Child and Adolescent
Mental Health Services

At Comprehensive Youth Services, we understand that every child and family faces challenges and

you don’t have to navigate them alone.

Our Child and Adolescent Mental Health Services (CAMHS) program

provides compassionate, high-quality counseling and support for children from birth through age 18 and their caregivers.

We specialize in helping children who may be experiencing:

Trauma or difficult life experiences

Challenges with attachment or bonding

Big emotions or behavioral concerns

Difficulty at home, in school, or with peers

Social or developmental struggles

Our goal is to help children feel safe, understood, and supported -

while giving parents and caregivers the tools they need to strengthen their family relationships.

Specialized Early Childhood Mental Health Support (Ages 0–10)

Early support can make a lifelong difference in wellbeing and overall health.

Our highly-trained, bilingual (Spanish-speaking) therapists provide specialized Infant and Early Childhood Mental Health

services for young children and their caregivers.

These services focus on strengthening parent-child relationships and addressing behaviors such as:

Defiance or difficulty following directions

Aggression or frequent tantrums

Impulsivity or trouble focusing

Challenges in daycare or school settings

We work alongside families to build skills, confidence, and positive connections that support healthy development.

Evidence-Based Therapy Programs

We use proven, research-based approaches that are tailored to your child and family’s unique needs, including:

Parent-Child Interaction Therapy (PCIT)

PCIT strengthens parent-child relationships and improves behavior through real-time coaching

Child-Parent Psychotherapy (CPP)

CPP helps young children and caregivers heal from trauma and build secure attachments

Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)

TF-CBT supports children and teens in processing trauma and developing healthy coping skills

Services in Your Community

Our services are available to families throughout Fresno County and Madera County.

Many families may qualify for free or low-cost services, depending on eligibility.

Our team can help guide you through the process and connect you to the support you need.

You’re Not Alone - We’re Here to Help

Reaching out for support is a strong and important step.

Whether you’re concerned about your child’s behavior, emotions, or development,

we’re here to partner with you every step of the way.

Email us at CAMHS@cysfresno.org

Call our main office at 559.229.3561

Submit an online referral using the link on the button below

CAMHS Counseling Services are provided

Monday - Thursday 8:00 am - 6:00 pm

Friday 8:00 am - 5:00 pm

Main Fresno Office

4545 N. West Avenue, Fresno, CA 93705

Madera Locations

Madera County DSS Campus

1626 Sunrise Ave. Madera, CA 93638

Community Action Partnership of Madera County

1225 Gill Ave, Madera, CA 93637

CAMHS Referral Form

Mental Health Resources

Are You a Teen Looking for Help? Call, Text, or Email (teenline.org)

Help for Students in Crisis - Mental Health (CA Dept of Education)

Fresno Cares – Fresno County Suicide Prevention Collaborative

Sanctuary - Fresno Economic Opportunities Commission (fresnoeoc.org)

LGBTQ Community – Fresno Cares

DBH Youth Wellness and Mental Health

Learn more about the counseling services provided at CYS

Parent Child Interaction Therapy (PCIT)
What is PCIT?
Parent Child Interaction Therapy (PCIT) is a treatment program which helps both parents and children. PCIT helps improve the quality of the parent-child relationship and teaches parents the skills necessary to manage their child’s severe behavior problems.

PCIT consists of two parts: a Relationship Enhancement component and an Improving Compliance component.

With the Relationship Enhancement component, parents are taught specific skills and then coached by a therapist how to use those skills to decrease the negative behaviors of their child and increase positive and supportive communication.

In the Improving Compliance component, parents are taught specific skills and then coached by a therapist how to use those skills to increase compliant and appropriate behaviors of their child.

With both components of PCIT, parents are taught specific skills and given the opportunity to learn these skills during therapy with their child until the parent feels confident in their ability to manage their child’s behavior.

Primary Focus/Goal of Treatment:
To decrease the following problematic behaviors in children ages 4-7 that may be negatively impacting their ability to function in their home, in school and/or in the community such as:

Defiance/non-compliance
Inability to follow directions
Aggressive behaviors
Disruptive or impulsive behaviors
Tantrums

PCIT is also effective with children who are:

Currently in foster care
In the process of reuniting with their parents
Suspended or expelled from daycare or school

Parent Child Interaction Therapy for Toddlers (PCIT-T)
What is PCIT-T?
PCIT-T is an early intervention program for children ages 1-3 that uses similar methods of PCIT to enhance the parent-child relationship and improve problematic behaviors such as the following:

Tantrums
Aggression (e.g. hitting, biting, pinching)
Fussiness (e.g. screaming, whining, crying)
Anger, frustration, head-banging
Attachment difficulties (e.g. rejection of parent, difficult to comfort)
Separation anxiety or withdrawal from parent
Developmental concerns (e.g. autistic behaviors, language problems)
Child abuse and neglect
Parental stress (e.g. anxiety, dissatisfaction, difficulty coping, lack of confidence)

What Does a PCIT Therapy Room Look Like?
The basic set-up for PCIT rooms includes a one-way mirror separating an observation room where the therapist is located and a connecting room where the child and parent engage in play during the sessions.

