Home Based Crisis Intervention

Home Based Crisis Intervention (HBCI) is a clinically-oriented program with support services and treatment for children and youth in crisis. The overall goal of the program is to provide short-term, intensive in-home crisis intervention to prevent psychiatric hospitalization or out-of-home placement. Services include short term individual and family therapy, skill building, education, general advocacy, and highly intensive care management.

HBCI therapists work collaboratively with a child’s providers and psychiatrists for a team approach. The services are a combination of home-based therapy for the child and family, and very intensive care management that provides links to resources in the community that may be of immediate assistance and provide ongoing support after the child is no longer enrolled in HBCI. 24 hour on-call emergency support is also available through the program.

An important part of HBCI work is the assessment and planning that is conducted not only to stabilize crises, but to also plan for a more functional long-term support plan for the child. HBCI utilizes the CANS-NY assessment to assess the child and family’s needs and strengths and to form the basis of an ongoing planning process for families.

HBCI utilizes Collaborative Problem solving, an evidence-based approach to assisting children with behavioral challenges. All program therapists are trained in Collaborative Problem-Solving. To learn more about this approach, visit

The HBCI program also provides families with support from a Family Peer Specialist. The family Peer Specialist is a NY State credentialed Family Peer Advocate. They will provide emotional support to families on their parenting experiences, serve as a bridge between families and service providers, and consult with families to ensure that the family’s perspective is included in all planning and decision making.


  • Under age 18
  • Onondaga County resident

Referral Process

All referrals are processed by Onondaga County’s ACCESS Team by calling (315) 463-1100. If the ACCESS Team determines that HCBI is appropriate, a referral will be forwarded directly to Circare. After receiving the referral, an HBCI therapist will contact the family by phone to schedule a meeting and begin services.

Hours of Operation

Hours are flexible and are scheduled with the needs of the family in mind. Services are provided for a 6-8 week period.


Cheryl Portorsnok
Supervisor of Crisis Services
(315) 472-7363 x 227