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In-Home Therapy For Youth and Family

In-Home Therapy (IHT) is a structured family therapy provided to youth who experience moderate to severe behavioral health symptoms e their family members.

Acreditamos que os serviços são melhor prestados na comunidade e que as crianças e as famílias recebem melhor apoio dentro da sua comunidade.

In Home Therapy (IHT) is a MassHealth-funded service for youth aged 3-21 with social, emocional, or behavioral challenges and their family members. It can be delivered anywhere the youth is, including home, escola, and other places in the community. Services include direct clinical intervention, 24/7 on-call phone support, coordination with providers working with the youth and family members, and connection to community and natural resources so the family can thrive once services end.

We are proud to offer our services to the following towns:

Arlington, Bedford, Belmont, Boston, Braintree, Brookline, Burlington, Cambridge, Canton, Cohasset, Concord, Dedham, Hingham, Lexington, Lincoln, Medfield, Milton, Needham, Newton, Norwood, Quincy, Randolph, Revere, Somerville, Waltham, Watertown, Wellesley, Weston, Westwood, Weymouth, Wilmington, Winchester, Winthrop, Woburn.

Clinical Director of Home Based Programs

Kelci Conti, LMHC
E-mail: kconti@c4p.org
Phone: (857) 506-1485
c4p.org/homebasedma

Online Referral Form

Learn more about In-Home Therapy

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10 things to know about IHT

Learn more about what makes this service so unique.

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How does IHT help families?

IHT services can address a range of behavioral health needs and family dynamics.

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Right kid, right care, right time

Indicators that making a referral may be appropriate

Top 10 things to know about IHT

Learn more about what makes this service so unique. En español.

  1. IHT works with the youth’s family and support team, not just the referred youth. Therapy and coaching extends beyond the referred youth to their family members and others involved in their care and development.
  2. IHT uses a team approach. Typically, families work directly with a two-person team of a trained therapist and a Therapeutic Training and Support (TT&S) staff.
  3. Families create a treatment plan unique to them. The IHT Team involves the family in understanding their current situation, envisioning a meaningful future, and considering what they need to get there.
  4. The IHT Team provides education, intensive therapy, and coaching to the youth, their family, and the support team. Session time is used to practice skills together before the family tries to use them on their own.
  5. IHT services address the issues underlying the day-to-day challenges. IHT interventions aim to improve communication, reshape family dynamics, heal trauma, increase quality time, and address ongoing stress and mental health.
  6. The treatment plan can be changed at any time. Progress is closely monitored to highlight growth, tackle challenges, and adapt goals as strengths and needs evolve.
  7. The IHT Team meets with the family more than once a week. IHT services are a form of family therapy that involves more frequent and longer sessions than regular outpatient therapy. The timing of these sessions and who participates in them may look different each time based on the family’s preferences and progress.
  8. How often and for how long a family is involved with IHT is tailored to what they need and their rate of progress. The intensive schedule at the start of IHT reflects an effort to address issues and create change in a timely way. Session duration and frequency typically decreases as the family’s ability to independently manage daily life improves. It is also normal for there to be fluctuations in session time in response to the family’s gains and challenges.
  9. Families are empowered to lead their support team. If the family is involved in other services, the IHT team aids the family in efforts to coordinate, share updates, and make sure everyone is doing their part. At the same time, the IHT Team builds the family members’ ability to communicate, advocate, and lead treatment planning.
  10. IHT services begin with the future in mind. The IHT Team guides the family to envision what life will look like after meeting their goals and how they can maintain that progress for the long term. This involves connecting with other services, natural supports, and community resources and planning ahead for common or expected bumps in the road.

How does IHT help families?

IHT services can address a range of behavioral health needs and family dynamics.

  1. Coping with symptoms of mental health conditions: IHT teaches family members about presenting mental health conditions and provides skills to manage symptoms and advocate for themself or on behalf of the youth.
  2. Strengthening relationships between family members: IHT aids families to have more positive interactions by communicating with clarity and respect on a range of topics, prioritizing family quality time, problem-solving, and being accountable for harm.
  3. Adjusting to significant change: IHT assists families to adjust to and stabilize during or after change, such as a loss, separation, or transitioning between homes.
  4. Healing from trauma and adverse experiences: IHT guides families to process the impact of trauma, abuse, and other adverse events so they can heal and rebuild their lives.
  5. Managing issues of safety and risk: IHT works with families to create a safe home environment and respond to safety concerns and risky behaviors before they lead to crisis.
  6. Caregiving effectively and confidently: IHT builds caregivers’ understanding of the youth’s developmental stage and coaches caregivers to use new skills better suited to the youth’s abilities and needs.
  7. Creating structure and routine: IHT bolsters a family’s ability to manage day-to-day logistics such as childcare and supervision, balancing schedules, distributing household tasks, discussing household events, and engaging with the youth’s network as needed (school, extracurriculars, doctors, etc).
  8. Upholding rules and expectations: IHT guides caregivers to identify and communicate household rules and expectations and to be more consistent with giving developmentally appropriate consequences or rewards.
  9. Connecting to support networks and community resources: IHT encourages families to make the best of the help and resources offered by family, friends, the local community, and professional services in order to more easily and sustainably fulfill their social, emocional, cultural, and logistical needs and wants.

