Finding Peaks

Episode 4: A Diverse & Authentic Clinical Team


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Episode 4
A Diverse & Authentic Clinical Team
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Episode 4

 We discuss the importance of having a strong clinical team that is diverse in their strengths and approaches, but above all, has the ability to show up as their authentic self.

Topics:

  • How many clinicians may have the same credentials, but each may have unique approaches and skillsets in how they support their clients. Dissolving the tension between the individual struggling with addiction and the family members
  • The importance of appropriately matching a treatment program’s curriculum to the skillsets of each individual clinician, AND making sure the clinicians are willing to be immersed into the culture. 
  • How in order to be a great and impactful clinician, it requires some crucial and extra fundamental pieces (outside of licenses and credentials) to actually be able to support and show up for clients. 
  • Select Quotes
    In order to do this work, you have to your own work. You have to work on yourself and have a high degree of self-awareness, appropriately placed boundaries, along with an openness. In order to be open to impacting people you also get to be open to being impacted by people, it goes both ways.
    Jason Friesema MA, LPC, LAC, – Chief Clinical Officer
    In addiction treatment, authenticity in a counselor is absolutely the most essential. A lot of our clients have experienced treatment and counseling in the past, so they know the language, the “clinical jargon”, they can read a counselor who is not being genuine like that. So they need to be able to show up as their true self.
    Clinton Nicholson, MA, LPC, NCC – Chief Operations Officer
    Episode Transcripts
    Episode 4 Transcript

