Children
Services for Children
CMHCM offers services for children. Please contact the office in your county for more information.
NOTE: Services in red are evidenced-based practices.
Assistive Technology includes adaptive devices and supplies that are not covered under the Medicaid Health Plan or by other community resources. These devices help individuals to better take care of themselves or to better interact in the places where they live, work, and play.
Brief Strategic Family Therapy (BSFT) is a short-term, family-based, therapeutic intervention that targets children and adolescents aged six to 17 years. BSFT was designed and empirically validated to eliminate/significantly reduce conduct problems, drug use and associated acting-out behaviors and their corresponding emotional problems. By utilizing BSFT change interventions, dysfunctional family interactions are reversed, families are strengthened and the psychosocial problems of the children are significantly improved. BSFT is delivered in weekly, one to one-and-a-half hour sessions. The key approaches included in the treatment are (1) focus on improving parent-child interactions; (2) parent training; (3) developing conflict resolution, parenting, and communication skills; and (4) family therapy. This therapy is available in all six counties.
Dialectic Behavioral Therapy (DBT) for adults and adolescents is a treatment approach that focuses on skill enhancement to improve emotional regulation. This treatment approach is best utilized for people with Borderline Personality Disorder.
Environmental Modifications are physical changes to a person’s home, car, or work environment that are of direct medical or remedial benefit to the person. Modifications ensure access, protect health and safety, or enable greater independence for a person with physical disabilities. Note that other sources of funding must be explored first, before using Medicaid funds for environmental modifications.
Family Skills Training is education and training for families who live with and or care for a family member who is eligible for specialty services or the Children’s Waiver Program.
Home-Based Services for Children and Families are provided in the family home or in another community setting. Services are designed individually for each family and can include things like mental health therapy, crisis intervention, service coordination, or other supports to the family.
Mental Health Therapy and Counseling for Adults, Children, and Families includes therapy or counseling designed to help improve functioning and relationships with other people.
Multisystemic Therapy (MST)® offers an evidenced-based intensive family and community based treatment to address serious anti-social behavior in adolescents. The program specifically serves those youth referred by the local family court to address issues that may contribute to delinquency and other serious struggles with a youth’s family, peers, school, and local community. This therapy incorporates cognitive behavioral approaches, parenting training, family therapy, and pharmacological intervention. Youth improvement is gained by engaging all family members in a non-blaming strength-based approach. The therapist carries a lower case load (five families) and works with families for three to four months to reduce rates of youth truancy, crime, recidivates, re-arrest, and out-of-home placements while improving overall family functioning. This therapy is currently available in one county.
Multisystemic Therapy® for Youth with Problem Sexual Behaviors (MST-PSB) is a clinical adaption of MST that has been specifically designed and developed to treat youth (and their families) for problematic sexual behavior. The MST-PSB model is an EBP developed to address the multiple determinants underlying problematic juvenile sexual behavior. MST-PSB is delivered in the community (youth’s home, foster home, school, and neighborhoods) to ensure ecological validity and treatment generalization, occurs intensively (often three or more sessions a week), incorporates researched treatment interventions, and places a high premium on approaching youth/families as unity. Ensuring youth, victim and community safety is a paramount mission of the model. Extensive assessment and planning underlie the individualized safety plan for each youth and family. Treatment commonly incorporates intensive family therapy, parent training, cognitive-behavioral therapy, skills building, school and other community system interventions, and clarification work. The length of the treatment is 5-7 months and the case load of a MST-PSB therapist is typically four families.
Parent-Child Interaction Therapy (PCIT) is an empirically supported treatment for oppositional defiant young children (ages 3-7) in which parents learn the skills of child-directed interaction (CDI) in the first phase of treatment. This phase teaches parents to build warm and responsive relationships with their children. In the second phase, parent-directed interaction (PDI), parents are taught to monitor and apply consequences consistently to change their children’s negative behaviors. While parents interact with their child in the playroom, therapists provide live coaching to parents through a bug-on-the-ear device to help parents apply skills they are learning right in session. This allows parents to get immediate feedback about what they can do in response to their child’s behavior. Progress is monitored every session with trouble-shooting provided to parents. Each phase of treatment usually takes between 5-10 weeks.
Parent Management Training—Oregon (PMTO) is an evidence-based practice that teaches effective parenting practices to caregivers who have a child and/or adolescent who exhibit anti-social, aggressive and other externalizing behavior problems. Sessions with caregivers focus on active teaching of five core components including skills encouragement, limit setting, problem-solving, monitoring, and positive involvement.
Parent-to-Parent Support is a peer-delivered family support intervention for parents of children within the Community Mental Health system to enhance parenting skills, knowledge and engagement. The Parent Support Partner is the parent or primary caregiver of a child with emotional, behavioral and/or mental health challenges who serves as an example and mentor to other parents and is included in the service planning, implementing, and transition process, as delineated in the Person Centered Plan.
Skill-Building Assistance includes supports, services, and training to help a person participate actively at school, work, volunteer, or community settings or to learn social skills they may need to support themselves or to get around in the community.
Trauma-Focused Cognitive Behavior Treatment (TF-CBT) is an evidenced-based practice that helps address the biopsychosocial needs of children with Post Traumatic Stress Disorder (PTSD) or other problems related to traumatic life experiences, and their parents or primary caregivers. TF-CBT is a model of psychotherapy that combines trauma-sensitive interventions with cognitive behavioral therapy. Children and parents are provided knowledge and skills related to processing the trauma; managing distressing thoughts, feelings and behaviors; and enhancing safety, parenting skills and family communication.
Wraparound Services for Children and Adolescents with serious emotional disturbance and their families include treatment and supports necessary to maintain the child in the family home.
Services for Children's Waiver Participants
Some Medicaid beneficiaries are eligible for special services that help them avoid having to go to an institution for people with developmental disabilities or nursing home. These special services are included in the Children’s Waiver. In order to receive these services, people with developmental disabilities need to be enrolled in either of these waivers. The availability of these waivers is very limited. People enrolled in the waivers have access to the services listed above as well as those listed here:
Non-Family Training is customized training for the paid in-home support staff who provide care for a child enrolled in the waiver.
Specialty Services are music, recreation, art, or massage therapies that may be provided to help reduce or manage the symptoms of a child’s mental health condition or developmental disability. Specialty services might also include specialized child and family training, coaching, staff supervision, or monitoring of program goals.