FAQ

We’ve found that at least five days are needed to get to the root issues and to help a family start practicing the CASA framework within their own family system.
The 5 day intensive is $13,900 and the 10 day intensive costs $27,800. These prices are for the entire family and includes:

  • 5 or 10 days of intensive therapy from 9am to 2pm.
  • QEEG’s for the child and parents.
  • Neurofeedback daily for the child
  • Lunch and snacks
  • Comprehensive assessment report
  • Lodging
Therapy takes place in the office from 9am-2pm each day. During the therapy time, each day is crafted to what the family needs and we don’t use a cookie cutter approach. Generally speaking, we begin an intensive seeking to understand each family member’s goals for the intensive. We typically spend more time with parents the first couple days and by day three are spending increasingly more time incorporating the child into the process of family therapy. The child and each parent has a qEEG in the first several days and the child receives neurofeedback daily. We also typically start each day with a check-in to understand the current emotional experience of each person and to learn how the prior evening went. The rest of the time is spent in family therapy based on the needs and concerns of each particular family. We have a break around noon for lunch together in the office and conclude the therapy each day by 2pm

The afternoon and evenings allow the family the spend time together doing activities that facilitate safe connection, this may include cooking a meal together, taking walks, or anything else the family enjoys. The family stay and sleeps in a private home we have rented specifically for them.

Lunch is provided on site for each day of clinical work done.
Lodging is provided for the family for the duration of their clinical work. We have relationships with several local airbnb and vrbo house owners in an effort to provide you with comfortable housing arrangements that feels more like a home. This set up allows for a home environment to relax and spend family time together in the evening.
Springfield’s national airport allows for convenient travel for families nationwide to access. Springfield also offers the charm and friendliness of a midwest town while also offering some entertainment options that rival big cities including Wonders of Wildlife and abundant dining options. Springfield is family friendly and can be a fun and safe place to explore and experience as a family in the late afternoon after the Intensive concludes.
Yes, we do bill insurance. There is no guarantee as to what insurance will cover, so families must pay the full cost upfront and be prepared for the possibility of no insurance reimbursement. We typically are able to bill the intensive as an IOP. We have had success in obtaining full, 100% reimbursement for numerous families. If insurance does authorize the intensive, families will receive a reimbursement from their insurance company after the intensive.
There are numerous differentiators that set us apart. Many families have a history of their child doing outpatient counseling or a higher level of care that primarily utilizes CBT, DBT, or general talk therapy; although these modalities are incredibly effective with some populations, this is not effective treatment for individuals with a history of developmental trauma, attachment concerns, or other severe acting out behaviors. Our propietary CASA framework utilized through experiential interventions for the entire family system effectively addresses trauma, attachment, and shame which are root causes of acting out behaviors.,
A qEEG is a clinical tool that measures brainwave activity which includes identifying areas of excess or deficits and connectivity within the brain and the implications for emotional regulation, mood states, sleep, and other behavioral, physical, or emotional symptoms. The qEEG results provide information for neurofeedback training protocols. Neurofeedback trains the brain to operate within the desired levels of functioning through the process of operant conditioning. Neurofeedback actually facilitates the creation of new neuropathways within the brain to improve overall functioning and emotional regulation. An example of a child’s experience with neurofeedback would be similar to this: they are sitting watching a movie with two sensors attached to their head for the purpose of measing their brainwaves. When their beta frequency (a specific brainwave) is within normal limits, the movie plays as normal. When the beta frequency exceeds normal limits, the movie will halt playing or become distorted. This trains the brain to reduce the beta frequency which allows the movie to continue playing. Over time and with repetition, the brain is trained to operate within more normalized limits functioning which results in symptom reduction.
During the therapy hours, the family will be at our office the entire time but this does not mean each member of the family will always be the same room nor part of all clinical conversations. Our office space has the luxury of several therapy rooms and a common area. At times, it will be clinically appropriate for us to meet with parents alone, without the child present in the room. In these moments, we ensure the child is occupied and still supervised. There will also be scheduled times when the child will be engaged in neurotherapy in a separate room and this also provides opportunities to work alone with parents.
We firmly believe that parents are in the unique and powerful role of being able to support and facilitate coregulation with their child in a way that no one else can. The CASA Developmental Model is a framework for creating healing experiences in the context of secure attachment. The key is within the dyadic interaction between the child and parents where commitment, acceptance, security, and attunement are rooted. This is great news because it means that parents can learn new ways of being present with their child which can profoundly influence their child’s development and emotional regulation.
We also recognize that by the time parents come to us, they are typically exhausted and depleted. We desire to come alongside parents’ in their past and present journey in a manner which facilitates the experience of joy even in the midst of the suffering. We also know that as parents experience commitment, safety, acceptance, attunement and ultimately coregulation with their spouse, close friends, or a therapist that this further strengthens a parents capacity to provide this healing coregulation to their hurting child.
Therapy typically takes place from 9am until 2pm on Intensive days. During this time period, it will not be possible to attend to career or personal matters. Before or after these hours, the family does have free time and will be free to choose how they spend this time. We do ask that parents be thoughtful and intentional about how they and their family spend this free time. We recommend that as much as possible families spend time together in activities that foster connection.
Just let us know in advance if you prefer that our canine is not present.
Approximately one week after the intensive concludes, we will send parents an initial draft of the comprehensive assessment report based on their Intensive therapy. We will then schedule a time to review the report and address any questions the parents may have. A final signed copy of this report will then be sent to parents and any outpatient providers for whom we have a release and authorization to share it with. We can also collaborate by phone with an outpatient therapist, if the family so desires, for the purpose of continuity of care.
With signed releases by the family, we will gladly collaborate with past or present service providers for the purpose of seeking continuity of care and best treatment for the family. We value the work of outpatient clinicians, educational consultants, and other stakeholders investing in the lives of the families with whom we work.
Yes, after the intensive you will receive a copy of the Intensive report which outlines work done throughout the intensive, family dynamics, and recommendations for future family and clinical work. These recommendations offer suggestions for both the family to continue to work on and also includes recommendations that the family’s clinical team (either outpatient or residential treatment team depending on the level of care the child needs) can continue to expound upon in treatment.
We follow up with each family after we send the Intensive Report; we review the report with the family. We feel it is best for each family to have a team that is working with them locally, so we recommend that each family sets up family and, as warranted,individual therapy for themselves immediately after the intensive and share the report with this treatment team to ensure they continue to receive appropriate support in the ongoing work after the intensive.
Progress is seen as families gain new understanding of their child’s emotional experience and as families start to make shifts in how they relate with one another, including communicating with each other and implementation of boundaries and limits. Each family comes to us in a unique place, so progress is specific to a particular family. Some families are further along in the process, and others are gaining an understanding as to attachment and trauma and how the CASA model applies to their situation. As human beings, we are all a work in progress, so there is no such thing as a finished product. The goal of the intensive is to provide education and experiential practice within the context of family therapy which gradually shifts the family system and the neural pathways of each individual’s brain – over time, this translates into emotional regulation and changed behaviors. It is imperative for families to be committed to ongoing work and therapy after the intensive as any progress made during the intensive will only be sustained and built upon to the degree that families continue to work on things after the Intensive concludes.
This is determined on a case by case basis prior to the Intensive based on the family dynamics and needs of the family. In cases where it is appropriate to include siblings, we typically recommend the longer intensive to allow for adequate time for addressing the specific needs of two or more children.
This is determined on a case by case basis. If you have questions about this, please ask during the application process.
Be honest. It often helps to explain that as a family you are seeking help to navigate things more effectively. Don’t point fingers or imply that your child is the reason you are doing an Intensive; take ownership that as a family you all have things to learn. Give your child an opportunity to ask questions.
An Intensive is not a substitute for higher level of care or out of home placement. In some situations, an Intensive makes it clear additional, more acute treatment is needed and that it will not be safe for a child to return home without more extensive treatment. However, our desire is that every child is able to remain in the home and continue to work on things in the context of their home environment with their parents. An Intensive equips parents to provide the structure and care needed for healing and progress to be made within the family setting.
We use our proprietary CASA model which is rooted in dyadic developmental psychotherapy and informs our understanding of development and family systems. We desire for each family to become a secure CASA (“home” which exemplifies commitment, acceptance, security, and attunement) which eventually facilitates a young person’s interdependence and becoming their own secure CASA.

