Sunspire Health Acquired by Private Equity Firm


Kohlberg & Company
Sunspire Health (a private equity firm based in New York) has acquired majority ownership of Sunspire Health a provider of behavioral health services for the treatment of substance abuse and other co-occurring disorders. Headquartered in Lyndhurst, NJ, Sunspire operates a portfolio of independently branded treatment centers in five locations – California, Florida, Massachusetts, and Oregon, with another three locations opening in the second half of 2015. New facilities will be opening in Hilton Head Island, S.C., Gilman, Ill., and Key Largo, Fla..

Acadia Healthcare Set to Buy Belmont Behavioral Health

Acadia Healthcare announced an agreement to purchase Belmont Behavioral Health located in Philadelphia, Pennsylvania. Belmont is part of the not-for-profit Einstein Healthcare Network

Upon completion, the sale totaling $145 million, will include all inpatient and outpatient programs and support departments on the campus of Belmont Center for Comprehensive Treatment, a 147-bed facility located at 4200 Monument Road; Belmont Northeast, located at 10360 Drummond Road; and the Community Outpatient Program for the Elderly (COPE) Germantown Outpatient Program, located at One Penn Boulevard. 

Acadia is a provider of inpatient behavioral health services. Acadia operates a network of 224 behavioral health facilities with approximately 9,000 beds in 37 states, the United Kingdom and Puerto Rico. Acadia provides psychiatric and chemical dependency services to its patients in a variety of settings, including inpatient psychiatric hospitals, residential treatment centers, outpatient clinics and therapeutic school-based programs.

 

Insider’s Guide: List of Mental Health Diagnoses, Codes and Categories

So often it seems like there is this secret world behind the therapist’s note pad. A world made up of CPT codes, NPI numbers, billing forms and diagnoses. In a previous post, I discussed the importance of CPT codes and how they impact behavioral health treatment. In this post, we’ll examine a fairly comprehensive list of all the mental health diagnoses a therapist could use for a client. 

In the first column you’ll see the diagnostic code. The diagnostic coding, as discussed last year in our DSM post is a language that communicates a lot of info in just a few numbers (read the DSM post if you want to learn more about what it’s communicating).

In the middle column, you’ll see the diagnosis title or name. This is what you’ll typically hear discussed by your therapist (…ok, maybe), on the television or in the kitchen during Thanksgiving dinner about that crazy aunt.

The third column is the clinical category in which the diagnosis is found within the DSM-V (yet another post we have buried somewhere). 

Now, what you will not see below is the explanation for each diagnosis and what criteria need to be met to be diagnosed (or what we think of as the ‘constellation of symptoms’). While we’ll slowly tackle that in future posts, it’s best for now to talk with your therapist. They’ll have the time and knowledge to go into detail about your unique circumstances.

