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City of Everett Human Needs Grant <br /> January 1 through December 31,2017 <br /> Compass Health <br /> Cocoon House Homeless Shelter Youth Counseling <br /> EXHIBIT A: Program Summary <br /> The Compass Health Youth Counseling Program provides mental health counseling services to homeless <br /> youth ages 13-18 who have come to the Cocoon Everett Shelter. Our objective is to ensure that these <br /> homeless and at-risk youth have immediate, barrier-free, access to mental health services. We provide <br /> individualized engagement therapy, individual therapy,group therapy and family therapy when that is <br /> appropriate and safe. Additionally,we provide regular and ongoing consultation to the Cocoon staff who <br /> are with the youth 24 hours/7 days a week. We can provide help with crisis planning, provide a deeper <br /> clinical understanding of the behaviors that the youth may be exhibiting, and help with the overall <br /> treatment plan of the youth during their stay at the shelter. <br /> Three key goals for the program are: 1) establish a safe and trusting relationship with a reliable adult, 2) <br /> establish a long term safe place for the youth to live so they don't go back to the street, and 3) provide <br /> individualized counseling to help with pressing mental health issues for each youth. <br /> Youth entering the Everett Cocoon House come into the shelter in a state of crisis. Because they often have <br /> had such difficult histories with their parents or other adults who may have been the perpetrators of <br /> physical or sexual abuse, have had abuse histories of their own, or have had domestic violence that <br /> involved the youth or that the youth witnessed, they often do not trust adults. <br /> The first task at the shelter is to assess the youth for safety and to ensure that the youth is not suicidal or <br /> exhibiting self-harming behaviors. Staff seeks immediately to begin to establish relationships with the <br /> youth so that they will agree to individual counseling sessions. This engagement therapy phase is very <br /> important and requires great clinical skill. It is critical in order for the youth to be willing to share their <br /> story and ask for the help that they need. The engagement process is different for each youth depending <br /> on their history and their personality. Some youth are very willing and anxious to talk and to have <br /> someone safe to listen to them. For others, it takes a long time in this initial engagement phase before the <br /> youth will even come into the room alone with the counselor and share details of their lives.This hesitancy <br /> is one reason these youth often will not pursue traditional counseling; they need to first find a trusted <br /> individual and then they will participate in a more traditional and structured process. <br /> The program service is offered on site so that the youth and families have easy and immediate access to <br /> counseling. Once the engagement phase is completed, a review of a safety plan is conducted to ensure that <br /> Cocoon staff is aware of any other safety issues. The Compass Health staff person then consults with the <br /> Cocoon staff giving them information regarding these safety issues,tips to identify triggers for aggressive or <br /> self-harming behaviors, and ways to respond should concerning behaviors occur. In the individual <br /> counseling sessions,the clinician will continue to assess the needs of the youth. If it is safe and reasonable <br /> for the youth to return home,then family sessions will be set up in order to help the youth and family <br /> reunify. This is the preferred outcome if the family setting is safe and the youth is willing to meet with the <br /> family. If the family setting is not safe,then other plans are considered including living with a relative or <br /> friend or the Cocoon Complex where the youth can live until the age of 18. <br />