Right kid, right care, right time

Indicators that making a referral may be appropriate

  1. Other mental health services have not led to significant change. Outpatient therapy may not be consistent or intensive enough to address a youths’ behavioral health needs or a family’s challenging dynamics. Higher levels of care may be too short-term to sustain change or require separating the youth from the family.
  2. The youth’s attempts at coping with distress have led to crisis evaluation and/or admission to a higher level of care. The youth may be unable to maintain their personal safety or avoid risk of harm. Crisis evaluation services and inpatient care are unable to provide long-term, ongoing care for the youth or family or to address family dynamics that may be a factor in the youth’s ongoing challenges.
  3. The youth’s behavioral health is affected or unsupported by family dynamics. A youth will have a difficult time managing their emotions and behaviors in a home unable to consistently provide safety, estabilidade, and attention.
  4. Family dynamics are affected by the youth’s behavioral health needs. Caregivers and siblings may fear upsetting the youth, leading to increased conflict, blurred boundaries, and needs going unmet.
  5. Caregivers feel like they’ve “tried everything” to no effect. Caregivers with the best intentions and strong parenting skills still can feel overwhelmed, exhausted, and isolated. They may struggle to use new skills consistently and may not see their role in family challenges.
  6. The youth and/or family have experienced significant stress, hardship, or change. Certain life experiences can cause serious distress and difficulty and interrupt normal functioning. In an attempt to survive, family members may pick up ways of thinking, feeling, and acting that help in the short-term but cause longer term issues. Family members may feel disconnected or avoid talking about what happened.
  7. The youth and family have experienced other adverse outcomes due to these challenges. The youth may be facing negative consequences at school, in their social life, and in other community settings. DCF may establish a case if they determine reports of harm and abuse are legitimate.
  8. The youth is transitioning residences and stable placement is the goal. How a living situation transition is handled can set the youth and caregivers up for success. Transitions may include from an inpatient stay or residential placement to home, from one custody or caregiving arrangement to another, between homes of caregivers who do not live together, or even the youth moving out of the home at an age-appropriate time to live with friends, família, or to attend school.

Learn more about In-Home Therapy

10 things to know about IHT

En español.

