Core Issues of a young adult population

It would be difficult to match the clinical depth of the Spruce Mountain Inn program. For over twenty six years, we have offered a very structured program, the components of which are diverse, comprehensive, complementary and sophisticated. Our program is small with unparalleled attention to individual treatment needs.

While all of our clients must be able to benefit from our treatment model for us to admit them, we employ a variety of treatment modalities, with varying levels of intensity. We carefully assess each individual client and to the greatest extent possible address their cognitive, behavioral, physical, relationship, productivity, creative, and recovery needs as well as other aspects of personal growth and health.

In the initial six weeks following admission, program participants attend groups as well as individual meetings with members of his/her treatment team. We offer approximately 35 hours per week of groups lead by fourteen different facilitators. Individual sessions offer: psychotherapy, case management, support work (practical assistance), psychiatry, substance abuse treatment and vocational/educational services. The staff in our small program work very closely together through multiple daily meetings and a computerized notes and records system. Our high level of coordination creates wrap-around treatment in an environment of intensive peer support where life changing clinical work can be accomplished.

Following are some of what our therapists describe as “core issues” of many of our program participants:

  • Poor self esteem
  • Intimacy: fear of it and fear of the conflict that can come with it
  • Incomplete identity formation/developing a sense of self
  • Trauma
  • Abandonment and loss
  • Family dysfunction
  • Shame (about their life thus far, their illness and their beliefs of being stigmatized by their family, friends and community as a whole).

Some excerpts of success stories…

Mary age 20

Mary came to Spruce Mountain Inn with “no voice” after a sheltered childhood and her parents’ divorce left her living in fear of ‘doing something wrong.’ Mary’s severe lack of confidence and self esteem led to a series of traumatic and failed relationships as well as difficulties negotiating independent living.

In community life and treatment groups at the Inn, Mary gradually addressed her losses and fears and began to discover her strength and her voice. Her volunteer work in the community helped her acquire job skills, confidence and a desire to negotiate college. After four months in the Inn and seven months in a “step down’ apartment, Mary was equipped with the emotional tools and strength to successfully matriculate in college and make healthy lifestyle choices.

Eric age 22

Eric came to Spruce Mountain Inn following a suicide attempt. He presented with a history of severe depression and avoidant personality traits, failed interpersonal relationships and a spotty employment history. Eric’s family history was also significant for depression and enmeshment whereby Eric felt responsible for his family’s well being.

Through individual and group therapy at Spruce Mountain Inn, Eric gained insight into his relationship with his family and their dynamics and disentangled himself from the enmeshment. He was able to identify and actively restructure his underlying fears related to success in his work. Eric’s assumptions about himself slowly improved through therapy, and his depression lifted. He grew more outgoing as his social relationships improved and he slowly became a source of inspiration for other members of the community. Eric found competitive employment while with Spruce and is well respected by his employer. He is also developing a social network outside of our Program.