Mental Illness
Awareness Week

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Mental Illness
Awareness Week

Program Spotlight:
Adult Therapeutic Day Treatment

Terros Health ATDT (formerly LADDER) is a licensed Adult Therapeutic Day Treatment providing intensive treatment for individuals with co-occurring mental health and substance use diagnoses. Our team of master’s level clinicians, behavioral health technicians, and peer support specialists provide treatment and support for individuals living with co-occurring disorders. Individuals attend services five days a week from 9:30am – 3:00pm. Service duration has an average length of 3-4 months and is tailored to individual needs and progress.
Learn more about the program in this Q & A with
ATDT managers Karen DiFrancesco and Colleen Bonner.
Adult-therapeutic-day-treatment-group

“We want ATDT to be the place that when someone doesn’t know what to do, we are here, and because of our whole health care environment, we can provide support for them no matter what.” -Colleen Bonner

How do patients enter the program?
Where are they in their recovery journey at that point?

How do patients enter the program? Where are they in their recovery journey at that point?

We get a lot of patients from recovery clinics where they have been receiving treatment for an SMI determinant, from the hospital from probation, and from outpatient behavioral health clinics. If individuals have both a mental health issue as well as substance use – we offer the highest level of care without being inpatient. They may not need – or want – to be inpatient, but still need a high level of care. They can get that with ATDT. Our patients are still often actively using, although not permitted to on premises. We do not perform drug testing, although some individuals may be involved with other programs where it is required. For some, ATDT is the best of several other hard choices – inpatient, imprisonment, even death – or ATDT. Individuals may have experienced an overdose or suicide attempt and were hospitalized ATDT can help and some prefer this as an option to inpatient.

What can patients expect as
their experience in this program?

What can patients expect as their experience in this program?

We provide a very structured day as part of the approach. They start with breakfast and an activity, then split up into small groups with assigned clinicians for their “check in” group. This is group therapy with an individual focus. They then go to a symptom management group which deals with subjects related to for their mental health diagnosis; this could be anything from talking about specific diagnosis to setting boundaries to communication skill-building. It is then time for lunch and a lunch activity – this might be outdoors or arts/crafts or a game – a time focused on fun & relaxing. It is then time for recovery group focused on substance use. This is followed by a period of time where they again break up into small group with clinicians for Check Out group – here they rate their symptoms, and answer questions to help process the day. There are therapeutic breaks after every group session. Finally, it is wrap up group time and candy is passed out.

What is an example of a therapeutic
approach can patients expect?

We simulate a social environment and schedule that is therapeutic in its structure. Activities may be considered non-therapeutic but still offer a space for making improvements. One example of a specific evidence-based treatment is a Cognitive Behavior Therapy (CBT) called “Roadmap to Peace of Mind.” It is designed to address thoughts and how they contribute to feelings and behaviors – focusing on changing thoughts to change the way you feel to change your actions, change negative core beliefs.

What are program successes you can share?
What do patients say or share when they finish?

What are program successes you can share? What do patients say or share when they finish?

We really work to meet the patients where they are at. ATDT is a four-month program because the first month is really dedicated to building rapport and habit; we understand it is an adjustment period. A lot of times people will come in very resistant, especially to group therapy and after a week or two, they start to really like it. Sometimes people start and do not come back – or they come back months or years later. A lot of individuals do not want to leave – it becomes a safe space for our patients. Success is an individual thing and may emerge in different areas of the day and schedule. Patients that have left might call us again, sometimes with their success update, sometimes because they need to come back. This is a safe space and we understand that recovery is a journey. A unique aspect of ATDT at Terros Health is that because we are part of a whole health, whole person care model, we work with every single program across Terros Health. For our patients who may have been struggling in the system – health care or justice or maybe both – when they come to ATDT, they feel more supported and that they are part of their own care team. We help create a safe space for them so that they can focus on their care and treatment and get better.

What are you doing during COVID-19 to keep this program open and safely serving patients?

We have remained open during the pandemic. And it was difficult at the beginning. We have implemented safety protocols: face masks, gloves, temperature screening before entry, plexi-glass in kitchens, groups rooms are spaced out for social distancing. There is a rigorous cleaning schedule: environmental services cleans twice daily and at night; staff cleans consistently throughout day; we are using hand sanitizer, CDC-recommended solutions; and we offer face shields and bandanas as alternatives. There is often anxiety and stress because of COVID-19; we do a lot of calming around it. We have learned a lot and we can share that knowledge with our patients. A recent graduate shared that they were so grateful to have a safe place to come for treatment during COVID-19. We offer a WebEx engagement group for those with health issues if clinically indicated, or for those who are quarantining. We have found the Terros Health nurse line, operated by three staff nurses, helps because if a patient has symptoms, they can access a medical professional for guidance.

Is our ATDT the right fit for you or a patient?
Call 602-512-2985 or 602-685-6127
or email us at ATDT@terroshealth.org!

Terros Health – ATDT
Adult Therapeutic Day Treatment
4909 E McDowell Rd, Suite 102
Phoenix, AZ 85008
(602) 512-2984
Need driving directions?

Terros Health – ATDT
Adult Therapeutic Day Treatment
4616 N 51st Ave, Suite 201
Phoenix, AZ 85031
(602) 685-6127
Need driving directions?

For Medical Care     Call  602-685-6000 

Donate to Terros Health

Your contribution will help in transforming the health
and well-being of families throughout Arizona.

Terros health is a 501(c)(3) non-profit organization and is also a Qualifying Charitable Organization code 20295.

Is our ATDT the right fit
for you or a patient?

Call us
602-512-2985
602-685-6127

Email us
ATDT@terroshealth.org

Terros Health – ATDT
Adult Therapeutic Day Treatment
4909 E McDowell Rd, Suite 102
Phoenix, AZ 85008
(602) 512-2984
Need driving directions?

Terros Health – ATDT
Adult Therapeutic Day Treatment
4616 N 51st Ave, Suite 201
Phoenix, AZ 85031
(602) 685-6127
Need driving directions?

Donate to Terros Health

Your contribution will help in transforming the health and well-being of families throughout Arizona.

Terros health is a 501(c)(3)
non-profit organization and is also a Qualifying Charitable Organization
code 20295