Increased Precautions We're Taking in Response to COVID-19

LAST UPDATED ON 03/15/2021

As updates on the impact of the coronavirus continue to be released, we want to take a moment to inform you of the heightened preventative measures we have put in place at SUWS of the Carolinas to keep our patients, their families, and our employees safe. All efforts are guided by and in adherence to the recommendations distributed by the CDC.

Please note that for the safety of our patients, their families, and our staff, there are certain restrictions in place regarding on-site visitation at SUWS of the Carolinas.

  • These restrictions have been implemented in compliance with updated corporate and state regulations to further reduce the risks associated with COVID-19.
  • Options for telehealth visitation are continuously evaluated so that our patients can remain connected to their loved ones.
  • Alternate methods of communication for other services may be offered when deemed clinically appropriate.

For specific information regarding these changes and limitations, please contact us directly.

CDC updates are consistently monitored to ensure that all guidance followed is based on the latest information released.

  • All staff receives ongoing infection prevention and control training.
  • Thorough disinfection and hygiene guidance is provided.
  • Patient care supplies such as masks and hand sanitizer are monitored and utilized.
  • Temperature and symptom screening protocols are in place for all patients and staff.
  • Social distancing strategies have been implemented to ensure that patients and staff maintain proper distance from one another at all times.
  • Cleaning service contracts have been reviewed for additional support.
  • Personal protective equipment items are routinely checked to ensure proper and secure storage.
  • CDC informational posters are on display to provide important reminders on proper infection prevention procedures.

The safety of our patients, their families, and our employees is our top priority, and we will remain steadfast in our efforts to reduce any risk associated with COVID-19.

The CDC has provided a list of easy tips that can help prevent the spread of the coronavirus.

  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue and then immediately dispose of the tissue.
  • Avoid touching your eyes, nose, and mouth.
  • Clean and disinfect objects and surfaces that are frequently touched.
  • Wash your hands often with soap and water for at least 20 seconds.
  • Stay home when you are sick, except to get medical care.

For detailed information on COVID-19, please visit

Attachment Orientation

We remain open and are continuing to accept new admissions.

SUWS of the Carolinas remains committed to providing clinically superior services within a safe and supportive environment while taking all appropriate precautions to protect the well-being of our students and staff.

For admissions information, or to learn more about the heightened preventive measures we have put in place, please click the link at the top of this page or call us at (828) 489-3198.

Learn More About Attachment Orientation in Troubled Teens

By Carlyn Aldrich, MS

It has become increasingly evident that a child’s attachment orientation can have a powerful impact on his or her growth. Children’s attachment organization has been shown to impact how they interpret and respond to their environment throughout early and later development (Bowlby, 1973). Researchers have also clearly demonstrated a link between attachment organization and the development of behavior problems in children and adolescents showing that the more insecure the attachment, the more severe the behavior problems (DeKlyen, Speltz, & Greenberg, 1998; Speltz, DeKlyen, & Greenberg, 1999). As more children are being diagnosed with various attachment disorders (i.e. Reactive Attachment Disorder and certain types of insecure attachment) it is clear that treatment facilities need to address the delicate interaction between attachment and the manifestation of behavior problems. SUWS of the Carolinas is an excellent program that treats child and adolescent behavior problems that result from these attachment disorders.

Bowlby (1982) posited that internal working models of the self and others develop in the context of early child-parent interactions and are the mechanism by which continuity in attachment is achieved. The child learns to manage distress through experiences with the primary caregiver, which influences affective regulation later in life (Schore, 2000). These early experiences serve as a template for expectations of others and are incorporated into the internal working models, which then guide responses to other distressing events later in life. DeKlyen and Speltz (2001) described how the parent-child relationship affects the development of behavior problems and asserted that many behaviors later deemed behavior problems are simply attachment strategies of seeking comfort and proximity.

An interesting study conducted by Speltz, DeKlyen and Greenberg (1999) found that 54% of preschool-aged boys, who were later diagnosed with early onset Conduct Disorder in adolescence, demonstrated insecure attachment to both parents as preschoolers, as opposed to only 18% of boys with no diagnosed behavior problems in adolescence. They found that all three insecure attachment categories were overrepresented in their clinical sample. A similar study comparing preschool children who were later diagnosed with ODD to a control group reported that only 16% of the children diagnosed with ODD had a secure attachment in preschool compared to 72% of the control group (Greenberg et al., 1991).

