Comprehensive Healthcare Answers to Questions

Evidence Based Practices

These are some of the evidence based practices we offer at Comprehensive Healthcare.

Comprehensive Healthcare

Alternatives for Families-Cognitive Behavioral

Therapy (AF-CBT) is an intervention for families who are struggling with aggression, violence, or serious conflicts. It can also help families who are at risk or are worried about aggression and violence. AF-CBT promotes use of non-aggressive discipline strategies, enhancement of coping skills, and use of constructive family problem solving and communication.

Watch a Video about AF-CBT

Parent-Child Interaction Therapy (PCIT)

PCIT is an intervention designed for families with children ages 2 to 7. PCIT focuses on reducing serious child behavioral problems, improving parenting skills and improving relationships. PCIT uses a concrete, skill-based approach to teach parents and children new and positive ways to relate to each other. In each session, a PCIT therapist coaches the parent on interactions with their child.

Videos on PCIT Link 1 | Videos on PCIT Link 2

Positive Parenting Program (Triple P)

Triple P is a parenting and family support intervention. It aims to prevent severe behavioral, emotional, and developmental problems in children by enhancing the knowledge, skills, and confidence of parents. It for parents of children and adolescents from birth to age 16. The nature of the program allows utilization of the existing professional workforce in the task of promoting competent parenting. The majority of visits are held in the family’s home and at the family’s convenience.

Parent Management Training (PMT) for children with challenging behaviors

PMT helps parents/caregivers learn how to respond to their children (ages 6 to 17 years old) in ways that promote more positive behaviors and less negative behaviors and improve parent-child and family relationships. It can also involve teaching children (and their parents/caregivers) skills to handle negative emotions like anger or teaching the whole family skills to communicate better or solve problems effectively. Many families complete PMT/CBT in 12-15 sessions.

Functional Family Therapy (FFT)

FFT is a well-documented and highly successful family intervention program for youth with challenging behaviors. FFT has been applied to a wide range of problem youth and their families in various multi-ethnic, multicultural contexts. This intervention is for at-risk preadolescents to youth with very serious problems such as conduct disorder, violent acting-out, and substance abuse. While FFT focuses on youth aged 11-18, younger siblings of referred adolescents often become part of the intervention process and benefit from the intervention. In most programs sessions are spread over a three-month period. FFT is usually provided in the home.

Multisystemic Therapy® and MST® (MST)

MST is an intensive family- and community-based treatment program that focuses on addressing all environmental systems that impact chronic and violent adolescents -- their homes and families, schools and teachers, neighborhoods and friends. MST recognizes that each system plays a critical role in a youth's world and each system requires attention when effective change is needed to improve the quality of life for youth and their families. MST works with the ages 12 through 17 who have a very long history of arrests.

Family Integrated Transition (FIT)

FIT has been specifically adopted by Washington State's Juvenile Rehabilitation Administration (JRA) to meet the needs of high risk youth. This intervention is for youth referred directly by their JRA counselor.

Cognitive Behavioral Therapy for Depression and/or Anxiety

A time-limited, problem-focused intervention that teaches a child (ages 6 – 17 years old) how to change unhelpful or unrealistic thoughts. The therapist and client identify unhelpful thoughts and then come up with new helpful and realistic ones to practice and try out. Therapy also helps parents/caregivers understand how anxiety and depression works, what keeps it going, and how to support children in using their new skills. The B in CBT is to learn new behaviors. New helpful behaviors create new thoughts and feelings, thus helping extinguish the old unhelpful one. Examples of new behaviors/skills: calming coping skills, taking steps toward facing up to fears and worries, spending more time doing positive activities, and learning how to problem solve.

Trauma Focused Cognitive Behavioral Therapy (TF-CBT)

Helps children, youth and their families who have been affected by traumatic events. Traumatic events include physical and sexual child abuse, rape or assault, exposure to domestic or community violence, serious accidents, natural or human disasters, violent crime, violent or sudden death, or any other experience that creates threat or fear. The child/youth may actually experience the event, witness the event or have a close loved one who experienced the event. Ages 4-17. Many children/youth complete TF-CBT in 12-15 sessions. Some families need fewer sessions, and others need more. TF-CBT is flexible and individualized to the needs of each child/youth and family.

TF-CBT Video

Integrated Co-Occurring Disorder Treatment

Successful treatment for individuals with co-occurring severe and persistent mental illnesses and substance use disorders frequently requires that these two illnesses be treated at the same time by an integrated team of mental health and substance use disorder treatment professionals. Comprehensive provides both inpatient and outpatient integrated co-occurring disorder treatment programs to support clients establish a strong foundation for their recovery.

Program for Assertive Community Treatment (PACT)

PACT is a service-delivery model that provides comprehensive, locally based treatment to people with serious and persistent mental illnesses. The PACT team consists of staff members trained in a variety of areas such as psychiatry, social work, nursing, substance abuse, and vocational rehabilitation. PACT services are highly individualized and provided directly to clients in the community where they live. This level of active outreach and individualized service delivery has been shown to promote recovery and independence while reducing hospitalizations, homelessness and incarcerations.

New Journey: Early Intervention Project

The Washington state Division of Behavioral Health & Recovery (DBHR) is partnering with Comprehensive and the Early Assessment and Support Alliance (EASA) to prevent early trauma and disability caused by schizophrenia-related conditions. is partnering with EASA to create positive outcomes for Transition Age Youth (15-25) experiencing a First Episode of Psychosis (FEP). Comprehensive has established a First Episode Psychosis Pilot Program in Yakima called New Journeys.

The program is designed to identify young people who are experiencing psychosis as early as possible; establish a trusting relationship based on respect and genuine belief in the person's ability; provide a comprehensive and accurate assessment of the person's medical condition, strengths, goals and needs; stabilize the person's symptoms and living situation; preserve the person's family and informal support; help the person and family develop the skills, knowledge and social support needed to be successful in managing the condition in the long-run; and successfully transition young people to ongoing supports and services in the community. For more information visit our New Journey’s page.