  1. IHT works with the youth’s family and support team, not just the referred youth. Therapy and coaching extends beyond the referred youth to their family members and others involved in their care and development.
  2. IHT uses a team approach. Typically, families work directly with a two-person team of a trained therapist and a Therapeutic Training and Support (TT&S) staff.
  3. Families create a treatment plan unique to them. The IHT Team involves the family in understanding their current situation, envisioning a meaningful future, and considering what they need to get there.
  4. The IHT Team provides education, intensive therapy, and coaching to the youth, their family, and the support team. Session time is used to practice skills together before the family tries to use them on their own.
  5. IHT services address the issues underlying the day-to-day challenges. IHT interventions aim to improve communication, reshape family dynamics, heal trauma, increase quality time, and address ongoing stress and mental health.
  6. The treatment plan can be changed at any time. Progress is closely monitored to highlight growth, tackle challenges, and adapt goals as strengths and needs evolve.
  7. The IHT Team meets with the family more than once a week. IHT services are a form of family therapy that involves more frequent and longer sessions than regular outpatient therapy. The timing of these sessions and who participates in them may look different each time based on the family’s preferences and progress.
  8. How often and for how long a family is involved with IHT is tailored to what they need and their rate of progress. The intensive schedule at the start of IHT reflects an effort to address issues and create change in a timely way. Session duration and frequency typically decreases as the family’s ability to independently manage daily life improves. It is also normal for there to be fluctuations in session time in response to the family’s gains and challenges.
  9. Families are empowered to lead their support team. If the family is involved in other services, the IHT team aids the family in efforts to coordinate, share updates, and make sure everyone is doing their part. At the same time, the IHT Team builds the family members’ ability to communicate, advocate, and lead treatment planning.
  10. IHT services begin with the future in mind. The IHT Team guides the family to envision what life will look like after meeting their goals and how they can maintain that progress for the long term. This involves connecting with other services, natural supports, and community resources and planning ahead for common or expected bumps in the road.
How does IHT help families?
  1. Coping with symptoms of mental health conditions: IHT teaches family members about presenting mental health conditions and provides skills to manage symptoms and advocate for themself or on behalf of the youth.
  2. Strengthening relationships between family members: IHT aids families to have more positive interactions by communicating with clarity and respect on a range of topics, prioritizing family quality time, problem-solving, and being accountable for harm.
  3. Adjusting to significant change: IHT assists families to adjust to and stabilize during or after change, such as a loss, separation, or transitioning between homes.
  4. Healing from trauma and adverse experiences: IHT guides families to process the impact of trauma, abuse, and other adverse events so they can heal and rebuild their lives.
  5. Managing issues of safety and risk: IHT works with families to create a safe home environment and respond to safety concerns and risky behaviors before they lead to crisis.
  6. Caregiving effectively and confidently: IHT builds caregivers’ understanding of the youth’s developmental stage and coaches caregivers to use new skills better suited to the youth’s abilities and needs.
  7. Creating structure and routine: IHT bolsters a family’s ability to manage day-to-day logistics such as childcare and supervision, balancing schedules, distributing household tasks, discussing household events, and engaging with the youth’s network as needed (school, extracurriculars, doctors, etc).
  8. Upholding rules and expectations: IHT guides caregivers to identify and communicate household rules and expectations and to be more consistent with giving developmentally appropriate consequences or rewards.
  9. Connecting to support networks and community resources: IHT encourages families to make the best of the help and resources offered by family, friends, the local community, and professional services in order to more easily and sustainably fulfill their social, emocional, cultural, and logistical needs and wants.
Right kid, right care, right time
  1. Other mental health services have not led to significant change. Outpatient therapy may not be consistent or intensive enough to address a youths’ behavioral health needs or a family’s challenging dynamics. Higher levels of care may be too short-term to sustain change or require separating the youth from the family.
  2. The youth’s attempts at coping with distress have led to crisis evaluation and/or admission to a higher level of care. The youth may be unable to maintain their personal safety or avoid risk of harm. Crisis evaluation services and inpatient care are unable to provide long-term, ongoing care for the youth or family or to address family dynamics that may be a factor in the youth’s ongoing challenges.
  3. The youth’s behavioral health is affected or unsupported by family dynamics. A youth will have a difficult time managing their emotions and behaviors in a home unable to consistently provide safety, estabilidade, and attention.
  4. Family dynamics are affected by the youth’s behavioral health needs. Caregivers and siblings may fear upsetting the youth, leading to increased conflict, blurred boundaries, and needs going unmet.
  5. Caregivers feel like they’ve “tried everything” to no effect. Caregivers with the best intentions and strong parenting skills still can feel overwhelmed, exhausted, and isolated. They may struggle to use new skills consistently and may not see their role in family challenges.
  6. The youth and/or family have experienced significant stress, hardship, or change. Certain life experiences can cause serious distress and difficulty and interrupt normal functioning. In an attempt to survive, family members may pick up ways of thinking, feeling, and acting that help in the short-term but cause longer term issues. Family members may feel disconnected or avoid talking about what happened.
  7. The youth and family have experienced other adverse outcomes due to these challenges. The youth may be facing negative consequences at school, in their social life, and in other community settings. DCF may establish a case if they determine reports of harm and abuse are legitimate.
  8. The youth is transitioning residences and stable placement is the goal. How a living situation transition is handled can set the youth and caregivers up for success. Transitions may include from an inpatient stay or residential placement to home, from one custody or caregiving arrangement to another, between homes of caregivers who do not live together, or even the youth moving out of the home at an age-appropriate time to live with friends, família, or to attend school.

Ready to make a referral?

Referrals for In-Home Therapy can be submitted by a caregiver or a member of youth’s support team with the family’s consent. An IHT clinician will reach out to the caregiver(s) within 24 hours of receiving the referral.

Submit Referral Online

Fill out and submit a referral form now and we will contact you in 24 horas.

Online Referral Form

Submit via Email or Fax

Download the referral form aqui and submit via email or fax:

E-mail: MAhomebasedservices@c4p.org
Fax: 617-499-7684

Call 1-855-801-4622

Refer over the phone and a staff member will assist you. If you reach the voicemail, please leave a message. Calls without voicemails will not be returned.


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