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The Matrix Model is an intensive outpatient therapeutic intervention for the treatment of substance use disorders and addiction in adults. The program aims to eliminate substance use, improve knowledge of substance abuse and relapse, improve participants’ relationships, and support personal growth. Participants learn about issues related to addiction and relapse and develop strategies for addressing needs. The Matrix Model integrates components of cognitive behavioral therapy, contingency management, relapse prevention, early recovery skills, and motivational interviewing. Participants engage in a variety of group- and individual-based supports. Clinicians may also encourage family involvement or recommend other social supports. Urine tests are used to monitor drug use of program participants. Individuals also participate in a 12-step program as a part of the Matrix Model treatment plan.
The Seven Challenges – Adolescent aims to help adolescents decrease substance use and improve their mental health, relationships, academic performance, and self-awareness. The Seven Challenges – Adolescent offers a specific framework for holistic life counseling that incorporates decision making based on seven main content areas: (1) communicating honestly about oneself and about alcohol and other drugs; (2) understanding why adolescents like and use alcohol and other drugs; (3) assessing how alcohol and drug use could be harming themselves and others; (4) assessing the responsibility of oneself and others for problems; (5) developing goals and plans for future accomplishments; (6) making thoughtful life decisions, including adolescents’ use of alcohol and other drugs; and, (7) following through on life decisions and decisions about drug use.
The Seven Challenges – Adult aims to help adults decrease substance use and improve their mental health, relationships, and self-awareness. The Seven Challenges – Adult offers a specific framework for holistic life counseling that incorporates decision making based on seven main content areas: (1) communicating honestly about oneself and about alcohol and other drugs; (2) understanding why participants like and use alcohol and other drugs; (3) assessing how alcohol and drug use could be harming themselves and others; (4) assessing the responsibility of oneself and others for problems; (5) developing goals and plans for future accomplishments; (6) making thoughtful life decisions, including participants’ use of alcohol and other drugs; and, (7) following through on life decisions and decisions about drug use.
Trauma Recovery and Empowerment for Adolescent Girls and Young Women Ages 12–18 (G-TREM) is an adaptation of the Trauma Recovery and Empowerment Model (TREM) designed for girls who have experienced physical, sexual, or emotional abuse or witnessed violence. G-TREM is a group intervention that aims to enhance trauma recovery and coping skills, decrease risk of re-victimization, and strengthen girls’ overall functioning. Each session is structured as a conversation about a relevant topic and is led by two or three group leaders. Group leaders form multiple groups with narrow age ranges to ensure conversation topics are age appropriate.
The Trauma Recovery and Empowerment Model (TREM) is designed for women who have survived trauma and may have substance use or mental health conditions. The program aims to increase trauma recovery skills, improve mental health, and decrease substance use. TREM is a group intervention that uses strategies such as education about mental health issues, cognitive restructuring, skills training, and peer support.
Trauma Systems Therapy (TST) is designed for children ages 4–21 and their families who are experiencing difficulties related to traumatic experiences, such as family and community violence, child abuse and neglect, and parental mental illness and substance abuse. TST aims to improve trauma care for children by coordinating trauma services across providers and systems, such as home and community-based care, emotional regulation skill training, exposure therapy, cognitive processing, legal advocacy, and psychopharmacology. Organizations implementing TST establish TST teams consisting of all providers that work with TST families. Team members can include social workers, psychologists, psychiatrists, nurse specialists, home-based clinicians, and advocacy attorneys.
Trauma Systems Therapy for Foster Care (TST-FC) is a trauma-focused parenting curriculum designed for caregivers of children and teens in foster care, including foster parents, kin, and other caregivers. TST-FC is an adaptation of Trauma Systems Therapy (TST) that aims to help foster parents support children and teens who have experienced traumatic events, improve children’s and teen’s well-being, and help agencies retain skilled foster parents. Organizations implementing TST-FC identify existing staff to serve as group facilitators. Staff typically include investigators, child welfare caseworkers, and mental health providers.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a program for children and adolescents who have symptoms associated with trauma exposure. TF-CBT is intended to treat children/adolescents who have post-traumatic stress disorder (PTSD) symptoms, dysfunctional feelings or thoughts, or behavioral problems. The intervention also supports caregivers in overcoming their personal distress, implementing effective parenting skills, and fostering positive interactions with their child/adolescent. After ensuring safety of the child/adolescent, TF-CBT is structured into three phases that include: 1) skill building for the child/adolescent’s self-regulation and the caregiver’s behavior management and supportive care abilities, 2) addressing the traumatic experience, and 3) joint therapy sessions between caregiver and child/adolescent. TF-CBT is usually administered in clinical office settings over 12 to 16 weekly sessions for about one hour, though this can range. During these sessions the therapist may meet with the caregiver and child/adolescent separately or jointly.
Treatment Foster Care Oregon for Adolescents (TFCO-A), formerly known as Multidimensional Treatment Foster Care – Adolescents, is designed for youth ages 12–17 with severe emotional and behavioral problems. TFCO-A aims to support youth to live in a family setting during treatment, rather than in group or institutional settings, and to support parents and caregivers to provide effective parenting. TFCO-A focuses on five key areas: (1) increasing prosocial behaviors, decreasing negative behaviors, and supporting school engagement; (2) providing close supervision and limiting access to peers who lack effective social skills; (3) providing a consistent and reinforcing environment with a daily structure, clear expectations, and consequences; (4) developing youth’s skills for forming positive relationships; and (5) enhancing parenting skills and decreasing conflict in the family.
Treatment Foster Care Oregon for Middle Childhood (TFCO-C) is designed for children ages 7–11 with severe emotional and behavioral problems. TFCO-C aims to support children to live in a family setting during treatment, rather than in group or institutional settings, and to support parents and caregivers to provide effective parenting. TFCO-C adapts Treatment Foster Care Oregon for Adolescents (TFCO-A) for middle childhood. TFCO-C focuses on five key areas: (1) increasing prosocial behaviors, decreasing negative behaviors, and supporting school engagement; (2) providing close supervision and limiting access to peers who lack effective social skills; (3) providing a consistent and reinforcing environment with a daily structure, clear expectations, and consequences; (4) developing children’s skills for forming positive relationships; and (5) enhancing parenting skills and decrease conflict in the family.