   
308.3 Acute Stress Disorder Anxiety Disorders
309.9 Adjustment Disorder Unspecified Adjustment Disorders
309.24 Adjustment Disorder with Anxiety Adjustment Disorders
309.0 Adjustment Disorder with Depressed
Mood
Adjustment Disorders
309.3 Adjustment Disorder with
Disturbance of Conduct
Adjustment Disorders
309.28 Adjustment Disorder with Mixed
Anxiety and Depressed Mood
Adjustment Disorders
309.4 Adjustment Disorder with Mixed
Disturbance of Emotions and Conduct
Adjustment Disorders
300.22 Agoraphobia without History of
Panic Disorder
Anxiety Disorders
307.1 Anorexia Nervosa Eating Disorders
301.7 Antisocial Personality Disorder Personality Disorders
293.89 Anxiety Disorder Due to Medical
Condition
Anxiety Disorders
300 Anxiety Disorder, NOS Anxiety Disorders
301.82 Avoidant Personality Disorder Personality Disorders
296.8 Bipolar Disorder NOS Mood Disorders
296.56 Bipolar
I Disorder, Most Recent
Episode Depressed, In Full Remission
Mood Disorders
296.55 Bipolar
I Disorder, Most Recent
Episode Depressed, In Partial Remission
Mood Disorders
296.51 Bipolar
I Disorder, Most Recent
Episode Depressed, Mild
Mood Disorders
296.52 Bipolar
I Disorder, Most Recent
Episode Depressed, Moderate
Mood Disorders
296.54 Bipolar
I Disorder, Most Recent
Episode Depressed, Severe With Psychotic Features
Mood Disorders
296.53 Bipolar
I Disorder, Most Recent
Episode Depressed, Severe Without Psychotic Features
Mood Disorders
296.50 Bipolar
I Disorder, Most Recent
Episode Depressed, Unspecified
Mood Disorders
296.46 Bipolar
I Disorder, Most Recent
Episode Manic, In Full Remission
Mood Disorders
296.45 Bipolar
I Disorder, Most Recent
Episode Manic, In Partial Remission
Mood Disorders
296.41 Bipolar
I Disorder, Most Recent
Episode Manic, Mild
Mood Disorders
296.42 Bipolar
I Disorder, Most Recent
Episode Manic, Moderate
Mood Disorders
296.44 Bipolar
I Disorder, Most Recent
Episode Manic, Severe With Psychotic Features
Mood Disorders
296.43 Bipolar
I Disorder, Most Recent
Episode Manic, Severe Without Psychotic Features
Mood Disorders
296.40 Bipolar
I Disorder, Most Recent
Episode Manic, Unspecified
Mood Disorders
296.66 Bipolar
I Disorder, Most Recent
Episode Mixed, In Full Remission
Mood Disorders
296.65 Bipolar
I Disorder, Most Recent
Episode Mixed, In Partial Remission
Mood Disorders
296.61 Bipolar
I Disorder, Most Recent
Episode Mixed, Mild
Mood Disorders
296.62 Bipolar
I Disorder, Most Recent
Episode Mixed, Moderate
Mood Disorders
296.64 Bipolar
I Disorder, Most Recent
Episode Mixed, Severe With Psychotic Features
Mood Disorders
296.63 Bipolar
I Disorder, Most Recent
Episode Mixed, Severe Without Psychotic Features
Mood Disorders
296.60 Bipolar
I Disorder, Most Recent
Episode Mixed, Unspecified
Mood Disorders
296.7 Bipolar
I Disorder, Most Recent
Episode Unspecified
Mood Disorders
296.40 Bipolar I Disorder, Most Recent
Episode Hypomanic
Mood Disorders
296.06 Bipolar I Disorder, Single Manic
Episode, In Full Remission
Mood Disorders
296.05 Bipolar I Disorder, Single Manic
Episode, In Partial Remission
Mood Disorders
296.01 Bipolar I Disorder, Single Manic
Episode, Mild
Mood Disorders
296.02 Bipolar I Disorder, Single Manic
Episode, Moderate
Mood Disorders
296.04 Bipolar I Disorder, Single Manic
Episode, Severe With Psychotic Features
Mood Disorders
296.03 Bipolar I Disorder, Single Manic
Episode, Severe Without Psychotic Features
Mood Disorders
296.00 Bipolar I Disorder, Single Manic
Episode, Unspecified
Mood Disorders
296.89 Bipolar II Disorder Mood Disorders
300.7 Body Dysmorphic Disorder Somatoform Disorders
301.83 Borderline Personality Disorder Personality Disorders
