Intensive Theraplay Interventions

Intensive Theraplay® Interventions (Intensives) are designed to help families who live at a distance from The Theraplay Institute in Chicago (TTI) and cannot come in for regularly scheduled sessions over several weeks or months. Intensives can be scheduled over a period of three to five days (we are not set up to have people come for longer periods for intensive treatment). In special cases it is possible to schedule the intensive over a long weekend or holiday. 

The goal of an intensive intervention is to assess the nature of the problem and provide treatment that will set the family on a path that can lead to a better outcome in the future. Because we do not expect such a short-term intervention to fully accomplish the desired change, we prefer to have a home therapist attend along with the family so that he or she can carry on the work once the family has returned home. Although it would be ideal for the home therapist to have, or obtain, Theraplay training, it is not essential. Being involved in the intensive and receiving the feed-back along with the parents can make it possible for the therapist to help the family stay on track. If the family does not have a current therapist, we will discuss how they can get the kind of help and support they might need to carry on the work. Parents are actively involved in the sessions and taught techniques that they can use at home to help their child. Two TTI therapists will be involved in all sessions. Intensives consist of at least two Theraplay sessions per day plus parent conference sessions. On the first day and the last day there will be more sessions.

Intensives are appropriate for children ranging in age from two through young adolescents. While the Theraplay approach can be very helpful for parents to use during the early stages of a new adoption, we do not recommend coming for an intensive until the child has been in his new home for at least six months. Before six months everything is so new that a child can be overwhelmed by making a trip to a big city and meeting new people. Because we do not have an in-patient or therapeutic parenting program available, we do not accept children who cannot be kept safe while they are with us. 

Intensives are held at our Evanston location. The family will need to make their own arrangements for housing during the intensive. TTI can provide a list of hotels that the family might choose from. If other children must accompany the parents to Evanston, the family will need to make arrangements for the care of these children during the sessions, since both parents will be involved in all the Theraplay sessions.

Application Process:

  • Initial Telephone Interview to determine the appropriateness of having this particular child come for an Intensive.
  • The Intensive will be scheduled to meet the time constraints of the family and the therapists. 
  • A behavior checklist and a questionnaire about the caretakers' backgrounds will be sent to the family. They should be filled out and sent to TTI. 
  • Information about the child's past history and records of previous treatment should be sent to TTI.  

Three Day Intensive Schedule

Day One 

Session 1: Intake interview with parents and home therapist if available. The child will be present for part of this interview.

Session 2: Marschak Interaction Method (MIM) observation sessions. (One session if there is only one caregiver) To save time in Chicago, this procedure can be videotaped by the home therapist and sent to The Theraplay Institute in advance for analysis. The charge for the analysis of the MIM is the same whether the tape is sent in advance or done when the family is at TTI. 

Session 3: MIM Analysis: TTI staff analyze the MIM while parents and child take a two-hour break

Session 4: Feedback to parents (and home therapist, if present), including discussion of plan and goals for treatment

Session 5: First Theraplay session

Day Two 

Session 6: Meeting with parents and home therapist to discuss previous session, report observations and answer questions 

Session 7: Second Theraplay session

Session 8: Third Theraplay session followed by brief meeting with parents 

Final Day 

Session 9: Meeting with parents and home therapist

Session 10: Theraplay session

Session 11: Final Theraplay session

Session 12: Final long meeting with parents and home therapist

Written Report 

Following the Intensive, a written report will be prepared summarizing the observations and recommendations. It will be mailed to the family. The charge is $200

Follow Up for Family

  • Families will be encouraged to call the TTI therapists to ask questions and get support.
  • Short calls are free. Full hour consultations will be charged at $140 per hour.
  • Follow-up sessions can be scheduled in Chicago if the family wishes to do so. 

 Follow Up for Home Therapist

  • Home therapists will be encouraged to call for support and supervision if needed.
  • If a regular supervision arrangement is desired, that can be arranged. The charge is $140 per hour.

Five Day Intensive Schedule

Day One 

Session 1: Intake interview with parents and home therapist if available. The child will be present for part of this interview.

Session 2: Marschak Interaction Method (MIM) observation sessions. (One session if there is only one caregiver) To save time in Chicago, this procedure can be videotaped by the home therapist and sent to The Theraplay Institute in advance for analysis. The charge for the analysis of the MIM is the same whether the tape is sent in advance or done when the family is at TTI. 

Session 3: MIM Analysis. TTI staff analyze the MIM while parents and child take a two hour break. 

Session 4: Feedback to parents (and home therapist, if present), including discussion of plan and goals for treatment

Session 5: First Theraplay session 

Day Two 

Session 6: Meeting with parents and home therapist to discuss previous session, report observations and answer questions. 

Session 7: Second Theraplay session

Session 8: Third Theraplay session followed by brief meeting with parents 

Day Three 

Session 9: Meeting with parents and home therapist 

Session 10: Fourth Theraplay session

Session 11: Fifth Theraplay session followed by brief meeting with parents

Day Four 

Session 12: Meeting with parents and home therapist 

Session 13: Sixth Theraplay session

Session 14: Seventh Theraplay session followed by brief meeting with parents

Final Day 

Session 15: Meeting with parents and home therapist

Session 16: Theraplay session

Session 17: Final Theraplay session

Session 18: Final long meeting with parents

Written Report 

Following the Intensive, a written report will be prepared summarizing the observations and recommendations. It will be mailed to the family. The charge is $200

Follow Up for Family 

  • Families will be encouraged to call the TTI therapists to ask questions and get support.
  • Short calls are free. Full hour consultations will be charged at $120. per hour.
  • Follow-up sessions can be scheduled in Chicago if the family wishes. 

 Follow Up for Home Therapist

  • Home therapists will be encouraged to call for support and supervision if they need it.
  • If a regular supervision arrangement is desired, that can be arranged at a charge of $140 per hour. 

Payment

The standard rate for Theraplay sessions is $250 per session for two certified Theraplay therapists to work with your family from start to finish. This also includes the initial Intake interview, the MIM, the analysis of the MIM, and the feedback session and parent conferences. The final written report is $200. Payment is expected at the end of each day.   

Written report $300

Total for Three-Day Intensive
(12 sessions) $3,000

Total for a Five-Day Intensive          
(18 sessions) $4,500

 

Therapy Services Intensive Theraplay Interventions