Evidence Based Practices

Children’s Evidence Based Practices

We are an agency that practices family centered treatment and promotes lasting change and recovery for youth. All services are based on the values of trauma informed care and a culture of gentleness. We utilize strategies of motivational interviewing and cognitive behavioral treatment.


Evidence Based Practice: Baby Court (about one year)
Availability: Midland, HomeBased; Clare, Gladwin
Eligibility: 
    Age Range: Ages 0 - 3
    Presenting Problems: Court jurisdiction for infant and toddler abuse/neglect concerns
Exclusions: Referrals only from court (limited availability)
Format: Supportive visitation, individual and family therapy
Outcome Tools Used: DECA, IDA, Massi-Campbell, Ages and Stages
Additional Information: Requires court referral


Evidence Based Practice: Brief Strategic Family Therapy (BSFT) (~ 6 months or less)
Availability: Midland, Mecosta, Isabella, Clare OPT and HB; Osceola, OPT only; Gladwin HB only
Eligibility: 
    Age Range: Ages 6 - 17, can be effective with younger children
    Presenting Problems: Disruptive behaviors (ODD, CD, ADHD), substance abuse and co-occurring
Exclusions: Parent with active psychosis or SA (until this is addressed as a primary intervention)
Format: Family Therapy and strategic sub-system work
Outcome Tools Used: CAFAS/PECFAS
Additional Information: Can incorporate other EBPs in model


Evidence Based Practice: Infant Mental Health* (up to 3 years)
Availability: ALL
Eligibility: 
    Age Range: Ages 0 - 36 months
    Presenting Problems: Parent with SPMI that puts child at risk for developmental concerns and poor attachment, DC 0-3 R diagnosis
Exclusions: Prolonged absence of primary caregiver
Format: Supportive visitation, individual and family therapy
Outcome Tools Used: Ages and Stages Questionnaire, DECA
Additional Information: Based on parental risk factors. Diagnosis is made observationally


Evidence Based Practice: Multisytemic Therapy and Multisystemic Therapy – Problem Sexual Behavior (PSB)
Availability: Midland only
Eligibility: 
    Age Range: Ages 12 - 17
    Presenting Problems: Adjudicated youth. For PSB – youth with criminal sexual behavior
Exclusions: Autism spectrum, developmental disability or in conjunction with other treatments.
Format: Intensive family and community-based treatment
Outcome Tools Used: CAFAS/MST evaluation (contracted service)
Additional Information: Contract with court for those without Medicaid coverage


Evidence Based Practice: Parent-Child Interaction Therapy (PCIT) (~ 6 months)
Availability: All Counties
Eligibility: 
    Age Range: Ages 2-6, some young 7 year olds possible
    Presenting Problems: ODD and ADHD type behaviors, tantrums, noncompliance, aggression, trauma/abuse
Exclusions: Parent unwilling to participate/ Actively psychotic
Format: 2 parent only sessions-rest family session with parent and child
Outcome Tools Used: ECBI and DPICS-for data collection pre/post scores tracked
Additional Information: Sessions done in the office setting.


Evidence Based Practice: Parent Management Training Oregon Model (PMTO) (~ 6 months)
Availability: Gladwin, Osceola OPT only, Midland, Isabella, Mecosta and Clare OPT and HB
Eligibility: 
    Age Range: Ages 5 - 17
    Presenting Problems: Behavior disorders (ODD, Conduct, ADHD)
Exclusions: Parent with active psychosis or substance use disorder
Format: Primary intervention is parent focused
Outcome Tools Used: CAFAS/PECFAS and Caregiver Wishlist


Evidence Based Practice: Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
Availability: All Counties
Eligibility: 
    Age Range: Ages 3 - 17
    Presenting Problems: PTSD or PTSD possibility, clinical judgment of trauma after completion of assessment tool.
Exclusions: Assessment not indicative of trauma symptoms
Format: Individual and family sessions
Outcome Tools Used: UCLA Northshore CAFAS/PECFAS


Evidence Based Practice: Wraparound (no time limit, but usually about a year)
Availability: All Counties
Eligibility: 
    Age Range: Up to age 21
    Presenting Problems: Targets youth with SED primary and their family system, team approach to identifying and supporting families in maintenance of youth in family care
Format: Facilitated team approach to services and supports for youth and their family
Outcome Tools Used: CAFAS score, Family Status Report
Additional Information: Requires either court or DHHS involvement for Waiver


