Daybreak Youth Services fills gaps in teen mental health and addiction treatment needs

May 23 – While the battle to save young people from drug addiction is not new, recent forces have sounded the alarm for the professionals who help these teenagers in treatment.

Here and nationally, trends show significantly higher rates of fentanyl addiction among youth, mental health issues, self-harm or suicide, and child sex trafficking, said Sarah Spier, director of Daybreak Youth Services’ external relations.

“Intentional self-harm among adolescents skyrocketed at the start of the pandemic,” Spier said. “We’re still seeing high levels of mental health issues, and the rise in fentanyl has just been appalling.”

They are among the factors why the nonprofit founded in 1978 offers comprehensive, trauma-focused substance abuse and adolescent mental health treatment to 12- to 17-year-olds across the state. With inpatient and outpatient services, Daybreak has facilities in Spokane and Vancouver, Wash.

The Spokane sites include one for girls ages 12-18 to receive mental health and addictions treatment and counseling. Daybreak also offers co-ed outpatient clinics and counseling for teens and teens in the Spokane Valley.

Mirror programs are in Vancouver, where boys from Spokane or across the state go for hospital treatment.

And Daybreak just announced that its new program, aimed at providing behavioral health support services to young victims of sex trafficking, is being run separately from its other programs and in an approved residential setting.

Daybreak expanded its program for young victims of sex trafficking under new legislation, House Bill 1775, Spier said. Under its provisions, law enforcement and service providers can refer children to these programs, or children can refer themselves.

“This is the first in Washington State to be a sex trafficking-focused program in a licensed residential facility,” she said. “This is the first of its kind where we provide comprehensive on-site substance use disorder and mental health assessments. We then provide up to 30 days of stabilization.

“These young people will have direct access to continue and go to the concurrent treatment facility to continue their treatment for substance use disorders and mental health. Then we have case managers who provide support comprehensive and very intensive release planning. We just opened.”

Regarding its comprehensive care programs, Spier noted a May 11 national report on escalating drug overdoses.

“The CDC just announced the latest data showing that nearly 108,000 people overdosed last year, which is the highest on record in the United States, and the main driver is fentanyl,” said Spier. “That’s something we see at Daybreak; we treat young people who are addicted to fentanyl, and we’ve seen an increase of almost 60%, by our estimates, in the last year to a year and a half.

“It’s unlike anything that’s ever been seen.”

Daybreak is the state’s largest youth Medicaid treatment provider, Spier said, although it is also licensed by all private insurance companies. Daybreak relies on fundraisers to support its life enrichment programs and activities, including its first Battle of the Bands lip-syncing contest at 7 p.m. Thursday at the Knitting Factory. Tickets are $50-$100 for the event with a panel of judges and appetizers.

Spier said Daybreak’s separate Psychiatric Assessment and Treatment Unit, paused due to COVID-19, is expected to reopen soon in Spokane for short-term crisis stabilizations.

Reopening the unit is crucial because of the number of teenagers intentionally self-harming, she said, and to help with the youth mental health crisis also seen in hospitals. “It’s really for mental health and suicidal youth.”

In addition, Daybreak offers Wraparound Intensive Services, called WISe, providing in-home mental health care only to youth ages 0 to 21 and Medicaid-eligible families, Spier said. A youth peer navigator, therapist and case manager work as a team with families at home.

For more than 40 years, Daybreak has had countless stories of successful teens after graduating from its programs and finishing high school or college, Spier said. Daybreak has an accredited school on site that links high school credits or GEDs.

Reagan Cox, 20, is now at Eastern Washington University, where she is majoring in social work and a minor in criminal justice and substance abuse. As a high school student, she entered Daybreak’s outpatient program. Cox was then recruited for an internship to support Daybreak’s Royal Closet, for teenagers to borrow evening wear for the drive home or prom.

“Daybreak really got me out of rehab and into outpatient,” Cox said. “It helped me stay sober and stay focused on my health. I also stayed very close to the counselors.”

If young people come in for treatment for substance use disorders, mental health counseling is still part of the care, Spier said.

“The clinical term is concurrent. Often when someone is using a substance, they have an underlying mental health issue that they’re addressing,” Spier said. “Whether it’s depression or anxiety, drugs are often a cause and a coping mechanism for a mental health problem.”

Trauma-focused therapy addresses the root causes. “This is the population we serve; young people in the foster care system, young people who have been victims of sex trafficking, young people who have been abused, young people who come from households suffering from domestic violence, intergenerational poverty, addiction and mental health.”

Another program helps young people become children again, through its Life Enrichment Program, also funded by donations, so Daybreak youth can take classes in boxing, art and music therapy, equitherapy and escape games.

“It’s fun things to do; they missed their childhood, and because it’s fun they wanted to stay in treatment,” said Catherine Reynolds, who runs the program.

After fears of closing in January 2020 due to budget shortfalls, Daybreak kept its doors open by later raising $500,000 to fill that tax hole and hire staff.

In the summer of 1978, co-founder Bill Yakely was on a tractor on his family farm near Spokane when he said he heard a clear voice say, “Help the kids.”

With a young family and a new vet clinic to run, he didn’t know what to do. When he shared the call with his pastor, he told him that he was not the only member of the congregation to receive the message. That’s when a small group of people started Daybreak with a counselor.

Yakely still visits Spokane sites on occasion. Daybreak is on a mission to “help kids”. Youth are referred by agencies and families, or refer themselves, to (888) 454-5506.

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