780.59 Breathing-Related Sleep Disorder Sleep Disorders, Dyssomnias
298.8 Brief Psychotic Disorder Psychotic Disorders
307.51 Bulimia Nervosa Eating Disorders
307.45 Circadian Rhythm Sleep Disorder Sleep Disorders, Dyssomnias
300.11 Conversion Disorder Somatoform Disorders
301.13 Cyclothymic Disorder Mood Disorders
297.1 Delusional Disorder Psychotic Disorders
301.6 Dependent Personality Disorder Personality Disorders
300.6 Depersonalization Disorder Dissociative Disorders
311 Depressive
Disorder NOS
Mood Disorders
300.12 Dissociative Amnesia Dissociative Disorders
300.15 Dissociative Disorder NOS Dissociative Disorders
300.13 Dissociative Fugue Dissociative Disorders
300.14 Dissociative Identity Disorder Dissociative Disorders
302.76 Dyspareunia Sexual Disorders, Sexual
Dysfunctions
307.47 Dyssomnia NOS Sleep Disorders, Dyssomnias
307.44 Dyssomnia Related to (Another
Disorder)
Sleep Disorders
300.4 Dysthymic Disorder Mood Disorders
307.5 Eating Disorder NOS Eating Disorders
302.4 Exhibitionism Sexual Disorders, Paraphilias
625 Female
Dyspareunia Due to Medical
Condition
Sexual Disorders, Sexual
Dysfunctions
625.8 Female Hypoactive Sexual Desire
Disorder Due to Medical Condition
Sexual Disorders, Sexual
Dysfunctions
302.73 Female Orgasmic Disorder Sexual Disorders, Sexual
Dysfunctions
302.72 Female Sexual Arousal Disorder Sexual Disorders, Sexual
Dysfunctions
302.81 Fetishism Sexual Disorders, Paraphilias
302.89 Frotteurism Sexual Disorders, Paraphilias
302.85 Gender Identity Disorder in
Adolescents or Adults
Sexual Disorders, Gender Identity
Disorder
302.6 Gender Identity Disorder in
Children
Sexual Disorders, Gender Identity
Disorder
302.6 Gender Identity Disorder NOS Sexual Disorders, Gender Identity
Disorder
300.02 Generalized Anxiety Disorder Anxiety Disorders
301.50 Histrionic Personality Disorder Personality Disorders
302.71 Hypoactive Sexual Desire Disorder Sexual Disorders, Sexual
Dysfunctions
300.7 Hypochondriasis Somatoform Disorders
312.3 Impulse -Control Disorder NOS Impulse-Control Disorders
307.42 Insomnia Related to (Another
Disorder)
Sleep Disorders
312.34 Intermittent Explosive Disorder Impulse-Control Disorders
312.32 Kleptomania Impulse-Control Disorders
296.36 Major Depressive Disorder,
Recurrent, In Full Remission
Mood Disorders
296.35 Major Depressive Disorder,
Recurrent, In Partial Remission
Mood Disorders
296.31 Major Depressive Disorder,
Recurrent, Mild
Mood Disorders
296.32 Major Depressive Disorder,
Recurrent, Moderate
Mood Disorders
296.34 Major Depressive Disorder,
Recurrent, Severe With Psychotic Features
Mood Disorders
296.33 Major Depressive Disorder,
Recurrent, Severe Without Psychotic Features
Mood Disorders
296.30 Major Depressive Disorder,
Recurrent, Unspecified
Mood Disorders
296.26 Major Depressive Disorder, Single
Episode, In Full Remission
Mood Disorders
296.25 Major Depressive Disorder, Single
Episode, In Partial Remission
Mood Disorders
296.21 Major Depressive Disorder, Single
Episode, Mild
Mood Disorders
296.22 Major Depressive Disorder, Single
Episode, Moderate
Mood Disorders
296.24 Major Depressive Disorder, Single
Episode, Severe With Psychotic Features
Mood Disorders
296.23 Major Depressive Disorder, Single
Episode, Severe Without Psychotic Features
Mood Disorders
296.20 Major Depressive Disorder, Single
Episode, Unspecified
Mood Disorders
608.89 Male
Dyspareunia Due to Medical
Condition
Sexual Disorders, Sexual
Dysfunctions
302.72 Male Erectile Disorder Sexual Disorders, Sexual
Dysfunctions
607.84 Male Erectile Disorder Due to
Medical Condition
Sexual Disorders, Sexual
Dysfunctions
