Reframe Adolescent Services


Virtual mental health treatment for teens
Sometimes it feels like you’re dealing with more than people around you realize. Maybe school is getting harder, relationships are changing, things at home are complicated, or you’re already dealing with anxiety, depression, trauma, stress or substance use. Maybe you’re trying to figure things out mostly on your own. Whatever your situation looks like, you don’t have to have everything figured out before asking for help.
Reframe Adolescent Services is a virtual Adolescent Intensive Outpatient Program (IOP) for teens ages 13–17. We provide structured support to help teens understand what they’re experiencing, build practical skills for managing difficult emotions and situations, and find new ways to respond to challenges.
Reframe meets teens where they are—whether they’re living at home, attending school, navigating changes in their family or already struggling with alcohol or substance use. Treatment is shaped around each teen’s individual needs, circumstances and support system.
Reframe provides virtual treatment to teens in Vermont, Massachusetts, and New Hampshire.
Have questions? Call 802-258-6120
When a teen needs more support
An Intensive Outpatient Program may be helpful when mental health or substance use concerns begin interfering with a teen’s everyday life, relationships, school or overall well-being.
That might look like:
- Anxiety, depression or significant mood changes
- Trauma-related symptoms
- Feeling overwhelmed, angry or unable to manage difficult emotions
- Pulling away from friends, school or activities
- Conflict or difficulty at home, school or boarding school
- Self-destructive behaviors
- Alcohol or substance use
- Struggling to function even with support from outpatient therapy
- Needing more structure and support than weekly outpatient care can provide
Every teen’s situation is different. Reframe provides care that helps adolescents work through current challenges while staying connected to school, home and the people in their lives.
What happens in Reframe?
Reframe provides structured treatment four days a week while allowing teens to receive care virtually from home or another appropriate setting.
Monday–Thursday
2:00–4:45 p.m.
Group therapy
Teens participate in daily group sessions where they can connect with peers, learn new skills and practice applying those skills to situations they encounter in everyday life.
Individual therapy
Weekly one-on-one therapy gives each teen time to work with a clinician on their individual concerns, needs and treatment goals.
Family and support-system meetings
Weekly meetings provide an opportunity to involve parents, caregivers or other members of a teen’s support system when appropriate.
Psychiatric support
Teens meet with a medical professional to discuss treatment needs and medication options when appropriate. The clinical team monitors progress and adjusts treatment based on each teen’s needs.
Coordination with school and outpatient providers
When appropriate, the Reframe team coordinates with schools and existing outpatient providers to support continuity of care.
Before treatment begins, each participant receives an orientation and meets with a clinician to establish treatment goals. The amount of time a teen spends in Reframe is based on their individual needs.

Build skills for what comes next
Reframe helps teens develop practical skills they can use during treatment and in everyday life.
Treatment may include:
- Dialectical Behavior Therapy (DBT)
- Acceptance and Commitment Therapy (ACT)
- Mindfulness and relaxation techniques
- Coping and emotional regulation skills
- Education about stress, anxiety, depression and trauma
- Skills for recognizing and changing unhelpful behaviors
- Strategies for making decisions that align with personal values and goals
The focus is not on having all the answers. It’s on helping teens better understand themselves, try new approaches and build skills for handling difficult situations.

Care that fits into a teen’s life
Treatment shouldn’t mean putting everything else on hold. Because Reframe is virtual, teens can participate in treatment without traveling to the Retreat. The Monday–Thursday schedule is designed to allow participants to remain connected to school, home and their everyday lives while receiving a higher level of mental health support.
All online interactions take place through secure, user-friendly platforms that follow the same HIPAA privacy and security standards as in-person care.
Reframe’s multidisciplinary team includes psychologists, social workers, mental health counselors, psychiatrists and other medical providers.
Virtual care. Structured support. Practical skills. Connection with others.

A place to feel heard and supported
We believe people are resilient and capable of making meaningful changes in their lives.
For teens, change can start with having a place where they feel understood rather than judged. Reframe provides a supportive space to talk about what’s happening, learn from others and work with a clinical team to find approaches that fit their individual needs and circumstances.
“Many teens come to us feeling overwhelmed or misunderstood. Our program helps them feel heard, supported, and empowered to move forward with healthier coping strategies. One of the most rewarding parts of this work is seeing young people realize they are not alone and that meaningful change is possible.”
— Julie Tracy, LICSW, Director of Outpatient Services
How to get started
Teens can be referred to Reframe by a provider, legal guardian, or caregiver, or they can refer themselves.
The referral and admissions process is designed to be straightforward. You can begin by completing the appropriate online referral form.
Not sure if Reframe is the right fit or have questions about the admissions process? Call us at 802-258-6120.
Questions about Reframe?
Contact us for more information.
What is an intensive outpatient program?
An Intensive Outpatient Program (IOP) provides structured mental health treatment several days a week while allowing teens to continue living at home or in their usual setting and remain connected to school and their support system.
Who can participate in Reframe?
Reframe is for adolescents ages 13–17 who are experiencing mental health or substance use concerns that are affecting daily life, relationships, school or overall well-being.
What concerns does Reframe treat?
Reframe provides treatment and support for teens experiencing concerns related to depression, anxiety, trauma, stress and alcohol or substance use, as well as related emotional and behavioral challenges.
Is Reframe offered online?
Yes. Reframe is a virtual program. Teens participate in treatment through a secure online platform from home or another appropriate setting.
What are the hours for Reframe?
Reframe meets Monday through Thursday from 2:00 to 4:45 p.m.
What states does Reframe serve?
Reframe serves eligible teens in Vermont, Massachusetts and New Hampshire.
How do I refer a teen to Reframe?
Providers and legal guardians/caregivers can submit an online referral. You can also call 802-258-6120 with questions about the referral and admissions process.
How long does treatment last?
The length of treatment is based on each teen’s individual needs and treatment goals.