We believe that the CASA model provides a framework for healthy relationships that demonstrate consistency and reliability for the child, and helps them create security within themselves and within their relationships, and ultimately moves the relationship towards co-regulation and joy. CASA facilitates a shrinking of shame and increased sense of value and worth. CASA also facilitates a deeper understanding of the underlying causes for the child’s behavior which allows parents to then appropriately and effectively respond to those root causes.

An Intensive is not appropriate in the following situations: if an individual is suicidal, is currently a flight risk (running away), is threatening to hurt someone else (a higher level of care is warranted in each of the previously mentioned scenarios); or if the primary diagnosis is substance abuse or if an individual is demonstrating psychotic features.
We recognize that for many of the youth we work with, phones, tablets, social media, youtube, and the like are a significant point of contention with their parents often resulting in an escalation that rivals a World War. We are aware of this reality and know this is also indicative of where the child is at emotionally. Often, as the youth’s technology use comes up at the Intensive, it becomes an opportunity for the therapists to support parents as they practice both empathy and boundaries with their child.

We do ask that parents model being fully present during the entirety of the Intensive and that they refrain from using cell phones during the therapy hours.

We frequently work with children whose parents are divorced. We work with each family based on what makes the most sense for their given family situation.
We can discuss with the caregivers to determine what makes the most sense for their particular family situation. This often does include step-parents as we want all caregivers to be on the same page and aligned in their work with their child. Throughout the work, we can be sensitive to who is present for particular conversations to ensure those present feel comfortable sharing vulnerably.
We understand that each family situation is unique; at times caregivers may include grandparents, relatives, or even a nanny that is in the primary position of raising a child. We can be creative to find an arrangement that best serves a family and their particular situation. If you have questions or concerns about who should be involved in an Intensive, let us know and we can discuss further.