Community-Based Services (CBS) at Tennyson Center for Children provides a strength-based, client-centered and family systems approach to treatment within the client’s home, school and community. Services are individualized to address a variety of challenges including mental health concerns, behavioral and emotional challenges, family dynamics, and structure and safety within the home. CBS also provide bilingual services in Spanish.
Services are typically used to prevent hospitalization or out-of-home placements in residential or foster care settings and to stabilize the client and family. Services are also used for reunification support as a step-down from hospitalizations, residential treatment, and foster care or as a wrap-around service for clients in day treatment programs. The focus of services is on the individual client’s needs, as well as the family unit, and can include individual therapy, family therapy, psycho-education, behavior coaching, crisis management, school support, case management and resource connection.
Services can be provided in a range of two hours per week to 30 hours per week and are offered seven days a week. Flexible appointment times are available to meet the needs of families. We have clinical staff that is trained in several evidenced based practices including Child-Parent Psychotherapy (CPP), Alternative for Families Cognitive Behavioral Therapy (AF-CBT) and Trauma-Focused Cognitive Behavioral Therapy (TF-CBT). The CBS team is also trained in Positive Behavioral Support Intervention (PBIS) which is a behavior management system used in many public schools, as well as Tennyson Center for Children’s Day Treatment program. Using PBIS in the home can help create consistency between home and school expectations and behavior management.
We serve clients from birth to 18 years old and accept Medicaid, many departments of human services core funding, Child Mental Health Treatment Act and some private insurance. Services typically last three to six months.
Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
The goal of TF-CBT is to help address the biopsychosocial needs of children ages three to 17, with Posttraumatic 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. TF-CBT is typically 12 to 16 weekly sessions which include individual child, individual caregiver, and parent-child or family sessions.
Alternative for Families Cognitive Behavioral Therapy (AF-CBT)
AF-CBT is an intervention for families who are struggling with anger, conflict and aggression. It can also help families who are at risk or are worried about aggression and violence. AF-CBT promotes use of positive coping and self-control skills, effective discipline strategies, and constructive family problem solving and communication. AF-CBT goals include: Enhancing child and family safety, strengthening family relationships, developing skills and routines, reducing the risk for high conflict interactions, reducing caregiver level of anger and use of force, and promoting effective, non-physical discipline strategies. Services involve individual child, individual caregiver, and parent-child or family sessions. The average length of treatment may vary and AF-CBT can be used with clients ages five to 17.
Child Parent Psychotherapy (CPP)
CPP is an intervention for children from birth through five years old who have experienced at least one traumatic event (e.g., maltreatment, the sudden or traumatic death of someone close, a serious accident, sexual abuse, exposure to domestic violence) and, as a result, are experiencing behavior, attachment, and/or mental health problems, including posttraumatic stress disorder (PTSD). The primary goal of CPP is to support and strengthen the relationship between a child and his or her caregiver. CPP is designed to be affective with caregivers as a way to restore the child’s sense of safety, attachment, and increase the caregiver’s attachment and parenting skills. As a result, CPP typically improves the child’s cognitive, behavioral and social functioning. Typically sessions occur one time per week for six to 12 months.