Skip to content
Search:
JOIN OUR TEAM
CONTACT US
Outpatient
Residential
SUBMIT A REFERRAL
Diversified Treatment Alternative Centers
Home
About
Who We Are
Who We Serve
Leadership
Team
Programs
Residential
Residential for Ohio and PA
Outpatient
Partial Hospitalization Programs
Abuse Resolution and Recovery Treatment Services
Intensive Behavioral Health Services
DE Outpatient Program
Admissions
Clientele
Referral Process
Testimonials
Roadmap
Outcomes
Frequently Asked Questions
Our Voice
Home
About
Who We Are
Who We Serve
Leadership
Team
Programs
Outpatient
Partial Hospitalization Programs
Abuse Resolution and Recovery Treatment Services
Intensive Behavioral Health Services
DE Outpatient Program
Admissions
Clientele
Referral Process
Testimonials
Roadmap
Outcomes
Frequently Asked Questions
Our Voice
Referral Profile
Referral Profile
You are here:
Home
Referral Profile
New Referral
Referral Date
(Required)
Hidden
(Required)
Please select a program
(Required)
IBHS
Intensive Behavioral Health Services (IBHS) - Clinton, Columbia, Lycoming, Montour, Northumberland, Snyder, and Union Counties
Our Behavior Health Technician, Behavior Consultation, Mobile Therapy, and ABA staff offer behavioral interventions to help clients and their families improve social, emotional, and behavioral functioning. These services aim to transfer learned skills and interventions to the client’s natural support systems.
Extended Evaluations
Extended Evaluation Services Clinton, Columbia, Lycoming, Montour, Northumberland, Snyder, and Union Counties
Comprehensive diagnostic evaluations are conducted in the community to provide a detailed understanding and roadmap for further treatment. Evaluations include comprehensive diagnostic assessments, psychosocial evaluations, Child and Adolescent Functional Assessment Scale, and psychological or psychiatric evaluations.
ARRTS
Abuse Resolution and Recovery Treatment Services (ARRTS) - Bloomsburg,Sunbury, Williamsport, PA Please remove the items highlighted
ARRTS addresses traumatic experiences that lead to mood and behavioral disturbances, including sexual, emotional, or physical abuse. The program offers individual, group, and family therapy services. It is prescriptive in terms of hours and length of stay, with programming held after school hours, and provides complimentary transportation. We serve males and females ages 5 to 17, following an initial clinical interview.
PHP
Partial Hospitalization Programs (PHP) - Sunbury & Williamsport, PA
Our Partial Hospitalization Program focuses on treating children and adolescents who exhibit emotional, behavioral, and developmental issues. This 5-day per week during the school day, multidisciplinary day program keeps children in their homes and communities to prevent more restrictive placements. PHP utilizes individual, group, and family therapies. Medication management is supervised by a board-certified psychiatrist.
CSBBH
Community and School-Based Behavioral Health (CSBBH) - Berwick, Midd-West, and Milton School Districts
This service provides community and school-based interventions tailored to the needs of the individual and family. CSBBH offers therapy, behavior support, and case management services. We currently serve families in the Milton, Berwick, and Midd-West school districts.
Unsure
Unsure
It's ok! Someone will reach out shortly to provide you with more information !
Name of Person completing Referral/ Relationship to Client:
(Required)
Referring Agent’s #:
(Required)
FIRST NAME:
(Required)
LAST NAME:
(Required)
Gender
(Required)
Male
Female
D.O.B.
(Required)
MM slash DD slash YYYY
AGE:
(Required)
Social Security #:
Does the youth have Medical Assistance/ Medicaid?
(Required)
YES
NO
MA Number
HOME ADDRESS:
(Required)
COUNTY:
(Required)
Home School District:
(Required)
School Attending:
(Required)
Grade:
(Required)
School Contact Person / Title:
(Required)
Phone #
(Required)
Email
(Required)
Interview Name Person / Title:
(Required)
Interview Name Phone #
(Required)
Interview Name Email
(Required)
PARENTS & GUARDIANS *Please specify legal guardianship (if applicable/CYS)*
NAME / RELATIONSHIP
(Required)
PHONE # / Type (Cell / Home / Work)
(Required)
Email
(Required)
NAME / RELATIONSHIP
PHONE # / Type (Cell / Home / Work)
Email
NAME / RELATIONSHIP
PHONE # / Type (Cell / Home / Work)
Email
NAME / RELATIONSHIP
PHONE # / Type (Cell / Home / Work)
Email
NAME / RELATIONSHIP
PHONE # / Type (Cell / Home / Work)
Email
PRESENTING PROBLEMS / TRAUMA HISTORY:
(Required)
SCHOOL HISTORY (IF APPLICABLE):
(Required)
Please upload any additional relevant documents
Drop files here or
Select files
Accepted file types: pdf, doc, docx, xlx, png, jpeg, jpg, , Max. file size: 100 MB.
Go to Top
