Youth & Family Counseling

Providing children and families with the tools they need to strengthen and grow.

Mom and child in Advocates youth and family counseling

Growing up is complicated, and there are times in many children’s lives when professional help dealing with issues, emotions, and behaviors can improve well-being. Our supports for youth and families are designed first to help stabilize and then to foster coping skills that will help them strengthen and grow.

Advocates counselors and specialists work in partnership with children and their families to determine treatment plans tailored to their needs.  Our staff bring skill and compassion to families dealing with a wide range of needs including:

  • Anxiety and depression
  • ADD and ADHD
  • Challenging behaviors
  • Communication issues
  • Divorce
  • Illness, trauma, and loss
  • Relationships
  • Social skills

Clinical Services

Individual and Family Counseling

We offer traditional talk therapies, cognitive behavioral therapy, play therapy, and other skill-based approaches tailored to support youth of all ages and their families, while prioritizing individual needs and preferences.

Medication Management

Once enrolled in counseling services with an Advocates therapist, our clinical nurse specialists and psychiatrists may provide evaluations and ongoing pharmacological treatment. We believe medication works best in conjunction with therapy. Therefore, it is only an option for individuals who also meet regularly with a therapist.

Mobile Crisis Intervention

Mobile Crisis Intervention is available 24/7 when a young person poses a safety risk, either to themselves or others, due to suicidal or homicidal behaviors, self-injury, an inability to sustain healthy relationships, or other difficult behaviors.

Learn More.

Children’s Behavioral Health Initiative (CBHI)

The following programs are offered through MassHealth to children and young adults up to age 21 and their families who are dealing with significant mental health and behavioral challenges.

In-Home Therapy

In-Home Therapy helps children and adolescents with significant mental health needs function successfully and reach their potential, while helping their families manage and support their needs at home and in the community. Counselors meet regularly with families at home to develop crisis plans and coping skills, access additional services, and make referrals. Ultimately, families gain the knowledge, confidence, and competence to best advocate for their children.

In-Home Behavioral Services

In-Home Behavioral Services are for children and adolescents under 21 who need help learning to change difficult or harmful behaviors. It is an additional program for children who receive Outpatient Therapy, In-Home Therapy, or Intensive Care Coordination and need more support. When less intensive interventions have not worked, In-Home Behavioral Services help struggling children and adolescents function successfully at home, in school, and in the community.

Therapeutic Mentoring 

If your child or teen has difficulty getting along with peers and adults, an Advocates therapeutic mentor can provide support and coaching. The therapeutic mentor will work in the home, school, community, and other social settings to teach your child skills that foster successful social interactions and relationships. 

Locations and Settings

Counseling and crisis intervention services are provided at our clinic locations in Marlborough and Framingham, and, in some instances, in schools and homes.


We accept MassHealth and most private insurance plans. To find out if we are in your network, please contact your insurance company or our office.


Advocates Community Counseling, Children’s Behavioral Health Initiative (CBHI) Services, and Medication Management/Psychiatry Services are accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).


Related News/Updates

Coffee Talk featuring Cara Caissie, MS MFT

Advocates Co-Response Clinician Cara Caissie, MS MFT joined members of Southborough Youth and Family Services, as well as a local parent, to provide information about mental health resources available in the community.

National Depression Screening Day

It’s important to get the right help when you need it. This National Depression Screening Day, take a depression screening and learn more about your mental health. Like screenings for other medical conditions, depression screenings should be a routine part of your healthcare. Will you get screened today?