Once the cycle is completed, there are a number of treatment options depending on the needs of the clients and families and treatment recommendations of the team: Contracting for another cycle of comprehensive DBT, Stepping down to a 16-week graduate group and continuing individual/family therapy, Graduate group is a teen-only group, designed to help clients generalize their skills into their lives, support them while they do trauma work, and get them closer to their long term goals. The graduate group allows clients who have already learned the skills to practice them in session with other members, process and discuss current struggles, and solidify their understanding of how to integrate DBT in their lives. Clients are allowed to join graduate group only if they have shown progress, have the skills necessary to be in a less structured/processing group, and are actively working towards long term goals. More intensive DBT-informed family therapy, Trauma-focused therapy using evidence-based treatments, such as Trauma-Focused Cognitive-Behavioral therapy, and/or Prolonged Exposure. When clients, families, and therapists have agreed that they have reached their DBT goals, they will graduate from therapy. Some join other therapeutic groups at the Child Outpatient Department, or get support from their environment only.