Child and Family Services
Wraparound with Intensive Services (WISe) Teams -
The WISe Teams offer intensive community-based services complete with individualized after-hours (24/7) response to crisis.  These services are available to Medicaid eligible youth and families between the ages of 0-21 who meet the need for this level of services.  When a family enters WISe they work with a team consisting of a Care Coordinator, Therapist, and Peer Support specialist.  The WISe Team works closely with each family on goals they want to achieve, with the intent being to help families become self-sustaining and self-advocating.  Family and youth voice and choice is a priority.  The family and WISe Team work together to identify natural supports within the family and community in order to build a network of support and assure that the family is learning ways to advocate for themselves using these supports. 
KMHS has multiple WISe teams currently serving families.  These services can be accessed through referrals from providers, community members, and the youth and the families themselves.  In order to refer or request WISe services, please call the WISe Team directly at (360) 415-6697 and ask for a "screen".  You will then be contacted by a WISe staff member to talk more about the program and see if these services are right for you.  The intensity of these services are not necessarily appropriate for all youth and families, and will be discussed during the screen.
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, Dialectical Behavior Therapy, Cognitive Behavioral therapy for Depression, Cognitive Behavioral Therapy for Anxiety, and Cognitive Behavioral Therapy for Behavior.
Home-Based Family Services - Kitsap Mental Health Services' Home Based Family Services is a strengths-based, family centered 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 services in home, school and community settings, 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, treatment or skill building groups, 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.

Madrona Day Treatment - Madrona Day Treatment (MDT) is an approved nonpublic agency through the state of Washington that serves K-12 students throughout Kitsap, Jefferson, Mason, and Pierce counties. MDT combines evidence based intervention, a supportive therapeutic environment, and individualized academic instruction to serve students with skill development that will empower success in a traditional school setting. MDT Staff are available to work with students and families for counseling and case management if these additional services will support the health, safety, and success of the students in the program. The ultimate goal for every student is for the development of self-esteem, skills, and access to resources needed so that students can feel confident in their ability to return to their district schools and feel success. When a student is ready to return to their district school, MDT staff collaborate with the student’s district to develop a plan to ensure success in transition. MDT operates Monday through Friday and in general follows the school district calendars. It is staffed by a supervisor, therapists, a special education teacher, and behavior interventionists. 1:1 para support can be supplied to students as needed to comply with Individualized Education Plans. MDT practices trauma informed care and strives to create an opportunity for every student to experience joy, success, and a sense of community.  
Sequoia Day School - Sequoia Day School is a supportive behavioral program that began in September of 2011, with individualized academics housed at Crownhill Elementary School in Bremerton.  This program works with the Bremerton School District.  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.  The Bremerton School District has expanded the program to include in-school assistance for the other elementary schools.  The behavior interventionists are able to travel to one of the six elementary schools in the district to provide intervention, consultation, and crisis planning for students and their teachers in their home school.  Sequoia can accommodate up to 12 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.  There are two behavior interventionists offering in-school assistance and are housed in the six various elementary schools.  Additionally, there is supervision from a clinical supervisor and a 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.  This year, the goal has been to get students into general education classes, and because of this, every student spends 4 periods of their day outside of the Evergreen classroom in general education, with support from KMHS staff.  Evergreen meets daily and has the capacity to serve 12 children.  KMHS provides a lead behavior interventionist and two behavior interventionists, and Bremerton School District provides a full time teacher and a para-professional.  Additionally, there is supervision from a clinical supervisor as well as oversight by the program supervisor through KMHS.
In-School Therapy Program - The Olympic Educational Service District (OESD) is contracted with KMHS to place 5 master's level therapists in 10 elementary schools throughout the county, with clinical supervision through KMHS.  The schools and parents refer students that may benefit from counseling, which can be in the form of individual, group, or family therapy.  The therapists collaborate with school personnel and families to develop an appropriate treatment plan and meet with students on a regular basis.  The therapists also work with teachers and school staff to address behavioral needs within the classroom environment.  
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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