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In-Home Evaluation and Treatment:

I have long-standing expertise in providing in-home evaluation and treatment services to families of children with a variety of disabilities. My experience has been that these services often succeed where traditional office-based services have failed.

In the mid 1980’s, I was the founding director of Home-Based Family Services providing behaviorally-based intensive in-home treatment services to families with children identified as meeting Connecticut’s requirements for State-funded institutional care. The program was extremely successful, averting the need for institutional care in over 90% of the cases. The program model was expanded statewide in Connecticut and Home-Based Family Services continues in operation to this day.

In 1989, I founded Positive Alternatives to Hospitalization (PATH) in the private sector to provide intensive in-home evaluation and treatment services to families with a child, adolescent or adult presenting for psychiatric hospitalization. PATH psychologists, psychiatrists and clinical social workers used empirically based treatment protocols to guide service delivery.

In 1993, I conducted a follow-up study of 610 patients presenting for psychiatric hospitalization who were assigned to either inpatient care or PATH’s intensive in-home services. The study was published in the American Journal of Medical Quality. The study found that PATH’s services not only averted the need for hospitalization 80% of the time but that those individuals not served by PATH had a 400% greater likelihood of experiencing one or more significant psychiatric relapses during the two-year follow-up period. I subsequently sold PATH to Vendell Health Care after I had established seven offices in Connecticut and licensed PATH’s intensive in-home services to other healthcare systems including Sheppard Pratt Hospital in Maryland.