The core program strategies are:
• Intervention at crisis point. HOMEBUILDERS Families are seen within 24 hours of referral
• Accessibility. Services are provided in the family’s home and community (e.g., school) at times convenient to families. Therapists are available 24 hours a day, 7 days a week, for crisis intervention.
• Flexibility. Intervention strategies and methods are tailored to meet the needs, values, and lifestyles of each family. Services are provided when and where the families wish.
• Time limited and low caseload. Families receive 4 to 6 weeks of intensive intervention, with up to two “booster sessions.” Therapists typically serve two families at a time and provide 80 to 100 hours of service, with an average of 45 hours of face-to-face contact with the family.
• Strengths based. Therapists help clients identify and prioritize goals, strengths, and values and help them use and enhance strengths and resources to achieve their goals.
• Ecological/holistic assessment and individualized treatment planning. Assessments of family strengths, problems, and barriers to service/treatment and outcome-based goals and treatment plans are completed collaboratively with each family.
• Research-based treatment practices. Therapists use evidence-based treatment practices, including motivational interviewing, behavioral parent training, cognitive–behavior therapy strategies, and relapse prevention.
• Support and resource building. Therapists help families assess their formal and informal support systems and develop and enhance ongoing supports and resources for maintaining and facilitating changes.
• Critical thinking framework. Therapists, supervisors, and managers use a critical thinking framework for assessing, planning, implementing, and evaluating progress and outcomes.