    [Music]
    welcome to another episode of finding
    peaks i believe this is uh
    episode four i was told yeah yeah
    it’s again because i was told the prior
    episode was
    the third and i actually stated it was
    the fourth so
    welcome to the fourth episode here maths
    hard
    yes yeah math is difficult so
    just want to start uh today with uh we
    have some title changes in the room here
    at uh
    peaks recovery centers jason friesma is
    now our chief clinical officer
    oh and the crowd goes wild thank you for
    a while
    and introducing the new chief operating
    officer of peaks recovery centers clint
    nicholson everybody
    clinton yes also a therapist clap
    i would slow class i would also like to
    introduce also a therapist
    i’d also like to introduce clinton’s
    cowboy boots uh also making an
    appearance today
    right here yeah i recently purchased a
    truck and they came with the truck
    nice congratulations on that and i have
    a really big deal
    obligated to wear them by dodge so as
    across that off the list
    as these episodes roll along we’re
    getting feedback
    and some of that feedback so far has
    been that uh we’re a little
    we’re seemingly a little too uptight um
    in these sessions so we’re really trying
    to
    explore not doing that here so expect
    bad jokes so let’s expect bad jokes
    moving forward
    always difficult at least for me in
    doing this show because there’s a
    seriousness to addiction treatment
    certainly
    and individuals are suffering of course
    across america from the disease of
    addiction and so
    um it’s not always you know i haven’t
    personally known how to approach it
    myself or how serious to be on camera
    because it is
    serious to us and certainly each and
    every day we come at you know and to
    work with the seriousness and getting
    people well but
    uh certainly want people to appreciate
    watching us and
    not be so serious yeah do you guys like
    to
    comment on that i’m feeling a little
    nervous today
    i agree okay um i’m hopeful that you’ve
    scripted some jokes
    i have no jokes okay so we’ll jump right
    into it okay
    yeah so last week uh clinton said
    something was a little passive i don’t
    know if everybody caught it in the third
    episode but i think he said something
    along the lines of
    i’m not excellent i’m maybe great at the
    family
    side of things that’s uh that’s a quote
    yeah okay
    okay yeah but something along those
    lines exposes the reality
    of addiction treatment centers and in
    that
    you know i think taking one step back
    you know peaks started with 36 beds six
    years ago and we have 36 beds today
    the thing that has changed at peaks
    recovery centers is we went from 12
    staff members
    to 75 staff members and 67 of those i
    believe today are full-time staff
    members here so
    so we’re advancing this enormous team
    around these 36 beds over the past six
    years and i
    just wanted to talk about through the
    lens of the clinical lens about the
    importance of having a team
    i mean in essence you’re both lpcs of
    course you’re in lac you’re about to
    you know get your lac after taking the
    test recently equal licensures
    should mean equal skill sets right right
    but they don’t it turns out turns out
    they don’t do that
    so yeah and actually you know clinton
    and i
    uh since you’re bringing us up
    specifically we
    we’re very different in our approaches
    um
    i like to dig in uh emotionally and
    clinton likes to make fun of me for that
    and clinton likes to put things together
    and look forward with clients
    and so uh actually
    it complements our styles quite well
    actually
    it turns out that turns into just
    working really well together
    and and the other thing is having a wide
    variety of clinicians in a wide variety
    of
    skill levels gives us the opportunity to
    to have clients that are drawn to
    various
    clinicians and various things that
    clinicians say in various clinical
    approaches
    so and and the other thing that’s
    different is that i’m funny
    and clinton uh thinks he’s funny yeah
    that checks out that does absolutely
    yeah that absolutely checks out
    yeah so to elaborate in a slightly more
    um
    intelligent way than jason so yeah like
    like you said
    jason our our styles do differ again
    you like to do feelings things yeah
    and i do less of that i do more
    pragmatic practical
    solution-focused stuff that’s based in
    kind of integration and you know one of
    the interesting things is that because
    we have these two different styles we
    were actually
    we’ve actually started to model our
    programming around that you know we
    our clients get to come in and they get
    to really dig deep like jason said
    and really um gain a tremendous amount
    of emotional insight
    and then they also on the sort of the
    second half of that programming is they
    get to actually land that
    in something that’s more practical and
    skills based and experiential
    so this is just an example one example
    of how you can utilize these different
    skill sets from counselors and knowing
    your counselor’s strengths
    and also being very transparent and uh
    about you know like i said family is not
    my specialty it’s just it just isn’t i
    i have other areas that i focus in and
    um
    that i excel in so those are the those
    are those
    the places that i’m going to lean into
    clinically
    yeah i mean for me i just think it’s
    it’s relevant and important for
    treatment centers across america to be
    honest about their approaches to care
    and through that honesty match the
    curriculum to the skill sets of the
    clinicians and not just
    you know unnecessarily force clinicians
    without those skill sets to run
    you know groups or individual sessions
    you know leading to
    you know less quality in in the
    environment of care
    and here in colorado springs you know
    we’ve got what a little more than a
    million people now
    i mean i feel like since i’ve moved here
