Specialized Outpatient Program

Provides specialized complex trauma, attachment based treatment services to meet the needs of children who are in pre-adoptive, adopted or are in legal guardianship homes.

Specialized Outpatient Program

The Specialized outpatient program provides specialized complex trauma, attachment based
treatment services to meet the needs of children who are adopted or about to be adopted, or
who are in legal guardianship homes. The therapists are specifically trained to work with
children to heal wounds resulting from trauma from abuse, neglect, abandonment, and loss.
The children in this program are all living with legal guardians, adopted families, or are in pre-
adoptive homes. The work we do is based on a holistic approach and requires the active
participation of family members.


  • Two-week intensive therapy
  • Post intensive follow-up therapy
  • Parent as a Partner Model
  • Psychiatric Consultation
  • Case management with schools and other service providers as warranted.
Our therapists have 25+ years of experience working with children who have been abused, neglected, pre adopted, adopted, or placed in legal guardianship homes. Our Child and adolescent psychiatrist and several of our therapists were trained initially at the Attachment and Bonding Center of Ohio under Dr. Gregory Keck. Our therapeutic interventions include
  • Child understanding and working through their past trauma, losses, and expectations of their new family

  • Parent Support, Education, Therapeutic Parenting Techniques and Coaching
  • Affect and Emotional Regulation Techniques for the Child


Clinical oversight of this program is provided by Dr. Mary Anne Albaugh, MD.


    Program Specific Outcomes

    The program began utilizing the Parenting Relationship Questionnaire as their primary assessment in 2010-11.  The PRQ is an instrument developed to identify parental perspective of the parent-child relationship.  The instrument is administered in one or of two formats: preschool (ages 2-5) and child/adolescent (ages 6-18).   It was administered pretreatment and post treatment (one year later). Data was analyzed by Mercyhurst Civic Institute.

    The following areas showed significant improvement:

    • Attachment – 92.9% Showed Improvement
    • Parental Relational Frustration – 92.9% Showed Improvement
    • Parenting Confidence – 78.6% Showed Improvement
    • Communication – 69.2% Showed Improvement
    • Satisfaction with School – 61.5% Showed Improvement
    Our agency specializes in complex trauma, and attachment issues. We are all licensed clinical social workers and licensed professional counselors in the state of Pennsylvania. Our Specialized Outpatient Program is a Medicaid Reimbursable Program with Community Care Behavioral Health, Erie Counties managed care provider. We have been trained by Dr. Gregory Keck from the Attachment and Bonding Center of Ohio in complex trauma and attachment disruption over 20 years ago with ongoing consultation for several years. In addition, we are nationally certified in Traumatic Stress Studies under Dr. Bessel Van der Kolk MD at the Trauma Center at the Justice Resource Center in Brookline Ma. We have national certifications in evidenced based EMDR (Eye movement, desensitization, and reprocessing) for post-traumatic stress disorder and complex trauma from EMDIRA. In addition we are trained in evidenced based Trauma Focused CBT from the Center for Traumatic Stress in children and adolescents at Allegheny General Hospital in Pittsburgh.

    *For more information regarding the Specialized Outpatient Program

    Please contact Affinity Family Support Services PC
    [p] 814-835-1700  |  [f] 814-835-1701