Frequently Asked Questions

What is the Evolve Residential Treatment Program?

At the Residential level of care, teens struggling with mental health, addiction, or behavioral issues live on-site with 24-hour support and supervision. There are always at last two staff members on location, and our teen-staff ratio is 3:1. During working hours on a typical week day there may be as many as 6-8 staff present, supporting our teens in specific areas of expertise.

Our treatment centers are small, intimate, and comfortable, serving a maximum of six adolescents at a time. They’re located in modern, private homes in quiet, residential neighborhoods. Each location is equipped to offer teens a variety of data-driven, research-based, results-oriented modes of treatment. From mindfulness practices like yoga and meditation, to 12-Step support programs like Alcoholics Anonymous and Narcotics Anonymous, to Dialectical Behavioral Therapy and Peer Process and Family Support Groups, our residential programs draw from a wide range of resources to dial in exactly what works to set our teens on the road to recovery.

How often will my teen receive treatment?

Every waking hour of every day is scheduled to maximize recovery. On a typical day, each teen receives a full day of treatment, including complementary experiential therapy activities such as art, music, equine therapy, exercise, nature hikes, outdoor excursions, and off-site field trips.

Please click here to view a sample daily residential treatment schedule.

How many hours per day will my teen receive treatment?

­The treatment environment is in effect 24 hours a day, seven days a week. Our teens are in active therapy 3-4 hours per day, not including complementary experiential treatment modes and various support activities.

What’s the typical length of treatment?

The length of treatment varies for each individual and depends on a variety of factors. A typical length of stay is around 45 days.

What are the goals of RTC?

Our goal across all levels of care is to give our teenagers the tools to lead a healthy lifestyle when they choose to. We work to make them whole again and provide them with the coping skills they need most. We help them reintegrate into their families, schools, and society-at-large.

Many of our teens come to us in a great deal of pain and misery. They’re overwhelmed, hopeless, and barely staying afloat. We help ease their suffering, lead them back toward hope, and teach them to rediscover the joy of living. We give them the tools they need to regulate emotions, respond positively to conflict, and manage their self-defeating behaviors so they can build a life worth living—a life they enjoy, filled with things they love.

In the words of our clinical director Dr. Lauren Kerwin, we give our teens practical tools in the following four areas:

  1. Stress tolerance and management. We teach our teens how to handle the difficulties of life.
  2. Emotional regulation. We teach our teens to manage or change emotions when they need to.
  3. Interpersonal relationships. We teach our teens both the importance of, and how to, get along with people.
  4. Self-acceptance. We teach our teens to be mindful of where they are in the moment, without judgment.

What kind of teen benefits from RTC?

The RTC program is designed for teenagers in acute distress who need a complete reset and an immediate change in their environment. Teenagers whose lives have become unmanageable because of their mental health, addiction, or behavioral issues are best suited to RTC. We have the most success with teens who’ve been acutely suicidal, habitually engaged in self-harm, or experienced some form of addiction problem or interpersonal distress. If they show the willingness to learn, we have a place for them. We do especially well with teens who’ve failed in other treatment situations, but still want to heal. We welcome any teenager willing to learn the skills it takes to change ineffective, problematic behaviors to effective, life-affirming behaviors.

What teens are not appropriate for RTC?

While each teenager is unique and it’s impossible to accurately assign a level of care without meeting and assessing a teen and their family, we can safely say that our RTC program is probably not a good option for an individual who has never received any treatment at all for mental health, addiction, or behavioral issues. Residential treatment is an extreme step to take, and teens rarely need this level of care without passing through less intensive levels of care first.

What is a typical day like?

Our overall philosophy is to wake our kids up early, keep them busy all day long with a variety of creative and interesting activities designed to support their recovery, and put them to bed at a reasonable hour. We emphasize positive lifestyle habits like regular exercise, good sleep and personal hygiene, healthy eating, plenty of outdoor/nature time, and daily stress-management activities.

Wake-up is usually around 6:00 am and lights out is usually around 10:00 pm. In between, teens receive our entire array of therapies. They don’t do everything every day, but over the course of a week, our teens find themselves in Dialectical Behavioral Therapy, Group Process sessions, and Family Therapy sessions. They’ll also participate in complementary experiential activities like yoga, boxing, hiking, mindful meditation, surf therapy, equine therapy, or making music in a state-of-the-art recording studio.

Click here to view a sample daily residential treatment schedule.

Click here for details on RTC therapeutic modes.

Will my teen keep up with education/school?

Yes—if they’re ready.

We know life does not stop when an adolescent enters residential treatment. However, some of our teens need to take a pause from everything else and focus on recovery, especially when their mental health, addiction, or behavioral issues have made their lives unmanageable. In these cases, we work with our teens to stabilize their emotions, addictions, or behaviors first. Then, when they have the bandwidth—i.e. the emotional, physical, and psychological stability and wherewithal—to focus on their studies, we work with schools to reintegrate education into their daily lives. We coordinate with teachers, tutors, and families to get our teens on track as soon as possible. All our residential treatment centers have school areas fully equipped with everything a student needs—computers, printers, internet access—to keep up with academic work. That said, treatment always comes first!