A diagnostic assessment is a summary of an evaluation conducted by a Qualified Mental Health Professional (QMHP) to determine whether an individual has a mental health concern, and if so, maps a course for treatment of the disorder.
Children’s Therapeutic Services and Supports (CTSS)
- CTSS are designed to be a flexible package of mental health services for children with mental health concerns. The delivery and design of CTSS are meant to be individualized and to be flexible in terms of location of service (in-home, school, community) and frequency of contact (number of hours of service provided per week).
- CTSS services are delivered using various treatment methods and combinations of services designed to reach outcomes developed with input from the individual and individual’s family (if applicable) and identified in the individual treatment plan.
- Fernbrook offers the following services under CTSS; psychotherapy (individual, family and group), skills training (individual, family and group), crisis assistance and Mental Health Behavioral Aide (MHBA) services.
- CTSS typically targets skills development in the following areas; interpersonal skills, social skills, recreation and leisure skills, communication skills, daily living skills, responsible decision making, school performance, behavior management and mental health management.
Mental Health Behavioral Aides Services (MHBA)
- Provide individualized rehabilitative skills training to improve the functioning of a child in the progressive use of developmentally appropriate psychosocial skills (communication, interpersonal relationships, social, coping, emotion regulation and self-care). Activities involve working directly with the child, child-peer groupings or child-family groupings to practice, repeat, reintroduce and master the skills taught by the mental health professional or practitioner.
Adult Rehabilitative Mental Health Services (ARMHS)
- ARMHS are designed to be a flexible package of mental health services for adults with mental health concerns. The delivery and design of ARMHS are meant to be individualized and to be flexible in terms of location of service (in-home, work, community) and frequency of contact (number of hours of service provided per week).
- ARMHS enable an adult to develop and enhance mental health stability, social competencies, personal and emotional adjustment, and independent living and community skills.
- Fernbrook offers the following services under ARMHS; psychotherapy (individual, family and group), skills training (individual, family and group), crisis assistance and Mental Health Rehabilitation Workers.
- ARMHS cover; Basic living and social skills development (e.g. interpersonal communications, crisis assistance, budgeting, cooking, transportation, mental health symptom management, household management, etc.), Community Intervention (services designed to reduce an individual’s barriers to community integration and/or independent living), Medication Education (education to an individual regarding mental health symptoms, the role of medications, and potential side effects of medications) and Transitioning to Community Living Services (services designed to assist with discharge from a hospital, residential treatment program, board and lodge or nursing home).
Mental Health Rehab. Worker Services (MHRW)
Provide individualized rehabilitative skills training to enable an adult recipient to: develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills, when these abilities are impaired by symptoms of mental illness and/or to retain stability and functioning if the recipient is at risk of losing significant functionality or being admitted to a more restrictive setting. To assist in progressive use of and mastery of basic and social living skills, mental illness symptom management, household management, and employment–related skills.
Birth to 5
- Diagnostic Assessments are offered for children ages birth to five. Staff are trained in the use of the DC:0-3 R (diagnostic tool) for children ages birth to three. The Diagnostic Assessment includes recommendations for treatment (type and frequency).
- For those children who qualify for a diagnosis, an individualized treatment plan will be created and may include services such as individual psychotherapy, family psychotherapy, individual skills training, family skills training and/or mental health behavioral aide services. The frequency of services will be determined by the severity of the child’s mental health challenges. Some children may receive psychotherapy services weekly or monthly and others may receive a combination of services several times weekly. Services are offered in the environments in which the family/child experiences the most challenges (e.g. clinic, home, daycare, preschool).
- Early relationship experiences strongly impact social and emotional development. Most mental health treatment will involve the participation of parents/caregivers and/or other important family members.
- Consultation services are offered for those who care for or educate young children and may need assistance developing strategies to screen for mental health issues and respond to social and emotional challenges.
Fernbrook offers out-patient therapy. Out-patient therapy includes individual, couples and family therapy. Our clinicians bring a variety of experience in treating various issues. Our clinicians work with a variety of ages from childhood through adulthood. They employ many different therapy styles from Cognitive Behavioral Therapy, Narrative Therapy, Parent Child Interactional Therapy, Solution-Focused Therapy, Family Systems Therapy and other therapeutic schools as well.
Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
TFCBT is a short term treatment to help children overcome the painful effects of experiencing traumatic life events.
Originally developed for child victims of sexual abuse, the treatment now has more evidence for its effectiveness in addressing multiple and complex traumas. TF-CBT treats trauma-related symptoms such as behavior problems, depression, anxiety, and inappropriate sexual behaviors and is validated for children from three to eighteen years of age. In an effort to improve the child-caregiver relationship, TF-CBT includes the non-offending parent or caregiver as an active participant in treatment. As a components-based model, TF-CBT educates both child and caregiver about childhood trauma and post-traumatic stress disorder, teaches emotional regulation and stress management skills, and gradually exposes both child and caregiver to the trauma. TF-CBT improves children’s safety skills as well as parental coping skills. TFCBT is used for children between the ages of 3-18 who have experienced a traumatic event or complex trauma and have developed symptoms of traumatic stress.
Over 80% of children who participate in TF-CBT show significant improvements in symptoms in 12-16 weeks
Parent-Child Interaction Therapy (PCIT)
- Parent-Child Interaction Therapy (PCIT) is an empirically-supported treatment for conduct-disordered young children that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns. In PCIT, parents are taught specific skills to establish a nurturing and secure relationship with their child while increasing their child’s prosocial behavior and decreasing negative behavior. This treatment focuses on two basic interactions: Child Directed Interaction (CDI) is similar to play therapy in that parents engage their child in a play situation with the goal of strengthening the parent-child relationship; Parent Directed Interaction (PDI) resembles clinical behavior therapy in that parents learn to use specific behavior management techniques as they play with their child. (The above information and more information about PCIT can be found at www.pcit.org)
- PCIT is designed for children ages 2 – 7. Sessions involve parents/caregivers and their child and are scheduled weekly. Each session, parents/caregivers engage in ‘special time’ with the child while being observed and coached by the therapist. Between sessions, parents/caregivers are asked to practice the PCIT techniques during 5-15 minutes of ‘special time’ each day.
Dialectical Behavior Therapy (DBT)
Dialectical Behavioral Therapy is an evidence based treatment that assists clients in building skills to manage behaviors such as difficulty managing emotions, self-injurious behaviors or suicidal ideation/attempts. The four skills modules include emotional regulation, distress tolerance skills, mindfulness and interpersonal effectiveness skills. DBT includes a group component where skills are taught as well as an individual therapy component. Fernbrook Family Center offers adolescent DBT groups and therapy. The groups are typically one hour per week for 16 weeks.
In instances where a child(ren) has suffered from abuse or neglect, Fernbrook Family Center has provided in-home services designed to reduce risk of harm to a child(ren). In-home services in this area often revolve around placement prevention or family reunification. The child(ren)’s safety is always the highest priority.
Mental Health Targeted Case Management (Children - Goodhue County only)
Goodhue County has contracted with Fernbrook Family Center for provision of Children’s Mental Health Targeted Case Management. This service is available for families of children with a mental health diagnosis and deficits resulting in Severe Emotional Disturbance. The purpose of this service is for the case manager to assess and refer the family to community resources and treatment options that will aid the child to improve in functioning areas as determined through the assessment process.