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Crownview Co-Occurring Institute – Our Program

Crownview Co-Occurring Institute develops comprehensive treatment plans tailored to the specific needs of each client. Specializing in complex psychiatric conditions, our clients have the opportunity to both learn and practice the relationship and life skills needed to take charge of their lives and reach the highest possible level of independence.

COMPONENT 1:
24-Hour Structured Housing

The team at Crownview Co-Occurring Institute understands that each client’s living environment is crucial to the success of their therapy program.

Crownview Co-Occurring Institute is at the forefront of both providing and managing living environments where the client feels secure, supported and understood – and where the critical balance between structure and personal freedom is constantly being evaluated on a case-by-case basis.

Our housing is 24-hour supervised and provides a complete daily schedule for each client (see list below).

Each location has round-the-clock professional staff supervision. We have several different locations in the coastal North County areas.

Transportation is provided to and from therapy sessions, self-help meetings, and other CCI activities.

Our full schedule of in-house and off-site tasks, sessions and activities includes:

  • Scheduled Medications
  • 12-Step SMART, NAMI, NA, AA, CODA, Refugee Recovery or other Community Support Sessions
  • Meals
  • Meal Planning, Grocery Shopping, Meal Preparation, Daily chores
  • House Meetings

  • 12-Step Book Studies
  • Free Time
  • Occupational and Educational Development Sessions provided by our case management team
  • Gym or Physical Activity
  • Recreational Activities

NOTE: Our housing facilities are not “lock-down” facilities, though we have comprehensive housing policies and rules. We are considered a “step-down” from a higher level of care, such as that provided in hospitals and residential care facilities. We have housing for clients that have need while attending our program. Even though our housing does not have twenty-four hour supervision, we do have support staff and case management. We provide a carefully structured support network where clients are taught independent living, including cooking and cleaning. If a client displays uncooperative or disruptive behavior, or shows signs of being a risk to himself or others, proportional measures will be taken.

COMPONENT 2:
Intensive Personalized Psychotherapy

This is the core of our program: We have licensed psychiatrists and clinicians at our treatment center during regular hours of operation, and a depth of professional experience with the best current, evidence-based therapies.

CCI’s individualized treatment approach creates highly customized action plans. We design wrap-around therapy strategies with a team approach.

Our program contains a wealth of diverse licensed professionals in addition to a fully integrated psychiatric team. This means that our psychiatrists are not independent contractors, but rather, full time employees that are available on call at any hour. Our support staff play an important role by acting as the eyes and ears of our treatment team.

Utilizing an experiential or “hands-on” approach, our case managers engage with the client and begin forging a relationship of trust.

Together they begin identifying and practicing life skills in need of improvement.

At CCI we hold to the belief that life skills, in conjunction with proper medication, sustain mental health. Medications are used as needed to stabilize the client and lay a foundation of receptivity to other, more sustainable therapies.

The goal, evaluated with daily monitoring, is to reduce or even eliminate medications when they are no longer deemed necessary for the client’s well-being.

Psychiatry – Each client is assessed by a Crownview psychiatrist and is seen regularly for follow-up appointments throughout the course of treatment.

Individual Therapy

Each client is assigned a highly qualified individual therapist who provides an as-needed number of personal therapy hours per week. They work together to create a therapeutic alliance, help the client identify and correct problem areas and begin arresting self-defeating behavior.
When the causes of problematic behaviors are identified, the old thought patterns and coping mechanisms are replaced with new ones in a methodical, self-reinforcing way. As the client begins to practice these new tools and begins to achieve successes, self-esteem and self-efficacy begin to develop.

Our full range of psychiatric and pharmacological services include the following and more:

  • Cognitive-Behavioral Therapy (CBT)
  • Dialectic Behavioral Therapy (DBT)
  • Ketamine Treatment for Depression
  • Stellate Ganglion Block for Trauma
  • D’cycloserine for Trauma
  • Milieu Therapies
  • Solution-Focused Therapies
  • TMS (Trans-cranial magnetic stimulation)
  • Biofeedback
  • Experiential Therapies
  • EMDR (Eye Movement and Desensitization Reprocessing)
  • Nutrition Training and Coaching
  • Yoga, Exercise and Gym Memberships
  • Mindfulness and Meditation
  • Acupuncture (by request)
  • Equine (Horseback) Therapy
  • Counselling the Family

Group Therapy

As clients begin to get involved in the group therapy process, they begin to identify with one another and learn that they are not alone. Bonds of trust are formed and differences are “worked out,” teaching our clients how to establish, maintain and nurture healthy and lasting relationships. Often with mental illness and addiction, sufferers lose self-confidence, and become trapped in relationships where drugs and alcohol become dysfunctional remedies otherwise referred to as “self medicating”.
Over time, this behavior further deepens feelings of insecurity, stifling emotional growth and maturity. The sufferer struggles with anger and resentment and exhibits childlike coping mechanisms. Facilitated group therapy challenges the client to mature emotionally by utilizing new skills, resulting in self-efficacy and confidence.

Therapy for the Family

A client’s family and other loved ones should be part, if at all possible, of the treatment plan. They are often in need of counselling and therapy themselves – something CCI has championed from the start, addressing each of these needs in an inclusive way.

We host regular Family Weekends with therapist run workshops to give time for re-integrating clients with their families in a controlled setting and providing opportunity for celebration of the client’s progress.