Group Models


Evidence Based Practice: Adolescent Dialectical Behavior Therapy (DBT) Skill Building Group
Availability: All counties
Eligibility: 
    Age Range: Ages 12-17, based on maturity level and fit with group milieu
    Presenting Problems: Emotional or behavioral dysregulation, self-injury
Exclusions: Poor fit with group milieu, lack of commitment or unwillingness to do homework
Format: Weekly group and complementary skills session with youth and caregiver
Outcome Tools Used: CAFAS, BSL (Borderline Symptom Checklist)
Additional Information: Groups not offered in all counties with a consistent schedule


Evidence Based Practice: Nurturing Parenting Program (~ 20 weeks)
Availability: Virtual options available in all counties
Eligibility: 
    Age Range: Emphasis on prenatal to 5, with exception of Nurturing Fathers, which is open to adult males
    Presenting Problems: Attachment and bonding concerns, developmental education and support
Exclusions: Weekly group at this time with parent/child together
Format: NPPI pre and post


Evidence Based Practice: Parenting Through Change (PMTO)* (~ 14 weeks)
Availability:Clare County
Eligibility: 
    Age Range: Ages 5 - 17
    Presenting Problems: Behavior disorder
Exclusions: Parents with active psychosis or substance use disorder
Format: Weekly parent group
Outcome Tools Used: CAFAS/PECFAS and Caregiver Wishlist


Evidence Based Practice: Seeking Safety* (up to 6 months)
Eligibility: 
    Age Range: Ages 12 - 17
    Presenting Problems: PTSD, trauma and substance abuse
Format: 25 topics – can be done in group or individually
Outcome Tools Used: CAFAS Child/adolescent trauma checklist

* Emerging practices

Adult Evidence Based Practices

Evidence Based Practice: Assertive Community Treatment (ACT)
Availability: All Counties
Eligibility: 
    Diagnosis: Axis I-Severe and persistent mentally illness. Individuals that are more chronic with severe symptoms.
    Presenting Problems: The needs of these individuals are more than one CM can traditionally provide to keep them stable in the community.
Exclusions: Axis II disorder symptoms should not be driving all of the symptoms and behaviors.
Format: Multi-Disciplinary team approach serving members in their homes and the community.
Outcome Tools Used: RAS
Additional Information: Needs ACT Team approval for referral and program assignment.


Evidence Based Practice: Auricular Acupuncture
Availability: All Counties
Eligibility: 
    Diagnosis: Co-occurring Diagnosis
    Presenting Problems: Co-occurring urges/cravings/use
Exclusions: No Exclusions
Format: Individual or Group depending on need in county.
Outcome Tools Used: RAS
Additional Information: Auricular Acupuncture is not an EBP and should be paired with another EBP to maximize effectiveness.


Evidence Based Practice: Brief Behavior Activation Therapy
Availability: Midland
Eligibility: 
    Diagnosis: Depression
    Presenting Problems: Depression. Consumers who are more motivated and less resistant.
Exclusions: No Exclusions
Format: Individual sessions weekly.
Outcome Tools Used: DASS
Additional Information: There is a manual and training video for this EBP.


Evidence Based Practice: FPE (Family Psycho-Educucation)
Availability: All Counties
Eligibility: 
    Diagnosis: Bipolar, Schizophrenia
    Presenting Problems: Must have diagnosis and be willing to learn about the disorder and participate in group.
Exclusions: Appropriate diagnosis & appropriate for group.
Format: Family joining sessions and then group sessions
Outcome Tools Used: FPE Record Extraction
Additional Information: Check for current availability of group.


Evidence Based Practice: IDDT-Integrated Dual Diagnosis Treatment
Availability: All Counties
Eligibility: 
    Diagnosis: Co-occurring
    Presenting Problems: Substance use and ongoing mental health symptoms.
Exclusions: Exclude individuals who have MI or SA only diagnosis.
Format: Multidisciplinary team serves consumers through a variety of services.
Outcome Tools Used: RAS
Additional Information: Voluntary participation required. ACT Teams act as IDDT teams and some OP Teams in the various counties.


