[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]
RE: Treating Kids with PTSD
<x-html>
<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:st1="urn:schemas-microsoft-com:office:smarttags" xmlns="http://www.w3.org/TR/REC-html40";>
<head>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=us-ascii">
<meta name=Generator content="Microsoft Word 11 (filtered medium)">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><o:SmartTagType
namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="country-region"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="PostalCode"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="State"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="City"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="place"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="Street"/>
<o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags"
name="address"/>
<!--[if !mso]>
<style>
st1\:*{behavior:url(#default#ieooui) }
</style>
<![endif]-->
<style>
<!--
/* Font Definitions */
@font-face
{font-family:Tahoma;
panose-1:2 11 6 4 3 5 4 4 2 4;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin:0in;
margin-bottom:.0001pt;
font-size:12.0pt;
font-family:"Times New Roman";}
a:link, span.MsoHyperlink
{color:blue;
text-decoration:underline;}
a:visited, span.MsoHyperlinkFollowed
{color:blue;
text-decoration:underline;}
p
{mso-margin-top-alt:auto;
margin-right:0in;
mso-margin-bottom-alt:auto;
margin-left:0in;
font-size:12.0pt;
font-family:"Times New Roman";}
span.EmailStyle20
{mso-style-type:personal-reply;
font-family:Arial;
color:navy;}
@page Section1
{size:8.5in 11.0in;
margin:1.0in 1.25in 1.0in 1.25in;}
div.Section1
{page:Section1;}
-->
</style>
<!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang=EN-US link=blue vlink=blue>
<div class=Section1>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>My short answer to your question is that,
while we all wish there were separate RTC’s for all severe childhood
problems, those don’t currently exist. I would certainly agree that if a
treatment program is applied inappropriately, it won’t work. All
treatment programs have to be tailored to the individual child to some degree.
Level programs are certainly appropriate, when appropriately applied, for kids
with broad problems in areas of social functioning, in which they need to learn
better skills – but anything can be abused, and if staff apply it
inappropriately, it won’t work.<o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'><o:p> </o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>Lyn R. Greenberg, Ph.D.</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>12401 Wilshire Blvd., Suite 303</span></font></st1:address></st1:Street><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'>Los Angeles</span></font></st1:City><font size=2 color=navy
face=Arial><span style='font-size:10.0pt;font-family:Arial;color:navy'>, <st1:State
w:st="on">CA</st1:State> <st1:PostalCode w:st="on">90025</st1:PostalCode></span></font></st1:place><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>(310) 399-3684</span></font><font
color=navy><span style='color:navy'><o:p></o:p></span></font></p>
<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:navy'>(310) 988-2706 - FAX <o:p></o:p></span></font></p>
<p class=MsoNormal style='mso-margin-top-alt:auto;mso-margin-bottom-alt:auto'><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;font-family:Arial;
color:navy'><a href="http://home.earthlink.net/~lrgreenberg/";
title="http://home.earthlink.net/~lrgreenberg/ blocked::http://home.earthlink.net/~lrgreenberg/ http://home.earthlink.net/~lrgreenberg/";>http://home.earthlink.net/~lrgreenberg/</a><br>
<a href="BLOCKED::mailto:lrgreenbergphd@earthlink.net";
title="mailto:lrgreenbergphd@earthlink.net blocked::mailto:lrgreenbergphd@earthlink.net mailto:lrgreenbergphd@earthlink.net";>lrgreenbergphd@earthlink.net</a></span></font><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'><o:p></o:p></span></font></p>
</div>
<div>
<div class=MsoNormal align=center style='text-align:center'><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>
<hr size=2 width="100%" align=center tabindex=-1>
</span></font></div>
<p class=MsoNormal><b><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma;font-weight:bold'>From:</span></font></b><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> bounce-2242761-6833419@list.cornell.edu
[mailto:bounce-2242761-6833419@list.cornell.edu] <b><span style='font-weight:
bold'>On Behalf Of </span></b>D F MCMAHON<br>
<b><span style='font-weight:bold'>Sent:</span></b> Tuesday, January 15, 2008
7:22 AM<br>
<b><span style='font-weight:bold'>To:</span></b> Child Maltreatment Researchers<br>
<b><span style='font-weight:bold'>Subject:</span></b> RE: Treating Kids with
