District of Columbia

Evidence-Based Associates (EBA) has worked with the District of Columbia since 2009 to help oversee the implementation of a variety of evidence-based programs for at-risk youth and their families.

Families First: Guidelines and Practices Manual

Families First Project (with DBH) | Jan. 2011-present

EBA Role:  Under Families First, EBA will provide Implementation Support (i.e. program development and program implementation support) services as Choice Providers implement chosen EBPs for various populations of children and families. Under the direction of DBH Children and Youth Services Division leaders, EBA will support and facilitate all aspects of the training and post-training activities for each EBP model. CSAs who elect and are chosen to deliver evidenced based treatments will be trained and provided with on-site follow-up and support. EBA, in conjunction with DBH, will develop and execute procedures and processes for client identification, referral, screening and placement associated with each EBP.

The implementation of “Families First” has created home-based, family-focused alternatives for children at risk of out-of-home placement. Also, the expert consultants contracted within Families First will train therapists to develop new and stronger skills to bring families back together where children have been placed in foster care, and to help families gain skills that prevent the need for placement or outside intervention.

EBAssessment:

Needs Assessment: Identify ideal evidence-based programs when and where they are needed in the District 

Implementation Support: Provider support to community-based provider agencies, to ensure they are successful in the shift to evidence-based programming

EBAssets: 

Service Provider Oversight: Monitor providers adherence to the EBP Hiring Manual; work to ensure policies and procedures are in place to support staff recruitment and retention

Training Coordination: Identify appropriate training organizations for trainings and support, including matching scheduling to ensure adequate available staff

EBAccountability:

Managing Utilization: Ensuring the necessary and appropriate referrals are available for the services

Quality Assurance and Fidelity Monitoring: Collaborate with consultants to collect and analyze adherence to the models

Stakeholder Management: Apprise Stakeholders of the project’s outcomes and continuous planning to ensure the needs of the community are being met, while sustaining the investment in evidence based services

EBAnalytics:

Monitoring and Evaluation: Developing systems (i.e. DC Dashboard and Fidelity Scoreboard) that allow us to review, provide oversight of data and provide continuous quality improvement on the implementation of evidence based practices. 

Child Parent Psychotherapy - Age 0-6yrs

Description

Child Parent Psychotherapy for Family Violence (CPP-FV) is a therapeutic intervention for young children with a history of trauma exposure or maltreatment and their caregivers. CPP-FV supports child development, restores the child-parent relationship and the overall feelings of safety, while reducing symptoms associated with the experience of trauma.

Age & Delivery

0-6 years old
Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home, and Outpatient Clinic.

Inclusionary Criteria

Child victims or witnesses of:

  • family violence
  • intimate partner violence
  • child physical abuse
  • child sexual abuse

Exclusionary Criteria

Child:

  • must have a trauma or maltreatment history
  • does not have a significant caregiver participating in treatment

Treatment Duration/Rate

50 sessions or approximately 1 year

Services Provided By

  • Department of Behavioral Health
  • Managed care organizations

Provider Contact Info:

DBH PIECE Program
821 Howard Rd., SE
Washington, DC 20020
(202) 698-1838
Ward: 8
Insurance Accepted: AmeriHealth, Trusted/Beacon, Medstar-Value Option

Community Connections
650 Penn Ave., SE
Washington, DC 20003
(202) 548-4885
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, HSCSN

Mary's Center
2333 Ontario Road, NW
Washington, DC 20009
(202) 483-8319
Ward: 1
Insurance Accepted: AmeriHealth, Trusted/Beacon, MedStar-Value Options, HSCSN, Care First

Parent Child Interaction Therapy - Age 2-7yrs

Description

Parent Child Interaction Therapy (PCIT) is a supported treatment for young children who are experiencing extreme behavioral difficulties. It places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns.

Age & Delivery

  • 2-6 years old
  • Outpatient Clinic

Inclusionary Criteria

Child who exhibits:

  • loss of temper
  • property destruction
  • stealing
  • fighting
  • general difficulty playing appropriately

Child must live with one or both parents or in a stable foster homes

Children must be a resident or ward of the District of Columbia

Exclusionary Criteria

Child is diagnosed with:

  • autism
  • PDD
  • exclusive ADHD
  • children whose parents have sexually abused their children (or convicted of such a crime) or who have an active investigation pending are not eligible for PCIT
  • parents with active substance abuse (should be referred for substance abuse treatment before being referred for PCIT)
  • parents with an IQ below 7

Treatment Duration/Rate

Children and caregiver participate in a series of therapy sessions: approximately 12 to 16 sessions.

