Where

Advanced Therapeutic Solutions for Anxiety

600 W 22nd Street
Suite 250
Oak Brook, IL 60523-8864

Contact

Practice Coordinator
Advanced Therapeutic Solutions
630-230-6505
info@advancedtherapeuticsolutions.org

Courage Club Nov/Dec 2022

Social skills/peer interaction group for children with SM, recovering SM, and related social anxiety disorders. We will practice the same activity over and over again to increase confidence and decrease avoidance. The November/December group will practice games to play with their family and friends.

* Required information

Parent Information

  • *
  • *
  • *
  • *
  • *
  • *
  • Fee

    Type Fee
    $945.00

Child's Information

  • *
  • *

    Gender:

  • *
  • *
  • *

    CONSENT: ATSA anticipates conducting a program to treat symptoms of selective mutism and/or social anxiety in a group setting utilizing graduated exposures in which successive approximations to approach feared stimuli are reinforced to reduce avoidance (the "Program"). The Program, called Courage Club, consists of 1 preview session & 5 group sessions. Parent presents to ATSA that Parent is lawfully authorized to enroll their child ("Child"), and Parent hereby consents to so enroll Child.

  • *

    CONDITIONAL ENROLLMENT: Child's participation in the Program will depend on: (a) ATSA enrolling enough children to make the program viable, in ATSA's sole opinion, and (b) ATSA has enough Counselors who are, in ATSA's sole opinion, suitable to help ATSA conduct the Program. As soon as possible, ATSA will notify Parent whether the foregoing have occurred, but ATSA reserves the right to cancel Child's enrollment at any time if the foregoing do not occur.

  • *

    EXPOSURE THERAPY SESSIONS: The exposure therapy sessions will consist of weekly 90-minute sessions as scheduled by ATSA at ATSA offices. Sessions will include 1 Preview Session and 5 Group Sessions. The assigned activities for each session will increase in difficulty over a series of six (6) sessions consistent with graduated steps, pursuant to exposure therapy principles.

  • *

    COUNSELORS: Counselors shall: (a) interact individually with Child as needed by Child and to increase Child's verbal output/social interaction, and (b) reinforce Child's verbal communication and/or prosocial interaction through rewards, and through other immediate encouragement.

  • *

    EXPECTATIONS: 6 sessions (1 preview and 5 group sessions) are included in the fee. There may be homework following the group sessions. Parents are expected to: reinforce the message that practicing before doing something new helps to increase confidence; reinforce group themes as identified by ATSA therapist; continue social exposures with their children.

  • *

    FINANCIAL OBLIGATIONS: Upon registering, Parent shall pay ATS the fee of $945. If ATSA cancels the Program, ATSA's sole obligation to Parent shall be to refund the fee.

  • *

    TERMINATION: Child must arrive and depart from all sessions strictly on time because the schedules of all the children enrolled in the Program, their parents, and the Counselors are interdependent. ATSA may terminate Child's participation in the Program if Child is not consistently on time, regardless of the reasons; or if Parent does not pay the fees required by this agreement, and in those cases the enrollment fee is non-refundable.

  • *

    WITHDRAWAL: At Parent's sole discretion, Parent can withdraw Child from the Program at any time. If withdrawal occurs before the Preview Session, Parent will be refunded the enrollment fee less a $25 administrative fee. If withdrawal occurs after the Preview Session takes place and before the Group Sessions begin, ATSA will refund the enrollment fee less $157.50 for the Preview Session. The enrollment fee is non-refundable after the group sessions begin, regardless of the circumstances.

  • *

    PRIVACY POLICY: Parent has received a copy of ATSA's privacy policy, and Parent consents to ATSA's privacy policy. Parent also acknowledges that due to the nature of the Program, treatment given to Child as part of the Program will often occur in the presence of others.

  • *
  • *

    Release of Liability: Except to the extent covered by insurance of ATS or its vendors, if any, Parent hereby releases ATSA, the Counselors, and ATSAís vendors, and Parent will indemnify, not sue, and hold ATSA, the Counselors, and ATSAís vendors harmless from all claims for any personal injury to Child caused by: (i) the ordinary or gross negligence of ATSA, Counselors, or ATSAís vendors, or (ii) another child or another adult who is not employed by ATSA.

  • *

    Entire Agreement: This Agreement contains and constitutes entire agreement between ATS and Parent regarding the subjects of this Agreement. In making this Agreement, neither ATS or Parent have relied on any promise or statement by the other, including the contents of ATSís web site, that is not specifically stated in this Agreement or in ATSís privacy policy, registration form, or insurance reimbursement materials.

  • *

    Please select all that apply:

  • *

    I have read, understand, and agree to Advanced Therapeutic Solutions stated policies. I agree that my child's protected health information may be disclosed for the purposes of treatment, payment, and healthcare services. I have read and understand the HIPAA Notice of Policy and Practices in full and have had sufficient opportunity to ask questions/seek clarification.

Other Programs/Interests

  • Please list any other programs you may be interested in:

  •  characters remaining

Groups Offered

Item Qty. Max Limit Price

Holiday Theme (Nov/Dec)

(9 available)

11/5 (preview), 11/12, 11/19, 12/3, 12/10, 12/17. Note: NO session will be held on 11/26. Please enter "1" to acknowledge the dates of the preview and group sessions. The fee will be captured below.

1 Free
$9,999.99

Payment

Payment Method

  • Please make check payable to:
    Advanced Therapeutic Solutions
    600 W 22nd Street
    Suite 250
    Oak Brook, IL 60523-8864

Payment Summary


I'm interested in receiving announcements for upcoming Courage Club activities, add me to the list.

Register