Overview of PLL

PLL is the first evidence-based program of its kind to combine a parent education and group therapy program with individual "coaching" (family therapy) sessions to both stabilize and address trauma within the family system. PLL is designed for families with youth between 10 and 18 with extreme emotional and/or behavioral problems. PLL successfully serves Juvenile Justice, Child Welfare, Behavioral Health, and Mental Health populations.

PLL offers two distinct programming options: PLL Alternative to Placement and PLL Reentry from Residential

Click here for details about each programming option

  PLL Alternative to Placement PLL Reentry from Residential

Target Population Served

Youth, ages 10-18, who are ...

Youth, ages 10-18, who are ...

Inclusionary Criteria

  • On Juvenile Probation or Child Welfare
  • High Risk for Residential Commitment, Detension, or Foster Care Placement
  • Repeat Technical or VOP (Violation of Probation) or CPS Report of Abuse/Neglect
  • Straight Up Conduct Disorders

AND/OR

  • Dual Diagnosis or Designed SED (Severely Emotionally Disturbed) with or without substance abuse
  • Currently in residential treatment and will be returning back into community

OR

  • In the foster care system and reunification with biological family is possible
  • Dual Diagnosis or primary conduct disorder with or without substance abuse

Primary Goals

Quickly and efficiency stabilize the family in the community using PLL to: (a) Stop VOP and Further Penetration into System, and (b) Prevent Residential or Foster Care Placement

Safely Transition Youth Back Into the Community Involvement Before, During, and After Discharge or Reunification From Foster Care or Group Home

Average Length of Treatment

  • Typically 2-3 months
  • 6 weeks of Group + 6 to 8 Family Therapy Sessions in Community
  • Additional Family Therapy Only If Signs of Relapse-In the Form of Tune-Ups
  • Typically 6-7 months (3 to 4 months while youth in residential or foster care + minimum 3 months in aftercare or reunification takes place)
  • 6 weeks of Group + 12 family therapy sessions and any tune-ups if necessary

Delivery of Supervision

  • Two - 2 hour phone supervision sessions per month
  • Video supervision required
  • 24/7 coverage not available unless there is an emergency
  • Two - 2 hour phone supervision sessions per month
  • Video supervision required
  • 24/7 availability to answer case questions as needed

Number of Families Served Per Team

  • 36 Families per year per team.
    1 PLL Team = 1 Full Time Master’s Level Therapist + 1 Part Time Bachelor’s level clinician
  • 30 Families per year per team (due to longer service duration).
    1 PLL Team = 1 Full Time Master’s Level Therapist + 1 Full Time Bachelor’s level clinician

Case manager

  • Part-Time Needed - Because of short treatment duration only need part-time (20 hours per week) - 1 full time case manager can be split between 2 front-end teams
  • Full Time Case Manager for Each Team Because of Longer Service Duration and Higher Risk Population
Some locations/partners may be eligible for a “blended” team model which combines Alternative to Placement and Reentry populations simultaneously

PLL Materials

The PLL model uses manuals and workbooks to walk both the clinician and the family through every step of the program. All family materials are written at a 6th grade reading level, and are available in both English and Spanish languages.

Click here to read more about PLL Materials

For Clinicians, PLL uses step-by-step manuals to walk the therapist through every step of each Group Therapy session and Family Coaching Phase. These manuals outline each session, session objectives, preparations, and is a step-by-step scripted playbook for every meeting.

For Parents and Teens: All who attend PLL receive the Parenting Your Out of Control Teenager book as well as their own workbooks. The workbooks contain homework assignments for both parents and youth to reinforce the group and family therapy sessions.

Parenting Your Out of Control Teenager book icon
Survival Kit Study Guide icon
Parent Workbook icon
Teen Workbook icon

PLL Dashboard and Analytics

PLL’s first-of-its kind dashboard uses Predictive Analytics Technology to use data to replace clinical guesswork with real-time analyses and data-driven assessments.

