The Little Warriors Be Brave Ranch is a treatment centre focused solely on helping children who have been sexually abused, as well as their families. The year-long program offers children ages 8-12 (and soon-to-be 13-16 year old females) from across Canada a place for treatment from the devastating effects of child sexual abuse.
Trauma Informed Approach
The Be Brave Ranch Supports SAMHSA’s Key Principles of Trauma-Informed Approach
Trustworthiness & Transparency
Collaboration and mutuality
Empowerment, voice and choice
Cultural and Historical Sensitivities
Clinical Supervision and Compassion Fatigue Support
Case Conceptualization: In this meeting, the Clinical Director guides the clinical staff in developing preliminary clinical hypotheses to help explain children’s feelings and behaviours and ensure appropriate interventions.
Case Conference: In this meeting, the Clinical Director guides the clinical staff in refining their understanding of what is motivating children’s feelings and behaviours in order to better implement effective interventions.
Clinical Debrief: In this meeting, the Clinical Director assists the clinical staff in processing the learning of the previous 28 days and developing their understanding of traumatology.
Ongoing Compassion Fatigue “Pod” meetings: Ongoing supervision to support “Ranas”/Child and Youth Care workers where they are at.
Children come to the Be Brave Ranch for over 200 hours of therapy over a one year period (this does NOT include the family work that is also done).
The program starts with an initial 28-day stay at the Ranch, during which time children form close relationships with other members of their peer-group (“cohort”).
Each cohort consists of a maximum of six children.
Throughout the year, children return to the Ranch for three additional 12-day stays in order to continue their face-to-face therapy, further building of caregiver resources and supports, continued development of community connections, and to reconnect in person with their cohort.
Professional interdisciplinary team of Psychologists, Social Workers, Child Care Counsellors (Ranas), Pharmacy Supports, Professional Chef, and various significant community supports and volunteers.
Clinical Work is overseen by a Research and Clinical Oversight Committee (composed of Researchers, Child and Adolescent Psychiatrists, Practitioners, etc.) to ensure evidence-based and leading practices.
The Clinical Team reviews the screening database to determine whether applicants meet the inclusion/exclusion criteria for admission to the Ranch.
Minimum requirements (Inclusion Criteria) for attending Be Brave Ranch
Aged 8-12 years old (boys and girls)
History of child sexual abuse (and has been reported)
Must be in good physical health
Developmentally able to be in a treatment facility
Psychologically minded and able to benefit from therapy
Able to perform the skills required for daily living
Exclusion Criteria for attending Be Brave Ranch
Severe mental health issues, requiring hospitalization
Has risk of running away
Serious behavioural problems
Extensive or significant use of drugs or alcohol
History of sexual violence or sexual behaviour towards others
Significant police interactions
Unstable medical conditions
Evidence-Based and Leading Clinical Practices
Referral Process for Intensive Treatment
- Trauma Focused-Cognitive Behavioural Therapy (TF-CBT)
- Relational and Milieu Based Interventions
- Individual and Group Therapies
- Expressive Art Therapy
- Animal Assisted Therapy
- Play Assisted Interventions
- Peer Group (cohort) Support
- Indigenous Elder Support and Cultural Teachings
- Sensory Based Interventions
- Recreational Activities
- Ongoing Family/Caregiver Supports
Course of Treatment
Ongoing Outcome Measures
Child and Caregiver Satisfaction
Mood – Depression and Anxiety measures
Quality of Life Measures
Results recently published confirm the program’s success, measuring a highly significant reduction in symptoms.
After the initial 28 day stay children’s outcomes show:
* A 25% reduction in child post-traumatic stress disorder scores (PTSD)
* A reduction in the number of children experiencing PTSD
* A significant reduction in depression and anxiety
After the children have completed the full year-long program only 29% meet the criteria for PTSD down from 73% who had full spectrum PTSD.
Forecasts also suggested reduced mental health related issues and enriched outcomes for these children and potentially improving societal and economic outcomes.