Children's Therapeutic Services and Supports (CTSS) aim to help children: - Restore emotional, social, and behavioral skills that have been impacted by mental health disorders - Gain coping skills and self-management tools to manage symptoms and related stress - Develop abilities and skills that are typical for youth of the same age without mental health symptoms Specific services provided to a youth and their family are based on: - Family needs - Family culture - Availability - Model or type of services offered in the area CTSS services can be basic community-based therapy services, such as in a home or school. They can also be more structured and focused intensive site-based services, such as day treatment. For families with complex needs and multiple providers, services must be coordinated with other providers or agencies working together in order to provide comprehensive continuity of care. CTSS services may include: - Therapy: Individual, family, and/or group psychotherapy - Skills training: Individual, family, and group to learn social, coping, communication, and/or daily life skills - Crisis plan development: For the child and family - Children's day treatment: Using trauma-focused CBT and DBT-inspired programming - Behavior skills in-home program: One hour session to help children learn specific skills to reduce symptoms of their mental health diagnosis CTSS provides counseling for children and youth for 2 - 5 hours per week at the clinic, home, school, or community setting focusing on: - Depression - Substance abuse - Sexual issues - Trauma - Anxiety - Family/relationship issues - Adjusting to transitions - PTSD Services may be a combination of skills training, psychotherapy, and crisis assistance. If appropriate, children and teens may be referred to participate in psychotherapy groups as a part of treatment. Groups are comprehensive, trauma-informed, and Dialectical Behavior Therapy (DBT)-inspired for the treatment of depression, anxiety, trauma, and other mental health disorders.