, the Child and Family
Therapist, and the Psychiatrist. Each child’s plan is reviewed monthly by the treatment team to
determine progress towards goals and to discuss plans for the client after they leave residential care.
As the parent or guardian, it is essential that you participate in these IPC Review meetings. It can be
difficult to coordinate everyone’s schedules, and we will do our best to ensure that they are held at a
time that is most convenient to you. Wherever possible, your child is strongly encouraged to attend
this meeting as well. Our goal is to place them in a position to help make
treatment decisions and express their needs as part of the treatment team.
You are also welcome to invite anyone that you feel would be helpful in
planning your child’s treatment, including family members, advocates, or
other supports. We will ask you to complete a written Release of
Information for these people, as we will be discussing confidential client
information during the meeting.
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Individual Therapy
All clients are assigned and scheduled to meet with their Child and Family Therapist at least once
weekly for individual therapy. They may also check in with their therapist at other times when in
need of additional support.
Family Therapy
Families are an important part of the treatment team and family therapy is a key part of a client’s
treatment. Our goal is to learn more about your family and incorporate your family values into the
treatment here, while supporting the client and family to develop more successful interactions. Our
Child and Family Therapist will work with you to establish a schedule for therapy sessions which is
both convenient for your family and adequate to meet therapy goals. We can also help you to find
resources from other family members who have experience with this field and can provide support to
you and your child.
If you are already receiving family therapy from another therapist, please share this information with
us. Together, we can make a treatment plan and recommendations to incorporate this resource in
treatment.
Medication Therapy
Medication therapy and stabilization is an important piece of all clients’ overall treatment. In
addition to the psychiatrist's evaluation upon admission, each young person
meets with the psychiatrist on a regular basis. Sometimes it is determined that a
trial of medication might be helpful for stabilizing a client or for helping them
manage their behavior. If that is the case, medication will be prescribed and
monitored by agency psychiatrists and nursing personnel. You will be involved
in decisions regarding medications for your child, and you will have an
opportunity to ask any questions you have to make sure you understand the
medications and any potential side effects. Medications are administered by
nurses or staff members specially trained in proper medication administration.
Each month medications and medication changes are included as part of the monthly treatment
review.
Young people and families are actively involved in the medication therapy process. Medications
and the reason for their prescription are explained to clients and their families. Clients are
encouraged to discuss how they feel about the medication and if it is or is not working for them.
Families may also call and talk with the psychiatrist about their child’s medications. Information
sheets that explain the benefits, side effects, and possible risks associated with the medication are also
available.
Prior to beginning any new medication, consent is required by the legal guardian. This is generally
obtained through the family, legal guardian, or DHS caseworker (when DHS is the legal guardian).
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Milieu Treatment
One of the most significant features of day treatment and care is the therapeutic “milieu.” The term
milieu describes the therapeutic environment that includes all the clients, staff, and activities in the
program. The milieu setting offers an opportunity for your child or teen to practice safe and
appropriate interactions with peers and adults while becoming more responsible. Treatment staff are
available during the schhol day to help clients with anything that may come up during the day.
Attendance
We recommend that students attend each day of treatment throughout the week. Many children
experience difficulty attending or transitioning to school and our staff will be able to offer them
support during these transitions.
Dress Code
Edwards Day Treatment follows the dress policies of Portland Public Schools. These policies are in
place to ensure that our students are able to concentrate on skills building and to contribute to the
overall feeling of safety in the classrooms.
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No clothing that advertises alcohol, drugs, cigarettes, violence, or aggressive messages
No clothing that has adult humor or sexual content
Tanks tops need to have a T-shirt worn underneath
Wear shoes or sandals with socks; no high heels, dress shoes, or boots
Shirts must cover the midriff at all times
Skirts and shorts need to be below fingertips in length
Shorts or leggings need to be worn underneath dresses or skirts
Bring a coat or jacket on cold or rainy days
Facial piercing should be removed before entering class
Personal Possessions
Day Treatment provides all the materials needed in order to participate in school and any materials
required for outings or special projects. It is unnecessary to send children to school with supplies or
money for supplies, projects, or outings. Your child may want to bring a backpack
with items from home to transport their daily progress reports or items to keep them
occupied on their transportation. Please limit the amount of these items to one or
two small items that can fit in their backpack. Once the child is at school, all
personal items will be stored in their backpack in a safe area. Trillium Family
Services is not responsible for lost, stolen, or misplaced personal items.
