Bellefaire JCB extends our care beyond our campus through a range of in-home family therapy programs designed to help children, youth, and families overcome challenges, build resilience, and strengthen relationships.

We believe children experience the greatest success when treatment takes place in their everyday environment, where parents, siblings, caregivers, and other important members of their support system can actively participate in the healing process. By meeting families where they are, our experienced clinicians provide personalized, evidence-based services that promote lasting change and help families thrive together.

Admissions Criteria for In Home Family Therapy

• Potential client is under 18 years of age or transitional age youth between 18-21 who has had an onset of serious emotional and mental disorders at an age younger than 18.
• A parent/guardian is willing to participate in sessions weekly. Sessions are a minimum of two times a week for 2 hours each session.
• The client is not enrolled in any other mental health services aside from psychiatry and a group Therapeutic Behavior Services (TBS).

CONTACT OUR ADMISSIONS TEAM

Intensive Home Based Treatment (IHBT)

Intensive Home Based Treatment services are provided to children, youth, and families who need a higher level of support to address emotional, behavioral, or mental health challenges. The program is designed to help families stabilize and strengthen functioning within the home and community.

Families typically participate in the program for three to six months, receiving three to six hours of service per week. As progress is made, services are gradually stepped down to less intensive outpatient care in the community.

Intensive Home Based Treatment uses a multisystem, wraparound approach that supports the whole family. Treatment focuses on strengthening relationships, improving communication, and developing practical strategies to address challenges. Interventions may include cognitive behavioral therapy, family preservation services, and coordinated care planning.

Bellefaire also provides IHBT to families of children with autism who may benefit from intensive, individualized support in the home and community. Bellefaire JCB is currently piloting a specialized Co-Occurring Mental Health and Autism Spectrum-Informed Intensive Home-Based Treatment (IHBT-ASI) Model for youth with significant behavioral health needs and co-occurring autism. The pilot is being conducted in partnership with Case Western Reserve University and The Ziggurat Group and is currently available in Cuyahoga, Lorain, and Summit counties.

The counselor works closely with the family and collaborates with other involved systems, including schools, courts, therapists, and other community providers, to ensure coordinated and effective care. 

Services include:

• In-home assessment and treatment
• Individual and family therapy
• Coordination with schools, courts, and providers
• Ongoing consultation and progress monitoring
• Transition and aftercare planning

The model is designed to provide intensive, individualized support to youth and families who may be at risk of out-of-home placement, are transitioning home following a placement, or need a high level of mental health and autism-informed intervention to safely remain at home.

“For the first time in 8+ years of trying to diagnose and obtain support for my daughter, we felt heard, understood, and supported. Linda has made a meaningful and immeasurable impact in our daughter and our family’s lives.” - IHBT Parent

In addition to Cuyahoga County, this service is available in  Lorain County

Integrated Co-Occurring Treatment (ICT)

ICT is a comprehensive, evidence-informed approach embedded within an intensive home-based service model. It is designed to support youth with co-occurring substance use disorders and serious emotional disturbances, as well as the families who care for them.

ICT delivers a core set of coordinated services that address the complex and interrelated challenges these youth face. Therapists use targeted interventions aimed at the contextual factors—such as family dynamics, peer relationships, and community influences—that contribute to and are affected by the youth’s co-occurring conditions.

Family involvement is a critical component of ICT. The model requires active participation from both the youth and at least one parent or guardian to ensure meaningful and lasting outcomes. Through this collaborative, family-centered approach, ICT promotes stability, recovery, and resilience within the home and community environments.

The ICT model has proven successful in improving the following treatment outcomes for youth and families:

• Decreased substance use disorder symptoms
• Decreased mental health disorder symptoms
• Decreased juvenile justice charges and placements
• Decreased out-of-home placements
• Improved school functioning
• Improved family functioning
• Improved community functioning and involvement

This service is available in: Cuyahoga and Lorain counties

Functional Family Therapy

Functional Family Therapy is an Intensive Home-Based Treatment service that provides in-home therapy for families with youth ages 10–18 who are at risk of out-of-home placement due to mental health and/or behavioral concerns.

Services are delivered directly in the home environment, allowing clinicians to engage families in their natural setting and address challenges in real time. It is an evidence-based practice supported by extensive research demonstrating both short- and long-term positive outcomes for youth and families.

The model focuses on strengthening family relationships, improving communication, and developing practical strategies to reduce risk factors and support lasting change.

This service is available in: Portage County

Child and Adolescent Group Services offers a variety of problem-specific and evidence-based therapeutic practices, including Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT). These groups are facilitated by credentialed professionals with specialized training and experience in child and family counseling.

Services are offered year-round, Monday through Friday, excluding holidays. Groups are scheduled from 4:00 PM to 6:30 PM during the school year, and from 9:30 AM to 1:30 PM during the summer.

Our program serves children and adolescents between the ages of 6 and 17 in a co-ed group therapy setting. To be eligible, participants must meet the criteria for a DSM-5 diagnosis and demonstrate the clinical appropriateness for group treatment during the screening process. 

