Evidence Based Practices

My therapist. She helps me with my shame and guilt for my mental [health] issues. Does not judge me and helps me to be more positive about the pr...
-Gladwin County

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 Availability Eligibility Exclusions Format Outcome Tools Used Additional Information
Age Range Presenting
Baby Court
(about one year)
Midland, HomeBased Ages
0 - 3
Court jurisdiction for infant and toddler abuse/neglect concerns Referrals only from court (limited availability) Supportive visitation, individual and family therapy DECA, IDA, Massi-Campbell, Ages and Stages Requires court referral
Brief Strategic Family Therapy (BSFT)
(~ 6 months or less)
Midland, Mecosta, Isabella, Clare OPT and HB; Osceola, OPT only; Gladwin HB only Ages
6 - 17, can be effective with younger children
Disruptive behaviors (ODD, CD, ADHD), substance abuse and co-occurring Parent with active psychosis or SA (until this is addressed as a primary intervention) Family Therapy and strategic sub-system work CAFAS/PECFAS Can incorporate other EBPs in model
Infant Mental Health*
(up to 3 years)
ALL Ages
0 - 36 months
Parent with SPMI that puts child at risk for developmental concerns and poor attachment, DC 0-3 R diagnosis Prolonged absence of primary caregiver Supportive visitation, individual and family therapy Ages and Stages Questionnaire, DECA Based on parental risk factors. Diagnosis is made observationally
Multisytemic Therapy and Multisystemic Therapy – Problem Sexual Behavior (PSB) Midland only
12 - 17
Adjudicated youth.

For PSB – youth with criminal sexual behavior
Autism spectrum, developmental disability or in conjunction with other treatments. Intensive family and community-based treatment CAFAS/MST evaluation

(contracted service)
Contract with court for those without Medicaid coverage
Parent-Child Interaction Therapy (PCIT)

(~ 6 months)
All Counties, except Gladwin Ages 2-6, some young 7 year olds possible ODD and ADHD type behaviors, tantrums, noncompliance, aggression, trauma/abuse Parent unwilling to participate/
Actively psychotic
2 parent only sessions-rest family session with parent and child ECBI and DPICS-for data collection pre/post scores tracked Sessions done in the office setting.
Parent Management Training Oregon Model (PMTO)

(~ 6 months)
Gladwin, Osceola OPT only,
Midland, Isabella, Mecosta and Clare OPT and HB
5 - 17
Behavior disorders (ODD, Conduct, ADHD) Parent with active psychosis or substance use disorder Primary intervention is parent focused CAFAS/PECFAS and Caregiver Wishlist  
Trauma Focused Cognitive Behavioral Therapy (TF-CBT) All Counties Ages
3 - 17
PTSD or PTSD possibility, clinical judgment of trauma after completion of assessment tool. Assessment not indicative of trauma symptoms Individual and family sessions UCLA

(no time limit, but usually about a year)
All Counties Up to age 21 Targets youth with SED primary and their family system, team approach to identifying and supporting families in maintenance of youth in family care   Facilitated team approach to services and supports for youth and their family CAFAS score, Family Status Report Requires either court or DHHS involvement for Waiver
Adolescent Dialectical Behavior Therapy (DBT) Skill Building Group All counties Ages 12-17, based on maturity level and fit with group milieu Emotional or behavioral dysregulation, self-injury Poor fit with group milieu, lack of commitment or unwillingness to do homework Weekly group and complementary skills session with youth and caregiver CAFAS, BSL (Borderline Symptom Checklist) Groups not offered in all counties with a consistent schedule
Nurturing Parenting Program

(~ 20 weeks)
Midland, Isabella and Osceola (Nurturing Fathers) Emphasis on prenatal to 5, with exception of Nurturing Fathers, which is open to
adult males
Attachment and bonding concerns, developmental education and support Weekly group at this time with parent/child together NPPI pre and post    
Parenting Through Change (PMTO)*

(~ 14 weeks)
Clare County Ages
5 - 17
Behavior disorder Parents with active psychosis or substance use disorder Weekly parent group CAFAS/PECFAS and Caregiver Wishlist  
Seeking Safety*

