ASPIRE Program Helps Teens and Families Cope with Mental Health
“She could still go to school and be part of this program. I liked
that she was going to receive therapeutic help and that the psychiatric
care was packaged into it. On top of it, was the family program content.
It was all the care she needed.”
Before they enrolled in the ASPIRE program at Hoag, Erin and Richard said
their 14-year-old daughter “checked all the boxes: behavioral issues,
substance abuse, suicidal ideation, self-harm. We were hitting rock bottom.”
The couple had provided their daughter with cognitive behavioral therapy
and other help, but it was clear she needed more. Erin resigned herself
to finding an inpatient program to keep her daughter safe and to give
her the care she needed. But when she began researching her options, she
came across something she didn’t expect: an expert, comprehensive
program that the family could access on an outpatient basis, right in
their own backyard.
“I hadn’t considered that an outpatient program existed,”
Erin said. “She could still go to school and be part of this program.
I liked that she was going to receive therapeutic help and that the psychiatric
care was packaged into it. On top of it, was the family program content.
It was all the care she needed.”
ASPIRE (After School Program: Intervention and Resiliency Education) is
an intensive outpatient program for teens with primary mental health disorders
who might also grapple with substance abuse. Part of the Pickup Family
Neurosciences Institute at Hoag, the program guides teens and their families
through an eight-week curriculum of skills-based training in stress management,
resiliency, interpersonal communication, mental health and substance abuse
education.
“The parental involvement helps parents understand what the kid is
going through on an emotional level, a social level and a family-dynamic
level, so that we can be a part of the healing process,” Erin said.
“This level of understanding makes parents more empathetic to what’s
going on. Too many of us don’t have the ability to decipher what
is going on until it’s too late.”
The stresses teens face today are different than they were for their parents.
The family sessions helped to provide Erin and Richard with insight into
their daughter’s world as well as into her developing brain.
“We are conscious parents and had a good idea of what kids are going
through now, but as we dove into it, the depths of what adolescents are
dealing today became much clearer,” Erin said. “It is pretty
tragic how much more difficult it is for them.”
The ASPIRE program particularly illuminated the role social media plays
in teen depression, anxiety and suicidal ideation.
“I think my daughter was bullied several times in horrific ways.
The intensity of bullying is much more damaging these days,” she
said. “It’s not just stealing lunch money anymore. People
are hitting very personal buttons with these kids.”
While parents learn how best to communicate and empathize, teens in the
ASPIRE program learn stress management and resiliency.
“My daughter was just not able to cope with setbacks in a healthy
way,” Erin said. “I feel like for a lot of kids, on a maturity
level, they are just unable to handle what is thrown at them, and that
hits their self-esteem.”
As their daughter approached her graduation from the eight-week program,
Erin said the ASPIRE team worked with the family to create a plan for
moving forward.
“They asked us how they can help support us as we transitioned out.
I told them that I was interested in group therapy and volunteer opportunities
to help build my daughter’s self-worth and her connection to the
community, and they’ve been helping with that,” Erin said.
“They are also available on an ongoing basis, when she has a bad
day, they reach out to her and check in. If I need anything, all I have
to do is call. They’re incredible. The entire team.”
Erin and Richard said many of the tools they learned as a family took root
and have become automatic, particularly the negotiation tools that help
their daughter articulate her needs and help Erin and Richard with more
effective communication.
“These things are sticking,” Erin said. “I do not feel
like we are out of the woods, but I feel like we are on a path that will
lead us out of the woods. I’m not walking on eggshells quite as
much.”
Erin said that the ASPIRE program is well worth the time investment. The
time commitment is intense, and the program requires parents to work just
as hard as the teens.
“Once you jump in, you realize that it’s the best decision
you can make. It’s a big change in life and schedule, but for the
safety of your child, it’s almost like you can’t afford not
to do it,” Erin said. “I am so glad I found it.”