608.89 Male Hypoactive Sexual Desire
Disorder Due to Medical Condition
Sexual Disorders, Sexual
Dysfunctions
302.74 Male Orgasmic Disorder Sexual Disorders, Sexual
Dysfunctions
293.83 Mood Disorder Due to Medical
Condition
Mood Disorders
301.81 Narcissistic Personality Disorder Personality Disorders
347 Narcolepsy Sleep Disorders, Dyssomnias
307.47 Nightmare Disorder Sleep Disorders, Parasomnias
300.3 Obsessive Compulsive Disorder Anxiety Disorders
301.4 Obsessive-Compulsive Personality
Disorder
Personality Disorders
625.8 Other Female Sexual Dysfunction
Due to Medical Condition
Sexual Disorders, Sexual
Dysfunctions
608.89 Other Male Sexual Dysfunction Due
to Medical Condition
Sexual Disorders, Sexual
Dysfunctions
307.89 Pain Disorder Associated with both
Psychological Factors and Medical Conditions
Somatoform Disorders
307.8 Pain Disorder Associated with
Psychological Features
Somatoform Disorders
300.21 Panic Disorder with Agoraphobia Anxiety Disorders
300.01 Panic Disorder without Agoraphobia Anxiety Disorders
301.0 Paranoid Personality Disorder Personality Disorders
302.9 Paraphilia, NOS Sexual Disorders, Paraphilias
307.47 Parasomnia NOS Sleep Disorders, Parasomnias
312.31 Pathological Gambling Impulse-Control Disorders
302.2 Pedophilia Sexual Disorders, Paraphilias
301.9 Personality Disorder NOS Personality Disorders
309.81 Posttraumatic Stress Disorder Anxiety Disorders
302.75 Premature Ejaculation Sexual Disorders, Sexual
Dysfunctions
307.44 Primary Hypersomnia Sleep Disorders, Dyssomnias
307.42 Primary Insomnia Sleep Disorders, Dyssomnias
293.81 Psychotic Disorder Due to Medical
Condition, with Delusions
Psychotic Disorders
293.82 Psychotic Disorder Due to Medical
Condition, with Hallucinations
Psychotic Disorders
298.9 Psychotic Disorder, NOS Psychotic Disorders
312.33 Pyromania Impulse-Control Disorders
295.70 Schizoaffective Disorder Psychotic Disorders
301.20 Schizoid Personality Disorder Personality Disorders
295.20 Schizophrenia, Catatonic Type Psychotic Disorders
295.10 Schizophrenia, Disorganized Type Psychotic Disorders
295.30 Schizophrenia, Paranoid Type Psychotic Disorders
295.60 Schizophrenia, Residual Type Psychotic Disorders
295.90 Schizophrenia, Undifferentiated
Type
Psychotic Disorders
295.40 Schizophreniform Disorder Psychotic Disorders
301.22 Schizotypal Personality Disorder Personality Disorders
302.79 Sexual Aversion Disorder Sexual Disorders, Sexual
Dysfunctions
302.9 Sexual Disorder NOS Sexual Disorders
302.7 Sexual Dysfunction NOS Sexual Disorders, Sexual
Dysfunctions
302.83 Sexual Masochism Sexual Disorders, Paraphilias
302.84 Sexual Sadism Sexual Disorders, Paraphilias
297.3 Shared Psychotic Disorder Psychotic Disorders
780.54 Sleep Disorder Due to A Medical
Condition, Hypersomnia Type
Sleep Disorders
780.52 Sleep Disorder Due to A Medical
Condition, Insomnia Type
Sleep Disorders
780.59 Sleep Disorder Due to A Medical
Condition, Mixed Type
Sleep Disorders
780.59 Sleep Disorder Due to A Medical
Condition, Parasomnia Type
Sleep Disorders
307.46 Sleep Terror Disorder Sleep Disorders, Parasomnias
307.46 Sleepwalking Disorder Sleep Disorders, Parasomnias
300.23 Social Phobia Anxiety Disorders
300.81 Somatization
Disorder
Somatoform Disorders
300.81 Somatoform Disorder NOS Somatoform Disorders
300.29 Specific Phobia Anxiety Disorders
302.3 Transvestic Fetishism Sexual Disorders, Paraphilias
312.39 Trichotillomania Impulse-Control Disorders
300.81 Undifferentiated Somatoform
Disorder
Somatoform Disorders
306.51 Vaginismus Sexual Disorders, Sexual
Dysfunctions
302.82 Voyeurism Sexual Disorders, Paraphilias

