Mental Health Services Overview

Behavioral Health Intervention Services(BHIS)

TSI serves both adults and children related to this specific service. BHIS are supportive, directive and teaching interventions provided in a community-based environment designed to improve a child or adult’s level of functioning, with a primary goal of assisting the individual and his or her family to learn age-appropriate skills to manage their behavior and regain or retain self-control. The child or adult needs to have a mental health diagnosis or a suspected diagnosis which will be assessed. This service can be provided through Medicaid insurance and private pay on a sliding scale fee.

BHIS includes services to modify the psychological, behavioral, emotional, cognitive and social factors affecting a child’s or adult’s ability to function. Interventions may address the following skills for effective functioning with family, peers, and community in an age-appropriate manner:

  • Communication
  • Conflict Resolution
  • Emotional Regulation
  • Executive
  • Interpersonal Relationship
  • Problem-solving
  • Social
  • Cognitive Flexibility

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  • Develop and apply pro-social skills
  • Develop and enhance interpersonal communication and interaction skills
  • Develop and apply self- control skills
  • Reduce anger and aggression, and manage emotions appropriately
  • Develop and apply healthy, age- appropriate decision making skills
  • Enhance self-esteem and self-efficacy

Learn to utilize new techniques for...

  • Losing one’s temper,
  • Arguing with others
  • Actively defying requests
  • Refusing to follow rules
  • Deliberately annoying other people
  • Testing limits and pushing boundaries
  • Being rejected by peers
  • Low self-esteem
  • Severe mood changes
  • Distractibility (ADD, ADHD)
  • Difficulty communicating
  • Poor school performance
  • Social and emotional anxieties

TSI provides these services in the least restrictive environment, which may be in the home, in the school or in the community. Our agency will accommodate to the family’s schedule. TSI provides group sessions that are held at the office; group sessions at schools with each school’s permission and Magellan approval.

Referrals can be made by anyone who may identify a need in a family’s life. Families can make a referral or be referred by the school, physician, therapist or friend. The services TSI provides are voluntary. Once a referral is made an appointment is scheduled with a Licensed Mental Health Clinician who completes an assessment and develops a treatment plan. TSI strives to have a Behavioral Health Intervention Specialist make contact within seventy-two hours pending the approval.

Mental Health Therapy

Services provide a strength based approach to alleviating stress and strengthening families. TSI offers therapeutic services to children, adolescents, and adults for individual, family and group sessions. Clinical mental health counselors offer a full range of services including:

  • Assessment and diagnosis
  • Therapy- Individual, family and group
  • Alcoholism and substance abuse treatment
  • Psycho educational and prevention programs
  • Crisis management

Parent Child Interaction Therapy

TSI offers specialized therapeutic services called Parent-Child Interactive Therapy (PCIT).

Parent-Child Interaction Therapy consists of about 15-20 sessions and five minutes of home practice per day. 

PCIT focuses on improving the caregiver-child relationship and increasing children’s positive behavior.

PCIT is appropriate for children who:

Are between the ages of 2 and 7 years (can be modified/adapted to older children7-10)
Exhibit many of the following behavioral concerns:

    • Difficulty in school, preschool, and / or daycare.
    • Aggression toward parents, siblings, and / or other children.
    • Refusing to follow directions.
    • Frequent temper tantrums.
    • Swearing
    • Defiance

PCIT focuses on two basic interactions

- Child Directed Interaction (CDI)
Caregivers are taught the PRIDE skills: Praise, Reflect, Imitate, Describe ,Enthusiasm.  
Caregivers follow the child’s lead.  They ignore annoying or attention seeking behavior and control defiant behaviors.


- Parent Directed Interactions (PDI)
Caregivers learn to use effective commands and specific behavior management techniques as they play with their child.  Caregivers are taught effective timeout procedures and how to manage children’s behaviors in real-world settings.

How does it Work? 
PCIT is a remarkably effective treatment backed by 20 years of research. Live coaching is the primary method of caregiver training in PCIT.  Caregivers are coached in specific play therapy and discipline skills by the therapist through an earpiece while the therapist observes the parent and child.

Advantages of live coaching- Skills are acquired more rapidly because the caregivers learn by doing. The Therapist supports caregivers as they learn PRIDE skills. Caregivers quickly become confident and proficient in skills with the child.  The therapist provides immediate feedback to the caregivers.

Home and Community Based Services (HCBS)

Child Mental Health Waiver
Children who have serious mental disturbances and are at imminent risk of out-of-home placement or are likely to be at risk can sign up for the Child Mental Health Waiver through Iowa Department of Human Services. (Many times there is a waiting list, therefore, sign up immediately if the need is identified). CMH services provides: mentoring, coaching, socialization, personal hygiene skills, skill development, therapy, crisis intervention, building relationships and respite services.

Waiver Services offer counseling services, skill development and respite for families who have children who are suffering from mental health issues. The approval from Department of Human Services for waiver programming is necessary.

Family Team Meetings

This is a structured meeting to identify strengths, needs and a plan related to children who are placed out of the home, are at risk of being removed from the home or have a mental health diagnosis in which planning needs to occur. We accept referrals from the Department of Human Services, Medicaid and any other concerned party.?

Supervised Visitation

Supervised visits are provided by a staff member to observe the interaction between parent and child and to identify safety concerns. It can include coaching appropriate interaction and identify parental deficiencies. We accept referrals from parents or attorneys who require supervised visits. Visits are at the cost of the parent receiving the visitation.

Fitness and WelLness

A gym is available at the Sioux City location. There are physical fitness trainers who will assist in establishing healthy eating patterns as well as develop a plan for training the body. Fitness classes for adults, youth and children are provided as well as a multitude of athletic programming for healthy living. All services are at the cost of the consumer. Cost and time of each class is available up request.

Chemical dependency & addiction

The Chemical Dependency and Addictions Programs of TSI focus on the identification and treatment and prevention of addiction through education and awareness.

Assessment & Recommendation-
Defining the problem and determining a course of action is the first step on the road to recovery from addiction. This initial stage of the process leads to the development of an individualized treatment plan or an appropriate referral.

TSI offers Intensive Outpatient, Extended Outpatient, and Continuing Care services. We offer varied group times in the morning and evening to accommodate work and personal schedules. TSI individualizes each client's treatment plan and length of stay based on need and progress. We offer a holistic approach to treatment, helping individuals to meet their emotional, mental, spiritual, and physical needs.

DUI Assessment and DUI Classes

DUI classes assist with defining a plan of action after an arrest for driving while intoxicated. We provide the court order class in order to regain your driver’s license. Classes are provided one time a month, we need a minimum of 4 participants to hold the class. Classes consist of 12 hours to be divided 4 hours on Friday evening and 8 hours on Saturday. Call to obtain information of the cost and the next available class.