Child and Family Services
Community Support Team - The Community Support Team provides mental health assessments for Child and Family Outpatient services. In addition, the team provides collaborative treatment for children with serious emotional problems and their families or caregivers.
Children, youth and families participate in designing and implementing a plan for treatment focus that will help insure their success. This may include individual and family therapy and consultation with other important people in the child’s life. Also, available is a variety of skill-building and support groups designed to help our clients meet their goals. They are dedicated to helping clients access their strengths and discover solutions to the challenges they face. 
The Community Support Team also provides a number of evidence-based practices including Trauma-Focused Cognitive Behavior Therapy, Parent Child Interaction Therapy and dialectical Behavior Therapy.
Home-Based Family Services - Kitsap Mental Health Services' Home Based Family Services is a strengths-based, family centered, comprehensive program designed to work in collaboration with families and other community providers. Believing the family to be a child's greatest resource, Home-Based Family Services therapists provide counseling in families' homes and communities, those places where the difficulties are often occurring.

Services provided include a range of evidence-based practices and are tailored to the needs of each individual family. Services may include individual and family therapy, education and skill building, advocacy, co-occurring disorders assessment and treatment, multi-system case coordination, development of natural supports and fun finding, as well as ongoing assessment.

Home-Based Family Services therapists have smaller caseloads and have more flexibility with their schedules. These therapists are able to meet with families more frequently and for several hours at a time if indicated.
Additionally, this team participates with the Kitsap County Juvenile Department in staffing the Individualized Treatment Court, which is a mental health court for youth with mental health disorders and legal offenses.  
Intensive Children’s Services (Treatment Foster Care) - Intensive Children’s Services (ICS) is comprised of two distinct programs, Specialized Family Care (SFC), and Multidimensional Treatment Foster Care (MTFC). ICS, a Child Placing Agency, also recruits and trains its own foster parents.  Learn more about our programs and how to become a foster parent. . . 

Specialized Family Care (SFC) provides specialized and extensive outpatient treatment for children from 7 to 18 years of age who are in foster care, legally free and awaiting adoption, at risk of being placed outside the home, or are returning from out-of-home placement. The SFC program provides treatment and basic foster care and in-home wrap-around services to these children and families through Children’s Administration.

In addition to regular and treatment foster care, services may include individual, family or group therapy, case management/care coordination with other child-serving systems, case aid support, respite services, or 24-hour crisis response. The SFC program also provides community resource and support linkage to other services necessary to support the child, including collaboration with schools, the juvenile court and the Children’s Administration.

The goal of SFC is to work with the biological family whenever possible to reunite the family or workwith the pre adoptive family identified to secure successful transition and attachment to their forever family.  The program capacity is 20-25 children. Placements may be short-term or up to 18 months.  For more information please contact Kristine Welch at 360-479-4994 or

Multidimensional Treatment Foster Care (MTFC) is an evidence based intensive treatment program serving at-risk youth 12-18 years of age and their families.  Youth referrred to the MFTC program agree to participate in a points and level system in order to improve behavioral issues that may potentially require long-term inpatient treatment or they may need additional support to return from treatment.  MTFC offers a structured alternative to long-term inpatient care. 
In the MTFC program, youth are placed in specially trained foster homes for 6-9 months where they follow a behavior-specific treatment plan with consistent limits and consequences.  Skills training is provided to teach problem-solving and pro-social skills.  Behavior is tracked on a daily basis and 24-hour support is available for youth, parents, and treatment homes.  Weekly family therapy sessions help aftercare families adapt the program model for home use and improve parenting skills for successful reunification.  MTFC maintains 5 slots in Kitsap and Jefferson Counties and also accepts referrals from Clallam County.  For more information please contact Carol Lambias at 360-479-4994 or

Madrona Day Treatment - Madrona Day Treatment combines a supportive therapeutic environment with individualized academics to serve severely emotionally and behaviorally disturbed children who cannot be accommodated in their home schools. The goal of MDT is to help children develop the skills necessary to be successful at home, in school and in their relationships with others.

In addition, MDT can be a diagnostic option for school districts and parents who are struggling to develop appropriate programs for difficult children and complex problems. Madrona staff will work closely with families as well as school districts to develop a plan to ensure students’ success in their transition back to school. The program meets daily and has the capacity to serve twelve children. The program currently operates through contracts with the following school districts:  South Kitsap, Bremerton, Central Kitsap, North Kitsap, and North Mason.  The program is staffed by a program supervisor, a therapist, a senior intervention specialist, a program assistant, and a special education teacher.  
Sequoia Day School - Sequoia Day School is a supportive behavioral program that began in September of 2011, with individualized academics housed at Armin Jahr Elementary School in Bremerton.  The goal of this program is to help children develop skills in order to be successful at school and also to help teachers, counselors and others develop behavioral strategies to work more successfully with their students.  Sequoia can act as a bridge to other resources in the community, a diagnostic placement for children so that interventions can be relevant, and as a training classroom for other school personnel.  Sequoia can accommodate up to twelve students and has a staff of three from KMHS, a lead behavioral interventionist and two behavior interventionists, and a teacher provided part time from the school district.  Additionally, there is a supervision from a half time clinical supervisor as well as oversight by the program supervisor through KMHS.
Evergreen Program - Evergreen Program is a supportive behavioral program that began in September 2012, with individualized academics housed in Mountain View Middle School in Bremerton.  This program works with the Bremerton School District.  The goal of this program is to help middle school students develop skills in order to be successful at school and to also help district personnel develop behavioral strategies to work more successfully with their students.  Evergreen can act as a bridge to other resources in the community, a diagnostic placement for children to determine how to help them achieve their highest potential, and as a training classroom for other school personnel.  Evergreen meets daily and has the capacity to serve 12 children.  KMHS provides a lead behavior interventionist and a behavior interventionist, and Bremerton School District provides a full time para-educator and a half time teacher.  Additionally, there is supervision from a half time clinical supervisor as well as oversight by the program supervisor through KMHS.
Youth Inpatient Unit - The Youth Inpatient Unit (YIU) is a 10-bed inpatient facility for evaluation and short-term treatment of children and youth (8 to 17 years old) who suffer severe emotional disturbances and are not appropriate for less restrictive treatment. Priority consideration for services is given to residents of the Peninsula Regional Support Network. The youth may enter services as a voluntary client or be detained under the Involuntary Treatment Act. The YIU is philosophically directed toward returning the youth to the community as soon as possible to finish treatment in an outpatient setting. The YIU is accessed through the Crisis Response Team. Additionally, the YIU coordinates with the Crisis Response Team and Child and Family Programs to provide access to the Children's Crisis Stabilization Room in emergency or crisis situations. 
Medical and Nursing Services
These services provide consumer evaluation, maintenance and monitoring of clients' need for and use of psychotropic medication. In addition, the physical health of clients is monitored to help differentiate between psychiatric problems and "psychiatric like" symptoms caused by physical complications. Side effects of medication are also monitored.
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