Contact Our Admissions Team

This service is available in: Cuyahoga, Lorain, Medina, Portage and Summit counties

The Child and Adolescent Group Services program provides an environment for youth presenting a wide range of issues, including but not limited to:

• Aggression toward self
• Aggression toward family
• Aggression toward peers
• Aggression toward Adults
• Property destruction
• Suicidal Ideation/ actions

To ensure that participants receive consistent, supportive care and that caregivers remain actively involved in the treatment process, Child and Adolescent Group Services requires::

• Children must be minimally able to participate in group sessions.
• A minimum commitment of three days per week of attendance is required.
• Caregivers must participate in brief weekly case management phone calls with program staff.

Transportation is available for some group participants.

Outpatient therapy provides comprehensive support for children and families facing a range of behavioral, emotional, and substance use challenges. Whether your family is navigating a significant life transition, or your child is experiencing symptoms such as anxiety, depression, oppositional behavior or low self-esteem, our services are tailored to meet your unique needs.

Our team of licensed, master’s-level clinicians specializes in child and family therapy, offering evidence-based treatment in a supportive and collaborative environment. We also provide care through dually licensed professionals with expertise in addressing alcohol and drug use, as well as co-occurring mental health and substance use disorders.

Contact Our Admissions Team

This service is available, in-person or via telehealth, in: Cuyahoga, Lorain, Medina, and Summit counties

• Parent-child or child-sibling relations
• Oppositional behaviors
• Depression, anxiety, self-esteem
• Sexual or physical abuse
• Teen dating violence
• School-related issues including bullying
• Life changing events including divorce
• Grief, loss or trauma
• Aggression or stress management
• Attachment disorders
• Adoption and foster care adjustment issues
• Attention deficit-related problems

Bellefaire offers comprehensive psychiatry services to support accurate diagnosis, effective treatment planning, and long-term emotional well-being for children and adolescents.

Office-Based Psychiatry

We offer ongoing, office-based psychiatry services for children and adolescents who may benefit from medication management as part of their treatment. Services begin with a comprehensive psychological evaluation, followed by regular appointments to ensure ongoing support, monitoring, and collaboration with families and therapists.

Our board certified psychiatrists treat the following:

• Individuals ages 5–25
• Disruptive behavior (oppositional defiant disorder, conduct disorder, etc.)
• Autism
• Mood disorders (depression, bipolar, etc.)
• Anxiety disorders
• PTSD/trauma
• Attention deficit-related problems
• Obsessive-compulsive disorder
• Schizophrenia (and other psychotic disorders)

Psychiatry is available in: Cuyahoga, Lorain, Medina, Portage and Summit counties as well virtually for families across Ohio.

Contact Our Admissions Team

Bellefaire's School-based counseling team is committed to delivering exceptional mental health services that support the entire school community. Our program combines evidence-based counseling with customized prevention strategies to meet the diverse emotional and behavioral needs of students.

At the heart of this program are our clinically trained, licensed professionals, who specialize in working with children and adolescents. These dedicated counselors provide a comprehensive range of high-quality services, including:

• Individual Psychotherapy
• Therapeutic Behavioral Services (TBS)
• Prevention and Early Intervention
• Consultation with School Staff and Caregivers

By embedding counselors directly in the school setting, School-based counseling eliminates common barriers to care such as transportation challenges, scheduling conflicts, financial constraints, and loss of instructional time. This model ensures greater accessibility to essential mental health services for students who may otherwise go without support.

This service is available in Cuyahoga and Medina counties. Visit your county’s site below for program and referral information:

• Cuyahoga County
• Medina County

Students benefit from:

• Personalized, trauma-informed care
• In-the-moment intervention for emotional or behavioral disruptions during the school day
• Increased advocacy and coordination among school staff, caregivers, and external providers
• Improved social-emotional readiness, helping students thrive both academically and personally

School-based counseling fosters a collaborative, strengths-based school culture that promotes resilience, emotional well-being, and long-term student success—setting a new standard in school-based mental health services.

Referrals for School-based counseling are coordinated through school sites and can be made by students, parents, guardians or school personnel.  Once a referral is made, our team will coordinate the intake process to obtain the information necessary to begin service.

Our Behavioral Health Respite Services are designed to deliver high-quality, short-term relief for caregivers of children and adolescents. Each session provides approximately three hours of structured, supportive care, giving caregivers valuable time to rest and recharge—confident in the knowledge that their child is in capable hands.

Youth are cared for by trained professionals with extensive experience in child and adolescent behavioral health. During each session, participants engage in enriching, age-appropriate activities within the community or on our beautiful and secure campus.

Our commitment to excellence, safety, and compassionate support ensures that every respite experience is not only a break for the caregiver—but a positive, engaging, and therapeutic opportunity for the youth.

• Provides short-term respite services to families enrolled in OhioRISE Services 
• Transportation to and from activities will be provided
• Offers on and off campus activities, with locations in both Shaker and Cleveland
• Services provided by staff that have extensive experience working with youth
• All referrals  must be made by an OhioRISE Care Coordinator and are guided by each family’s individualized care plan

Schedule Your Respite

• Behavioral Health Respite service sessions must be scheduled in advance.
• Each session lasts approximately 3-4 hours.
• Times are available weekday evenings as well as Saturdays.
• Please provide 24 hours’ notice for any cancellations or change in plans.

This service is available in Cuyahoga, Lorain, Portage and Summit counties. Visit your county’s site below for program and referral information:

• Cuyahoga County
• Lorain County
• Portage County
• Summit County