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Introductory Note

This ebook is intended as a companion to the book, Riverview Hospital for Children and Youth: A Culture of Promise, by Richard J. Wiseman. These are the original staff manuals that guided the work with children and youth at Riverview Hospital. All three manuals are consistent with the Riverview philosophy of a Therapeutic Milieu. They were written by the staff of Riverview Hospital and consultants.

The BLEU program is a token economy system. Its name, a Behavioral Learning Environment Unit tells it all. Kids learn that hard, honest work, by earning BLEU dollars, allows participation in the necessities of daily life. Wrong choices have penalties, such as fines, and keeping a savings account broadens future choices.

The ABCD program focus is on four values: Autonomy, Belonging, Competence, and Doing For Others. These values are woven into all aspects of the children’s day, and staff helps them understand their learning tasks, according to their specific level.

The Sunburst program is for younger children and the focus is on family living, nurturing and raising achievement levels. By providing assigned levels of tasks in daily activities, children are challenged and encouraged to participate in attaining their specific goals. Children eat family style and help prepare as well as eat together. Children learn by having different assignments as their part of the group. If they learn their responsibilities, they move up to the next achievement level.

Together the manuals form the “stepping stones” for a culture of promise.

—Richard J. Wiseman

April, 2015