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Transitional Living Program

Treatment Approach
What to expect from our transitional living program

This program is designed for adolescents with poor emotional control, impulsivity, self-damaging behaviors and interpersonal disorganization, who do not need close inpatient supervision but are not ready to manage successfully in an outpatient setting.

The foundation of treatment in this program is Dialectical Behavior Therapy (DBT) – a highly-structured form of behavioral therapy that was created to provide the skills necessary to regulate emotions, control destructive behaviors and improve interpersonal relations.

Patients reside on the Silver Hill campus in a house that is staffed 24/7 with highly trained DBT personnel. Through DBT skills training groups and coaching, patients learn how to better regulate their emotions and to replace dysfunctional coping strategies with more adaptive behaviors.

The minimum length of stay for this phase of treatment is 4 weeks, and many patients extend their treatment.

Who we treat

We treat teens, ages 13 – 17, who may be struggling with one or more psychiatric disorders and/or an addiction. These include:

Persistent feelings of pervasive sadness, hopelessness and helplessness that interfere with thinking and daily activities.
Anxiety disorders
The persistent, excessive and unrealistic worry about everyday things.
The intentional and repeated physical harm of oneself.
Eating disorders
A range of disorders characterized by abnormal or disturbed eating habits, including anorexia, bulimia and binge eating.
Substance use disorders
The compulsive or difficult-to-control use of drugs or alcohol despite negative or harmful consequences.
Treatment for co-occurring disorders

Many of our young patients have more than one diagnosis. These “co-occurring disorders” require a special understanding and corresponding treatment. Co-occurrence may be a combination of a variety of disorders. There may be a combination of depression and substance use, for example, or anxiety combined with an eating disorder.

Because Silver Hill is a true psychiatric hospital, we are uniquely qualified to provide comprehensive care for patients who need treatment for more than one disorder.

How we treat

Dialectical Behavior Therapy (DBT) is based on five core modules. All five are integral to treatment in our Centers for Dialectical Behavior Therapy.

Mindfulness, the foundation of DBT, teaches people to observe thoughts and feelings in the moment and realize there’s a choice in how to respond.

Emotion Regulation is learning to more effectively control one’s emotions and become less reactive to people and situations.

Interpersonal Effectiveness teaches how to maintain relationships, while meeting personal needs and preserving self-respect.

Distress Tolerance is an “acceptance strategy” for tolerating intense emotions without engaging in problematic behaviors.

Middle Path is a skill for effectively managing extreme behavior to achieve greater balance in life.

Our patients get better

Patients who complete our Adolescent Transitional Living Program tell us their treatment was vital to their recovery. In a survey of patients who completed this program the majority reported significantly less anxiety and were significantly better able to regulate their emotions compared to when they entered the program.

Our treatment team

Our clinical team has been intensively trained in DBT and includes a board-certified child and adolescent psychiatrist, licensed clinical social workers and masters level residential counselors. The team also includes a director of education, credentialed teachers, an art therapist, music therapists, recreational therapists and creative writing, tai chi and yoga instructors. We also consult with neuropsychologists, internal medicine specialists, education consultants and attorneys as needed.

Fees for treatment

Transitional living programs are not typically covered by health insurance plans, and are most often a direct expense for patients or their families. Some insurance policies may cover a portion of the cost. Our staff will help you determine whether you may have benefits that will allow coverage for this program and, if you do, we will seek authorization from your insurance company to use your benefit.

Silver Hill Hospital
For your reference

To learn more about our range of programs in the Adolescent Center please download our brochure.

Let’s get started.

Allow us to help you get better. Contact us today to find out which program might be right for you, or to begin the process of arranging for treatment.

Call us at
1 (866) 542 4455

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