    there’s like a quarter million people
    have at least moved here but
    um you know we go we put an indeed out
    you know indeed
    out there to attract clinical firepower
    into our organization and
    just kind of even in a population of
    over a million people now just kind of
    talk through our experiences of the
    difficulty in actually locating the
    talent that can
    fit the needs of not only our patient
    demographic but that is informed through
    the curriculum that
    you know we’ve built out here at peaks
    well certainly just culturally at peaks
    we really do work to
    well being a clinician at peaks let me
    just put it that way
    uh somebody who works for us it’s a
    pretty immersive experience honestly
    we don’t just see clients for an hour a
    week in an office
    and then kind of get about our business
    we
    we walk with clients we play disc golf
    on our campus with clients we
    play cornhole while we’re talking about
    various things
    so we really or we even share meals with
    them or
    or have coffee at times as well just to
    [Music]
    offer that support and in that path like
    that
    is also hard work for clinicians at
    times because
    uh that that is what causes us to go
    above and beyond and
    and i think it’s the essence of what we
    do
    and that isn’t really trained
    in school it’s the extra special sauce i
    guess if you will that
    that i think our clients always feel
    supported and heard and that there
    is always somebody available to talk to
    you mentioned how the growth of our
    staff part of that
    is there’s always someone awake and
    around for somebody to have a
    conversation with i just this week had a
    client who was
    who told me that at 3 am he woke up and
    couldn’t fall back asleep and went out
    and had an hour-long
    conversation uh with our client care
    uh person and so i just really
    that matters having that availability
    and having
    kind of this real-time ability to be
    supported
    and cared for yeah i mean we really
    the expectation for our counselors is um
    there’s a level of vulnerability that
    you have to be able to achieve with your
    clients in order to be
    to again to sort of like fit into the
    peaks culture
    you know it’s uh we really
    strive for that community feeling and i
    mean
    there are primary counselors and clients
    are assigned to a primary counselor but
    the reality is that every counselor
    there is every client is there for every
    client
    and throughout the day different clients
    will pull different counselors
    and sit down with them talk with them um
    and again i think it kind of speaks back
    to you know different levels of
    different types of strengths and
    different types of styles you know
    because our counselors run groups with
    everybody and we’re again we’re fully
    immersive
    the clients start to learn what that
    style is and what that type
    of counseling approach is and they will
    start to gravitate you know and it gives
    them the opportunity
    if um you know if somebody’s looking for
    you know really struggled and a grief
    and loss week and is really needs to
    process that they can find jason you
    know and if somebody is
    getting ready to discharge and they’re
    freaking out about what is the actual pr
    practical side of sobriety look like
    they can seek me out so
    i keep touching my microphones banging
    in the control room yeah yeah so yeah
    this is just about my flaws today this
    is me being vulnerable everybody so
    yeah so you’re doing great so you got
    you are you’re doing great
    thank you so you guys have the the fancy
    credentials lpclac behind your name and
    i think
    one of the things almost almost lac
    behind us wow
    yeah the things that i want to pull from
    that is it seems like just
    just having the degree doesn’t inform
    the skill sets or the ability to show up
    for individuals especially in a complex
    patient demographic environment that you
    know we operate within so
    what do you think is one of the most
    crucial like fundamental pieces to
    becoming you know a great clinician or a
    clinician that can
    inspire such a complex patient
    demographic including
    family systems and so forth i’ll give a
    cliche sentence
    which is in order to do this work you
    have to do the work
    you’re on work you have to do your own
    work you have to work on yourself
    and and have a high degree of
    self-awareness
    along with appropriately placed
    boundaries along with an openness
    to in order to be open to impacting
    people you also
    get to be open to being impacted by
    people it goes both ways you can’t kind
    of be unidirectional in that way
    and that is the part that makes peaks so
    rewarding honestly and so challenging
    both
    i think in my experience particularly
    with addiction treatment
    authenticity in a counselor is just the
    absolutely most essential i mean
    a lot of our clients this is not their
    first rodeo right they’ve been through
    this process they’ve experienced
    uh counseling and treatment in the past
    and they can just
    i mean they know the language they know
    the the sort of like clinical jargon and
    they can
    read a counselor who is not being
    genuine
    like that you know so being able to show
    up as your true self
    not showing up as your counselor self
    which again requires that you’re doing
    your work
    you know and it requires yet again to be
    vulnerable
    and being open to the idea like jason
    said of this sort of reciprocated
    exchange of of insight this this
    reciprocated exchange of
    kind of growth and exploration so
    yeah absolutely there’s a there’s a
    great deal of addiction treatment
    centers out there
    that you know state that they have
    similar services to us that they can
    stabilize and they can provide a
    continuation of care and all of this
    sort of stuff
    but the differences in departments by
    comparison are quite extraordinary at
    times i mean at peaks we
