Spruce Mountain Inn

Our Approach to Residential Treatment

Spruce Mountain Inn strictly adheres to therapy modalities that are evidence-based and that are proven to be best practices—meaning there are years of research showing these modalities to be effective.

For decades Spruce Mountain Inn has understood the importance of group work and a structured schedule for our residents. This is why we have a longstanding requirement that residents be willing to commit to a minimum of 30 hours of scheduled programming. The 30 hours of programming center on these six key areas: group therapy, individual therapy, family therapy, school/work, healthy living, and independent living skills.

Our small campus gives us the advantage of fostering community and getting to know the needs of each of our residents. Because therapists carry small caseloads, they get to know residents as individuals, becoming familiar with their worries and fears, strengths and potential.

Therapists are able to observe residents in their day-to-day living and take advantage of key moments to engage them therapeutically in and out of the therapy office. At Spruce Mountain Inn, we know that therapeutic rapport is a key component in creating lasting change.

One of the program’s standout features is its incorporation of Vermont’s natural beauty into the change process. By providing opportunities for outdoor activities like hiking, skiing, cycling, canoeing, and swimming, Spruce Mountain Inn not only encourages physical wellness but also fosters a deep connection with nature—a therapeutic element that can be profoundly transformative.

Spruce Mountain Inn accepts out-of-network insurance benefits through our partnership with Bridgeway Billing.

The Spruce Approach to Residential Treatment and Counseling Includes:

Individual Therapy

Each resident meets weekly with his/her/their individual therapist to examine the thoughts and emotions affecting daily behaviors and relationships. This work involves targeting the necessary changes for next steps toward successful adulthood. In addition, residents interact with their therapists throughout the week in group therapy sessions, lunchtime, and in the general milieu.

Our therapists are trained in several treatment modalities, including:

• CBT (Cognitive Behavioral Therapy)

• DBT (Dialectical Behavioral Therapy)

• EMDR (Eye Movement Desensitization and Reprocessing)

• CPT (Cognitive Processing Therapy)

• IFS (Internal Family Systems Therapy)

• ERP (Exposure Response Prevention)

• ACT (Acceptance and Commitment Therapy)

• Mindfulness

• Brainspotting

Family Therapy

Individual family therapy sessions are scheduled weekly. This is a time for exploring the situations and factors that may be keeping a family stuck in negative patterns. The therapist will guide family members through an exploration of their individual roles and help them identify adverse dynamics that may be impeding positive change. A family in crisis may have difficulty navigating this terrain on their own. The therapist will help facilitate learning new and healthier ways family members can relate to one another. Family therapy is conducted via video-conferencing.

Group Therapy

Group therapy plays a significant role in Spruce Mountain Inn’s program. Throughout the week, residents participate in a variety of groups—psychotherapy, psychoeducational therapy, and experiential therapy. Group therapy sessions provide a safe and structured environment in which individuals can articulate feelings and receive social feedback. Individuals who feel alone in their struggles may find common ground with peers. Groups help strengthen social skills, build insight, and offer opportunities to practice coping strategies in real time. Some groups focus on emotional processing, and others center on activities such as Adventure Group and Expressive Art Group.

Parent Support

Parent support meetings provide a valuable environment for parents to learn and implement new strategies for interacting with their young adult. These biweekly meetings offer a space to discuss challenges, share successes, and receive guidance from trained professionals. Consistent participation helps parents stay accountable, refine communication skills, and better understand the developmental needs of their young adult.

ADHD Coaching

ADHD coaching helps individuals with Attention Deficit Hyperactivity Disorder build practical strategies and skills that support everyday functioning. Coaching emphasizes organization, time management, planning, and social interaction skills. This approach empowers individuals to better understand their strengths, manage symptoms, and work toward personal and professional goals.

Work and Volunteerism

The Spruce Mountain Inn Career Development Program offers residents opportunities to build new skills, autonomy, and confidence. Through vocational elements of the Life Skills Program, volunteer placements, coursework, and paid employment, residents develop essential abilities for adult life. Exposure to the cultural and recreational offerings of Central Vermont helps residents foster a balanced, fulfilling lifestyle.

Step-Down Housing

Spruce Mountain Inn uses a progressive “step-down” housing model that supports increasing independence. Residents may move from double-occupancy rooms in the Inn to private studio apartments in the Annex or Walker Lane buildings. The final stage of independence occurs at Greatwood Lodge, a separate home owned by the program, where residents can practice independent living while maintaining access to support as needed.