Virginia’s Family First EBPs
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Child Age Range: 6-17
Problem area: Dysfunctional family patterns; Poor parent mental health
Treatment outcomes: Lower likelihood of future law involvement
Treatment length: 3-5 months
Marker for client fit: All family members in need of change, not just child, youth with co-occurring disorders
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Overview of relevant Title IV-E Clearninghouse evidence surrounding BSFT
Presented by Program Developer Olga Hervis, MSW
Purveyor Website: Family Therapy Training Institute of Miami
Brief Strategic Family Therapy
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Child age range: 2-17
Problem area: Any issue plus lack of motivation for treatment; disengaged family members
Treatment outcomes: Greater likelihood to engage in treatment that follows; Family wellbeing
Treatment length: 1-4 months
Marker for client fit: High risk for treatment dropout .
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Overview of relevant Title IV-E Clearninghouse evidence surrounding FCU
Presented by Dr. Anne Marie Mauricio and Dr. Elizabeth Stormshak
Family Check-Up
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Child age range: 11-18
Problem area: Youth substance use, disruptive behavior and conduct issues, depression; Family conflict
Treatment outcomes: Better coping skills; greater family cohesion
Treatment length: 4-8 months
Marker for client fit: Youth conduct, youth substance abuse
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Overview of relevant Title IV-E Clearninghouse evidence surrounding FFT
Presented by Dr. Helen Midouhas
Functional Family Therapy
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Child age range: 0-21
Problem area: Complex behavioral/emotional/mental health needs
Treatment outcomes: Positive effects on school functioning, mental health symptoms and functioning, and residential outcomes for diverse youth populations
Treatment length: Varies based on need
Marker for client fit: Need for service coordination between multiple care providers
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Overview of relevant Title IV-E Clearninghouse evidence surrounding HFW
High Fidelity Wraparound
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Child age range: 0-18
Problem area: Crisis; unstable living situation
Treatment outcomes: Placement stability
Treatment length: 4-6 weeks
Marker for client fit: Basic needs have yet to be met
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Overview of relevant Title IV-E Clearninghouse evidence surrounding HB
Presented by Dr. Shelley Leavitt
Homebuilders
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Child age range: 12-17
Problem area: Conduct issues; truancy; law involvement; Poor parent mental health
Treatment outcomes: Prevents out-of-home placement, law involvement; Less disruptive behavior
Treatment length: 3-5 months
Marker for client fit: Repeat court involvement
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Overview of relevant Title IV-E Clearninghouse evidence surrounding MST
Presented by Dr. Lisa Reiter
Multisystemic Therapy
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Child age range: 2-7
Problem area: Defiance, aggression, extreme mood swings; ineffective social skills; safety concerns
Treatment outcomes: Positive parenting skills; decreased parent sadness and irritability; Stronger parent-child bond
Treatment length: ~6 months, but depends on family progress
Marker for client fit: Parent willingness to learn new skills
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Overview of relevant Title IV-E Clearninghouse evidence surrounding PCIT
PCIT Outcomes and Benefits One-Pager
A more in-depth look at the proven benefits of PCIT, compiled by CEP-Va staff using studies cited in the Title IV-E Clearinghouse.
Presented by Andrea Carpenter, LPC
Parent-Child Interaction Therapy
Motivational Interviewing
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Child age range: Usually targets caregivers, though may be useful for children/adolescents.
Problem area: Ambivalence toward changing behaviors across a range of concerns (e.g., substance use, treatment engagement, school attendance, family conflict).
Treatment outcomes: Increased intrinsic motivation for change, reduced resistance to treatment, increased treatment engagement/adherence.
Treatment length: Usually brief (1-6 sessions) though can be part of a longer term treatment plan.
Marker for client fit: Families that are hesitant toward change behaviors though are open to discussing, families that would strongly benefit from a non-confrontational, collaborative approach that emphasizes autonomy and reduces blame.
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Coming Soon.
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Child age range: The individual must be 18 years or older; youth below age 18 may receive ACT if medically necessary.
Problem area: Individuals with psychiatric illnesses that are most severe and persistent, such as Schizophrenia, Bipolar Disorder, and schizoaffective disorder.