So why post all this? As a therapist, part of my job is to provide a transparent process of clinical intervention, if not resolution. Huh? Basically, I want clients to know what’s happening behind the scenes regarding their diagnoses, their insurance, their medical files and anything else that impacts them. I’m ultimately trying to work myself out of a job. 

Muir Wood Expands… Reaching for Alta Mira Recovery

Scott Sowle, the founder and executive director of Muir Wood Adolescent & Family Services (Sonoma County, CA) teamed up with private investors to acquire the residential and outpatient addiction and co-occurring disorders treatment organization from Constellation Behavioral Health. Constellation Behavioral Health operates Alta Mira Recovery Programs in California.

Muir Wood will operate as a stand-alone program focused on youth treatment, run by founder and executive director Scott Sowle. They will be expanding their residential treatment capacity by adding a residential campus for adolescent girls program. Constellation Behavioral Health operates Alta Mira Recovery Programs in California. Muir Wood will expand its residential treatment capacity for young males from its present 6 beds to 10. The adolescent male program, housed on a six-acre campus, includes weekly family programming, experiential therapies, and an accredited academic program.

NPR Exclusive: New Meds Block Heroin Craving, But Reporter Finds Treatment Centers Don’t Use Them

Police and public health officials in the U.S. have been struggling in recent years with the dramatic rise in heroin addiction and fatal overdoses from the drug. The Centers for Disease Control and Prevention reported that more than 8,000 people died from heroin overdoses in 2013 – a 39% increase over the year before.

Kentucky emerged in the last few years as especially hard hit, where heroin deaths increased by 550% between 2011 and 2012 and have continued to climb steadily. That’s where investigative reporter Jason Cherkis spent more than a year looking into heroin addiction and treatment. He says there’s a growing consensus among medical experts that the most effective treatment for addicts is a combination of counseling and new medications, especially the drug Suboxone, which blocks the craving for heroin. But Cherkis reports most drug treatment facilities rely on an abstinence-based approach, which rejects the use of these new medications. The result, he says, is high rates of failure for addicts trying to get clean and, all too often, fatal overdoses when they relapse.

Jason Cherkis is a national investigative reporter for The Huffington Post. His series about heroin addiction and treatment called “Dying To Be Free” was published last week.
The interview and Cherkis’ work is not without debate. Many professionals and former/current addicts challenged Cherkis’ reporting as over-simplistic and failing to discuss many of the other treatments and treatment programs that are showing promise.

Here is a link to the interview with  FRESH AIR contributor Dave Davies.

Elements Behavioral Health Expanding

Elements Behavioral Health has been actively expanding as evidenced by the purchase of  Park Bench Group Counseling in New Jersey and the opening of Brightwater Landing in Pennsylvania right outside Harrisburg and Hershey.

Elements portfolio are also ramping up programs to meet increased market demands. Centers in Texas and Tennessee are adding new services, and a detox program in Florida launching in the first quarter of the year.

On The Market?

Within all this activity, observers are reporting that Elements is for sale. Reuters reported in December 2014 that private equity and venture capital firm Frazier Healthcare is potentially looking to sell Elements, and that  investment bank Jefferies Group LLC has been retained to facilitate the next steps. Across the entire industry, valuations are up, and the market is ripe for activity.

Elements has been estimated to be worth $30 million in EBITDA (earnings before interest, taxes, depreciation, and amortization) and get 10x more in actual negotiations.

Acquisitions!

Founded by two clinicians in 2006 the newly acquired Park Bench in New Jersey provides day treatment and intensive outpatient services, including an individualized aftercare program (…often a big missing piece in substance abuse treatment).

Elements was targeting the Northeast for some time, particularly in the New York/New Jersey Tristate area because of population density and the need for young adult treatment. The services they’re providing, which are addiction and co-occurring disorders, fit with the Elements family of programs.

Elements has an existing property in York, Pa., and this month, it added a new location, Brightwater Landing in Lancaster County – west of Philadelphia. The center is on a 150-acre campus that lends itself to treatment interventions that require more outdoor space as well as landscape features appropriate to experiential and adventure-based therapies.