Click here to see more about the PLL Dashboard

The PLL Dashboard is designed to solve four common challenges in child welfare, mental health, and juvenile justice.

Challenge #1: Increase Parent Involvement Rates To 70% Or Higher

In Real-time, Dashboard users can see that:

  • Parent Involvement is Above 70%
  • Families are attending PLL Sessions
  • Positive change is occurring with the family in a short time
rates
Challenge #2: Showing that the Treatment Model is providing Cost Savings and Cost Avoidance
Cost Savings and Cost Avoidance

The dashboard allows you to see whether you are:

  • Lowering recidivism rates
  • Reducing out of home placements
  • Reducing lengths of stay and creating cost savings
  • Keeping youth in the community and creating cost avoidance
Challenge #3: Access to real time data to enable better decision making based on family outcomes

In just a few clicks, you can view pre- and post-test outcomes for a particular family, in real time. Using these reports, Clinical decisions and recommendations can now be based on actual pre- and post- test outcomes.

Faces Report
Challenge #4: Show that counselors are delivering high quality treatment adherent to the PLL Model
Video Fidelity Scores

PLL’s supervisors meet via video conferencing for a minimum of four hours each month with all clinician's trained in PLL to review their video recorded sessions, assess model fidelity adherence and provide feedback on specific areas for improvement. The Dashboard tracks if the clinician is achieving model adherence on each aspect of the PLL Model.

Completion Requirements/Graduation Agreement

During the motivational intake process, each family reviews and signs the Participation and Graduation Agreement.

Click here for a sample Participation and Graduation Agreement

PARTICIPATION AND GRADUATION AGREEMENT

Week PLL Group PLL Individual Coaching
Week #1 Group 1 – Venting No coaching 1st week
Week #2 Group 2 – Button Pushing
Coaching #1:
Winning the Battle for Structure and putting all the protective factors on the radar screen
Week #3 Group 3 – Contracting
Coaching #2:
Identifying Undercurrents, Feedback Loops and beginning to develop first Contract and if applicable, Aftercare Plan
Week #4 Group 4 – Putting the Contract
Together As a Group
Coaching #3:
Continuing to draft written plans
Week #5 Group 5 – Creative Consequences
(to stop disrespect, school problems, drug use, violence, not doing chores, running away etc.)
Coaching #4:
Developing Countermoves around written plans
Week #6 Group 6 – How to Start Liking Each Other Again-Restore Closeness
Coaching #5:
Further development of needed Countermoves and intensive dress rehearsals
Week #7 No Group
Coaching #6:
Assessment of written plans and changes made as needed
Week #8 No Group
Coaching #7 on:
Continuing coaching until the following benchmarks are met:
  • For youth returning to the community – Finalize Aftercare Plan and insure CBAT Plan is ready to implement
  • Additional Coaching to troubleshoot unmet benchmarks (see below) and/or work on additional symptoms or seeds (i.e. unhealed wounds)
  • Develop Relapse Prevention Plan
  • Make 30/60/90 day callbacks and conduct tune up sessions as needed.

Key Benchmarks

  • Attend 5 out of 6 group meetings (1st group mandatory).
  • Attend the minimum required individual (family) coaching sessions and continue in coaching until the following benchmarks are met:
    Minimum # of family sessions required to Graduate PLL: ______
  • In Home - Obeying Curfew and No Leaving Home Without Permission
  • In School - Attend school and no ditching, and achieve passing grades
  • Out of Trouble With the Law (No further violations)
  • If applicable, remain Drug Free
  • Following the PLL Written Plan 80% or greater as Reported by Parents
  • Show evidence of participation in extracurricular activities, working, or doing community service, as well as meeting all court requirements (i.e. paying restitution, etc.)

Parent/Guardian’s Signature

Youth Signature

Therapist Signature

Date

(800) 735-9525

E-mail: jburek@gopll.com

P. O. Box 30381, Savannah, GA 31410-0381

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