Evidence Based Practices for Maine CCBHCs

This table contains a brief description of required and allowable EBPs included within Maine CCBHCs. For more detailed information, see EBP descriptions below table.
Required or AllowableEvidence-Based PracticeDescriptionPopulationLink(s)
All ages
RequiredScreening, Brief Intervention and Referral to Treatment (SBIRT)SBIRT is the universal screening and delivery of early intervention and referral to treatment services for persons at risk of developing substance use disorders and persons with substance use challenges.All ages

Individuals age 12 and older
All ages
RequiredSystemic, Therapeutic, Assessment, Resources, Treatment (START) ModelSTART is a person-centered and solutions-focused community crisis prevention and intervention service model for individuals aged 6 and older with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH). Individuals aged 6 and older with intellectual and developmental disabilities (IDD) and mental health needs (IDD-MH).

Child & familyRequired
RequiredPositive Parenting Program (Triple P)System Triple P can assist families in greater distress by working with parents of children who are experiencing moderate to severe behavior problems. Children and Adolescents

Triple P (standard) is delivered to parents up to 12 years old;
Teen Triple P is delivered to parents of 12 to 16 year old;
Pathways Triple P is for parents who are considered at risk of physically or emotionally harming their children.
Child & familyRequired
Required Modular Approach to Therapy for Children with Anxiety, Depression, Trauma or Conduct Problems (MATCH)MATCH is a counseling program for children, teens and families designed for multiple problems related to anxiety, depression, posttraumatic stress, and disruptive conduct, including conduct problems associated with ADHD. Children and Adolescents

Children and teenagers age 6-15 and their families
Child & familyRequired
Required Parent-Child Interaction Therapy (PCIT)PCIT is a parent training treatment for young children with emotional and behavioral disorders that places emphasis on improving the quality of the parent-child relationship and changing parent-child interaction patterns.Children

Children ages 3-6 and their caregiver
Child & familyRequired
Required Attachment BioBehavioral Catch- up (ABC)ABC is a parent/child treatment approach designed to help caregivers provide nurturing care and engage in synchronous interactions with their infants. ABC helps caregivers re-interpret children's behavioral signals so that they can provide nurturance through parent coaching sessionsChildren

Parents/caregivers of children age 0-4
Child & familyRequired
Required Incredible YearsA series of comprehensive developmentally-based early intervention programs for parents and children to promote social-emotional comptence and reduce behavioral and emotional problems in young childrenChildren

Parents of children age 0-12 (different programs to address babies, toddlers, preschoolers, and school age)
Child & family
Required Trauma Focused Cognitive Behavioral TherapyTF-CBT is a structured, short-term treatment model that effectively improves a range of trauma-related outcomes in 8-25 sessions.Children and Adolescents

Children and adolescents exposed to at least one trauma and who experience PTSD symptoms, elevated levels of depression, anxiety, shame, other dysfunctional abuse-related feelings, thoughts or developing beliefs, and nonoffending parents or other caregivers.

Child & family
Required Child Parent Psychotherapy (CPP)CPP is a treatment for children who have experienced trauma that is based in attachment theory. Therapeutic sessions include both the child and parent or primary caregiverChildren

Children age 0-6 who have experienced a traumatic event.
Child & family
Required Child and Family Traumatic Stress Intervention (CFTSI)The CFTSI is a brief (5‐8 session), evidence‐based early intervention for children that reduces traumatic stress reactions and the onset of PTSD.Children and Adolescents

Children and youth ages 7-18, young children ages 3-6, and children in foster care, together with a parent or caregiver
Child & family
Required Eye Movement Desensitization and Reprocessing (EMDR)An 8-phase psychotherapy treatment using external stimuli for trauma-processingChildren, adolescents, adults age 2+

Child & familyRequired
RequiredAdolescent Community Reinforcement Approach (A-CRA)A-CRA seeks to increase the family, social, and educational/vocational reinforces to support recovery. It is a developmentally-appropriate EBP for treating adolescents with SUD.Children and Adolescents

Adolescents age 12-25 with substance use disorder or substance misuse issues, or parents/caregivers of adolescents 12-25 with substance use disorder
Child & familyRequired
RequiredMultidimensional Family Therapy (MDFT)MDFT is a family-based treatment for adolescent substance use, delinquency, and other behavioral and emotional problems. Therapists work simultaneously in four interdependent domains: the adolescent, parent, family, and community.Children and Adolescents

Adolescents 11 to 18 with the following symptoms or problems: substance use or at risk, delinquent/conduct disorder, school and other behavioral problems, and both internalizing and externalizing symptoms
All agesRequired
RequiredCognitive Behavioral Therapy (CBT)Cognitive Behavioral Therapy (CBT) is a psycho-social intervention that aims to reduce symptoms of various mental health and substance use conditions.All ages

CBT can be used with children, youth, and adults.
All agesRequired
RequiredCognitive Behavioral Therapy for Psychosis (CBTp)CBTp is a time-limited, solutions-focused, structured form of talk therapy following the principles of CBT that is indicated for individuals who experience distress related to psychotic symptoms.All ages

Youth and adults experiencing psychosis
RequiredCollaborative Assessment and Management of Suicidality (CAMS)CAMS is a flexible therapeutic framework in which patient and provider work together to assess the patient’s suicidal risk and use that information to plan and manage suicide-specific, “driver-oriented” treatment.Adults

Individuals age 18 and older experiencing suicidality
All agesRequired
RequiredMotivational Interviewing (MI)MI is a particular way of talking with people to guide them toward change and growth to strengthen their own motivation and commitment.All Ages