A sound system is used to allow the therapist to coach the parent via an earbud during the session on how to utilize the PCIT skills with their child.

Below is a diagram of what the rooms look like for PCIT sessions:

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For more information on this program email: CAMHS@cysfresno.org

Child Parent Psychotherapy (CPP)
What is CPP?

Child-Parent Psychotherapy (CPP) is a type of therapy for children age 0-5 who are experiencing problems with social/emotional behaviors, mental health and/or attachment as a result of having experienced at least one traumatic event such as:

Maltreatment/neglect
Sudden or traumatic death of someone close
A serious accident or community violence
Child Abuse (e.g. sexual, physical, emotional)
Exposure to domestic violence

Therapy sessions involve both the child and parent or primary caregiver.

Primary Focus/Goal of Treatment:
The primary goal of CPP is to support and strengthen the relationship between a child and his or her caregiver as a means for restoring the child's cognitive, behavioral, and social functioning. Treatment also focuses on factors that impact the caregiver-child relationship (e.g. cultural norms and socioeconomic status, immigration-related stressors, etc.).

The type of trauma experience and the child's age or developmental stage determine the structure of CPP sessions.

For example:

With infants, the child is present, but treatment focuses on helping the parent to understand how the child's and parent's trauma experience may affect the child's functioning and development.
Toddlers and preschoolers are more active participants in treatment, which usually includes play as a means for facilitating communication between the child and parent regarding the trauma.

When parents have a history of their own trauma the therapist also helps the parent understand how this may be impacting their ability to support their child. CPP helps the parent interact with their child in new and developmentally appropriate ways.

CPP studies involving diverse families exposed to traumatic situations have shown improvements in the following areas:

Child’s mood
Problematic behaviors
Learning/Development
Trauma symptoms
Biological stress response
Parent’s mood
Parenting stress levels
Trauma symptoms
The parent-child relationship

For more information on this program email: CAMHS@cysfresno.org

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Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
What is TF-CBT?

TF-CBT is an evidence-based treatment for children and adolescents impacted by trauma and their parents or caregivers. TF-CBT successfully resolves a broad array of emotional and behavioral difficulties associated with single, multiple and complex
trauma experiences.

Primary Focus/Goal of Treatment: Assist the child or adolescent to develop coping strategies for traumatic stress reactions. Reduce symptoms of depression, anxiety, or acting out behavior which are common in children exposed to trauma.

TF-CBT is provided to children from 3 to 18 years of age by a therapist who has received training in TF-CBT. The treatment typically lasts between 12 to 16 sessions.

These sessions include:

Individual sessions for child or adolescent
Individual sessions for parents
Conjoint sessions between parent and child or adolescent

Exhibiting one or several of the symptoms or behaviors below places the child at risk of having difficulty functioning at home, in school and in the community.

Inability or unwillingness to recall trauma details
Difficulty stopping thoughts about the trauma
Emotional and physical numbing
Recalling physical sensations that occurred during trauma
Difficulty staying still or fidgeting
Sleeping routine is disturbed (e.g. not wanting to sleep alone, nightmares, waking up in the middle of the night)
Rapid changes in mood
Difficulty concentrating
Low self esteem
Inability to trust others
Desire to hurt oneself or others

These symptoms or behaviors, if left untreated, may impede in the child’s normal developmental process.

For more information on this program email: CAMHS@cysfresno.org

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Incredible Years Parenting Program
What is Incredible Years?

The Incredible Years® (IY) is an evidence-based early intervention parenting program, focused on strengthening parenting skills and increasing parent involvement to promote children’s academic, social, and emotional skills and reduce problematic behaviors. The parent intervention programs are delivered to groups of parents/caregivers according to their child’s age.

Data from nine randomized studies, with over 2000 families, indicates that parents who have taken the course are able to reduce children’s behavior problems and increase pro-social behaviors significantly. Moreover, parents report feeling more confident and comfortable about their parenting skills after completing the course.

The IY programs place an emphasis on helping parents engage in positive interactions with their children which, in turn, enhances the social and behavioral engagement of children across a variety of settings (e.g. in the home, day-care, school, etc.).

Primary Focus/Goal of Treatment:
For Parents with Toddlers Ages 1 - 3 Years

In the Parents and Toddlers Basic Program, parents learn how to:

Help their toddlers feel loved and secure
Encourage their toddler’s language, social, and emotional development
Establish clear and predictable routines
Handle separations and reunions
Use positive discipline to manage misbehavior

For Parents with Children Ages 3 - 6 Years

In the Parents and Toddlers Basic Program, parents learn how to:

Strengthens parent-child interactions and attachment
Reduces harsh discipline
Fosters parents’ ability to promote children’s social, emotional and language development

Parents also learn how to build school readiness skills and are encouraged to partner with teachers and day care professionals so they can promote children’s emotional regulation and social skills.

For more information on this program email: CAMHS@cysfresno.org