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Children’s Therapeutic Services and Supports – (CTSS)

What is CTSS?

Children’s Therapeutic Services and Supports (CTSS) is a flexible package of mental health services for children and their families who require varying therapeutic and rehabilitative levels of intervention. CTSS addresses the conditions of emotional disturbance that impair and interfere with an individual’s ability to function independently. For children with emotional disturbances, rehabilitation means that services are provided to restore the child to a level of functioning that they either had or would have achieved if normal development had not been impaired by a mental health disorder. CTSS services are time-limited interventions that are delivered using various treatment modalities and combinations of services designed to reach measurable treatment outcomes identified in an individual treatment plan (ITP).

CTSS services provided by mental health professionals and practitioners, 2-5 hours per week in-home, school or other community settings.

Who is Eligible?

To be eligible for CTSS, a client must have an ITP that clearly documents the need for this type of intensive and medically necessary service. An eligible client must also be:


• A child under age 18 diagnosed with an Emotional Disturbance (ED) or meet Severe Emotional Disturbance (SED) criteria

• A young adult age 18 through 20 diagnosed with Mental Illness (MI) or meet Serious or Persistent Mental Illness (SPMI) criteria

What Services are Covered?

Psychotherapy – provided with the child, both individual and with their family

• A planned and structured, face-to- face treatment of a child’s mental illness

• Provided using the psychological or interpersonal method most appropriate to the needs of the child; according to current community standards of mental health practice

• Directed to accomplish measurable goals and objectives specified in the child’s ITP

• Skills Training – individual and family

• Skills training is medically necessary when the child has lost behavioral skills or failed to develop behavioral skills compared to others of similar age as a result of their diagnosed mental health disorder.

• Skills training may also be delivered to help the youth to self-monitor, compensate for, cope with, counteract, or replace skills deficits or maladaptive skills acquired during the course of a psychiatric illness. Unlike a thought, feeling or perception, a skill is observable by others. It is an activity that must be practiced in order to be mastered and maintained. There are right ways and wrong ways to perform the skill. Typically, a skill is performed for a reason and a skill can be generalized and adapted to many different situations.

• Crisis Assistance – for the child, the child’s family, and all providers of services

• Recognize factors precipitating a mental health crisis

• Identify behaviors related to the crisis

• Be informed of available resources to resolve the crisis




CTSS LDR Referral – Please print out, complete and fax to our dedicated CTSS fax line: 651-342-8020; or call 952-564-6337.

Release of Information (ROI) Form – Please print out, complete and fax to our dedicated CTSS fax line: 651-342-8020; or call 952-564-6337.