Children’s Community Based Services

Eliot’s Community Based Services are provided to children, youth and families in their homes, schools and communities

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Our Children’s Community Based Services spring from the Children’s Behavioral Health Initiative (CBHI) which encompasses multiple service systems that include: Intensive Care Coordination, Family Support and Training, In-Home Therapy, Therapeutic Mentoring, Outpatient Therapy, and Mobile Crisis Intervention.  In all services, the youth and caregivers play a strong and active role in determining treatment options and supports that will highlight the family’s strengths. All services are voluntary. Eligibility is determined by the assessed needs of child and enrollment in MassHealth. Our services are based on the following principles:

The Wraparound Model  – A proven approach that provides the most effective outcomes for children and their families.

Every Child And Family Is Unique – Individualized Care Plans are essential and are based on the unique strengths an needs of each child and his/her family.

Parents And Caregivers Are The Experts On Their Children – Families participate fully in all aspects of planning for the care of their child.

Culturally Competent Programming – An essential element of effective treatment, Eliot’s approach is sensitive to a family’s particular ethnic and religious backgrounds and values. 

Eliot provides community-based services in Everett, Malden, Medford, Melrose, North Reading, Reading, Stoneham and Wakefield.

For more information or to make a referral, contact Eliot’s Intake Coordinator at (781) 395-0632 or

Intensive Care Coordination (ICC) is a service that uses the Wraparound care planning process to coordinate multiple services and supports for youth and families. The Wraparound process is used to create a strengths based, family driven and individualized plan for each youth. A Care Coordinator is assigned to work with every youth and family enrolled in ICC. The Care Coordinator is responsible for working with the youth and family to:

Assemble a Care Planning Team of the family’s preference, comprised of formal and natural supports Conduct a comprehensive assessment of the youth and family’s strengths and needs Facilitate development of and Individual Care Plan (ICP) Ensure that identified services and supports are in place and coordinated Develop a risk management and safety plan with the family and team

 Click here for ICC/CSA Referral Form

The Family Support and Training Program provides a structured, one-to-one, strengths based relationship between a Family Partner and a parent/caregiver of a youth.  The purpose of this service is to support the caregiver(s) in addressing and managing the youth’s emotional and behavioral needs by supporting the development of skills the parent/caregiver may need to parent the youth.  The Family Partner understands the family’s struggles from a personal perspective and is seen as support who gives the parent new hope. The Family Partner works closely with the youth’s Intensive Care Coordinator, In-Home Team or Outpatient Therapist and can provide the following services to the family:

Helping navigate the child serving systems Identifying available services and supports in the community Developing connections with self-help and support groups Supporting and coaching parents/caregivers in helping youth to reach their identified goals

Click here for FS & T Referral Form

In-Home Therapy (IHT) provides short-term intensive family therapy to assist the family in stabilizing children in their homes during times of crisis.  Services include a clinician and in some cases, a Therapeutic Training and Support staff member (TT&S).  Services can be in the home, school, or community to respond directly to the family and youth in their own environment, and will serve to expedite wellness and recovery.  Treatment is a strength based model that identifies child and family strengths.  The In-Home Therapy team works with the family to develop a comprehensive assessment with a solution-focused Individualized Action Plan (IAP).  A risk management/safety plan is designed with the family to help identify triggers and risk factors while defining useful interventions to reduce the risk of harm to self or others. The clinician, and, in some cases the TT&S can provide:

In home parenting support and training Support and coaching for siblings around family dynamics Assistance in accessing community services and resources Assistance in developing natural supports for the youth and family to support their treatment gains

An In-Home Therapy Team also provides trauma informed evidence-based treatment. The Attachment Self-Regulation and Competency (ARC) framework supports youth and families who have experienced multiple and/or prolonged traumatic stress. ARC is designed for youth from early childhood to adolescence and their caregivers or caregiving systems.

Click here for IHT Referral Form

Therapeutic Mentoring (TM) offers structured, one-to-one, strengths-based support services between a Therapeutic Mentor and a youth for the purpose of addressing daily living, social and communication needs. Therapeutic Mentors work in conjunction with an Intensive Care Coordinator, In-Home Therapy Team or an Individual Therapist as part of the Care Planning Team to help youth meet their personal goals and reach their full potential.   Therapeutic Mentoring services are provided to eligible youth in the home and the community. Services include:

Supporting, coaching and training youth in age-appropriate behaviors Strengthening interpersonal communication, problem-solving and conflict resolution skills Developing healthy relationships with peers and adults, in recreational and social settings Increasing a youth’s integration and participation in their local community 

Click here for TM Referral Form

Mobile Crisis Intervention provides mobile response to the home, school or other community settings, for youth experiencing a behavioral health crisis. Our clinicians and family partners work with the youth and family to identify, assess, treat and stabilize a crisis situation to reduce immediate risk of danger to the youth or others, consistent with the youth’s risk management/safety plan. Services are provided 24-hours a day, 7 days a week. Services include: crisis assessment; development of a risk management/safety plan if the youth/family does not already have one, and up to 7 days of involvement.  These stabilization services include onsite, face-to-face:

Psychiatric evaluation and assessment Individualized, family focused interventions and support Coordination and collaboration with all child and family services including schools Referrals and linkages to natural and community supports for child/youth and family

The Mobile Crisis Intervention team serves the Lynn area, including the communities of Lynn, Lynnfield, Saugus, Swampscott, and Nahant; and the Metro North area including the communities of Malden, Medford, Everett, Reading, North Reading, Stoneham, Melrose, and Wakefield.

To reach us in an emergency call Toll Free: 1-800-988-1111