The Chippewa County Family Project (CCFP) is a non-profit 501c 3 organization which provides administrative oversight to the Arfstrom Faunt Teen Home. The Arfstrom Faunt Teen Home (AFTH) is a private, non-secure, designated General Residential Treatment facility that is a state-licensed Child Caring Institution accredited by CARF. AFTH is a facility with 6 beds for male residents between the ages of 12-17 years.

Residents that qualify for entry into the AFTH facility may present with behavioral or emotional risk factors such as:

Low self-esteem

Rebelliousness

Parent-child conflict

Aggression toward peers/family

AFTH does not hold any prejudice to a prospective resident’s history for admission consideration. However, we are not equipped to service the severely mentally limited and/or disabled.

AFTH provides 24-hour onsite staffing. AFTH will provide a minimum of one on-duty direct care worker for every 2 residents during waking hours. AFTH will provide a minimum of one on-duty direct care worker for every 5 youth during sleeping hours. At night, staff will conduct variable intervals of no more than 15-minute checks on all residents. Staff are trained in various models for quality improvement, safety, crisis management/intervention, and behavioral management programming to provide the best services for the youth in AFTH care and supervision.

AFTH provides each resident with a person-centered treatment plan that has coordinated interventions, psycho-educational, and a therapeutic 24-hour structured programming. All interventions are evidence-based and include trauma-focused interventions. Each program is modified based on the identified behaviors documented in case records, self-report, and coordination with outside agencies. All treatment plans will include behavioral management, educational services, mental health treatment (individual and group), life skills, and community linkages. AFTH has a treatment program that is structured for long-term placement which is minimally 9 to 12 months, but the length of treatment varies with each resident and depends on the clinical assessment that identify less intensive level of care or independence. All services are dependent on the residents’ behaviors and progress within the four listed program sections below.

SECTION 4
CONTINUED
SERVICES
Medical/Dental
Other Resources
Referral/Acceptance

SECTION 1
Behavioral Assessment Planning

Upon entry into the facility, each resident will have the ability to create a person-centered behavioral management plan. This plan will be created by the social services provider and the resident. Throughout the stay at the facility, this plan will be reviewed regularly by team members of the facility which include but not limited to resident (s), direct care workers, mental health providers, case workers, parents/guardians/foster parents, and administration. Throughout the first week of entry, the resident will also be assessed by various models such as but not limited to PHQ9 (Depression Screening), CAGE (Drug and Alcohol Assessment), CATS (Child and Adolescent Trauma Screening), FANS (Family Assessment of Needs and Strengths), CANS (Child Assessment of Needs and Strengths), SCARED (Screen for Child Anxiety Related Disorders), and ACLSA (Ansel Casey Life Skills Assessment).
Daily Points System The AFTH point and level system has been developed to encourage our residents to learn the socially appropriate behaviors and life skills that each member of our society needs to display in order to lead a productive and socially acceptable life. The point and level system has been implemented to focus on decreasing behaviors with a comprehensive approach to treatment. As the events of each point period take place, the staff will monitor and encourage the residents' positive behaviors. The basic concept is that points will be awarded based on the accomplishment in three areas:

1. Program Requirements.
2. Educational Accomplishments.
3. Behavioral Treatment Objectives.

By rewarding accomplishment in the three areas, the conduct of the resident will improve. The level system (described below) is linked to the points. As a resident earns points by meeting program requirements, attaining educational accomplishments, and reaching behavioral treatment objectives, he/she/they/them may request a level advancement. As the resident earns his way up the level system, he earns more privileges, trust, and responsibility.
Levels of Success Each level has an expected standard of behavior and designated privileges. The following guidelines are the minimum requirements of each resident at each level. The goal is to advance to level four, while working on treatment issues. In order to move up the level system the resident must practice the behaviors of the level above his/her/they/them current level. For example, if a resident is on level one, he/she/they/them will not be able to advance to level two until he/she/they/them has shown level two behavior.

Goals:

1. Standardized implementation
2. Progress in treatment and the level system will be individualized.
3. Levels will reflect safety, behavior, and treatment.4. The Level System will reinforce increased self-esteem.

SECTION 2
Individual Therapy

A licensed mental health professional will provide all residents with therapy two times per week which will include a minimum of one individual therapy session and the second session being either individual, group or family therapy. Trauma-informed therapy is not about a specific intervention but rather tailoring interventions in the context of the resident’s trauma history, triggers, and specific needs. It is a lens through which the therapist views their residents, considering the impact of trauma on emotions, regulation, and behavior. They will also consider the effects of intergenerational trauma on residents.
Trauma-informed therapists emphasize the following areas in their practice:

1. Physical and emotional safety. A trauma-informed therapist will take steps to ensure that
residents feel both physically and emotionally safe in their sessions.
2. Collaboration. Trauma-informed therapists aim to empower residents by educating them
about their options and giving them an active role in their care.
3. Transparency. Trauma-informed therapists are open and honest with residents.
4. Competency. Trauma-informed therapists make sure that they are educated and up to date in research and best practices for working with residents who have experienced trauma. They are also aware of the unique cultural considerations that each resident experiences.

