Treatment Program

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

Safety

Trustworthiness & Transparency

Peer Support

Collaboration and mutuality

Empowerment, voice and choice

Cultural and Historical Sensitivities

Gender Sensitivities

Clinical Team

Facility Trauma Dog

                              

We are so excited to introduce you to the newest member of our Clinical Team, Rugby, our facility trauma dog at the Be Brave Ranch. As co-therapist, Rugby will support individual therapy, group therapy, as well as family sessions. He will enhance our Trauma-Informed healing environment through providing relational supports, sensing and supporting positive emotional regulation, providing healthy touch and therapeutic play opportunities.

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.

Our Approach

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.

Clinical Screening

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

Therapeutic Modalities

  • 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
  • EMDR
  • Yoga
  • 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

Staff Satisfaction

PTSD

Mood – Depression and Anxiety measures

Quality of Life Measures

ACEs

Published Results

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.