The R.O.P.E.S (Reality, Oriented, Personal, Experience, Services) course is offered to incorporate many different sensory elements, which encourage team-oriented cooperation, development of group problem solving, trust, leadership skills, understanding of self and others, development of self-esteem and exploration of verbal and nonverbal communication. Groups are facilitated twice weekly for all residents and once weekly for families by certified facilitators. Facilitators maintain their certification through quarterly supervision.