"Home Is Where The Care Begins"

Carolinas Home Care Agency, Inc.  



Child and Adolescent Day Treatment (MH/SA)

Carolinas Home Care Agency, Inc. day treatment is a structured treatment service in a licensed facility for children or adolescents and their families that build on strengths and addresses identified needs. This medically necessary service directly addresses the child’s diagnostic and clinical needs, which are evidenced by the presence of a diagnosable mental, behavioral and/or emotional disturbance with symptoms and effects documented in a comprehensive clinical assessment and PCP.

Day Treatment services are designed to serve children who, as a result of their mental health and/or substance abuse treatment needs, are unable to benefit from participation in academic or vocational services at a developmentally appropriate level in a traditional school or work setting. Carolinas Home Care Agency, Inc. implements therapeutic interventions that are coordinated with child’s academic or vocational services available through enrollment in an educational setting.

These interventions used through Cognitive Behavior Theory are designed to reduce symptoms, improve behavioral functioning, increase the individual’s ability to cope with and relate to others, promote recovery, and enhance the child’s capacity to function in an educational setting, or be maintained in community based services. It is available for children 5 to 17 years of age. Carolinas Home Care Agency, Inc. day treatment program shall address the age, behavior, and developmental functioning of each child to ensure safety, healthy and appropriate treatment interventions within the program milieu.

Carolinas Home Care Agency, Inc. Day Treatment program provides mental health and/or substance abuse interventions in the context of therapeutic treatment milieu. This service is focused on providing clinical interventions and service to support the child in achieving functional gains that support the child’s integration in educational or vocational settings, is developmentally appropriate, is culturally relevant and sensitive, and is child and family centered. Carolinas Home Care Agency, Inc. Child and Adolescent Day Treatment follow a clearly identified clinical models or evidence-based treatments consistent with best practice. Cognitive Behavior Therapy should be expected to produce positive outcomes for this population.

CBT shall address the clinical needs of each recipient, and those needs shall be identified in the comprehensive clinical assessment and documented in the PCP. All criteria for example, program, staffing, clinical and other Day treatment rules and regulations will be followed.

Intensive services are designed to reduce symptoms and improve level of social, emotional, or behavioral functioning including but not limited to:

  1. Functioning is an appropriate educational setting
  2. Maintaining residence with a family or community based non-institutional setting (Foster home, Therapeutic Family Services)
  3. Maintaining appropriate role functioning in community settings.


Carolinas Home Care Agency, Inc. Day Treatment program implements developmentally appropriate direct preventive and therapeutic interventions to accomplish the goals of the Person Centered Plan, as related to the mental health or substance abuse diagnosis. These interventions include, but are not limited to the following.

  1. Development of skills and replacement behaviors which can be practiced, applied, and continually addressed with treatment staff  in a therapeutic and educational environment.
  2. Monitoring of psychiatric symptoms in coordination with the appropriate medical care provider
  3. Identification and self-management of symptoms/behaviors
  4. Development/improvement of social and relational skills
  5. Enhancement of communication and problem, -solving skills
  6. Relapse prevention and disease management strategies
  7. Individual, group and family counseling
  8. Provision of strengths-based positive behavior supports and
  9. Psycho education and training of family, unpaid caregivers, and/or others who have legitimate role in addressing the needs identified in the Person Centered Plan


One of Carolinas Home Care Agency, Inc. Day treatment qualified professionals is responsible for convening the Child and Family team. This team comprises those persons relevant to the child’s successful achievement of service goals including, but not limited to, family members, mentors, school personnel, and primary medical care.