Children’s Community Based Services

Eliot provides community-based services out of Our Child, Youth and Family Centers located in Malden, Jamaica Plain, Worcester and Holyoke and serve the surrounding cities and towns.

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Our Child Youth and Family 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 Psychiatry, and Mobile Crisis Intervention. In all services, the youth and caregivers play a strong and active role in determining treatment and support options 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 Approach – A proven approach that provides the most effective outcomes for children and their families.

Individualized and Strength Based – Individualized Planning and are essential and are based on the unique strengths and 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.


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.


What is Intensive Care Coordination?

¿Que es Intensive Care Coordination?

The Family Support and Training Program provides a structured, one-to-one, strength-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

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.

What is In-Home Therapy (IHT)?

¿Qué es la terapia en el hogar (IHT)?

How to find In-Home Therapy (IHT) Providers.

Cómo encontrar proveedores de Terapia en el hogar (IHT).

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, emotional, 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

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

Child Sexual Abuse Treatment and Recovery (CSTAR) provides specialized sexual abuse treatment, support, and case management to child and adolescent victims and their non-abusing family members as well case consultation to community agencies and providers about treatment options, recommendations, and resources. Support groups and workshops are available for non-offending caregivers as well as child and adolescent victims. Funded by the Victims of Crime Act (VOCA) and administered through by the Massachusetts Office for Victim Assistance (MOVA), the program works closely with the Department of Children and Families, Children Advocacy Centers, DIstrict Attorneys, law enforcement, pediatricians and other agencies that are involved when a child or adolescent experiences child sexual abuse.


PATHWAYS (Providing Academic, Therapeutic and Healthy Ways to Achieve Youth Success) delivers clinical, individual, and group-based counseling services to students and provides education and support to school staff and caregivers within the following Boston Public Schools: West Roxbury Academy, Urban Science Academy, and the O’Bryant School of Mathematics and Science. PATHWAYS implements evidence-based and trauma-informed interventions aimed at increasing graduation rates, reducing truancy rates, improving school attendance and engagement, and improving overall psychosocial well-being for students whose school difficulties may be associated with untreated mental health issues, trauma, substance abuse, or psychosocial stressors. PATHWAYS is a collaborative project of MSPCC, William James College, and Boston Public Schools.


Mental Health Consultation Every year more than 600 children in Massachusetts are expelled from preschool and kindergarten. Mental Health Consultation services are offered to day care centers (family or center-based) in 47 cities and towns throughout Northeast Massachusetts. Our philosophy is simple: early assessment and intervention promote the best results for children. We give teachers and parents skills and support so that children (ages 0-14, with primary emphasis on 0-6) exhibiting challenging behaviors have an opportunity to thrive in a safe and nurturing environment at home and in childcare. The Mental Health Consultation program is funded by the Massachusetts Department of Early Education and Care.