Group Therapy
A contracted/licensed mental health professional will host a small group of residents together as a “group therapy session.” The group format may include art therapy, cognitive behavioral therapy, or interpersonal therapy, but is usually conducted through a mechanism of change by developing, exploring and examining interpersonal relationships within the group. All standards as discussed in the trauma informed therapy section applied within each format.

Family Therapy
A contracted/licensed mental health professional will work with resident (s), parent/guardian, and/or foster parent (s) to nurture change and development. Family therapy tends to view change in terms of the systems of interaction between family members. Various best practices methods may be used within this setting to ensure the trauma informed care model perspectives are highlighted.

Psychiatric Consultation/Oversight
A contracted/licensed professional, which may be any of the following: Medical Doctor,
Psychiatrist, and/or Authorized Medical Professional Specialized in Adolescent Psychiatry, will provide psychotropic medication consultation. These sessions/visit will be held either in person or by a telepsychiatry appointment. All psychotropic medication management will be provided by the said professional for each resident upon admission and maintained until discharge from the AFTH facility.Psychological Services A contracted / licensed psychologist will provide all residents with a clinical mental health consultation upon intake. There is often a dual purpose to mental health consultation and mental health therapy evaluations, such as: (a) problem solving with a resident on a specific mental health issue with a resident and (b) giving the resident added skills and insights that will enhance his or her future functioning in dealing with a resident’s problems. This consultation has several subtypes, including person-centered consultation, which focuses the consultant’s attention on effective intervention for the resident; and resident-centered consultation, in which the consultant focuses on remedying shortcomings in the resident instead of solely addressing the problems of the resident.

SECTION 3
Educational Services

Prior to entry into the facility, all resident(s) will be assessed on the appropriate education setting for the highest quality of learning. Based on the population served and the area’s availability, AFTH can access the Sault Area Middle School, Sault Area High School, and Malcolm High School (Alternative School Setting). The Social Services Provider and the Educational Specialist will work together on all aspects of successful enrollment and transfer into the public school system. This includes but is not limited to special education services, bus scheduling, reduced meal applications, and a tour of the school selected.

Tutoring Services
If deemed necessary, each resident will have the option for tutoring services both in the facility and at the school of selection. The Educational Specialist will create an education plan with the resident to ensure the best selection. All residents within this selection will have weekly reports from the school and establish a plan for course make-up and/or recovery services.

IEP/504 Plan
Prior to arriving, the Educational Specialist will confirm any previous or current IEPs or 504 Plans for a resident. This will ensure that upon entry into the facility and admission into public school, the required 30-day review meeting is initiated immediately. Throughout the stay of the resident, staff will be coordinating with the school on a regular basis to maintain compliance. All residents, regardless of status upon entry, will be monitored for further testing and/or services related to their educational success.

Section 4
Medical/Dental

Prior to arrival, the contracted/licensed Nurse for the facility will review the medication list, previous medication history, and current conditions. Any/all requests for additional information will be made at this time. Upon arrival, all residents will be assessed by the Nurse and all initial clinical documentation will be completed. Within the first 7 days at the facility, the medical and dental appointments will be scheduled to establish primary care services. The pharmacy will be contacted to accept a new patient and coordination on delivery of medication services. All primary care services will be utilized as scheduled and/or as necessary.

Other Resources
AFTH has several partnerships with outside agencies to provide additional resources to the residents within the facility. Within a 5-mile radius, AFTH has direct access to indoor skating rinks, indoor gymnasiums, a rock-climbing wall, bowling, life guarded swimming pools, parks (outdoor basketball/volleyball/tennis/baseball/football), and designated fishing areas. For residents interested in cultural services, two local Federally Recognized Tribes are within a 30 – mile distance and can assist with traditional activities and services. The City of Sault Ste. Marie also has many religious sanctuaries within the area for a resident to choose to attend.

Referral/Acceptance Process
Each prospective referral received from the Department of Health and Human Services-Resident Placement Unit, is evaluated based on the clinical need and if the facility can incorporate the appropriate services to ensure the health, safety, and success of each individual. If accepted into the facility, the resident, family, and/or case managers will be provided information on admission, care, safety, supervision, methods for addressing resident’s needs, implementation of treatment plans, and discharge of residents. Any/all notifications required prior to entry will be sent via U.S. Postal Services to the family and/or designated guardian of individual. During admission, the staff member assigned for orientation will provide a tour of the facility, review all services within the facility, outside resources, and policies and procedures with the resident, family member, and/or case manager. All documentation will be noted and acknowledged for understanding for all parties. This will be documented within each resident case file. Family counseling will be coordinated by staff. All phone calls, visits, off-ground visits and overnights stays will be based on the resident’s progress and treatment plan.