SAIL Treatment Model
The SAIL Model was developed by Yellowstone Boys and Girls Ranch (YBGR) as a guide for the treatment of children/youth in the YBGR psychiatric residential treatment program.
The SAIL Model was developed by Yellowstone Boys and Girls Ranch (YBGR) as a guide for the treatment of children/youth in the YBGR psychiatric residential treatment program.
SAIL is a broad based treatment approach focused on helping emotional damaged children and youth recover from the effect of adverse childhood experiences and life impacting situations. SAIL is also designed to help youth better deal with the impact of biologically based emotional disturbances.
The components of the SAIL Model are a guide for YBGR in developing a culture with four dominant characteristics which serve as goals related to a quality treatment environment.
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SafetyFirst
To promote a non-violent, nurturing environment based upon beliefs, norms, methods and protective structures. -
AffectRegulation
To promote valuing respect for the individual, therapeutic communication, healthy relationships, and affective regulation skills. -
Integrationof Development Tasks
Physical, Psychological, Social, Educational, Spiritual – Incorporating accurate assessment of developmental strengths and deficits with goals focused toward advancement along a healthy developmental path. -
LivingLearning Environment
Every person who works or lives at YBGR has a role in the community. Every interaction provides an opportunity for teaching, learning, practicing, and incorporating new skills and behaviors.
In addition to the SAIL Model, the nine (9) organizational values of YBGR help youth in treatment redefine “normal” in their lives. These values are: excellence, faith, hope, integrity, values, relationships, respect, safety, and stewardship.
Phases of Response to Treatment at YBGR
In the SAIL Model, there is a treatment oriented Phase component that is goal and skill oriented. This enables children/youth to work on treatment issues in an organized and purposeful way. Each Phase of response to treatment has a title that has been thoughtfully established, i.e., Non-Participant, Observer, Participant, Self-Directed, and Transition. The Phases are designed to help children/youth make progress in treatment and to identify attainment of their goals along the way. The language of the SAIL Model and its Phases is treatment and goal oriented, rather than point and level oriented.
The Master Treatment Plan for a child/youth at YBGR places the specific needs of the child/youth in a central position through established treatment goals. As the responsibilities for each treatment Phase are completed or mastered, children/youth move on to the next Phase. The purpose of the YBGR Phase program is to offer a positive treatment oriented structure.
Non-participant
Children/youth in this Phase are actively or passively resistant to treatment. They choose to not cooperate with treatment.
Observer
Children/youth in this Phase are willing to observe and are considering whether they will actively participate in the treatment process. Every child/youth will start at this phase or at the Non-Participant Phase upon initial admission to the YBGR psychiatric residential treatment program and will remain on this level until the initial 14-day Master Treatment Plan review, when the Phase for the child/youth will be established.
Participant
Children/youth in this Phase are willing to participate in all portions of the treatment program. They may regress at times, but then they shift back to actively participating in the treatment program within a reasonable time frame.
Self-Directed
Children/youth in this Phase not only choose to participate in the treatment program, but have mastered a number of their treatment goals and choose to take personal responsibility for changes in thought, emotions and behavior and suggest personal steps they are willing to add to the established treatment program they are engaged in.
Transitional
Children/youth in this Phase have mastered the majority of their treatment goals and are actively generalizing their thoughts, emotions and behavior to living life back in the community setting.