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Please do not bring the following items to Day Treatment:
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Real or toy weapons, knives, chains
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Drugs, cigarettes, alcohol
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Sexually explicit materials
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Lighters or matches
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Magazines / newspapers with inappropriate content
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Glass or metal objects (including bottles or metal spiral notebooks)
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Valuable toys, items, or money
Your child may bring a cell phone to school, and these are turned into classroom staff and placed in a
safe area away from the classroom during school hours. Cell phones are returned to students at the
end of the day. If you need to reach your child during school hours, please call their Child & Family
Therapist or the Clinical Manager.
Search Procedures
At times, Trillium program staff may conduct searches of clients or their
personal effects, for the purpose of eliminating contraband and protecting the
clients and/or others.
Contraband is defined as any item prohibited in any particular program. Common examples would
be weapons, sharps, illegal substances, including cigarettes and fire-starting material, as well as items
promoting sex, drugs, violence or gang related themes. These items are reviewed with the client
upon orientation to the unit. Searches of client’s and their belongings will be conducted regularly.
Transportation
All Day Treatment clients are dropped off for school and picked up from Day Treatment in front of
our building, the Edwards School, directly in front of the main front doors. During drop-off, children
should remain in the vehicle until a staff member retrieves them from the vehicle to
take them to their classroom. At pick-up, a staff member will escort children from
their classrooms to their transportation directly after school ends. School hours are
from 8:45am – 2:45pm.
Transportation Options:
School District / County Transportation
Transportation provided by your local school district or county services is coordinated by the
Parry Center Access Department, your Child & Family Therapist and Portland Public Schools.
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Personal Transportation
If transportation has not been, or cannot be arranged through your school district or County,
families are responsible for coordinating their own personal transportation.
Safety is a top priority for your child and it is important to inform us of changes to their routine or
schedule. Please complete the Authorization to Transport Form (see attached) with a list of which
individuals or options you authorize to transport your child to or from Day Treatment. If your child
is not riding the regularly scheduled transportation to or from school, please complete the following
steps:
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If you have School District / County Transportation, please call the transportation company to
inform them of the change in schedule.
Contact the Day Treatment Receptionist to inform them of the change, include information
regarding how the child will be transported and the date and time of change.
Any individuals (not parents or guardians) transporting the child must show identification, be
listed as an authorized transportation resource, and sign the child out in the front office.
Manual Restraint
In situations where children are behaving in ways that create danger either for themselves or for
others, staff may use manual restraint or seclusion to keep everyone safe. Staff are trained to
supervise clients closely to identify problems before they begin, and we do our best to intervene
proactively to avoid unsafe behaviors. However, at times these incidents are impossible to avoid,
and staff use restraint or seclusion as a last resort when needed.
Restraint- being physically held to prevent movement- can be a humiliating and scary experience. If
any child exhibits behavior that is dangerous to self or others that leads to either a physical
restraint or seclusion, the parent or guardian will be notified promptly.
After these types of incidents, staff work to discuss the incident with the child and with staff who
were present, in order to learn from the situation and make attempts to avoid similar situations in the
future. We work hard to help children use positive coping skills to remain safe, and offer them
alternatives so they are able to express their feelings without dangerous behaviors.
Rules for the Use of Medication at School
1. All medications must be delivered to the school by a parent or guardian and given directly to
staff. Children may not carry their own medication.
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2. A doctor’s order needs to accompany all medications given at school. Without a doctor’s order,
we will be unable to give the medication. If medications are being prescribed by Parry Center, we
will have this medication on file and it is not necessary to supply this information.
3. If the medication is to be given both at home and at school, ask the pharmacy to give you an extra
labeled bottle to send to school.
4. Parents/Guardians will be notified in writing when the medication supply needs to be refilled. If
requested, the empty bottle can be sent home with the student to be refilled. Students are not
allowed to transport their own medication. At no time will a bottle with any medication be sent
home with a student.
5. Parents/Guardians must bring in refills or additional medication and give them directly to staff.
They cannot be transported by the student.
6. All medication, prescription and over-the-counter, must be in a pharmacy labeled prescription
bottle or original package, clearly labeled with the following information:
 Student’s name
 Time and dosages to be given
 Doctor’s name
7. Leftover medication must be picked up by the parents or guardian when the medication is
discontinued or the student has been discharged from Day Treatment. Medication that is not
picked up within 10 school days will be destroyed.
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