(up to 6 months)
12 - 17
PTSD, trauma and substance abuse   25 topics – can be done in group or individually CAFAS
Child/adolescent trauma checklist

* Emerging practices


Adult Evidence Based Practices

Evidence Based Practice Availability Eligibility Exclusions Format Outcome Tools Used Additional Information
Diagnosis Presenting
Assertive Community Treatment (ACT) All Counties Axis I-Severe and persistent mentally illness. Individuals that are more chronic with severe symptoms. The needs of these individuals are more than one CM can traditionally provide to keep them stable in the community. Axis II disorder symptoms should not be driving all of the symptoms and behaviors. Multi-Disciplinary team approach serving members in their homes and the community. RAS Needs ACT Team approval for referral and program assignment.
Auricular Acupuncture All Counties Co-occurring Diagnosis Co-occurring urges/cravings/use No Exclusions Individual or Group depending on need in county. RAS Auricular Acupuncture is not an EBP and should be paired with another EBP to maximize effectiveness.
Brief Behavior Activation Therapy Midland Depression Depression. Consumers who are more motivated and less resistant. No Exclusions Individual sessions weekly. DASS There is a manual and training video for this EBP.
FPE (Family Psycho-
All Counties
Bipolar, Schizophrenia Must have diagnosis and be willing to learn about the disorder and participate in group. Appropriate diagnosis & appropriate for group. Family joining sessions and then group sessions FPE Record Extraction Check for current availability of group.
IDDT-Integrated Dual Diagnosis Treatment All Counties Co-occurring Substance use and ongoing mental health symptoms. Exclude individuals who have MI or SA only diagnosis. Multidisciplinary team serves consumers through a variety of services. RAS Voluntary participation required. ACT Teams act as IDDT teams and some OP Teams in the various counties.
Living in Balance Midland Co-occurring Pre-contemplative or contemplative stage of change. None Weekly group. SSI-AOD Manualized treatment from SAMHSA
Motivational Interviewing All Counties All Diagnosis Co-occurring, pre-contemplation stage of change for any problem. None Individual RAS Minimum intervention provided by all staff.
Life Goals-Integrated Health Clare and Gladwin Mood Disorders Ongoing mental illness and medical concerns; difficulty with care coordination of medical providers as well as natural supports. Individuals who are unable to understand or apply learning material due to unstable symptomology (ie. active psychosis). Weekly group. RAS Contact Gladwin nurses for additional information.
Prolonged Exposure All Counties PTSD Trauma related symptoms. People still in traumatic environment or have a lack of copying skills to manage potential increase in symptoms. Individual sessions-uses imaginal and in vivo exposure. DASS Consumer must be willing to do homework as part of the treatment.
Project Calm

(10 - 12 weeks)
Mecosta-looking to start in other counties. SPMI/IDD Anger problems and Substance use. None Group Multidimensional Anger Inventory Consumers are given a handbook to complete while in group.
CBT (Cognitive Behavioral Therapy) All Counties SPMI Depression/Anxiety None Individual treatment. RAS Hypnotherapy can be used to enhance effectiveness.
Seeking Safety

(Group runs 26 weeks.)
Mecosta, Osceola, Midland PTSD/
Substance Use
None Curriculum can be delivered individually or in a group. Group format is preferred. Seeking Safety Survey

Best to have gender specific groups.
Evidence Based Practice Supported Employment All Counties SPMI Individual who expresses an interest in competitive employment. Individual must have a primary diagnosis of SPMI, express an interest in competitive employment and actively participate in job search/ development Meetings with SE specialist and/or peer in the office and in the community depending on needs. IPS/Supported Employment Fidelity Scale (Dartmouth) Referral needs to be sent to IPS supervisor after immediate (clinical) supervisor for review. There can be a waiting list.

Recovery Empowerment
All Counties PTSD or individuals with a significant trauma history. Trauma related symptoms. None Curriculum can be delivered individually or group with Group format preferred Stressful Life Experiences Survey Several variations of the curriculum including: MTREM/(Men’s Trauma Recovery Empowerment Model) and TIAT/Trauma Informed Additions Treatment.


My therapist. She helps me with my shame and guilt for my mental [health] issues. Does not judge me and helps me to be more positive about the pr...
-Gladwin County
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