We are frequently asked by potential residents, their families, and members of the therapeutic community how we developed the ideas, assessment procedures, and therapeutic modalities utilized at Bridge House. This is a difficult question to answer because it was a plan developed over a period of nearly two decades. This plan began when Dr. Chris McRoberts created a psychological testing and evaluation firm with psychologists specializing in evaluating children, adolescents and young adults in schools, therapeutic programs, and private practice settings around the United States and even internationally. Over the years, it became clear to Dr. McRoberts that a majority of people with mental health, cognitive, learning, substance-abuse, and behavioral difficulties were not being adequately assessed or accurately diagnosed prior to beginning costly and time-consuming therapeutic regimens. Many people were being tested during times of crisis or while in a hospital when test results could be erroneous. Additionally, many people underwent psychological, educational or neuropsychological testing when they were experiencing the lasting effects of drugs or alcohol or immediately after significant medication changes which might impact their test results. Some were evaluated in the midst of a severe psychotic, manic, or depressive phase of their illness. Others had physical illnesses, chromosomal abnormalities, dietary problems, family situations, or histories of trauma that could cloud test results and lead to inaccurate diagnosis. It became clear that a slower, comprehensive, integrative, and community-based assessment strategy should be implemented.
In 2016 Dr. McRoberts partnered with Rod Andrus, a skilled clinician and manager with more than 20 years of experience creating and implementing therapeutic programming in residential settings. Together they developed a strategy for working with a diverse array of people experiencing mental health and adjustment problems with the goal of understanding the complex underlying reasons for the struggles people were experiencing. They utilized research evidence showing that people in acute and chronic distress must experience a caring and nurturing environment with their caregivers to feel safe and secure enough to make therapeutic gains. The assessment program they developed at Bridge House focuses on this type of environment while also providing structures to keep residents safe while they develop stability and with it the ability to heal. As this program is implemented, medications are adjusted and residents undergo medical, dietary, occupational therapy, DNA, and other comprehensive assessments before efforts are made to accurately diagnose and understand their problems.
Mr. Andrus and Dr. McRoberts also determined that a necessary component of the assessment process was to effectively communicate assessment results to each resident, to their families, and to future treatment providers so that a plan could be developed for lifelong health and healing. Because it often takes some time for people to understand the complexity of their issues, an integral part of the Bridge House process is helping each individual understand their diagnosis and the types of supports and therapeutic interventions they will need in order to function optimally in society. To this end, each individual at Bridge House participates in a wide variety of community activities in order for their ability to function outside of residential treatment to be evaluated and future plans can include interventions tailored to their reactions to real life experiences and challenges.
It was also clear that during the three month assessment process developed at Bridge House people could make significant change. This is accomplished through a wide variety of therapeutic interventions including eight hours a day of various forms of group therapy made available to residents, intensive individual therapy, and effective medication management. These interventions have consistently enabled Bridge House residents to make tremendous gains, which in turn, allow them to transition to the least restrictive level of care possible.
At Bridge House a fundamental tenet backed by many years of research is that caring relationships heal. Because of this, we hire the most kind, compassionate, and caring people we can find who are also able to set good limits and boundaries. This contributes tremendously to the healing process and creates an environment of peace, safety and security within which our residents feel secure enough to try new behaviors and to risk their deepest selves in order to make change.
Finally, the environment at Bridge House was chosen specifically for the peace and calm it engenders. Our beautiful home sits on five acres with a serene pond, outdoor living spaces, grassy areas, and beautiful trees away from the hubbub of city life. Our residents are free to move around the property, and, when they are safe to do so, can regularly go off the property to engage in service, athletic, and community activities.
We are trying something new at Bridge House, and it’s working to reduce the revolving door that so many people with mental health problems go through with multiple therapists, hospitalizations, medications, and other interventions that were ineffective due to an inaccurate diagnosis and a lack of understanding of each complex individual. We work hard at Bridge House to develop understanding, to create effective interventions, and to communicate our understanding of each resident and what will benefit them long-term.