PTSD</span></font><o:p></o:p></p>
</div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><o:p> </o:p></span></font></p>
<p class=MsoNormal><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma'>I am a layperson, but I have read research papers (a few
years ago) that conclude that level systems are detrimental for youth treated
for emotional disturbances, I think in hospital setting. Can't recall what (if
anything) it said about RTC. I think there is a huge problem in that the word
"treatment" is a very large net, and "residential
treatrment" is not much smaller. A Connecticut study concluded that the
majority of kids in RTCs studied were there for conduct and attention problems,
a smaller number for depressive disorders, a smaller number yet for anxiety
disorders, and a final small slice of kids with less-frequently diagnosed
conditions such as AS. Reasonable to conclude that programs develop a tradition
based on the majority of kids treated. The program may be regarded (especially
by courts and agencies) as "appropriate" since it is in use, even
though it may be "inappropriate" when carefully judged against the
individual child. <br>
<br>
How are researchers and real-world clinicians looking at PTSD itself? Does
diagnosis rely on the existence of an event regarding as traumatic independent
of the person's environmental or psychiatric history? Or is it becoming more
symptom-based? If the latter, does this lead to inferences that specific
traumas have occurred even when they cannot be documented or identified? (e.g.
sometimes researchers conclude that PTSD in foster children who are not known
to have experienced specific traumatizing events "must have had"
exposure to such events in their neighborhoods).<br>
<br>
Re: self-injury, comment on placing child in program with strong focus on
self-injury (e.g. reading fiction about a "cutter" in a residential
facility and group discussions about the issue) when the child has no
history of self-injury? What possibility this will prompt the child to consider
and/or attempt the behavior? (The child having some peers in the program who do
have such history, so will learnto some degree about these behaviors
regardless.) <br>
<br>
Sheri McMahon<o:p></o:p></span></font></p>
<p class=MsoNormal align=center style='text-align:center'><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'> <o:p></o:p></span></font></p>
<blockquote style='margin-top:5.0pt;margin-bottom:5.0pt'>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Hi Rob,</span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>I'd be interested to understand the source
of the question re: level systems and treating kids with PTSD?!?!? </span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>I know of no research that suggests that
level systems are inappropriate. However, after 12 years of
practical experience working with children and adolescents in residential, day
treatment, and inpatient treatment settings I can say with some confidence that
even the most well thought out point / level system can be mutilated, misused,
and/or distorted by the staff who implement the system and supervise the
children / adolescents. </span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>This depends on a variety
of factors related to systemic dysfunction, poor / inadequate /
misguided / non-existent clinical supervision, poor staff
training schedules, a "criminal justice" philosophical
orientation (which tends to be highly punitive), staff burn-out and/or
staff psychopathology. </span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Bottom line: point / level behavior
management systems MAY become insidiously malignant when left unattended for
any period of time. Dysfunctional people / systems tend to
engage functional mechanisms in dysfunctional ways. This is why
parents, staff, and/or systems that are "issue laden" have
difficulty implementing ANY system in a healthy and functional manner.</span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Best Wishes,</span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 color=blue face=Arial><span style='font-size:
10.0pt;font-family:Arial;color:blue'>Ken</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<div>
<p class=MsoNormal><em><b><i><font size=3 face="Times New Roman"><span
style='font-size:12.0pt;font-weight:bold'>Kenneth H. Little, MA</span></font></i></b></em><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Mad River Behavioral Health </span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><st1:address w:st="on"><st1:Street w:st="on"><font size=3
face="Times New Roman"><span style='font-size:12.0pt'>PO Box 190</span></font></st1:Street><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'>, <st1:City
w:st="on">Campton</st1:City>, <st1:State w:st="on">NH</st1:State> <st1:PostalCode
