Welcome to the COSMO for Treatment Center

Transforming Residential Care with Collaborative Assessment

COSMO provides treatment centers with innovative tools and a collaborative framework to address the complex challenges of supporting adolescents and adults in residential care. Patients often come with histories of trauma, emotional dysregulation, and difficulties in trust. These factors can strain the relationship between patients and staff, leading to misunderstandings, frustrations, and even expulsive actions. COSMO is here to bridge the gap, offering tools that amplify empathy, improve understanding, and transform care.

Comprehensive Insights with Collaborative Assessment

At the core of COSMO’s approach is the Collaborative Assessment framework, which fosters an active partnership between patients and care teams. By integrating tools such as the Rorschach, the Picture Frustration Study (PFS), and the Thurston-Cradock Test of Shame (TCTS), COSMO helps treatment teams uncover deeper patterns in patients’ emotional functioning, interpersonal dynamics, and coping strategies. These insights serve as a kind of "user manual" for each patient, enabling staff to build trust and create personalized care plans.

Understanding Shame and Emotional Vulnerability

The Thurston-Cradock Test of Shame is a vital tool in COSMO’s suite, particularly in addressing the often-hidden dynamics of shame. By analyzing patients’ responses to carefully designed prompts, the TCTS reveals patterns of emotional vulnerability and defenses against shame, such as withdrawal, aggression, or contempt. This deeper understanding empowers teams to address the root causes of challenging behaviors and foster resilience and self-esteem in patients.

Enhancing Empathy and Reducing Countertransference

COSMO’s tools amplify empathy within care teams, allowing staff to move beyond reactive responses. By revealing the motivations and emotional worlds of patients, these assessments reduce the risk of negative countertransference and minimize expulsive actions. This creates an environment where patients feel understood, valued, and supported, strengthening therapeutic engagement and trust.

Active Involvement for Growth and Healing

COSMO also emphasizes the importance of involving patients in their own therapeutic process. Through structured feedback sessions and reflective activities, patients gain a clearer understanding of their behaviors and emotional patterns. This active engagement not only fosters self-awareness and emotional regulation but also builds stronger connections between patients and staff, creating a more cohesive therapeutic environment.

A System for Team Development and Cohesion

In addition to transforming individual patient care, COSMO supports the development of care teams. By providing training and a framework for integrating diverse data sources—performance-based assessments, self-reports, and clinical observations—COSMO ensures that all team members are aligned in their understanding and approach. This alignment fosters trust, cohesion, and a shared sense of purpose within the team.

From Managing Behaviors to Building Environments for Growth

COSMO shifts the focus from merely managing behaviors to creating environments that support growth and healing. By combining precise assessments, enhanced empathy, and collaborative teamwork, COSMO empowers treatment centers to deliver care that is not only effective but transformative.

Discover the Difference with COSMO

With tools like the Thurston-Cradock Test of Shame, the Rorschach, and the Picture Frustration Study, COSMO helps treatment centers create deeper connections, achieve better outcomes, and foster lasting change. Contact us today to learn how COSMO can transform your approach to residential care.