Evidence Based Practice: Living in Balance
Availability: Midland
Eligibility: 
    Diagnosis: Co-occurring
    Presenting Problems: Pre-contemplative or contemplative stage of change.
Exclusions: None
Format: Weekly group.
Outcome Tools Used: SSI-AOD
Additional Information: Manualized treatment from SAMHSA


Evidence Based Practice: Motivational Interviewing
Availability: All Counties
Eligibility: 
    Diagnosis: All Diagnosis
    Presenting Problems: Co-occurring, pre-contemplation stage of change for any problem.
Exclusions: None
Format: Individual
Outcome Tools Used: RAS
Additional Information: Minimum intervention provided by all staff.


Evidence Based Practice: Life Goals-Integrated Health
Availability: Clare and Gladwin
Eligibility: 
    Diagnosis: Mood Disorders
    Presenting Problems: Ongoing mental illness and medical concerns; difficulty with care coordination of medical providers as well as natural supports.
Exclusions: Individuals who are unable to understand or apply learning material due to unstable symptomology (ie. active psychosis).
Format: Weekly group.
Outcome Tools Used: RAS
Additional Information: Contact Gladwin nurses for additional information.


Evidence Based Practice: Prolonged Exposure
Availability: All Counties
Eligibility: 
    Diagnosis: PTSD
    Presenting Problems: Trauma related symptoms.
Exclusions: People still in traumatic environment or have a lack of copying skills to manage potential increase in symptoms.
Format: Individual sessions-uses imaginal and in vivo exposure.
Outcome Tools Used: DASS
Additional Information: Consumer must be willing to do homework as part of the treatment.


Evidence Based Practice: Project Calm (10 - 12 weeks)
Availability: Mecosta-looking to start in other counties.
Eligibility: 
    Diagnosis: SPMI/IDD
    Presenting Problems: Anger problems and Substance use
Exclusions: None
Format: Group
Outcome Tools Used: Multidimensional Anger Inventory
Additional Information: Consumers are given a handbook to complete while in group.


Evidence Based Practice: CBT (Cognitive Behavioral Therapy)
Availability: All Counties
Eligibility: 
    Diagnosis: SPMI
    Presenting Problems: Depression/Anxiety
Exclusions: None
Format: Individual treatment.
Outcome Tools Used: RAS
Additional Information: Hypnotherapy can be used to enhance effectiveness.


Evidence Based Practice: Seeking Safety (Group runs 26 weeks.)
Availability: Mecosta, Osceola, Midland
Eligibility: 
    Diagnosis: PTSD/ Co-Occurring
    Presenting Problems: Trauma/ Substance Use
Exclusions: None
Format: Curriculum can be delivered individually or in a group. Group format is preferred.
Outcome Tools Used: Seeking Safety Survey, SSI-AOD
Additional Information: Best to have gender specific groups.


Evidence Based Practice: Evidence Based Practice Supported Employment
Availability: All Counties
Eligibility: 
    Diagnosis: SPMI
    Presenting Problems: Individual who expresses an interest in competitive employment.
Exclusions: Individual must have a primary diagnosis of SPMI, express an interest in competitive employment and actively participate in job search/ development
Format: Meetings with SE specialist and/or peer in the office and in the community depending on needs.
Outcome Tools Used: IPS/Supported Employment Fidelity Scale (Dartmouth)
Additional Information: Referral needs to be sent to IPS supervisor after immediate (clinical) supervisor for review. There can be a waiting list.


Evidence Based Practice: TREM (Trauma Recovery Empowerment Model) MTREM, TIAT
Availability: All Counties
Eligibility: 
    Diagnosis: PTSD or individuals with a significant trauma history.
    Presenting Problems: Trauma related symptoms.
Exclusions: None
Format: Curriculum can be delivered individually or group with Group format preferred
Outcome Tools Used: Stressful Life Experiences Survey
Additional Information: Several variations of the curriculum including: MTREM/(Men’s Trauma Recovery Empowerment Model) and TIAT/Trauma Informed Additions Treatment.

"To help me understand I am not a bad person I have obtained a better understanding of myself."
-Isabella County