Services Provided By

Managed care organizations

Provider Contact Info:

DBH PIECE Program
821 Howard Rd., SE Washington, DC 20020
(202) 698-1838
Ward: 8
Insurance Accepted: AmeriHealth, Trusted/Beacon, Medstar-Value Option

Community Connections
650 Penn Ave., SE Washington, DC 20003
(202) 548-4885
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, HSCSN

Mary's Center
2333 Ontario Road, NW Washington, DC 20009
(202) 483-8319
Ward: 1
Insurance Accepted: AmeriHealth, Trusted/Beacon, MedStar-Value Options, HSCSN, Care First

Family Functional Therapy

Description

Functional Family Therapy (FFT) is a family focused intervention for at-risk and juvenile justice involved youth.

Age & Delivery

  • 10-18 years old
  • Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home, and Outpatient Clinic.

Inclusionary Criteria

Child/Youth and their families whose range of problems include but are not limited to:

  • acting out
  • conduct disorder
  • alcohol and/or substance abuse
  • limited access to resources
  • a range of diagnose

Exclusionary Criteria

Child/Youth who is

  • actively suicidal
  • actively homicidal
  • actively psychotic without medication stabilization

Youth in respite or emergency care

Youth who will not be returning home within 30 days

Youth not living with permanent/long-term caregiver

Treatment Duration/Rate

Families participate in a series of sessions over a 3-5 month treatment period.

Services Provided By

Department of Behavioral Health

Provider Contact Info

Hillcrest Children & Family Center
915 Rhode Island Ave., NW
Washington, DC 20001
(202) 232-6100
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, MedStar-Value Options, HSCSN

Parent & Adolescent Support Services (PASS)
DC Department of Human Services--Family Services Administration
64 New York Ave., NE
Washington, DC 20002
(202) 698-4334
Ward: 5
Insurance Accepted: n/a

Multisystemic Therapy

Description

MultisystemicTherapy (MST) is an intensive family- and community-based treatment that addresses the multiple determinants of serious antisocial behavior in juvenile offenders.

 Age & Delivery

  •         12-17 years old
  •         Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home,  and Outpatient Clinic. Telehealth sessions could be an option for extreme circumstances.

Inclusionary Criteria

Child/Youth and their families whose range of problems include but are not limited to:

  •         acting out
  •         conduct disorder
  •         alcohol and/or substance abuse
  •         limited access to community resources
  •         a range of diagnose
  •         Pre- Dispositional Risk Assessment (PDRA) 2 or higher

Exclusionary Criteria

Child/Youth who is

  •         actively suicidal
  •         actively homicidal
  •         actively psychotic without medication stabilization
  •         Pre- Dispositional Risk Assessment (PDRA) below a 2
  •         Youth in respite or emergency care
  •         Youth who will not be returning home within 30 days
  •         Youth not living with permanent/long-term caregiver

Treatment Duration/Method

Families participate in 3 to 4 sessions per week over a 2 to 5 months treatment period

Average hours of therapy is 60

Transition To Independence Process

Description

Transition to Independence Process (TIP) is a practice model which prepares youth and young adults (ages 14-29) with emotional and behavioral challenges for the transition to adult roles by engaging them in their own futures planning while providing developmentally-appropriate supports. TIP involves youth/young adults, their families, and other key players in a process that facilitates movement towards greater self-sufficiency and successful achievement of their goals.

Age & Delivery

  • 14-29 years old
  • Delivered the in family’s natural environment-homes, schools, community.

