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One Westinghouse Plaza - Suite 216A, Floor 2 Boston, MA, 02136
Lighthouse Behavioral Health and Wellness Center was created in 2017 to provide quality behavioral healthcare to the most vulnerable members of our community.
Our services are based on a platform that consists of Core Values and Practice Ideals, which are set forth in this document. Our mission is to be a pillar in providing culturally relevant, holistic, and wellness-focused services that enhance both adults’ and children's social-emotional development, prevent development of mental health challenges, and address social-emotional problems that currently exist.
We will do this by utilizing evidence-based strategies in our service delivery model which will be uniquely designed to assist each individual in successfully accomplishing their goals innovatively and begin the process of healing.
At Lighthouse, we understand that we are living during a historic time where people are experiencing significant emotional and social-economic pressure. In light of obtaining a quantitatively comprehensive understanding of what the needs are and where services are lacking, the team at Lighthouse Behavioral Health decided to conduct a needs assessment of local schools, community centers, churches and other organizations.
The Lighthouse Culture
Our team’s clinical culture borrows from multiple modalities, including Structural Family Therapy, Trauma-Informed Therapy, Solution Focused Therapy, Narrative Therapy, Motivational Interviewing, and Client Directed Outcome Informed Treatment (CDOI).
These modalities are part of the agency culture and provide a shared language for discussing our clinical work. As part of the onboarding process, Lighthouse provides the training and support needed for new staff. However, it remains the purview of the clinicians and clients to discuss how they will work together.
Towns We Cover
Hyde Park, Dorchester, Mattapan, Roxbury, West Roxbury, Norwood, Dedham, South Boston, Jamaica Plain, Roslindale, Lower Mills, Brighton, Brookline, Charlestown, Chelsea, and East Boston, Acton, Arlington, Bedford, Belmont, Boston, Boxborough, Braintree, Brookline, Burlington, Cambridge, Canton, Carlisle, Chelsea, Cohasset, Concord, Dedham, Foxborough, Hingham, Hull, Lexington, Lincoln, Littleton, Maynard, Medfield, Millis, Milton, Needham, Newton, Norfolk, Norwell, Norwood, Plainville, Quincy, Randolph, Revere, Scituate, Sharon, Somerville, Stow, Waban, Walpole, Waltham, Watertown, Wellesley, Wellesley Hills, Weston, Westwood, Weymouth, Wilmington, Winchester, Winthrop, Woburn, and Wrentham
The CEO and the Clinical Director of the clinic is responsible for ensuring that the clinic operates within the guidelines as established by the local, state and federal regulatory bodies. In that context, however, they are also responsible for defining the cultural norms and values of the organization.
This serves several functions, including: 1) giving clients the information they need to make an informed decision about whether our services are a good fit for them, and 2) ensuring that prospective employees are aware of the same, so they can decide whether it is consistent with their own practice.
To this end, we present this non-exhaustive list for review:
Clients are to be met where they are at, not where we want them to be or where we think they should be
Services should be made accessible and responsive to client needs without creating a pattern of dependence.
Therapists should be asking “How do we know that services are helping?” and “What will tell us that our services are no longer needed?” from session one.
Clients are experts in their own lives. They have strengths and resources that can be discovered if you ask.
People come to the team with a variety of clinical experiences and beliefs about clinical and social work practice. We believe that there are many strategies employed by practitioners that are highly effective. Yet we also believe it is important to create a practice culture for providers that work with Lighthouse. These include:
Cultural considerations are important in considering interventions, and clinicians should enquire about specific adaptations and discuss the importance of a family’s cultural beliefs and values. This can include differences and/or perceived differences between the clinicians and the clients being served.
Clinical approaches should be based on a “bona fide” clinical approach. By bona fide, we mean treatments delivered by trained therapists, based on sound psychological principles and described in publications.
A client’s failure to respond to a modality is not the fault of the client. Clinicians need to be skilled in a variety of strategies to adapt to their clients.
Adaptation is key and is based on the clinician’s ability to seek out and respond to feedback regarding the effectiveness of their interventions and the quality of the therapeutic relationship. The clinician’s self-report is usually insufficient in this regard.
Throughout the course of treatment, we should have a rationale for doing what we are doing session-by-session. This can be defined as “Intentionality”.
Progress monitoring is critical, and if clients are not benefitting from the current intervention, an open discussion should be held to try and assess what needs to change for things to move forward.
We expect clinicians to be familiar with these modalities and will provide advanced training to clinicians wishing to advance specific skills. We do not mandate the use of a specific modality as this discussion is part of client engagement
It is important to distinguish between practice requirements and practice modalities. Practice requirements are mandated both externally by our payers and credentialing bodies and internally by agency policy and procedure. Practice modalities are the strategies employed by therapists in the provision of clinical services. At Lighthouse Behavioral Health, we specialize in Multi-systemic Therapy and Structural Family Therapy.
• Multi-systemic Therapy (MST) is an intensive family- and community-based treatment approach designed to make positive changes in the various social systems (home, school, community, peer relations) that contribute to the serious antisocial behaviors of children and adolescents who are at risk for out-of-home placement.
• Structural Family Therapy (SFT) is a treatment that addresses patterns of interaction that create problems within families. Mental health issues are viewed as signs of a dysfunctional family; therefore, the focus of treatment is on changing the family structure rather than changing individual family members. The goal of SFT is to improve communications and interactions among family members and to highlight appropriate boundaries to create a healthier family structure.
People come to the team with a variety of clinical experiences and beliefs about clinical and social work practice. Our team’s clinical culture borrows from multiple modalities, including:
Solution Focused Therapy
Feedback Informed Treatment (FIT)
Structural Family Therapy
Trauma Focused Therapy
Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
Attachment Self-Regulation & Competency (ARC)
Perinatal Outpatient Mental Health Services