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Continuum of Care

Our continuum of care is one of the things that makes us unique. Many times people who enter psychiatric treatment programs find that transitions are abrupt and they have to change from a very supported environment to an unsupported environment too quickly. Our continuum of care helps people step from one level of care to another level of care gradually. For clients entering residential treatment, the total average length of treatment is 4 to 6 months, with a minimum of 8 weeks.

About the 90-Day DBT Program: Our curriculum for the Dialectical Behavior Therapy (DBT) program follows a 90-day cycle, therefore the total length of stay for all DBT clients is 90 days. DBT clients typically admit to the residential treatment level of care. Transitions between levels of care (e.g. residential treatment to day treatment to intensive outpatient program) depend on the individual client’s engagement and progress in treatment, but DBT clients typically spend more time at the residential level of care (typically about 8 weeks) than clients in other recovery communities.

Residential Treatment

  • Residential treatment usually is the best level of care for individuals leaving a hospital or locked psychiatric acute care facility.
  • Unlike a hospital, all of our residential communities are unlocked voluntary facilities surrounded by gardens. Clients enjoy private bedrooms and bathrooms and participate in social activities on campus and out in the community. All of our residential facilities are licensed by the State of Georgia.
  • Residential clients ages 18 to 25 begin at the Rollins Campus. Residential clients ages 26 and older begin at the South Campus.
  • Residential clients engage in psychiatric and therapeutic activities weekdays, 10:00 a.m. to 4:00 p.m.
  • On evenings and weekends, our residential staff help clients work on re-establishing healthy sleep and meal schedules, self-care and hygiene, medication adherence, and healthy social and recreational activities. Our skilled and caring residential staff ensure that our clients are safe, supported, and are taking their medications as prescribed.
  • Residential treatment program clients also participate in activities in the community on evenings and weekends, including trips to Atlanta museums, sporting events, restaurants, and community events.
  • Residential Treatment is recommended when clients:
    • are experiencing a first episode
    • have frequent thoughts of suicide or poor impulse control
    • need support to establish healthy eating and sleeping habits
    • have challenges managing medications
    • tend to isolate and need structured social time and activities
    • have difficulty managing stress independently and need staff support for redirection and developing coping skills
  • Clients typically stay in residential treatment for about two months. Most clients then step down to our nonresidential day treatment program where they continue to work toward independence
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Day Treatment

  • Our nonresidential Day Treatment program is a step down from residential treatment. Day Treatment is not appropriate for someone leaving a locked, inpatient facility. New clients may admit directly to Day Treatment if they are transitioning from a residential or day treatment program or from outpatient therapy from a community provider.
  • Day Treatment clients come to the Charles B. West Campus from 10:00 a.m. to 4:00 p.m. each weekday for psychiatric services and therapy sessions. While multiple groups are offered each hour, counselors work with each client to develop an individualized schedule based on the client's diagnoses, as well as identified opportunities for growth and skill building.
  • Day Treatment is recommended when clients:
    • are committed to engaging in treatment
    • are compliant with medications and can take medications independently
    • have established skills to deal with suicide ideation (on-call support available)
    • can safely manage stress at home without on-site staff support
    • can sustain sobriety fairly independently
    • can manage free time fairly independently
    • need limited support as they learn to recognize unhealthy thought/behavior patterns and practice implementing skills to address them
    • need reinforcement as they actively work toward goals by implementing skills
    • can ask for help or support when needed
  • Transitional housing and independence coaching are available as additional services.
  • On average, clients participate in the Day Treatment program for about 2 months. (Our minimum length of stay is 8 weeks.) Most clients then step down to our Intensive Outpatient Program (IOP).
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Intensive Outpatient Programs

  • Our nonresidential Intensive Outpatient Program (IOP) may be appropriate as a step down level of care for Day Treatment clients. New clients may not admit directly to the Intensive Outpatient level of care.
  • IOP offers a slightly shorter day, five or three days a week, from 11:00 AM to 3:00 PM.
  • IOP is recommended when clients
    • have been successful in Day Treatment
    • are engaging in purposeful activities like work, school or volunteer efforts
    • need limited reinforcement and support as they continue to adopt and practice skills for healthy living
  • Transitional housing and independence coaching are available as additional services.
  • The average length of stay in IOP is an additional 1 to 2 months.
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Watch Video: Continuum of Care

Chris Cline, Vice President of Clinical Services explains Continuum of Care at Skyland Trail. 
Watch video >