Can be used across all populations
RequiredMedication for Opioid Use Disorder (MOUDMOUD is an evidence-based treatment for opioid use disorder using medications that target the brain.Adults

Individuals with Opioid Use Disorder

Maine SUD Learning Community
RequiredIndividual Placement Support (IPS) Supported Employment ModelIPS is a model of supported employment for people with serious mental illnessAdults and Adolescents

Age 15+ with serious mental illness
Child & family
AllowableHigh-Fidelity Wraparound for ChildrenHigh Fidelity Wraparound uses an individualized, team-based, collaborative process to provide a coordinated set of services and supports. It is typically targeted toward children and youth with complex emotional, behavioral, or mental health needs, and their families.Children and Adolescents

Children and youth (age 0-21) with complex emotional, behavioral, or mental health needs, and their families.
Child & familyAllowableAllowableFamily Functional Therapy (FFT)FFT is a short-term family counseling service for youth who are at risk or have been referred for behavioral or emotional problems.Children and Adolescents

Ages 11-18 with behavior problems, conduct disorder, substance use disorder, delinquency
Child & familyAllowableAllowableMultisystemic therapy (MST)MST is an intensive family and community-based treatment for serious juvenile offenders with possible substance use issues and their families. The primary goals of MST are to decrease youth criminal behavior and out-of-home placements.Children and Adolescents

Youth, 12 to 17 years old with antisocial or delinquent behaviors and/or youth involved with the juvenile justice system and their parents/caregivers
Child & familyAllowableAllowableMultisystemic therapy - Problematic Sexual Behavior (MST-PSB)MST-PSB is an adaptation of MST specifically designed to treat youth and their families for problematic sexual behavior.Children and Adolescents

Youth, 12 to 17 years old, who have engaged in problematic sexual behavior towards others.
Child & familyAllowableAllowableResearch Units in Behavioral Intervention (RUBI)RUBI is a training program for parents and caregivers of children with autism and mild to moderate behavior problems such as tantrums, noncompliance, difficulty with transitions, and aggression.Children

Parents of children ages 3-10 with autism and mild to moderate behavior problems.
Child & familyAllowable
AllowableTrauma System Therapy for Immigrants and Refugees (TST-R)TST-R is a comprehensive method for treating traumatic stress adapted for refugee youth and families who experienced war and violence prior to resettlement.Children and Adolescents

Refugee and immigrant youth ages 10-21
All ages
AllowableAcceptance and Commitment Therapy (ACT)ACT focuses on helping people behave more consistently with their own valuesAll ageshttps://contextualscience.org/act
AdultsAllowableAll ages
AllowableApplied Behavior Analysis (ABA)ABA is one of the primary modalities for individuals with autism or other IDDs, but has also been applied as a clinical tool to address other conditions. It is based on teaching more effective ways of behaving through positive reinforcementAcross the lifespan

Individuals with autism or other IDDs.
AdultsAllowableAllowableContingency ManagementContingency management is a behavioral therapy that uses behavioral reinforcement to achieve treatment goals. Contingency management is one of the only evidence-based behavioral interventions shown to be effective in treating stimulant use disorder (StimUD).Adults

Adults with stimulant use disorder
AdultsAllowableAllowableCommunity Reinforcement Approach (CRA)CRA is a cognitive-behavioral intervention for treatment of substance use disorder, focusing on environmental contingencies that influence the client's behavior.Adults

Adults (18+) with substance use disorder or co-occurring disorders.
All ages
AllowableDialectical Behavioral Therapy (DBT), DBT SkillsDBT is a behavioral therapy that addresses an individual's ability to regulate their emotions, behavioral, and interpersonal function, thoughts, and actions. DBT Skills Training is one of the 4 modes within DBT and focuses on teaching clients the four skills of mindfulness, emotion regulation, interpersonal skills, and distress tolerance. All ages

Individuals with Borderline Personality Disorder or individuals with dysregulation.
All ages
AllowableAssertive Community Treatment (ACT)Assertive Community Treatment is an intensive community-based treatment program with a multidisciplinary team of providers.All ages

Adults and children with serious mental illness and/or co-occurring disorders.
AdultsAllowableAllowableCognitive Processing Therapy (CPT)Cognitive Processing Therapy (CPT) is a cognitive-behavioral therapy for Posttraumatic Stress Disorder, or PTSD, and related conditions. CPT focuses on the connections between thoughts, feelings, behavior and bodily sensations.Adults

Adults with PTSD and related conditions
AdultsAllowableAllowableProlonged Grief TreatmentProlonged Grief Treatment (PGT) is a treatment specifically designed to help people who feel stuck in their grief. The treatment has a specified time frame and targets 6 Healing Milestones.Adults

Adults experiencing prolonged grief
AdultsAllowableAllowableSeeking SafetySeeking Safety is an evidence-based, present-focused counseling model to help people attain safety from trauma and/or substance abuse.Adults, adolescents

Adults and adolescents who have experienced any trauma or substance misuse - do not have to meet formal diagnostic criteria
AllowableAll agesAllowableZero Suicide ModelZero Suicide is a framework for suicide prevention in health and behavioral health care systems and is also a specific set of strategies and tools.All ages

Organization/systems approach
AdultsAllowableAllowableWellness Recovery Action Plan (WRAP)https://www.wellnessrecoveryactionplan.com/seminar-and-training-calendar/
AdultsAllowableAllowableTrauma Recovery and Empowerment Model (TREM)https://www.cebc4cw.org/program/trauma-recovery-and-empowerment-model/detailed