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PIET JANSEN - TIPPING POINT

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This presentation will focus on the challenges faced when getting young people into treatment. Looking at the importance of safety, structure, trust and willingness. We will learn more about the use of di erent methods creating a tipping point. This presentation will also offer an overview of the intensive and multi-disciplinary treatment programme process for young people from the age of 13 to 25 years old with complex behavioural disorders, addictions and related behavioural problems in the Yes We Can Youth Clinic. Their de nite Treatment Plan is established after four weeks of observation in treatment by a Multi-Disciplinary Clinical team of Coaches, Counsellors, Therapists and Psychiatrists. Original diagnoses will be veri ed or excluded and speci c Care paths called Flow & Flex; with diagnoses Unspeci ed/CD, ADHD, ASD, ODD and/or attachment problems, Clean & Sober; with diagnoses addiction/substance abuse and Self Con dence; with diagnosis Anxiety Disorder, Depression, Eating Disorder, Personality Disorder or PTSS will be deployed.

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PIET JANSEN - TIPPING POINT

  1. 1. VIDEO: TREATMENT METHOD
  2. 2.  Since 2010 for Dutch fellows (Yes We Can Clinics)  Since 2017 for international fellows (Yes We Can Youth Clinics)  Addictions & Mental Healthcare ages 13 to 25  International: 24 beds, 120 fellows per year  National: 120 beds, 600 fellows per year  International: 35 FTE Multidisciplinary team  National: 200 FTE Multidisciplinary team  psychiatrists, psychologists, nurses, expert by experience counsellors, youth coaches  For those who got stuck in ambulant and/or clinical (long-term) care ABOUT YES WE CAN YOUTH CLINICS
  3. 3. BEHAVIOURAL DISORDERS Attention Deficit with Hyperactivity (ADHD) Oppositional Defiant Disorder (ODD) Conduct Disorder (CD) Disorders Not Otherwise Specified (NAO) ADDICTIONS Game Addiction Drug Addiction Alcohol Addiction Sex & Love Addiction Gambling Addiction Social Network Addiction Depression, Anxiety Eating Disorder Authority issues Motivational problems Communication problems Fear of failure Low self-esteem Self harm BEHAVIOURAL PROBLEMS FOR WHOM IS YES WE CAN ?
  4. 4. INTENSIVE 10 WEEKS TREATMENT PROGRAMME  Intake  Group therapy  Specialised theme discussion groups  Individual therapy  Sports & exercise programme  Psycho education  Medical and pharma therapeutic treatment  Family coaching & counselling  Bonding week  Aftercare
  5. 5. ACCEPTANCE & CHANGE  A series of interviews and questioning facilitated by the Multi-Disciplinary Consults (MDC)  Provisional Treatment Plan is provided after the intake, including the provisional (DSM V) diagnose(s)  The definite Treatment Plan is established after 4 weeks of observation  Care pathways:  Flex & Flow; with diagnoses Unspecified/CD, ADHD, ASD, ODD and/or attachment problems  Clean & Sober; with diagnoses addiction/substance abuse  Self Confidence; with diagnosis Anxiety Disorder, Depression, Eating Disorder, Personality Disorder or PTSS
  6. 6. Oirschot
  7. 7. International
  8. 8. National
  9. 9. MULTIDISCIPLINAIRY TEAM Aftercare (4) Therapists Intake (1) Psychiatrists (2) Case- management (1) With other staff in total 35 FTE Therapists Clinic (5) Counsellors (3) Coaches (10) Medical Team (3)
  10. 10. A TYPICAL DAY FOR A FELLOW IN RECOVERY 06.45 Get up 07.00 Morning gym 07.30 08.00 Organise Independency & Self-Resilience 08.45 Room check 09.30 Group session 10.55 WorkbookBreakfast, Briefing Morning program
  11. 11. A TYPICAL DAY FOR A FELLOW IN RECOVERY 12.30 Spare time 13.00 Lunch 17.00 Organise Independency & Self-Resilience 18.00 Dinner 11.45 Group session 13.30 Activity/ One-on-one
  12. 12. A TYPICAL DAY FOR A FELLOW IN RECOVERY 19.00 Spare time 19.30 Psycho-education (expert-counsellor, documentary, training self-help) 22.00 Rooms open 23.0021.00 Closing of the day 22.30 Everyone in their room
  13. 13. FAMILY COACHING & COUNSELLING 4 days with a family counsellor and therapists  Intensive programme for parents/caretakers  Systemic approach
  14. 14. Supporting fellows with purpose finding in life  Equally as important as 10 weeks Clinic  Activating & motivating guidance  Further counselling  Activities outdoors  Minimum of 4 weeks  Recovery, responsibility, independency  Preparing for home return  Recovery Coach on demand back home AFTERCARE
  15. 15. WORK WITH SOUL, BODY AND MIND, HAVE FUN! UNCONDITIONAL WARMTH, LOVE AND SAFETY THE PROGRAMME COOPERATION MULTIDISCIPLINARY TEAM CONFRONT AT THE RIGHT TIME OUR STRENGTH
  16. 16. Measured by an independent research agency and ROM-lists with all young fellows/parents/caretakers having completed Yes We Can treatment SATISFACTION AND EFFECTIVENESS OF THE FELLOWS NO LONGER NEEDS SPECIAL CARE UPON COMPLETION OF TREATMENT 72% OF THE PARENTS/CARETAKERS ARE SATISFIED WITH THE TREATMENT PROGRAM 93% OF THE FELLOWS HAS A DAILY ACTIVITY AFTER TREATMENT 86% OF PARENTS/CARETAKERS NOTICE STRUCTURAL IMPROVEMENT BY THEMSELVES DUE TO FAMILY COACHING & COUNSELLING 80% REMAINS IN RECOVERY AFTER 2 YEARS 89%
  17. 17.  Residential Clinical Care €27.500 per month  Tailored Aftercare (on request) INVESTMENT
  18. 18. RESPECT OPENNESS WILLINGNESSHONESTY

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