Children and adolescents with attachment disorders excel at SUWS of the Carolinas because the program model implicitly addresses the needs of this population. The therapists meet with the students several times a week to provide a consistent and corrective emotional experience to challenge the maladaptive internal working models that he or she developed. In addition to providing that continuity in the therapeutic milieu, the therapist works with the child’s home therapist and primary caregivers in order to facilitate the transition from SUWS of the Carolinas to home.

Another common problem that children and adolescents with attachment disturbances have is the diminished capacity to self soothe. A major focus of SUWS of the Carolinas is to teach its students more adaptive coping strategies to use in times of frustration, fear, anger or grief. The wilderness setting at SUWS of the Carolinas teaches students to become self-reliant while also encouraging them to trust that their instructors will keep them safe from the elements of nature. Students have the corrective emotional experience at SUWS of the Carolinas that allows them to begin to trust themselves and others.

It has been repeatedly demonstrated that children and adolescents with attachment problems do not respond well to therapeutic interventions designed to shame or “break them down,” but that they do respond well to many different modalities of behavior modification. SUWS of the Carolinas implements an individualized treatment approach that builds on the strengths of each child and adolescent. Because of the high student to staff ratio, the direct care staff and therapists can tailor the program to address the specific needs of each student that regardless of the origination of the problem behaviors. The staff creates a delicate blend of behavior modification techniques that specifically address each student’s needs.

Children and adolescents with attachment difficulties often have difficulty in traditional social settings due to the maladaptive internal working models that they have developed. These individuals may have a difficult time trusting peers or may find it difficult to engage in age-appropriate romantic relationships. In addition to traditional behavioral modification techniques,

SUWS of the Carolinas uses principles from social learning theories as well. Using the group milieu, the therapist facilitates an environment that allows for open and honest feedback to group members, consensual validation and introduces specific strategies the students can use to begin to change the maladaptive behaviors. For many, this is the first time that they are able to realize the impact that their behavior is having on other people.

Children and adolescents with attachment disorders are faced with unique challenges throughout the course of their development. If left untreated, these individuals may develop severe behavior problems that can negatively impact their future. Intervening early can prevent many of the adverse effects of attachment disturbances, but it is essential to choose a treatment facility that is prepared to meet the needs of these individuals. SUWS of the Carolinas has consistently demonstrated that its treatment approach is effective in helping these individuals become successful members of their family and the community. The program at SUWS of the Carolinas has been designed to meet the unique needs of struggling children and adolescents and has proven to be an integral part in their lasting success.

Bowlby, J. (1973). Attachment and loss, Vol. 1: Separation. New York: Basic Books.

Bowlby, J. (1982). Attachment and loss: Vol.2 . Attachment (2nd ed.). New York: Basic Books.

Deklyen, M., & Speltz, M. L. (2001). Conduct disorders in childhood and adolescence 320-345. Hill, J.; Maughan, B. New York, NY, US: Cambridge University Press, 2001.

Greenberg, M. T., Speltz, M.L., DeKlyen, M., & Endriga, M. C. (1991). Attachment   security in preschoolers with and without externalizing behavior problems: A replication. Development and Psychopathology3, 413-430.

Schore, A. (2000). Foreword to the reissue of Attachment and loss, Vol 1: Attachment by John Bowlby. New York: Basic Books.

Speltz, M. L., DeKlyen, M., & Greenberg, M. T. (1999). Attaachment in boys with early onset conduct problems. Development and Psychopathology, 11, 269-285.

SUWS of the Carolinas offers wilderness programs for adolescents who are struggling with various challenges, including mental health concerns, substance use, behavioral issues, and autism spectrum disorder. Our expert staff provides developmentally appropriate care to young people in a safe, therapeutic environment. We accept private pay only, but our staff can help develop a detailed financial plan for your family to ensure your child gets the care they need so that they can successfully return to their school and community.

The wilderness therapy offered at SUWS was the dynamic solution needed to help my son with his behavioral issues. When my son left SUWS, he was completely changed for the better and also created new bonds and unforgettable memories! I can't recommend SUWS enough for anyone in a similar situation!

– Britney A.
Marks of Quality Care
Why does this matter?
  • Cognia
  • American Society of Addiction Medicine (ASAM)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • Forest Service Department of Agriculture
  • National Association of Therapeutic Schools and Programs (NATSAP)
  • National Board for Certified Counselors (NBCC)
  • NC Department of Health and Human Services
  • Outdoor Behavioral Healthcare Council
  • Safe Zone
  • Sky's The Limit Fund
  • The Jason Foundation

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