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Therapeutic Boarding Schools. Today children, teens and young adults struggle with many behavioral, emotional and psychological issues. Their struggles are with adoption, body image, oppositional behavior, academics, drugs, alcohol, social skills and attention deficit, to name a few.

In many cases the issues are fueled by divorce, peers, family conflict or psychiatric problems. Sometimes the struggles are years in the making, some even the result of pre-natal or early childhood trauma.

A family’s first intervention for a struggling child often is psychotherapy, which in our society usually consists of one 45-50 minute session, once per week. Sometimes the psychotherapy is coupled with medication. Both approaches, either alone or in combination, can be powerfully effective.

The two approaches can also be powerfully ineffective. Psychotherapy can be ineffective, for example, when the child refuses to engage fully, when the issues are more than “once per week deep” and when environmental factors such as family and peers impede the child’s progress. Medication therapy can be ineffective when the feedback to the prescribing doctor is inaccurate or incomplete (for example, when feedback is not provided regarding a child’s behavior in recurring classroom and/or social situations over an extended time period,) or when the child is not compliant with the medication regimen.

When traditional psychotherapy and/or medication therapy are not working—or when the child needs a “wake up call”—but not boot camp—it may be that an intensive therapeutic intervention may be in order. “Intensive” typically means 24/7; that is to say, some form of residential or in-patient program, the duration of which can range from ten days to twenty four months or longer. Such interventions are provided by thousands of residential treatment centers, wilderness therapy & outdoor therapy programs, therapeutic & emotional growth boarding schools, young adult transitional living centers, and so on.

So while it is often necessary to resort to more restrictive environments for the initial treatment of acute emotional, behavioral, and substance abuse problems, there is always a strong case to be made for continuing that therapeutic work in the young person’s natural environment. Young people whose emotional and behavioral issues have not escalated to a point yet requiring residential treatment can also greatly benefit from intensive work in their home and community. In general, then, the most authentic environment that a child can safely and successfully handle tends to be the best option for lasting change.

Will Laughlin, MA,, M.Ed., has been a teacher, professor, and program director in both traditional and special needs education for the past twenty years. He is currently the director of business development for Vive! Inc. a therapeutic, action-oriented program that works with troubled youth and at-risk teens and their families in the home environment. The program has been particularly effective in continuing the progress gained in residential treatment programs for the transition home. Find more information about Boarding Schools Troubled Teens here.

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