(919) 572-8833 info@dfservices.org

DFS currently serves consumers with North Carolina Health Choice and Medicaid in the Alliance Behavioral Health, Eastpointe, and Cardinal Innovations areas.  We provide a child continuum of services including intensive in home services, day treatment, outpatient therapy, and medication management.

inhomeIntensive in Home Services is a therapeutic intervention in which a team of mental health providers meets with the family in the home setting in order to prevent out of home placement or assist with the transition back to home from a higher level of care such as therapeutic foster home placement.  We currently have teams operating out of Raleigh, Durham and Wilson areas. Team members provide counseling services several times a week and are available 24/7 to assist with crisis situations that may arise between sessions. These services are designed to provide structured, solution focused, developmentally appropriate interventions while at the same time allowing the treatment team the flexibility to tailor treatments to the individual and family’s preferences and goals.  The Intensive in Home Team, consumer and family work collaboratively to determine the goals of treatment.  Once goals are identified, the treatment team then utilizes monthly calendars to provided organized, structured and relevant interventions. Therapeutic interventions incorporate the evidence based modalities of Cognitive Behavioral Therapy and Motivational Interviewing.  In addition to those two core models, Diverse Family Services also utilizes Positive Action and the Strengthening Families programs.  Positive Action is an education program featuring a series of scripted lessons focusing on character building and the principles of creating a positive self-concept.  It works by teaching and reinforcing that performing positive actions improves a sense of positive self-worth.  As one progresses, they become more aware of the Thoughts-Actions-Feelings Circle, in which positive thoughts lead to positive actions, positive actions lead to positive feelings about themselves and positive feelings lead to more positive thoughts.  Research has shown that the Positive Action curriculum helps decrease bullying and substance abuse while improving test scores, academic achievement and behavior.

The Strengthening Families Program is a family skills program designed to increase resilience and reduce risk factors for behavioral, emotional, academic, and social problems in children 3-16 years old.  It incorporates life skills courses to assist children in effectively communicating, understanding their feelings, improving social and problem solving skills, resisting peer pressure, understanding the consequences of substance use, and complying with parental rules.  The parenting skills sessions are focused on helping parents learn to increase desired behaviors in children by using attention and rewards, clear communication, effective discipline, substance use education, problem solving, and limit setting.  During joint sessions, families engage in structured family activities, practice therapeutic child play, conduct family meetings, learn communication skills, practice effective discipline, reinforce positive behaviors in each other, and plan family activities together.

daytreatmentDay treatment is a structured, daily program that takes place in a group setting targeted to assist youth whose disruptive behaviors and/or emotions at school have placed them at risk for transfer or expulsion.  This program incorporates individual, group and family therapy to assist each consumer reach their treatment goals.  The Day Treatment program at Diverse Family Services features is a core curriculum with comprehensive interventions addressing four main topics:  coping skills, social skills, loss and separation and self-esteem.

In addition to utilizing CBT and MI, Diverse Family Services also incorporates the Positive Action curriculum into the program to further enhance the skills being introduced in group therapy. Positive Action is an educational program featuring a series of scripted lessons, with kits that include all materials needed for implementation.  It focuses on character building and focuses on the principles of self-concept.  It works by teaching and reinforcing the idea that you feel good about yourself when you do positive actions. The program teaches the positive actions for the physical, intellectual, social, and emotional areas of the self.  The philosophy is illustrated by the Thoughts-Actions-Feelings Circle where positive thoughts lead to positive actions, positive actions lead to positive feelings about oneself and positive feelings lead to more positive thoughts.

 

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Outpatient Therapy

Diverse Family Services provides in home and in office outpatient therapy for children, adolescents and adults utilizing Cognitive Behavioral Therapy and Motivational Interviewing skills.

Medication Management

Our Medical Director, a child/adolescent psychiatrist, provides psychiatric assessment and ongoing medication management for children and adolescents.

Psychological Evaluations

Psychological Testing can be completed to provide diagnostic clarification and provide further treatment recommendations as needed.

Comprehensive Clinical Assessments

Our licensed professional can complete clinical assessments to determine one’s plan of treatment.

Personal Care Services

Personal Care Services (PCS) are available to individuals who have a medical condition, disability, or cognitive impairment and demonstrates unmet needs for, at a minimum three of the five qualifying activities of daily living (ADLs) with limited hands-on assistance; two ADLs, one of which requires extensive assistance; or two ADLs, one of which requires assistance at the full dependence level. The five qualifying ADLs are eating, dressing, bathing, toileting, and mobility.

PCS program eligibility is determined by an independent assessment conducted by the Division of Medical Assistance or its designee and shall be provided in accordance with an individualized plan of care.

evidence_basedevidencedbasedEvidence Based Treatment

Diverse Family Services employs two main evidence based treatment models throughout our continuum of services, Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI).

Cognitive Behavioral Therapy (CBT) was chosen as our evidenced based model (EBM) due to its flexibility and the ability to individualize treatments based on the consumer’s age, diagnosis, and specific behavioral presentation.  CBT is time limited, problem focused, and goal directed; all qualities that are consistent with the IIH framework.  CBT is thought to be effective for the treatment of a variety of presenting concerns including disruptive behavior disorders, mood disorders, anxiety disorders, personality disorders, eating disorders, substance abuse disorders, tic disorders, and psychotic disorders.  CBT strategies have been found effective in the treatment of adults and children, allowing us to use this model while working with the family system as well as the individual.  Treatment goals often incorporate challenging maladaptive thought process and skill building techniques to achieve desired behavioral change.  Homework and self- monitoring are key components to successfully implementing CBT techniques and skills.   This model is supportive of families taking an active role in treatment and empowering families with the skills to achieve their goals.

Motivational Interviewing is another evidence based therapy incorporated into our treatment.  This collaborative, person-centered approach works to increase awareness of the links between problems, behaviors and consequences as well as the ambivalence associated with making changes.  This approach is focused on the consumer’s own perception of the problem and their identified reasons for desiring change.  Motivational Interviewing focuses on the present and can be used to address a broad range of presenting problems. Research shows that motivational interviewing techniques are associated with greater participation in treatment and positive treatment outcomes.

In addition to CBT and MI, Diverse Family Services also incorporates the Strengthening Families program and Positive Action into our enhanced services.