Treatment outcomes: The goal is to improve functioning and help people in their communities and out of inpatient treatment. Secondary goals include reducing homelessness and unnecessary hospital stays. The mission of ACT is to help people become independent and integrate into the community as they experience recovery.
Needs of this population include assistance with medication management, housing, entitlements, linkage with health care, psychiatric care, family support and education, basic living skills, supportive counseling, community integration, and social support. The goal of these services is to decrease the frequency of inpatient psychiatric treatment, serve individuals in their community of choice, and assist them in their mental health recovery.
Treatment length: ACT teams deliver services in-person to individuals, averaging approximately two or more hours of services across four or more contacts per week. Teams typically meet daily to discuss consumer needs and functioning, tailoring services accordingly. Caseloads are small, with a typical staff-to-consumer ratio of approximately 1:10. The team works together to ensure individuals receive needed services. The team provides services for as long as individuals need or until discharge criteria are met.
Marker for client fit: COMING SOON
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Coming Soon.
Assertive Community Treatment
Coordinated Specialty Care
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Age Range: 15-30
Problem area: Individuals experiencing first-episode psychosis (FEP), which is generally regarded as the early period (up to five years) after the onset of psychotic symptoms due to a serious mental illness (SMI) and unrelated to substance use, brain injury, or other non-SMI medical issues (e.g., dementia).Treatment outcomes: To provide treatment and recovery support so that individuals have the best chance possible to live their lives and not be disabled by a mental illness as they transition into adult roles.
Reducing hospitalizations, improving education and employment rates, reducing symptoms, and keeping people connected to their social networks.
Treatment length: Up to 2 years.
Marker for client fit: Having a primary diagnosis of schizophrenia, schizoaffective disorder, schizophreniform disorder, other specified schizophrenia spectrum, other psychotic disorder, or affective disorder with psychosis, specifically bipolar disorder with psychotic features and major depression with psychotic features. Experiencing a first episode of psychosis (FEP) and major impairment in functioning in either symptom management, educational/vocational functioning, social/interpersonal functioning, independent living skills, and community integration.
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Coming Soon.
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Age Range: 3-18
Problem area: Children/adolescents with PTSD symptoms, dysfunctional feelings or thoughts, or behavioral challenges.
Treatment outcomes: significantly reduced trauma symptoms, improved child behavioral, emotional, and social functioning, increased positive parenting practices in caregivers, improved parent/caregiver mental/emotional health.
Treatment length: usually 12-16 weeks, can be delivered in 8 and can be longer for more complex trauma.
Marker for client fit: Children and non-offending caregivers impacted by trauma (that they can remember) that are willing and able to participate in a structured, skills-based treatment involving caregivers, psychoeducation, coping skill development, and gradually processing trauma.
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Coming Soon.
Trauma-Focused Cognitive Behavioral Therapy
EBP Comparison Resources for Providers and Community Stakeholders
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Basic overview of all Virginia Family First evidence-based programs eligible for Title IV-E funding (training and reimbursement)
Family Therapy Decision-making Guide #1 - BSFT, FFT, and MST
Comparison chart for elements of Brief Strategic Family Therapy, Functional Family Therapy, and Multisystemic Therapy, including age limits, referral indicators, treatment length, family involvement, and predictors of success
Family Therapy Decision-making Guide #2 - BSFT and FCU
Comparison chart for elements of Brief Strategic Family Therapy and Family Check-Up, including age limits, referral indicators, caregiver requirements, treatment length, locations, training requirements, and caseload requirements
Navigating Virginia’s Title IV-E Prevention Services Plan and Evidence-Based Programs
Navigating Evidence-Based Programs for Children and Families
Navigating Evidence-Based Programs for Loved Ones
Bench Card Guide to EBPs Available in Virginia
Card provided to judges across the state to increase awareness of EBPs available for youth.
EBPs and Foster Care Prevention
An overview of the data surrounding how Virginia’s Family First EBPs can help reduce the risk of foster care for families.
Comparing EBPs to Traditional Treatment Outcomes
How to use Evidence-Based Programs in cases of Alternative Living Arrangements
Which EBP is right for your organization
Basic overview of all Virginia Family First evidence-based programs eligible for Title IV-E funding (training and reimbursement).
EBP Decision Making Guide with CANS (last updated February 2026)