The Center for Success and Independence (TCSI) is a residential and intensive outpatient treatment program in Houston, Texas for adolescents, ages 12-17, whose psychological and emotional disorders, substance abuse and/or history of trauma have impaired their behavioral functioning and adversely impacted their everyday home, school and community environments. We are a 501(c)(3) nonprofit organization.
Clients receive proven adolescent-focused treatment directed at the emotional, cognitive, and social roots of their behavioral issues. We have a proven success rate with youths and teens who complete the program. It is one of the reasons we receive referrals from physicians, hospitals, state agencies, and schools.
We are one of only a few free-standing intensive adolescent residential treatment centers in Houston offering a recommended 25 hours of therapy per week.
We are also one of the very few residential treatment center in Texas providing a complete Dialectical Behavior Therapy (DBT) treatment program designed specifically for adolescents. DBT is an innovative treatment method developed specifically to treat difficult clients in a way which is optimistic and preserves the morale of the therapist and the client. Research findings suggest DBT is successful in reducing acting-out behavior, self injury, and in-patient treatment time.
TCSI was founded in 1999 by Marylou Erbland, PhD, Robert Woods, MEd and Karl Webster, EdS, to fill an unmet need not only in Houston but throughout Texas. Prior to opening The Center for Success and Independence, their private practice clients had to be referred out of state to receive intensive DBT, dual-diagnosis and other intensive treatments. This was not only a more difficult transition for the client, but it also meant that the family could not be involved in the family therapy sessions that Dr. Erbland, Mr. Woods and Mr. Webster had found to be essential to long-term success and reintegration into home, school and the community. With the creation of TCSI, individual clients and their families along with area physicians, hospitals, schools and state agencies have a place to turn to for recovery and counsel.
The mission of the Center for Success and Independence is to provide evidence-based therapies to address issues that disrupt the lives of teens and their families.
The Center for Success and Independence is:
- Result oriented
- Clinically sophisticated
- Treatment focused (emotional, behavioral, cognitive)
- Skill centered (social and independence)
- A Long-term solution
- Efficient, but not cost-driven
- Individual, Family and Group Psychotherapy
- Dialectical Behavior Therapy Program for adolescents (coping skills development)
- Adolescents Substance Abuse Programs (treatment, prevention, education, intervention and relapse prevention including the evidence-based Matrix Model program)
- Anger Management Program
- Social Skills/Independent Living Programs
- Diagnostic Services (psychological, psychiatric, neuropsychological assessment - emotional, behavioral and learning issues)
- AA/NA Programs and Sponsorship for youths and teens - The clients attend meetings on and off campus and are required to work with a sponsor
- Medication Management and Consultation - A psychiatrist available 24 hours a day for medication management and consultation
- Nursing Services
- On-Site School Program - Full time on-site fully accredited school program offering credit recovery, advanced classes and special education services
- Adolescent Teen Support Program
- Aftercare Program - for youth and families after discharge
TCSI is one of the few freestanding dual-diagnosis adolescent residential intensive treatment centers in Texas.
TCSI is one of the very few facilities in Texas that offers a complete Dialectical Behavior Therapy (DBT) program designed specifically with adolescents in mind.
TCSI offers a long-term, residential program with a minimum stay of 90 days.
We are one of the few facilities that treat adolescents with a history of substance abuse with the Matrix Model evidence-based treatment program.
Members of the TCSI team are highly vetted. Our therapists bring experience, compassion and dedication to each client they care for both in our residential facility and our Intensive Outpatient Treatment Program.
TCSI staff, including chemical and psychiatric therapists, work together as a team to provide the most comprehensive and effective treatment for each adolescent.
The Center's research-based treatment plans focus on the partnership between therapists and clients. Teaching adolescents how to cope with the underlying issues contributing to their chemical, emotional, mental and behavioral issues is an important part of the plan. This dual-diagnosis treatment method is a key contributing factor in our proven success rate.
Therapists nurture and encourage clients to master the skills necessary to make positive changes and decisions in everyday life.
As part of our team approach, TCSI is an intern training center for the Houston area. We participate in intern programs in social work, marriage and family therapy, and professional counseling. We love the fresh ideas and enthusiasm they bring to The Center almost as much as we love encouraging and coaching their innovative minds. And we are proud to report that many of our past interns are now valued member of the TCSI team.
- Therapists (Master and PhD levels)
- Bilingual Therapists
- Registered Nurses
- Chemical Dependency Counselors
- Consulting Psychiatrists
- Case Managers
- Trained Mental Health Technicians
We maintain a low staff-to-client ratio with a caseload of less than seven clients per therapist. This low staff-to-client ratio allows us to maximize the effectiveness of our client treatment.
We use the latest clinical and evaluation tools and solid evidence-based strategies. And we maintain stringent training requirements.
On a weekly basis, adolescents receive approximately:
- 13 hours of group psychotherapy
- 1 hour minimum of individual therapy
- 3 hours of family therapy
- 7 hours of chemical dependency therapy or other appropriate self-help group therapy
Clients are taught anger management and coping skills. Opportunities to practice these skills are incorporated throughout the program.
Trauma and abuse issues are dealt with directly in individual, group and family therapy.
Youths and teens served by TCSI have frequent and sustained access to clinical professionals – all with advanced training and an open approach to evaluation – in a number of specialty areas, including general adolescent treatment and research-driven therapy, among others.
It has been our experience, that when families come together and make recovery their focus, you see notable results. Family members are involved in treatment planning and participate in the following:
- Weekly Family Therapy
- Multi-Family Therapy
- Family Education Sessions
A positive and structured home environment is instrumental for both the youth and their families. Discussions and techniques for establishing effective communications, a healthy home environment and boundaries are a part of family education and therapy. Families are given the opportunity to practice these skills when their loved one returns home. We have found that increasing the periods of time that clients and families spend together allows everyone to adjust and learn new ways of managing issues. The home visits are the anchor of our strategy to reintegrate clients successfully into home, school and neighborhood settings.
Once a month, the entire treatment team meets with the adolescent and parent to review progress, identify obstacles and devise strategies for continued success.
Case managers provide services to the family from the date of admission and continue for up to 12 months after discharge.
Southwest Charter School operates an accredited on-site school for our youths. Our therapeutic team works directly with teachers and clients to encourage academic success. TCSI also offers a GED program.
Our network of partner agencies provides on-site mentoring, higher-education planning, career development and job training services. They include The Boy and Girl Scouts of America and the Career and Recovery Center.