w:st="on">03223</st1:PostalCode> <st1:country-region w:st="on">USA</st1:country-region></span></font></st1:address><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>603-726-7400 </span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><a href="http://www.hyper-kid.com/"; target="_blank"><font color=maroon><span
style='color:maroon'>www.hyper-kid.com</span></font></a></span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'>Campton Candle Company; <st1:State w:st="on"><st1:place w:st="on">New
Hampshire</st1:place></st1:State>'s <st1:Street w:st="on"><st1:address w:st="on">Ski
Way</st1:address></st1:Street>;</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'><a href="http://www.honeybeecandle.com/"; target="_blank"><font
color=maroon><span style='color:maroon'>www.HoneyBeeCandle.com</span></font></a>;
<a href="http://www.ski93.net/"; target="_blank"><font color=maroon><span
style='color:maroon'>www.ski93.net</span></font></a></span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal style='margin-bottom:12.0pt'><font size=2
face="Times New Roman"><span style='font-size:10.0pt'> -----Original
Message-----<br>
<b><span style='font-weight:bold'>From:</span></b>
owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu
[mailto:owner-CHILD-MALTREATMENT-RESEARCH-L@cornell.edu]<b><span
style='font-weight:bold'>On Behalf Of</span></b> Longo, Robert<br>
<b><span style='font-weight:bold'>Sent:</span></b> Wednesday, May 26, 2004 1:15
PM<br>
<b><span style='font-weight:bold'>To:</span></b> Child Maltreatment Researchers<br>
<b><span style='font-weight:bold'>Subject:</span></b> Treating Kids with PTSD</span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<blockquote style='border:none;border-left:solid blue 1.5pt;padding:0in 0in 0in 4.0pt;
margin-left:3.75pt;margin-top:5.0pt;margin-right:0in;margin-bottom:5.0pt'>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Does anyone know of any research that suggests that using a
"Level System" with Children who are diagnosed with PTSD is
'inappropriate'</span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Thanks,</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Rob Longo</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<div>
<p class=MsoNormal><strong><b><font size=2 face=Arial><span style='font-size:
10.0pt;font-family:Arial'>This email and any files transmitted with it are
confidential and intended solely for the use of the individual or entity to
whom they are addressed. If you have received this email in error please notify
the sender by email, delete and destroy this message and its attachments.</span></font></b></strong><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'> </span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Robert E. Longo, MRC, LPC</span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Corporate Director of Special </span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Programming and Clinical Training</span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Acting Director of Clinical Services</span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><st1:City w:st="on"><st1:place w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>New Hope</span></font></st1:place></st1:City><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'> For
Children</span></font><font size=2 face=Tahoma><span style='font-size:10.0pt;
font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<div>
<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>430 North Lane</span></font></st1:address></st1:Street><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>Summerville</span></font></st1:City><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>, <st1:State
w:st="on">SC</st1:State></span></font></st1:place><font size=2 face=Arial><span
style='font-size:10.0pt;font-family:Arial'> </span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>29483</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Phone: 843.5.577.4329</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Fax: 843.577.3069</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Mobile 843.345.5445</span></font><font size=2 face=Tahoma><span
style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>E-mail: <a href="mailto:robl@newhopetreatment.com";>robl@newhopetreatment.com</a></span></font><font
size=2 face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Web: <a href="http://www.newhopetreatment.com/";
target="_blank">www.newhopetreatment.com</a></span></font><font size=2
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> </span></font><font size=2 face=Tahoma><span style='font-size:
10.0pt;font-family:Tahoma'><o:p></o:p></span></font></p>
</div>
</blockquote>
</div>
</blockquote>
</div>
</body>
</html>
</x-html>