The adolescent residential treatment program through Tapestry, a North Carolina based eating disorder and dual diagnosis facility, offers young people supportive and structured inpatient care within a caring, home-like atmosphere. Clients experiences 24 hour a day support that includes individual and group therapy, nutritional education, educational support and continued studies, and holistic treatment approaches.
Accommodations and Food
The adolescent clients reside in a home that was formerly a credit union. It was completely gutted and remodeled to fit up to six residents in shared bedrooms. The comfortable and spacious house in located in Fletcher and is set in a quiet area that offers a lot of fresh air and outdoor space. The house is fully furnished and includes several comfortable common areas, like a living room with TV and cable, dining room, kitchen, and backyard with sitting area.
Clients go out on weekly trips to local restaurants for therapeutic meals and snacks, and also take trips to the grocery store for meal planning and preparation. They learn how to prepare all their own meals. Dining at Tapestry is a two part process. The first is where clients eat together with the supervision of a staff member, and the second part, known as Second Table, is a feedback session where residents report any feelings or urges they had during the meal process and let the staff know what they can do to help them feel supported during this time. Additionally staff prohibits clients from using the bathroom for up to 30 minutes after they’re done eating unless a counselor is present.
Treatment and Staff
Clients are on site for a majority of their time in the residential program, which is designed to last between eight and 10 weeks. There are several group sessions per day that cover topics like self care, body image, relapse and trigger management, attachment, nutritional education, goals and success planning. Programming offers evidence-based methods like DBT, CBT and individual EMDR in a one on one setting. There are at least two individual sessions per week, and several creative or holistic groups like music therapy, art therapy, journaling, meditation and focusing on social media communications.
There is ample time set aside every evening to work on school assignments. The staff coordinates with each client’s school to keep them on track for the year. Using the internet and cell phones is permitted at the end of the treatment day.
Medication management is part of treatment and is provided by a staff psychiatrist. In addition, clients are expected to keep the house and their personal areas and bodies clean. There is a schedule of chores that need to be completed on a daily basis.
Tina Nowak is an RN and founder of Tapestry. She runs a staff that’s comprised of LCSWs, LPCs, psychiatric nurses, dietitians and CEDCs.
Family involvement is an integral part of the adolescent clients experience and success. There are weekly family sessions, and parents participate in every aspect of treatment. Family day is every Saturday.
There are regular movement and exercise groups including yoga and stretching. Additionally, the adolescent clients have equine therapy twice per week.
Excursions include movie nights, bowling, hiking and shopping, just to name a few.
Adolescents who develop eating disorders commonly reveal that they began as early as age 11. Tapestry is dedicated to helping their younger clients learn how to evaluate their feelings in terms of food and their bodies through real world experiences. They learn several helpful skills, including cooking, and are held accountable for their actions. Though the residential phase is fairly intensive, there is also plenty of time for the clients to relax and take in what they’ve learned during the day with the staff support.
Tapestry Adolescent Residential
5010 Hendersonville Rd
Fletcher, NC 28732
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