Community-based Mental Health

AIP Community-based Mental Health


Alliance for Inclusion and Prevention is a firm believer in delivering services to the places where people are, instead of making people come to service providers.  In addition to our school-based work, AIP has a long history of providing services to those who need them, where they need them. This includes in-home therapy services.

Our Community Mental Health team has been providing in-home evidence-based services in the greater Boston Metro area since 2006.  This includes Multysystemic Therapy (MST), and more recently, Multisystemic Therapy for Problem Sexual Behavior (MST-PSB), and Problematic Sexual Behavior Cognitive Behavioral Therapy (PSB-CBT).

If you have questions about our MST or MST-PSB services, please reach out to our MST supervisor.

Multisystemic Therapy (MST)


MST is a pragmatic, goal-oriented, family- and community-based treatment that addresses the causes of serious anti-social behavior in youth aged 10-17 who are at high risk for out-of-home placement. MST focuses on the factors associated with major behavioral problems in the key systems in youths’ lives: their families, their peer networks, their schools, and their neighborhoods. Using the strengths of each system to foster positive change, MST promotes behavior change in youths’ natural environments. MST mobilizes individual, family, and community resources to support and maintain behavioral change.

MST-PSB For Problem Sexual Behavior


MST-PSB is a pragmatic, goal-oriented, family- and community-based treatment that addresses the causes of problem sexual behavior in youth aged 10-17 who are at high risk for out-of-home placement. MST-PSB focuses on the factors associated with sexual behavioral problems in the key systems in youths’ lives: their families, their peer networks, their schools, and their neighborhoods. Using the strengths of each system to foster positive change, MST-PSB promotes behavior change in youths’ natural environments. MST-PSB mobilizes individual, family, and community resources to support and maintain behavioral change.

PSB-CBT For Problem Sexual Behavior


Problematic Sexual Behavior Cognitive Behavioral Therapy
(PSB-CBT) is an evidence-based treatment model for children and adolescents ages 7-14 who have engaged in problematic sexual behavior (PSB). Typically, children participate in a treatment group based on their age (preschool, school-age, or adolescent) while parents participate in a concurrent caregiver group. The model may also be adapted for individual (family) therapy.

Treatment consists of 12-23 sessions, depending on the age of
the child. PSB-CBT effectively addresses a wide range of problematic and illegal behaviors, including failure to recognize socially acceptable physical boundaries, excessive masturbation, preoccupation with pornography and other sexualized content, generation and/or dissemination of
sexualized images of self or others, and coercive and/or aggressive sexual acts.

What is Problem Sexual Behavior?


While sexual exploration is a natural part of adolescent sexual development, some
behaviors indicate intervention is needed.



Developmentally Appropriate Behavior


  • Sexual interest in same-age or
    similar age peers

  • Normative teen behaviors related to pornography access and
    masturbation

  • Consensual sexual behavior with same-age peers or peers within their state’s legal sexual consent age range

Risky Behavior Requiring
Safety Planning and
Supervision


  • Using technology to engage in
    sexual behaviors with same-age
    peers or strangers

  • Technology-based behavior with
    adults

  • Sexual behaviors for money or gifts that were in response to another’s coercion

  • Engaging in sexual behaviors without the proper use of contraception

  • Accessing pornography beyond
    normative teen usage

  • “Survival” sexual behaviors (for
    food/money/housing)


Problematic Sexual
Behaviors


  • Non-consensual behaviors due to
    age or other factors (force,
    coercion, pressure and/or mental
    capacity)

  • Sexual behaviors that negatively
    impact others or make others
    uncomfortable

  • Producing, accessing, or distributing sexual media of minors (not oneself)

  • Violation of another’s boundaries
    using sexual words or behaviors, or violation of another’s body parts regardless of intent

  • Technology-based sexual behavior
    that was not due to another’s illegal coercion or solicitation of the teen

  • Accessing pornography beyond
    normative teen usage to the level
    that it is significantly negatively
    impactful to the youth and/or others