Inclusionary Criteria

Youth/ Young Person:

  • with Emotional and Behavioral difficulty

Exclusionary Criteria

Youth/ Young Person:

  • with no Emotional and Behavioral difficulty

Treatment Duration/Rate

12 to 18 months

Services Provided By

MBI Services LLC
4017 Minnesota Ave., NE, Washington, DC 20016
(202) 388-9202
Ward: 7
Insurance Accepted: Amerigroup District of Columbia, AmeriHealth, DC Local, DC Medicaid, Medicare, Medstar, Trusted Health Plans Inc, Value Options

Life Enhancement Services
1818 NY Ave., NE, Suite 115
Washington, DC 20002
(202) 269-2401
Ward: 5
Insurance Accepted: DC Medicaid, Trust Health Plan, MedStar Family Choice (Amerigroup), AmeriHealth, HSCSN

Community Connections
801 Penn. Ave., SE
Washington, DC 20003
(202) 548-4885
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, HSCSN

Family Preservation Services
3341 Benning Rd., NE
Washington, DC 20019
(202) 543-1360
Ward: 7
Insurance Accepted: DC Medicaid, DC Local Dollars

Parent & Adolescent Support Services (PASS)
DC Department of Human Services-Family Services Administration
64 New York Ave., NE
Washington, DC 20002
(202) 698-4334
Ward: 5
Insurance Accepted: n/a

Total Family Care Coalition
1214 I St., SE
Washington, DC 20003
(202) 249-1000
Ward: 6
Insurance Accepted: Amerigroup

Trauma-Focused Cognitive Behavioral Therapy

Description

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is an intervention designed to help children, youth, and their parents overcome the negative effects of traumatic life events and address feelings.

Age & Delivery

  • 4-18 years old
  • Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home, and Outpatient Clinic.

Inclusionary Criteria

Child/Youth, who have a history of at least one significant potentially traumatic event to include but not limited to:

  • sexual assault
  • physical assault
  • witnessing serious violence in the home or community
  • unexpected traumatic death of a loved one
  • motor vehicle accident
  • dog attack
  • exposure to disasters
  • exposure to terrorist attacks
  • exposure to war trauma

Exclusionary Criteria

Child/ Youth:

  • does not have a trauma history
  • does not have a significant mental health symptom(s) related to a traumatic event
  • has severe cognitive disabilities, autism spectrum disorder
  • has other difficulties that make it impossible for them to engage in cognitive therapy

Treatment Duration/Rate

Children participate in a series of approximately 12 to 16 therapy sessions.

Services Provided By

Department of Behavioral Health Managed care organizations

Provider Contact Info:

MD/DC Family Resource
903 Brightseat Rd.
Landover, MD 20785
(301) 333-2980
Ward: n/a
Insurance Accepted: Medicaid

Community Connections
650 Penn Ave., SE
Washington, DC 20003
(202) 548-4885
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, HSCSN

Hillcrest Children & Family Center
915 Rhode Island Ave., NW
Washington, DC 20001
(202) 232-6100
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, MedStar-Value Options, HSCSN

Latin American Youth Center
1419 Columbia Road, NW
Washington, DC 20009
(202) 319-2225
Ward: 1
Insurance Accepted: AmeriHealth Caritas DC, Amerigroup, Trusted Health

Trauma Systems Therapy

Description

Trauma Systems Therapy (TST) is a comprehensive model for treating traumatic stress in children and adolescents that adds to individually-based approaches by specifically addressing the child’s social environment and/or system of care. TST is designed to provide an integrated and highly coordinated system of services guided by the specific understanding of the nature of child traumatic stress. TST focuses on the interaction between the child’s difficulties regulating their emotions and the deficits within the child’s social environment.

Age & Delivery

  • 6-18 years old
  • TST is a planning approach that includes input from children’s homes, schools, community.

Inclusionary Criteria

Child/Youth/ Young Person has:

  • been exposed to trauma
  • plausible trauma histories, evidencing difficulty regulating emotional and behavioral states
  • dysregulation being plausibly related to the trauma history
  • has stable housing or a plan to achieve stable housing in the community

Exclusionary Criteria

Child/Youth/ Young Person: TST is applicable to a wide range of populations and service settings. Therefore, exclusion criteria will be determined at the clinical discretion of the team at each provider site.

Treatment Duration/Rate

Average length of stay 9-18 months.

Services Provided By

Department of Behavioral Health

Provider Contact Info

Maryland Family Resources, Inc.
903 Brightseat Road Landover, MD 20785
(301) 333-2980
Ward: n/a
Insurance Accepted: Medicaid

Adoptions/Family Works Together
508 Kennedy St., NW Washington, DC 20011
(410) 869-0620
Ward: 4
Insurance Accepted: n/a

Hillcrest
915 Rhode Island Ave, NW Washington, DC 20001
(202) 232-6100
Ward: 6
Insurance Accepted: AmeriHealth, Trusted/Beacon, MedStar-Value Options, HSCSN