• Mindfulness
• Interpersonal Effectiveness
• Emotion Regulation
• Distress Tolerance

• Significant mental health and psychiatric disorders
• Self-injurious, risk-taking, and/or aggressive behaviors
• Co-occurring mental health and substance use disorders
• A wide range of cognitive abilities, including individuals with IQs below 70
• Histories of trauma and abuse
• Attachment-related challenges
• Borderline personality traits

These units are designed to offer intensive, individualized care that addresses the multifaceted needs of each youth in a safe and structured setting.

• Youth with sexual offending behaviors
• Youth with significant fire-setting behaviors
• Youth with diagnosed eating disorders
• Youth with a history of severe aggression with weapons
• Pregnant youth
• outh with significant ASD presentations (ASD2/ASD 3 with high support needs)
• Youth with FS IQs below 40 (50/60?) or with significant cognitive impairments that would impact their ability to fully grasp the concepts of our DBT curriculum
• Youth with a primary substance use disorder or in need of medical detox
• Youth with significant medical issues beyond the scope of our medical team

• Have a primary diagnosis of Autism Spectrum Disorder (ASD) or other Intellectual/Developmental Disorders (I/DD) presenting with ASD-related symptoms
• Exhibit self-injurious, risk-taking, and/or aggressive behaviors
• Experience co-morbid mood disturbances secondary to ASD
• Demonstrate challenges in activities of daily living (ADLs)
• Show deficits in judgment and problem-solving skills that affect their ability to maintain safety

Our multidisciplinary team provides specialized, evidence-based interventions designed to support the unique needs of each individual in a structured, supportive setting.

Contact Our Admissions Team

Make a Referral! 216.232.2225

Referral line is open Monday-Friday, 9 a.m. - 5p.m., but clinicians are available to meet the needs of callers outside of those hours.

For 24/7 help with mental health emergencies, call 988.

Community Crisis Response is a short-term, community-based support program designed to meet the urgent needs of children and adolescents experiencing emotional or behavioral crises. Our team of licensed, trauma-informed clinicians is available to provide:

• Comprehensive safety assessments
• De-escalation and crisis stabilization
• Skill-building interventions

Rapid linkage to long-term supports, including fast-tracked access to intensive in-home therapy services

This service also offers a viable alternative to hospitalization, crisis beds, or residential placement—supporting youth who are at risk of entering a higher level of care or transitioning back into the community.

With a strong emphasis on clinical excellence, collaboration, and timely intervention, Community Crisis Response helps stabilize families while laying the groundwork for sustainable recovery and long-term wellness.

When to consider accessing the Community Crisis Response Team:

• Physical or Emotional Trauma
• Mental Health Issues
• Escalating Emotional or Behavioral Issues
• Running Away From Home
• School Truancy
• Suicidal Thoughts
• Caregiver/Child Conflict

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.

• 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

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 9.5 and 17.5 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. 

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.

Limited transportation is available for group participants, primarily serving the East Side of Cleveland and its surrounding suburbs.

We will link a referral form here

Child and Adolescent Group Services Transportation Line: 216.320.8477

Our outpatient and office-based counseling services  are built on a foundation of clinical excellence, compassionate care, and proven outcomes. We work with youth and their families to address a wide range of mental health concerns, including anxiety, depression, trauma, and behavioral challenges.

Our clinical counseling program is designed to address acute signs of behavioral/mental health symptoms and substance abuse disorders including:

• Any preferred gender identification of the client
• Parent-child or child-sibling relations
• Oppositional behaviors
• Depression, anxiety, self-esteem
• Sexual or physical abuse
• School-related issues
• Life changing familial events
• Grief, loss or trauma
• Aggression or stress management
• Adoption and foster care adjustment issues
• Attention deficit-related problems

Most clients engage in weekly individual and/or family therapy, tailored to their unique needs. Our team of highly trained, licensed therapists brings diverse backgrounds and expertise in evidence-based treatment models, ensuring each client receives high-quality, individualized care that supports real, lasting progress.

