Two Rivers Hospital



	The Two Rivers Child and Adolescent Neurobehavioral Program are designed to treat children, ages 5-12, and adolescents, ages 13-17. These patients are experiencing serious behavioral, psychological, and/or cognitive disturbances. Such events are often accompanied by an inability to function at home or school.

	Symptoms indicative of children experiencing these mental health disorders include:
	Suicidal and/or homicidal with lethal intent Impulsivity or pathological aggression that is impulsive rather than planned Severe agitation, assaultive, explosive states Judgment impairment Bizarre or endangering behavior Runaway risk, fire setter, or perpetrator Self abuser, if severe or life threatening Evidence of brain impairment Repetitive rage behavior (requiring seclusion or restraint) Poor planning skills Short attention span Abnormal CT Scan, MRI, or EEG History of neurological disease Toxic exposure in gestation (drugs/alcohol) Prior head injury with loss of consciousness

	Two Rivers Hospital offers a comprehensive treatment approach to stabilize acute psychiatric problems. Our multidisciplinary treatment team consists of psychiatrists, nurses, psychologists, social workers, counselors, expressive therapists (recreation, music, and/or art), and case managers.

	This team provides the following services:
	Crisis intervention, intensive assessment, acute care stabilization Neuropsychological exam and testing Cognitrace or complex EEG Evaluation, recommendation, education, and management of mental health (psychotropic) medications A combination of cognitive behavior and behavioral modification therapies Educational groups that help patients manage intense feelings, challenge irrational thinking and impulsive decision making, and moderate extreme behaviors Experiential therapy services that assist patients in developing recovery coping skills. Recovery tools may include art, music, relaxation, stress management, and recreation. Suicide intervention, prevention, and treatment Comprehensive discharge planning and, when appropriate, referral to more restrictive levels of care (residential treatment) or less restrictive levels of care (partial hospitalization, intensive outpatient, outpatient therapy/counseling, and psychiatric-assisted medication management) Family collaboration and discharge planning sessions targeted towards informing family members about discharge planning recommendations, education regarding mental health disorders, substance use disorders, treatment planning, and healthy relationship building and repair.