Family Support Services

                                                                            Sierra House offers individual support services for eligible children, youth and young adults under age 21 with challenging                                                                              behaviors and developmental disabilities. Services are offered in Essex, Hudson, Union, Bergen, and Passaic counties. The                                                                              purpose of this service is to transfer skills necessary to achieve and/or maintain the outcomes of increased independence,                                                                             productivity, enhanced family functioning and inclusion in the community.


                                                                            Individual support services shall foster and increase the ability of the family, guardian and/or caregiver to provide the

                                                                            youth with needed support to remain home, in school, and in the community requiring minimal, if any, outside

intervention. Sierra House Individual Support Services Program is based on the principles of family-focused, accessible, need based, clinically appropriate, and outcome-driven individualized care for children, youth, adolescents and young adults. The program is outcome based and is designed to assist youth with moderate self-care and habitation skills.

Sierra House is committed to providing these services based on the needs of the child and family. Each client receives personalized one on one services and an individual support plan designed just for them.  Furthermore, our staff works closely with and trains parent/guardians in the implementation of the individual support plan to ensure success while increasing the ability of the family and/or caregiver to provide the support that the youth needs to function in his/her natural environment.

Individual Support Services include but are not limited to:

Basic Activities of Daily Living (BADLs) skill building: BADLs consist of self-care tasks, including but are not limited to:

  • Bathing and showering;

  • Dressing;

  • Eating;

  • Personal hygiene and grooming;

  • Washing hair;

  • Brushing teeth; and

  • Toilet hygiene.


Instrumental Activities of Daily Living (ADLs) skill building: Instrumental activities of daily living (IADLs) are not necessary for fundamental functioning, but they enable an individual to live independently in a community and include but are not limited to:

  • Housework;

  • Taking medications as prescribed;

  • Managing money;

  • Shopping for groceries or clothing;

  • Use of telephone or other forms of communication;

  • Using technology (as applicable); and

  • Using public transportation.







Individual Support Services- ISS

Intensive In-Community (IIC) services are goal oriented and needs based clinical interventions that address emotional and behavioral challenges of youth with moderate to high needs. IIC services are provided in the youth’s home or in a community location by a licensed behavioral health clinician. The overarching goal of IIC is to stabilize and support the youth and their family/caregiver/guardian in an effort to prevent the need for more intensive interventions. IIC is a short-term, solution focused intervention with specific and attainable goals. Services are geared to result in behaviors that provide the youth and their family/caregiver/guardian insight to improve the youth’s function at home and in the community.


IIC services are intended to be part of a comprehensive plan of care that is driven by the youth and family to address assessed needs. The goal of Sierra House’s staff is symptom reduction and individual skill development to restore or maintain the youth’s functioning. Treatment is family driven and youth specific. The identified treatment needs are clearly documented in the treatment plan, which includes specific therapeutic intervention(s) with benchmarks that achieve goals with the intention of:


  • improving youth and family dynamics and functioning;

  • preventing/reducing the need for high intensity behavioral health or substance use treatment;

  • preventing/reducing the need and/or risk for inpatient hospitalization or out-of-home treatment;

  • preserving a youth’s current residence; and 

  • transitioning youth from out-of-home treatment back into the community.


Our clinicians provide youth and their families with an array of interventions such as psycho-education, negotiation and conflict resolution skills training, effective coping skills development, healthy limit-setting skills, emotional regulation skills development, stress management, and problem solving skills, to name a few. IIC services may also address specialized treatment needs relating to co-occurring substance use, behavioral health, intellectual disabilities, developmental disabilities, and behavioral health challenges. Therapeutic services are typically provided one to two hours per week.

Intensive In Community Services- IIC

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