Whether meeting in-person or virtually, our therapists deliver the same standard of excellence to clients across Ohio. This flexible model increases accessibility while maintaining a strong focus on engagement, effectiveness, and positive outcomes for youth and their families. Services are available for individuals ages 5-25.

Bellefaire offers comprehensive psychological testing and 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 psychiatric evaluation, followed by regular follow-up 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.)
• Mood disorders (Depression, bipolar, etc.)
• Anxiety disorders
• PTSD/trauma
• Attention deficit-related problems
• Obsessive-compulsive disorder
• Schizophrenia (and other psychotic disorders)

Psychiatry appointments are available in person and virtually for families across Ohio, increasing access to quality care regardless of location.

Psychiatric Testing

Through psychological testing, our trained assessors work closely with youth and their families to gain insight into emotional, behavioral, cognitive, and developmental challenges. These evaluations provide a detailed understanding of each client’s strengths and needs, and generate targeted, evidence-based recommendations to guide care.

Psychological testing helps clarify a child or young adult’s needs and guide effective treatment and support. Our assessments can:

• Confirm or rule out mental health diagnoses
• Identify barriers to progress in current treatment
• Assess cognitive, intellectual, and academic functioning
• Highlight strengths and weaknesses to inform school or treatment accommodations
• Evaluate daily living skills and adaptive functioning
• Support eligibility for services such as disability benefits or developmental disability programs
• Include Autism-specific assessments (e.g., ADOS)

These services are available for clients ages 5 to 25.

Together, our testing and psychiatry services offer a well-rounded approach to care—equipping families and clinicians with the tools needed to support each child’s mental health journey with precision, compassion, and clinical excellence.

TEAM Alliance 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 TEAM Alliance are our clinically trained, licensed professionals, who specialize in working with children and adolescents. These dedicated TEAM 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, TEAM Alliance 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.

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

TEAM Alliance 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 to TEAM Alliance are coordinated through school sites and can be made by students, parents, guardians or school personnel.  Once referral is made, the TEAM Alliance team will coordinate the intake process to obtain the information necessary to begin service.

Through our Parents and Children Together (PACT) program we extend our mission beyond our campus to deliver exceptional care, treatment, and advocacy for children and their families. Through our In-Home Family Therapy services, we offer a range of programs designed to help families manage stress, resolve conflicts, and strengthen the overall family system.

Grounded in the belief that children and adolescents respond most effectively when supported in familiar surroundings, our approach emphasizes collaboration with parents, siblings, guardians, and other key family members. This home-based model fosters comfort, engagement, and lasting change by encouraging active participation in the therapeutic process.

PACT provides intensive therapy services to families who are experiencing stress due to many factors, including:

• Social or emotional problems such as ADHD, depression or anxiety
• Autism or other developmental disabilities
• Financial, housing or childcare challenges
• Aggression or self-control problems
• Trauma, separation or loss
• Substance use
• School problems, juvenile court involvement or conflicts in the community

Through training and support, we help parents and youth improve their aptitudes in the following areas:

• Anger management
• Conflict resolution
• Stress/anxiety management
• Self-esteem
• Sobriety
• Relapse prevention
• Communication skills
• Social skills

PACT offers two service options:

Intensive Home-Based Treatment (IHBT)

IHBT is a specialized mental health service designed for youth experiencing serious emotional disturbances who are either at risk of out-of-home placement or transitioning back into the home from a more restrictive setting. The primary goal of IHBT is to provide comprehensive mental health care and support that allows youth to remain safely in their homes—the least restrictive and most developmentally appropriate environment.

IHBT services are delivered in the home, school, and community settings where the youth lives and interacts. This approach targets the mental health challenges that place the youth at risk, while simultaneously fostering healthy development and strengthening family functioning.

By integrating key mental health services—including community psychiatric supportive treatment, behavioral health counseling and therapy, mental health assessment, and crisis response—IHBT offers a coordinated and seamless model of care. Services are delivered with flexibility, scheduled at times that accommodate the family’s needs, and are available 24/7 to ensure consistent support during times of crisis or transition.

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

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 are scheduled in advance and are guided by each family’s care plan.
• 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.

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.