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Therapy

Comprehensive Therapy

George Junior Republic's mission is focused on supporting all youth in becoming healthy adults capable of participating in society. We believe that professional and comprehensive behavioral healthcare is a key to accomplishing this mission. George Junior Republic provides comprehensive and professional therapy for each youth in our care. All youth are assigned to a treatment team that includes:

  • Psychiatrist
  • Masters level therapist
  • Nurse
  • Clinical supervisor
  • Case manager
  • Child care staff

Clinical assessments and evaluation, psychiatric interventions and therapy are included in the treatment process. Medication, when needed, is prescribed by the psychiatrist and administered by licensed nurses.

Individual and Group Therapy

Master’s level clinicians implement all individual, group and family therapy. Individual and group therapy are conducted on campus in the youth’s assigned facility or in the on-campus Pew Counseling Center. 

Multiple therapeutic modalities and techniques include, but are not limited to:

  • Cognitive Behavioral Therapy (CBT) is structured, present-oriented therapy directed toward solving current problems and teaching skills to modify dysfunctional thinking and behavior. CBT has been shown to be effective for many types of emotional disturbances.
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)  - This therapy is evidence-based with research showing that it successfully resolves a broad array of emotional and behavioral difficulties associated with single or multiple complex trauma experiences.
  • Eye Movement Desensitization and Reprocessing (EMDR) - Research has demonstrated that this approach is effective in the treatment of trauma.
  • Dialectical Behavioral Therapy (DBT) focuses on providing new skills to manage painful emotions and decrease conflict in relationships.
  • Solutions - Focused is immediately goal directed and concentrates on finding solutions in the present while exploring hope for the future.
  • Motivational Interviewing is a counseling method that facilitates youth in finding and sustaining motivation to make positive change.
  • Reality Therapy is a form of CBT that focuses on improving present relationships and circumstances while avoiding discussion of past events. The goal is to help the youth connect or reconnect to meaningful relationships.
  • Attachment-Based Family Therapy is a manualized approach designed to target family and individual processes associated with youth depression and suicide.
  • Behavior Management through Adventure is a promising practice that involves recreation-based challenges that promote group cooperation and experiential learning to overcome obstacles.

Group therapy is recommended by the youth’s treatment team and delivered by a master’s level therapist. 

Groups include one of the following and are expanded to accommodate treatment needs as identified.

  1. Achieving Emotional Stability – Bipolar Disorder or Depression
  2. Coping and Controlling ADHD
  3. Coping with Impulse Control Problems
  4. Prosocial Thoughts and Behaviors
  5. Prosocial Relationships and Moral Development
  6. Understanding Families
  7. Grief and Loss – The Healing Process
  8. Breaking the Cycle – Family Violence, Families of Addiction, and Abandonment
  9. Understanding Substance Abuse and Addiction
  10. Mindfulness Mood Management
  11. Surviving Trauma – Sexual Assault
  12. Cultural Sensitivity
  13. Promoting Self-Esteem
  14. Coping with Anxiety
  15. Using Art as Self-Expression
  16. Drug and Alcohol Education, Prevention, and Assessment

Aggression Replacement Training (ART) is a cognitive behavioral intervention to help youth improve social skill competence and moral reasoning, better mange anger and reduce aggressive behavior.  These groups are conducted with all youth.  This multimodal approach involves skill streaming to promote prosocial behaviors, counters over-reliance on aggression by enhancing self-control and anger reduction, and decreases egocentric and concrete reasoning by exposing youth to a series of moral dilemmas thus advancing moral reasoning processes.  Two trained facilitators deliver the group based elements.