Treatment at Brightwater will include equine therapy and a ropes course to enable clients to process the emotional and behavioral parts of their addiction. The experiences will address not just the substance-use disorders but also the underlying trauma that contributes to using. The center will offer primary psychiatric and active mental health models of care – early on-ramp for those seeking treatment for the first time. 

Elements Behavioral Health is part of a trend within the industry where small mom and pop outpatient and treatment centers built over the last few decades are being gobbled up by some big players. We expect more merger and acquisition activity in 2015.

Acadia Buys CRC Health

Acadia Healthcare Company Inc. said it will acquire CRC Health Group Inc. for $1.18 billion, expanding its in-patient mental health and substance abuse treatment facilities. Acadia is headquartered in Franklin, TN and owns 76 facilities with about 5,800 beds in 24 states, Puerto Rico and the U.K. CRC Health Corporation was founded in 1995 and is headquartered in Cupertino, California. CRC Health Corporation operates as a subsidiary of CRC Health Group, Inc. They have about 120 facilities and sees about 40,000 patients daily. CRC was expected to generate $450 million in revenue in 2014, and adjusted earnings of $115 million

The acquisition is Acadia’s fifth in the past 12 months, adding 27 facilities and more than 1,500 beds. Earlier this year, Acadia purchased Partners in Care, a U.K.-based company for $662 million.

The behavioral health and substance abuse industry is considered by business analysts to be highly fragmented in the U.S. and the U.K. with significant room to add new beds in existing facilities. Growth and consolidation is on the horizon for all these big players.

CRC Health, based in Cupertino, California, is a substance-abuse treatment provider that has about 120 facilities and sees about 40,000 patients daily, according to the statement. CRC is expected to generate $450 million in revenue this year, and adjusted earnings of $115 million, Acadia said.

 

Origins Behavioral Health Acquires Two Caron Treatment Center Locations

Origins Behavioral Health (headquartered in South Padre Island, Texas soon to be located in West Palm Beach, Florida) will acquire two treatment sites from Caron Treatment Centers (headquartered in Pennsylvania). The Hanley Center in West Palm Beach, Florida, and Gate Lodge in Vero Beach, Florida., will add over 100 beds to Origin’s current capacity of around 80 beds.

Origins is clearly on course to be a big player on the East Coast and increase its service offerings through acquisitions and organic growth. Less than half of current patients are from inside Texas with the rest skewed to the West Coast. This recent round hopes to change that. The Hanley Center has a 30-year history and is a noteworthy acquisition. 

Expansion fever is in the air since there are at least 10 acres of available land on the Hanley property zoned for treatment that has yet to be developed. They are in the process of moving all corporate functions to West Palm Beach and Robert Park, Origins’ longtime executive director has relocated to Florida and has assumed the executive director role at Hanley Center..

Origins is looking to partner with other organizations that are like-minded and are leaders in the evolving business of addiction treatment.

 

Insider’s Guide: List of Therapeutic + Prep Boarding Schools

This is an ever-growing list of therapeutic and preparatory boarding schools from around the country. The list is updated regularly with new information on tuition, descriptions as well as new listings. *Fonthill Counseling accepts no financial compensation for posting or reviewing therapeutic boarding schools on the list (Just in case you were wondering). 

Youth Initiative High School
Viroqua, Wisconsin
Grades: 9-12
Gender: Co-Ed
Tuition: $6300/year, $675 Enrollment
Designation: Private, Non-Profit
Description: The Youth Initiative High School was founded in 1996 when a group of high school students from the Viroqua area decided to take responsibility for their education. Today, YIHS continues to emphasize the development of student responsibility, initiative, and citizenship in all aspects of school life. Students are full voting members of the school community, serving alongside parents and faculty on the Board of Trustees and on many other committees. YIHS students also take responsibility for raising a significant part of the school’s annual budget through a variety of independently organized fundraising activities. They are also responsible for cleaning and maintaining the school’s facilities. YIHS is an independent high school and does not receive substantial funds from federal, state, or local government. Tuition at YIHS is arranged on a flexible basis in order to enable students from families of all income levels to participate in the school, with several students each year working to pay their own tuition. YIHS has been recognized as a Developing Member of the Association of Waldorf Schools of North America (AWSNA) and our graduates have been accepted to colleges and universities throughout the United States and overseas.

