Collaborative Intensive Bridging Services (CIBS)

Bridging Families Forward, Connecting with Communities

Collaborative Intensive Bridging Services (CIBS) is an intensive treatment program for children ages six through 17 who have problems with:

  • Aggression or fighting with others
  • Self-injurious behavior
  • Depression
  • and others…
  • Truancy
  • Acting out in home or school
  • Theft

To meet the needs of these children and families, a model of treatment was developed that combines intensive in-home therapy with a brief, intensive Residential Treatment Center (RTC) placement. This model is based on research that indicates children are best treated with their family in the environments in which they live and interact. The total length of treatment is six to nine months.

The goals of CIBS are to:

  • Stabilize a child’s behavior so that they are able to live in their home and access community-based services.
  • Help develop parenting, communication, and relational skills that support a youth and promote a family’s ability to function.
  • Improve a family’s ability to effectively manage any crises.
  • Provide seamless coordination of care to a family to minimize multiple service providers across differing stages of treatment.

The service is designed to interrupt and redirect the current cycle of behavior and interactions that affect a child’s ability to live successfully in their home and manage their behavior. When the service is successful, a child and family will have more stable functioning and be in a better position to benefit from less intensive outpatient mental health services, if needed.

Program beliefs

This program has a certain set of underlying beliefs and assumptions that guide the treatment provided.

  1. Services work best for families when they are integrated with one another and governed by similar treatment values.
  2. Parents are an integral part of the ongoing collaboration regarding services and decision making for their family.
  3. The family is the focus of treatment.
  4. Strengths within the child or family are leveraged for change whenever possible.
  5. The child is best treated within their home/ family along with their other natural support systems.
  6. Small changes help produce larger changes over time.

There are 3 phases to treatment in CIBS.

Phase 1: Assessment. Assess and identify strengths and barriers currently affecting the child and family. Length: 2-4 weeks

Phase 2: A brief RTC placement focused on skill development and family contact. Length: 30 days

Phase 3: Ongoing, intensive in-home therapy to build on the work done in earlier phases of treatment. Length: 4-6 months

The same therapist will work with the family during all three phases of treatment.

There are four major players involved in the service:

  • The Family and Child
  • The County Case Manager
  • The Residential Treatment Center (RTC)
  • The Intensive In-Home Therapy Provider

Most of the families being served will be receiving case management services at the county level due to their child’s behavioral or mental health issues. The County case manager staffs the case at the County level to help determine if this service is most appropriate to the needs of the child and family.

Who is eligible?

  • Male or female
  • Ages 6-17
  • Must meet medical necessity for out of home placement
  • Child must have cognitive capacity to benefit from service
  • Child is stable enough to be treated in an unlocked setting
  • Family agrees to service (it is voluntary). Significant family participation in treatment is expected.