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 Problems |
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| 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 |
Ages 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 |
Ages 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 Northshore CAFAS/PECFAS |
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| Wraparound (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 | |
| GROUP MODELS | |||||||
| 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) |
Ages 12 - 17 |
PTSD, trauma and substance abuse | 25 topics – can be done in group or individually | CAFAS Child/adolescent trauma checklist |
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* Emerging practices
Adult Evidence Based Practices
| Evidence Based Practice | Availability | Eligibility | Exclusions | Format | Outcome Tools Used | Additional Information | |
| Diagnosis | Presenting Problems |
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| 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- Educucation) |
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/ Co-Occurring |
Trauma/ Substance Use |
None | Curriculum can be delivered individually or in a group. Group format is preferred. | Seeking Safety Survey SSI-AOD |
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. |
| TREM (Trauma Recovery Empowerment Model) MTREM, TIAT |
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. |
Case management has gotten me through some rough patches I would have struggled with otherwise. She always has lots of ideas & tips too.
-Midland County