Academy of Sisters
Bend, Oregon
Grades: 9-12
Gender: Girls
Tuition: $7200/month, $3000 Enrollment
Designation: Private Subsidiary (J Bar J Youth Services), Non-Profit
Description: The Academy at Sisters is a therapeutic and academic boarding school for at-risk girls ages 13-18 located in Bend, Oregon. They provide evidence-based intervention for mental health and substance abuse issues. Located at the base of the Cascade Mountains, the community of Bend was recently ranked the second safest small town in the U.S.A.

Chrysalis School
Eureka, Montana
Grades: 8 – 12
Gender: Girls
Tuition: $
Designation: Private, For Profit
Description: Chrysalis is a small therapeutic boarding school located in northwestern Montana, just 5 miles from the British Columbia border. The school sits on 65 acres, nestled between Carpenter Lake and the Koocanusa Reservoir. The campus is home to girls ages 13-18. The typical stay is between 18 and 24 months, but is individualized for each resident’s needs with the expectation of program graduation. Students live “family-style” in one of three homes, hold each other accountable for actions, and become responsible for themselves. The home environment encourages girls to build on personal strengths, while they examine and challenge old patterns which have prevented growth. Chrysalis is not a program of primary treatment for either addictions or eating disorders; substance abuse may have been an issue in the past, but residents must have established several months of sobriety and be committed to a program of recovery prior to acceptance. If eating disorders have been diagnosed, primary treatment and a similar program of recovery would be expected prior to acceptance.

West Melbourne Christian Academy
Melbourne, Florida
Grades: K – 12
Gender: Co-Ed
Tuition: $4550/year
Designation: Private, Non-Profit
Description: At West Melbourne, teachers represent parents and encourage students to submit to the truth and love of Christ. Teachers are role models and demonstrate the lordship of Christ in every area of life. Finally, teachers play the primary role in the school’s objective of students obtaining academic excellence as well as physical, social, and spiritual growth. 

Mojave Academy
Datil, New Mexico
Grades: 
Gender: 
Tuition: $
Designation: 
Description: CLOSED

New Haven School
Spanish Fork, Utah
Grades: 9-12
Gender: Co-Ed
Tuition: $475/day; $38,416
Description: New Haven’s campuses contain several residential homes and a school, allowing them to work with up to 90 families at a time. Teams are assigned to each house of 12-17 students. Students receive therapy weekly including: specialty groups, experiential, individual and family sessions. They are a fully accredited private school allowing the students to continue earning credits in a traditional school setting.They are also able to work with students struggling with Dyslexia, Language-based, ADHD, TBI, and Executive Functioning issues.

The Vanguard School
Lake Wales, Florida
Grades: 9-12
Gender: Co-Ed
Tuition: $44,000
Description: The Vanguard School is located in Lake Wales, FL. It is a private, special education school that serves 138 students in grades 5-12. The Vanguard School is nonsectarian in orientation. The school belongs to the National Association of Independent Schools.

In 2010, The Vanguard School had 7:1 student/teacher ratio. The Florida average is 15 students per full-time equivalent teacher.

High Mowing School
Wilton, New Hampshire
Grades: 9-12
Gender: Co-Ed
Tuition: $49,900
Description:

Oakland School
Keswick, Virginia
Grades: 9-12
Gender: Co-Ed
Tuition: $
Description:

Bachman Academy
McDonald, Tennessee
Grades: 9-12
Gender: Co-Ed
Tuition: $
Description:

Auldern Academy
Siler City, North Carolina
Grades: 9-12
Gender: Female
Tuition: $
Description: Auldern Academy is located in Siler City, NC. It is a private school that serves 48 students in grades 9-12. Auldern Academy is all-female and is nonsectarian in orientation. The school belongs to the National Independent Private Schools Association.

In 2010, Auldern Academy had 6:1 student/teacher ratio. The North Carolina average is 15 students per full-time equivalent teacher.