  • Teaching Effective Communication Skills
  • Establishing Healthy Relationship Boundaries
  • Unlearning Dysfunctional Habits
  • Breaking the Cycle of Co-Dependency and Enabling
  • Creating new Patterns of Self-Reliance and Trust
  • Training to Live Independently or Cooperatively
  • Family Support Group Weekends

NOTE: We constantly monitor the responses our clients have to the pharmacological regimen we develop for them, and are careful to adjust when necessary to best effect.

COMPONENT 3:
Life Skills Support Therapies

The key to long-term success is developing emotional resilience, building coping skills and shaping realistic goals for life. The wide range of supportive therapies we offer help build individualized pathways to re-integration and independence . Utilizing the tools provided throughout the program, clients begin to build self-esteem and foster the hope that they can achieve a life of independence.
Persons whose lives have become seriously dysfunctional often need to learn or re-learn basic life skills by consistent, day-to-day practice in their schedule. The daily practice of these life skills will help clients in their future growth.

Some of the skills included are the following:

  • Housekeeping Skills
  • Structuring, Planning and Time Management
  • Nutrition and Diet
  • Meal Planning and Preparation
  • Grocery Shopping

  • Household Financial Planning
  • Personal Medication Self-Management
  • Personal Hygiene
  • Healthy Sleep Schedule

COMPONENT 4:
Work Skills, Self-Discipline and Motivation

Mental illness can be disabling, but, in many instances, need not be permanently so. One of our primary goals for each client is to discover their personal capacity for independence and develop a personalized track to build the skills needed before the client can enter or re-enter the work field.
If done carefully in conjunction with the other therapies and coaching, this approach can strengthen long-term recovery and become a key element of the breakthrough each client strives for.

Placing Vocational and Educational Goals in Real World Experience

A difficult element of restoring a client’s life is charting a path back to the “real world,” to whatever extent that is realistic. We know that occupational programs that focus exclusively on classroom training yield poor results in the long term.

To be effective, there must be training on-site with actual job responsibilities or educational performance, with at least some of the uncertainties and stresses that may involve.

The key – this all takes place within the supportive CCI environment, providing the best opportunity for building marketable skills.

CCI programs nine hours per week of occupational development for each client. This helps the client overcome their fear of failing, being rejected and lays a solid foundation for re-integration into life.

CCI offer workshops and coaching in the following ways:

  • Employment Workshops
  • Exploring Education and Training Options
  • Mock Interviews
  • Preparing and Coaching for Job Interviews
  • Motivational Interviewing

COMPONENT 5:
Case Management – Keeping the Big Picture

Every case we undertake is assigned at admission to an experienced case manager, whose primary task is to lead the effort to design and coordinate all of the components of the treatment strategy.

Our approach to client evaluation to define their assets (strengths) and liabilities (weaknesses) – where they may be doing well and where they require professional help.

This gives us a clear profile for a successful therapeutic program. It has been well-authenticated that therapies that act to transform weaknesses into strengths give the best likelihood of an independent and fulfilling life for the client in the coming years. That is our big picture … and it’s applied to every client.

COMPONENT 6:
Healthy and Health-Giving Recreation

The synergy and balance that is so important to the CCI philosophy includes the important aspect of physical recreation. Much more than just “Exercise”, these programs provide critical support to the medical and psychiatric therapies we provide.

They can become channels of self-discovery and renewal, and help generate a sense of purpose in the lives of those often lacking of healthy motivations.

  • Hiking
  • Rock Climbing
  • Stand-Up Paddle Boarding, Jet Skiing and Kayaking
  • Boxing Class
  • Gym Training
  • Yoga
  • Swimming, Surfing and Beach Activities
  • Equine (Horseback) Therapy
  • Plus a range of other physical activities

NOTE: Client access to these activities is not automatic – there must first be a clear demonstration of reliability and stability.

Program Walk Through

Crownview Co-occurring Institute’s program is based on a “4 phase” model to promote healthy changes as well as provide a structure to guide the individual clients plan toward success. The phase structure outlined below are general guidelines for each phase.

  1. Phase 1 – Acclimation: In phase 1 we create a highly-structured, compassionate, and safe environment to allow our clients to adjust to treatment.
  2. Phase 2 – Resocialization: At phase 2 we maintain structure as our clients begin to rediscover their social values, beliefs, and norms. As this process happens we begin to see clarity and retention. In phase 2 our clients begin to earn more responsibilities such as personal electronics and free time.
  3. Phase 3 – Developing life skills: Once a client reaches phase 3 they have shown the ability to begin developing or re-enforcing life skills to support independence. In phase 3 our team begins a heavy emphasis on life skills such revolving around vocational support, educational support, realistic budgeting, and healthy independent routines.
  4. Phase 4 – Independence: Phase 4 is where our clients begin to utilize the skills from the previous three phases to demonstrate independence with a major reduction to staff structure. We utilize this phase to observe our clients apply the combination of coping skills and life skills required to live a healthy independent life.

What makes our program outline unique is that with the above structure mixed with experienced understanding we can make each clients treatment differ from the next. This flexibility is due to the understanding that not every client falls short in the same skills as one another. With our phase system we have the ability to individualize each client’s treatment plan in every aspect to provide the most personalized and productive care possible.