therapeutic behavioral services (TBS) TBSprovidesshort-term,one-on-one individualized behavioral counseling intervention designed to stabilize the behavior of children/youth and prevent removal from home or to assist children/youth transitioning back into the home from a higher level of care. In November 1999, we began providing TBS for County Mental Health and has since worked with 1,266 very high-needs children/ youth. Of the program days provided to these children/youth, 94% have been successful as indicated by: • Diversion from a more restrictive placement • Family and school stability outpatient counseling services We provide outpatient counseling services to children, youth, individuals and families with the primary focus to strengthen and preserve families. Counseling services include: child therapy;individualandfamilytherapy; marriage counseling; parent-child conflict resolution; parent education and training; and grief counseling. 2017-2018 Outcomes Youth/Families Served 51 Total Program Days 7,448 Successful Program Days 94% 2017-2018 Outcomes Of the 13 individuals who received outpatient counseling services, 95% had positive outcomes as indicated by: • Completion of treatment goals • Resolved crisis • Improved functioning javi Javi had always felt like an outsider. Coming from a patriarch family that strongly identified with their heritage, Javi was always told he was too sensitive, which put a strain on his relationship with his dad. At only 14, Javi’s dad expected Javi to “be the man of the family,” and take care of his younger brother and the house while he worked. With these pressuresonhissmallshoulders,Javistartedshowingsignsofdistress— he withdrew even more from his friends and family; instead of sleeping at night, he started roaming his neighborhood alone; and because he didn’t sleep, he fell asleep in class or ditched school altogether. Recognizing that Javi was on a downward spiral, his guidance counselor referred Javi to TBS for critical support. Javi’s team first noted that Javi’s family dynamics contributed greatly to their challenges. Javi was withdrawn and felt rejected by his dad; his father was confused, short tempered and resorted to yelling when upset; and his younger brother found himself caught between the two. The team was aware of the family’s strong cultural identity so Javi was matched with a counselor who shared his culture. Because they could relate to one another, Javi and his worker connected quickly. Javi felt understood and accepted by his worker, which helped him engage more freely with him. And with his worker’s help, Javi larned how to identify his emotions and how to express them in better ways. He also learned that being himself was the best person he could be. While Javi’s dad also felt connected to their worker, he still struggled with the idea that his son was “too emotional.” He didn’t want his son to be seen as “weak” but he also loved him and didn’t want to lose him. After a lot of team meetings and trying different interventions, Javi’s dad finally agreed to participate in family therapy which was a major step forward for the entire family. It took a lot of time and therapy for the family to finally see themselves as a bonded unit. The TBS team helped each member learn how to communicate in healthier ways while family therapy helped them all learn more about one another as people, both of which helped them to set more realistic expectations and build stronger connections. No longer feeling the weight of his family’s unrealistic expectations, Javi feels more free to be himself, which had opened up new and wonderful possibilities for him. 17