Individual and Family Based Counseling for Youth

These services are primarily office-based and offer therapeutic interventions to older youth on an individual and/or family basis.

• Services may be time limited and require a commitment of individual and/or family participation.
• Youth and family members are asked to set goals and work with a counselor to reduce negative behavior patterns, increase resiliency and acquire skills and knowledge to increase emotional wellness.

Family/Caregiver Counseling for Young Children

Family counseling for young children is also primarily an office -based service. It is critical for young children to be seen in the context of their family/caregiver system. It is families/caregivers who provide for the fundamental well-being of children.

• Family/caregiver relationships have a significant influence on the psychological, physical, and social health of children.
• Although family relationships are important, parents/caregivers generally receive little preparation or support beyond the experience of having been parented themselves
• Parents/caregivers are asked to set goals and work with a counselor to reduce negative behavior patterns, increase resiliency and acquire skills and knowledge to increase emotional wellness in their children and in the family

School Based Mental Health Services

The purpose of school based services is to work collaboratively and directly with schools to deliver school based mental health services to students whose behavioral and/or emotional challenges compromise their ability to attend to learning activities. Collaboration includes student’s parents, a variety of school and district staff, community services personnel, and other persons of significance in the student’s life.

School Based Mental Health Services Include:

• Individual counseling
• Consultation
• Crisis Management
• Educational staff support
• Participation in school based/community teams supporting children and youth
• Group counseling
• Family counseling
• Cross coordination/case management between schools and BHR enrolled students

School based mental health services is supported by a combination of direct contracts with school districts, shared grants and Medicaid. BHR’s School Based Mental Health Program has worked with local districts such as North Thurston, Olympia, and Tumwater as well as Chehalis School Districts.

MultiSystemic Therapy

Multisystemic Therapy (MST) is very effective treatment that serves youth 12 to 17 years of age:

• The therapist works directly with the child, as well as their family members and others that are significantly involved in their life, e.g., school representatives, probation officers and spiritual leaders
• Therapy takes place in the community, usually in the home, rather than in a therapist’s office
• Therapy will provide skills that will help the child avoid legal problems, improve academic performance, remain drug free, become involved in prosocial activities and develop an overall successful lifestyle
• MST will help child, parents and other family members improve communication and develop skills and supportive resources to provide stability in the home
• Therapy will provide the opportunity to make positive behavioral changes so that the child can live at home and not be placed elsewhere
• It will empower parents to gain the skills and resources needed to independently address difficulties

Treatment is very intensive and on the average lasts 3-5 months

Family Integrated Transitions (FIT Program)

FIT is an international program designed for adolescents with a mental health problem and a problem with substance abuse who are coming out on parole of a Washington state residential treatment facility for juveniles.

• A specially trained FIT “coach” will come to you, spend several hours with you and your family each week and help you identify and build on positive things you’re already doing with your child.
• The coach will also help you connect with resources in your community, such as school, work, and community activities that are going to help your adolescent stay out of trouble.
• Both parents and youth will be coached to use the same skills the adolescent is taught in the facility.

DCFS Child & Family Liaison Program

The purpose of this program is to enhance cross-system collaboration and to assure early linkage/intervention for acute or severely emotionally disturbed children.

• Crisis case management for children/youth experiencing mental health crises.
• Next business day, brief intervention services to children/youth in crisis.
• Referral and linkage to TMRSN contracted providers, DCFS services and other local resources.

Children and Parents First welcomes families with children prenatal to 12 years of age. Our program uses Triple P (Positive Parenting Program) as the treatment approach for this family centered group. Goals are:

• To promote the independence and health of families by enhancing parents' knowledge, skills and confidence.
• To increase the resourcefulness and self-sufficiency of parents in raising their children
• To promote the development of non-violent, protective and nurturing environments for children
• To reduce behavioral problems, delinquency and related problems in children and youth

Positive Peer Group

A group for enrolled male youth age 10 and up who have externalizing behaviors. Curriculum includes:

• Recreational outings/activities
• Community service
• Discussion groups

Ongoing enrollment/open group. Also has membership connection to Adventure Connections.

Sound Alternatives for Juvenile Justice (SAJJ)

A service provided to youth in detention to include assessment, intervention and collaboration with other systems working in conjunction with the client. The SAJJ liaison provides intakes into BHR (as necessitated), case management services to youth in detention and advocacy in court as needed.

FACT Program

The Family and Adolescent Co-Occurring Treatment (FACT) Program provides outpatient chemical dependency services in partnership with its agency’s mental health children’s service team. The focus of treatment will be on individualized youth and family substance abuse counseling and relapse prevention. The FACT Program accepts medical coupons, pre-authorized insurance payments and private pay.

Services Include:

• Youth and family outreach
• Community education
• Public speaking
• Referrals
• Substance abuse screenings
• Chemical dependency assessments

Adventure Connection

The purpose of this program is to bring elements of basic therapeutic processes to an adventurous experience in a non-traditional setting. Through the Full Value Contract, Challenge by Choice, Goal Setting De-Briefing and Transfer of Learning. Participants are actively engaged in the therapeutic processes that increase self-esteem, problem solving, communication, responsible interactions with others and establishing positive connection with their community. This process relies on integration of family, social and natural environments to produce a direct experience, which provides youth with healthy growth and development opportunities.