Intensive
In-Home Services
FOCUS and Wraparound (Ages 3 to 18)
Targeting emotionally and behaviorally challenged, high-risk children
and their families, these programs use a collaborative team process
to bring together the formal and informal networks of community
services that are available to support the child and family. Services
address the child’s social functioning needs by working collaboratively
with parents, schools, social and mental health services, along
with other community resources. In addition to the goal of strengthening
families and preventing out-of-home placements where possible, the
programs strive to ensure the child’s success in school and
to reduce his or her involvement in the juvenile justice system.
FOCUS II (Ages 3 to 18)
Less intensive services than FOCUS and WRAP for youth with emotional
and behavioral challenges and their families. The treatment goal
is to prevent out-of-home placement or assist in re-integrating
youth in the community after graduating from more intensive WRAP
services while living out of home.
Multidimensional Treatment Foster
Support (Ages Birth to 18)
Working with foster parents of children and youth who have emotional,
behavioral and delinquency problems, the program applies
a nationally recognized best-practice approach (www.mtfc.com)
proven by research to increase pro-social behaviors, improve family
relationships, enhance parenting skills, decrease conflict and,
ultimately, keep foster children living safely with loving and
confident parents. These goals are achieved through involving
the foster families as critical partners in the treatment process
and providing them with all the support and resources to help
them raise healthy and well-adjusted children. Examples of such
supports are: weekly support meetings, staff availability 24 hours
a day, 7 days a week, daily contact with each foster family, among
others. The program demonstrates a lower rate of arrests of boys
(half that of boys living in Group Homes); also, fewer girls who
completed the program were sent to locked facilities and spent
less time in such facilities as compared to girls in traditional
treatment programs. For younger children, the results are also
very positive.
Multi-Systemic Therapy (Ages 10 to
17 1/2)
An intensive, 3-5 month program, it reduces out-of-home placements
of adolescents with delinquency problems, or helps them re-integrate
in the community after they had been living in a group home or
locked facility. The major goal is to empower families with the
skills and resources needed to independently address the difficulties
that arise in raising children, providing family, peer, school
and neighborhood interventions. Staff is available 24 hours a
day, 7 days a week to assist caregivers dealing with crisis or
everyday challenges. Condition for participation is the active
involvement of at least one parent/caregiver in the intense treatment
process. Based on a best-practice model (www.mstservices.com),
the program has shown reduction in long-term rates of
re-arrest by 25% to 70% for violent and chronic juvenile offenders.
It has also demonstrated a reduction of days in out-of-home placements
by 47% to 64% compared to control groups.
Functional Family Therapy (Ages 11
to 18 and their younger siblings)
This is a short-term (over a 3-month period), family-based prevention
and intervention program for youth at risk of or dealing with
delinquency, violence, substance use, conduct disorder, oppositional
defiant disorder, or disruptive behavior disorder. The services
are delivered in an office, school, home, juvenile court and/or
community settings and include as many family members as appropriate.
A major goal of Functional Family Therapy is to improve and strengthen
family relationships while decreasing intense negativity and blame.
Additionally, family members are helped in adopting positive problem-solving
and communication skills, as well as effective parenting strategies.
Based on a Blueprints for Violence Prevention best-practice
model (www.fftinc.com), when
applied according to model requirements, the program has shown
success for over 30 years in a wide variety of multi-ethnic and
multi-cultural contexts. Functional Family Therapy leads
to reduction in criminal activity, violent and other high-risk
behaviors, decrease in family hostility, improvement in family
interactions and parenting competencies and ultimately keeps children
and youth safely at home.
The program’s high rate of effectiveness has been
recognized by the Office of Juvenile Justice and Delinquency Prevention,
the Center for Substance Abuse Prevention, the Center for Disease
Control and Prevention, and the U.S. Surgeon General’s Report
on Youth Violence which names it a model program for seriously
delinquent adolescents.
Teaching Pro-Social Skills (Ages
13 and above)
Based on the idea that “children behave the way they do
because they simply don’t know what else to do,”
Teaching Pro-Social Skills is an evidenced-based practice
model of intervention designed to assist adolescents
in learning social skills, anger control strategies and enhanced
moral reasoning skills. Led by highly trained staff, Teaching
Pro-Social Skills is offered in a group format with 6-8 participants
meeting for 10 consecutive weeks. Separate groups for boys and
girls, ages 13 and above, are offered two to three times per year;
caregivers are strongly encouraged to attend with their child.
The program has shown effectiveness within juvenile detention
facilities and group home settings; in fact the program
is strongly supported by the Department of Probation
as a possible alternative to continued incarceration, and usually
fulfills the “anger management” training that is a
requirement. River Oak is the only children’s mental health
agency to offer this program on an outpatient basis, and has adapted
the program for individual intervention for clients who are unable
to attend the group program. Since the program at River Oak started
in March 2007, over 50 boys and girls have completed it, and have
shown increased mastery of social skills, anger management, and
moral reasoning, which in turn has led to a reduction in oppositional
and defiant behaviors as well as an improved quality of relationships
with peers and adults.
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