    employ a full 24 7 medical team to have
    two providers on psychiatrists and an md
    at any given time to support our patient
    demographic
    that is generally less than a census of
    assistants that can be made available to
    our patients
    and the supporting residential staff
    certainly our client care aids and you
    know never mind all the administrative
    support that goes on i mean how
    fundamentally important is it
    you know we’ve grown from the very
    beginning jason um
    at peak’s recovery not having all of
    these things on the side what have we
    what have we learned along the way in
    bringing in these departments
    and um you know building them up with
    the intentionality and intensity that
    they offer the patient demographic
    how much is that supporting the clinical
    approach to care
    well to your point um
    the ability to staff our program well
    and with a lot of
    uh qualified and trained people not just
    clinical but
    across all departments does really
    i think give us the ability to really
    become excellent within our department
    and then kind of go the extra mile
    within that department rather than
    kind of spreading thin we get to spread
    deep i just made that up
    that’s brilliant yeah i actually really
    like that thank you it should be a good
    shirt
    yeah next week available on our website
    yeah that was something yeah that was a
    t-shirt creation
    yeah absolutely yeah absolutely only
    four episodes
    how do i follow that right so next
    question um
    i i think you know i’ve worked up for a
    lot of
    treatments uh treatment centers and just
    different uh behavioral health centers
    and
    the the level of staff to us when i
    you know when i first came in i was just
    kind of like flabbergasted about like
    how much
    how much staff and how much support and
    how many people are really involved
    in the the sort of like whole peaks
    programming
    and um i realized very quickly
    that what we have the ability to do is
    truly wrap around people
    and give them a level of
    safety and support and acceptance that
    for
    a huge number of our clients they’ve
    never experienced before
    and it’s powerful it’s absolutely
    powerful and
    it’s transformative which um
    you just don’t see a lot of other places
    you just don’t see that in other places
    yeah i think that you know just the
    other day we had a one of our
    patients uh was disrupted in a medical
    meeting and
    immediately wanted to leave and in my
    head i just thought
    somebody’s gonna wrap their arms around
    him quite quickly and the beautiful
    thing about
    having all of this staff to support
    these individuals is that though this
    individual can be immediately attended
    to whether through on-call staff or
    whatever’s going on that
    all the other patients on this side
    aren’t there their quality of care isn’t
    going
    down at the same time so i like this
    idea of building depth within
    departments by having departments in
    support of it rather than stretching
    departments then
    um you know which you know felt like
    kind of
    our humble beginnings you know and so to
    be able to advance
    these levels of care and towards and in
    the direction of patient care i think
    has just been a wonderful experience
    that i just want
    you know families out there to be
    cognizant of as you shop for
    addiction treatment services how crucial
    it is to have these dynamics within a
    company culture
    and also too to
    have maybe through the lens of humility
    to be
    as a ceo to be sitting here with you
    know other chief officers of our company
    culture
    be able to state openly like i’m not
    that’s not my specialty and that’s not
    my category
    and when we recognize that honestly as
    addiction treatment centers or any
    really medical setting
    um you know we can then move out into
    you know to the indeed ads and really
    pull in the talent necessary to fill
    those gaps in the direction of patient
    care so
    well i think you know candidly
    clinton since you are new i know you and
    i’ve wrestled with
    how many staff do we need and why why do
    we have so many like i’ve listened to
    you do it and
    push back on you that like this you’re
    right we could actually
    stretch ourselves thinner and we could
    yeah um
    but it is really uh our staffing levels
    that give us
    some opportunity and time to have the
    between
    groups and the between sessions
    conversations um
    that really all the planned stuff is so
    critically important but a lot of the
    change happens
    uh in the margins well i’m lucky for you
    even though i’m an operations guy i’m
    also a clinician so i’m able to sort of
    see that um see both sides of that
    because operationally i mean if that
    that single lens
    tells a completely different story and i
    think that that’s what a lot of
    uh programs are built around you know
    but by being able to sort of bring
    operational and clinical components
    together um i mean that just kind of
    describes peaks in a nutshell
    you know there’s just this beaut this
    amazing blend of
    of focus and uh it has created
    an organization and a culture and
    programming that is extremely unique and
    very powerful
    so yeah absolutely well i again i
    appreciate
    the opportunity to present episode four
    the real episode four yeah that’s
    episode eight
    episode four join us next week for
    episode four
    looking forward to episode five to
    continue to bring you content hopefully
    our
    humor or lack thereof is not in the way
    of you hearing
    the important information we uh desire
    to deliver to everybody today
    i’m just gonna give one more here please
    comment with
    the boots in focus we look forward to
    your comments um please
    give us questions so that we can provide
    answers and insights into the addiction
    treatment space
    and from here in colorado springs
    signing off
    until next time

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