If you are a CEO, director or administrator at a residential, day treatment or early intervention program and are interested in developing your therapeutic
milieu into a relationship-based, trauma-informed model, or just need a neutral
perspective on your program, I am available to provide short- or long-term
consultation. My book “Milieu Psychotherapy: Nurturing Hope in Children of Despair” (2009), available at amazon.com gives you a starting place on my views
about the therapeutic milieu. I continue to study contemporary theory and am constantly broadening my viewpoint.
If you need somebody to meet with your treatment team to assist
with understanding the particular needs of a child or adolescent in your
treatment facility, I also provide case consultation. Having worked with the
most at-risk youth in Los Angeles County including at a locked level 14
psychiatric residential treatment center, I have experience working with
paraprofessionals and mental health therapists to help them understand
their clients holistically and in depth. Oftentimes very troubled children
elicit negative countertransference in the people who take care of them. If
unexamined, that countertransference leads to treatment failure as the clients
recreate their history of rejection and abandonment.