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Family Based Mental Health Services.

Written on: October 27th, 2017 in Evidence-Based PracticeFamilyTherapy

Family Based Mental Health Services (FBMHS) is an Evidence Based Practice model designed to service children between 3 and 17 years of age and their families (parents, guardians, caretakers and siblings). These
children have a serious mental illness or emotional disturbance, are at risk for out-of-home placement into residential treatment facilities, psychiatric hospitals or other settings. The focus of treatment is on the
child and family system. Family Based Mental Health Services treat these children and adolescents in their homes, communities and schools thus allowing the youth to remain in the home. Services are available 24
hours per day and 7 days a week via on call therapist and include crisis intervention as a part of the service.

How Family Based Mental Health Services Work:

On a highly individualized basis, treatment goals and interventions are developed in collaboration with the

family, and family strengths are used to promote therapeutic change. Clinicians facilitate and support change,

by coaching family members in individual, parent(s)-child, parental, marital, or family sessions to engage in

growth producing interactions with each other and with community resources.


Can Family-Based Mental Health Services:

• Decrease the use of more restrictive forms of mental health care of children?

• Shorten the length of out-of-home placements of children with SED in psychiatric in-patient settings?

• Help to insure that such placements are planned?

• Prevent out-of-home placement of children in other child-serving systems, including child welfare,
juvenile justice and substance abuse treatment?

Is improvement in family functioning associated with:

• Improvement in functioning of a child with SED?

• Better post-treatment outcomes for a child with SED?

Is there a relationship between pre-treatment service system involvement of families and:

• Changes in family functioning during treatment?

• Post-treatment outcomes for children with SED?


FBMHS were developed to serve children at risk for out-of-home placement due to psychiatric diagnoses

indicating severe emotional or behavioral disturbances (SED). They also target children and adolescents who

need to be reunified with their biological or substitute care families following discharge from inpatient

hospitals or psychiatric residential placements. Overall program goals include not only preventing out-of-

home placement of children in residential treatment facilities but also reducing the number of crises-driven

emergency room visits for mental health problems and increasing intentional planning for psychiatric

hospitalizations that do occur. Since their inception in 1988, the continuing development of FBMHS has been

encouraged by public and private managed care as a clinically effective, preferred alternative to

Inpatient hospitalization or psychiatric residential placement.

For more information about Family Based Mental Health Services, additional Evidence Based Practices, and other Behavioral Health Services offered


A Glance at Evidence- Based Services

Written on: October 18th, 2017 in Evidence-Based PracticeFamilyTherapyTreatment

What is Functional Family Therapy? Functional Family Therapy(FFT) is an evidence based treatment model. FFT is a short-term structured intervention. The model is provided statewide and administered primarily within the family’s home. Who is Functional Family Therapy for? Functional Family Therapy is used for youth ages 10-18 and their families that are struggling with behavioral […]

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Suicides: FACTS of Suicide Prevention

Written on: September 27th, 2017 in CommunitySchool-BasedSuicide and Prevention

The Center for Disease Control (CDC) developed the Youth Risk Behavior Surveillance System (YRBSS) to monitor high-risk behaviors among teens and young adults. One of the behaviors monitored are suicides. The Center for Drug and Health Studies (CDHS) at the University of Delaware conducts Delaware’s Youth Risk Behavior Survey (YRBS). It administers the Youth Risk […]

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Early Psychosis and the Delaware CORE Program

Written on: September 15th, 2017 in Health and WellnessMental IllnessTreatment

What is Psychosis? Psychosis is an illness affecting the structures and chemicals of the brain that enable us to experience emotions, make judgments, and perceive the world around us. The three most common problems associated with this illness are hallucinations (seeing or hearing things that are not there), delusions (beliefs that are odd or untrue), […]

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Neonatal Abstinence Syndrome

Written on: September 7th, 2017 in FamilyPreventionSubstance Abuse/Addiction

Our Medical Director, Richard Margolis MD, helps us make sense of new information in psychiatry, addiction, and behavioral health. This article summaries a New England Journal of Medicine review of current literature on neonatal abstinence syndrome, including clinical characteristics, prevention, identification, and treatment. Epidemiology The incidence of the neonatal abstinence syndrome has increased substantially in […]

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Addicting Effects of Prescription Medications

Written on: August 7th, 2017 in PsychiatryResearchSubstance Abuse/Addiction

Our Medical Director, Richard Margolis MD, helps us make sense of new information in psychiatry, addiction, and behavioral health. This blog post is a follow up to last week’s post on the Surgeon General’s Report on Alcohol, Drugs, and Health. This article includes information from reports by the Washington Post-Kaiser Family Foundation, the Center for Disease […]

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Facing Addiction in America, the Surgeon General’s Report on Alcohol, Drugs, and Health

Written on: August 1st, 2017 in FamilyHealth and WellnessSubstance Abuse/Addiction

Our Medical Director, Richard Margolis MD, helps us make sense of new information in psychiatry, addiction, and behavioral health. This article summarizes the Facing Addiction in America, a report on alcohol, drugs, and health issued by the Surgeon General.   Facing Addiction in America, the Surgeon General’s Report on Alcohol, Drugs, and Health was published […]

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Family Partners Empowers Families

Written on: July 28th, 2017 in FamilyMental IllnessPeer Support

Raising children is a major, and often challenging, responsibility for every parent and guardian. When childhood mental illness is added to the mix, it can become even more demanding. It is important for every Delaware parent and guardian, regardless of their circumstance, to know that help is available. One evening every month families gather in […]

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August Events for Delaware Youth

Written on: July 26th, 2017 in CommunityPrevention

The Delaware Department of Services for Children, Youth, and their Families (DSCYF), is sponsoring several events the first week in August. These events are sure to fill August with fun and excitement for Delaware’s young people. The Delaware Independent Living Program invites current and former foster youth aged 14 years and older to attend the 15th Annual Youth Advisory […]

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Defining Behavioral Health Terms: Evidence-Based Practice

Written on: July 17th, 2017 in Early InterventionPreventionResearchTreatment

You may hear the term Evidence-Based Practice, or EBP, to describe a skills-development or treatment program and wonder what that really means. The Substance Abuse and Mental Health Services Administration (SAMHSA) defines Evidence-Based Practice as a practice that based on rigorous research that has demonstrated effectiveness in achieving the outcomes it is designed to achieve. […]

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