Frequently Asked Questions

Many of the programs and schools recommended have clinical staff that are licensed therapists. Some insurance companies reimburse families for the counseling services that are provided. Some families have been able to recover at least a portion of the cost of counseling services.

Another option to consider is using a Health Savings or Flexible Spending Account to pay for therapy using pre-tax dollars. It ultimately hinges on the family’s individual insurance plan.

We encourage you to speak with your insurance company first with any concerns or questions you may have about residential and /or wilderness treatment options.

Some of the programs and schools are now working with insurance advocates, and this may be an option to explore as well once you know where your child will be attending.

When you have Medicaid and are searching for programs that accept this insurance, please contact your provider directly. Unfortunately, we don’t have listings of programs or schools that accept Medicaid.

Most private residential therapy programs typically will only accept PPO insurance.

Your child, teen’s and young adult’s safety is one of our top priorities.

To ensure the recommendation of each program, we have visited and evaluated them, beyond just the admissions and marketing desk.

Safety needs to be the primary concern of any top-notch program or school.

Parents will be given questions to ask when interviewing programs and schools, which include safety measures the program takes and you always have the right to ask for written documentation of these procedures.

 

Services offered are generally not covered by health insurance, Medicare or Medicaid.

Please note that HelpForTroubledTeen offers a very affordable Flat All Inclusive pricing of $1,799.00 which is less than half of what comparable full time educational consultants charge for their services.

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The professionals who work through HelpForTroubledTeen are well trained in this industry of educational / therapeutic consulting and have a combination of over 60 years in the professional aspect of assisting families.

However, while the service may have similar benefits, it’s not able to substitute traditional face-to-face educational consulting in every case.

Please note that your Team Member won’t be making the phone calls to all of the programs and schools on your behalf, unless you decide on a an updated service charge, and they may not be able to read all of the psychological testing or school transcripts or be available for weekly phone support such as a full time educational consultant. Office hours are Monday – Friday – 8:30am – 5pm MST.

We are not available for after hours, nights, weekends, or holidays calls and support with this reduced service option.

In this way we can offer an All Inclusive Flat cost of $1,799.00 for the service, with all the professional benefits, and just less of real ongoing face-to-face and / or phone time.

Having availability to an Educational Consultant full time is available for full time services. Please visit Horizon Family Solutions for information on full time services when that is your need.

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Yes, you can have a live Skype session with your Team member.

To schedule a Skype session with your Team Member, please let her / him  know during your first contact as well as what time zone you reside in.

We are assisting families all over the United Staes and Internationally.

They will then propose a few dates and times that would be available for the session.

You will need to make sure they have your Skype information to call you. At the time of the scheduled session, login to your account and wait for your Team Member to initiate a Skype call.

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Yes!

Jamie Curry is the Parent Coach we recommend for our families.

Most parent coaching is via phone / Skype, so location is not a concern.

Please ask for more information.

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Absolutely!

Our service is detailed to assist every family. There are times, however, when a family feels they need a bit more support without still needing the full services of an Educational Consultant. Most times this request comes from a family that is not comfortable making all the calls to the various programs. This can be daunting and also time consuming.

Should the need arise for any customization of our services, please speak to your Team Member during the first thirty minute call. We can the discuss any needed additions you feel you may need, and determine how we can best support you and your family. Additional services may come at an additional cost. It all depends on the amount of time and details it would involve.

Our services of $1,799.00 cannot be reduced in cost with any customization.

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We are totally obsessed about securing your privacy and confidentiality.

The client profile is supported by BestNotes, which is a HIPPA complaint Customer Relationship Management and Electronic Health record database system specifically designed for the behavioral health and substance abuse industry.

Our confidentiality and privacy standards are by far more advanced than what is required by law or regulations so you can feel comfortable and safe.

  • Our servers are hosted in an “A Grade” facility, ensuring the best-in-class protection and security.
  • We don’t cooperate or work with any insurance companies or employers, so nothing needs to be shared, reported or filed with them.

Yes, we can!

We are, however, very cautious about recommending international or overseas programs.

The rules governing the maintenance of such programs and schools will not be the same as in the United States.

Educational Consulting services with HelpForTroubledTeen is based on a flat All Inclusive fee of $1,799.00.

This is a reduced rate as your receiving reduced services.

This is less than half the cost of full educational consulting services. This service is for families who have the availability of time and knowledge to make all admissions calls and proceed through the screening process to have their adolescent or young adult admitted into a program or school. We will provide you the best options from the information that you provide us and assist you with information on how to take these steps. Please make sure this is the service that best meets your needs. Our office hours are Monday – Friday – 8:30am – 5pm MST.

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In most cases within 24 to 48 hours.

Please note that our business hours are Monday – Friday – 8:30am – 5pm MST.

HelpForTroubledTeen may be the right service for you and your family when you’re looking for an out-of home placement for your child, teen or young adult and have a full understanding of the reduced services for the reduced rate.

Whenever there is anything that interferes with your child’s happiness or prevents them from achieving their goals, we may be able to help.

We also have Team Members who are specialized in specific areas of assistance, such as academic / school failure, ADD / ADHD, addiction behaviors, adoption / attachment / reactive attachment, anxiety, Asperger / Autism / spectrum disorder, Bipolar, Borderline personality disorder, bullying, anger / rage / violence, defiance and/or disrespectfulness, depression, drug abuse, eating disorder, entitlement issues, failure to launch, Internet addiction, lack of motivation and/or underachieving, mood disorders, OCD, ODD, parent-child relational problems, psychological disorders, running away, teen sexually inappropriate behaviors, social disorders, teen pregnancy, or gay /lesbian /bisexual /transgender challenges.

HelpForTroubledTeen is not the right solution for you when any of the following is true:

  • An active suicide situation is currently taking place
  • The situation with your family member is regarding severe mental illness, and you have been advised to be under immediate psychological supervision or immediate psychiatric care
  • There has been inappropriate sexual behavior incidents and the person involved in creating the incident is 18 or over
  • You do not have a device that can connect to the Internet, have no accessible email, or you do not have a reliable Internet connection
  • You are a minor and under the care of a legal guardian
  • You need a full time Educational Consultant to support you and your family

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Office Hours – Monday – Friday – 8:30am – 5pm MST

You can use HelpForTroubledTeen from any device that has a Web browser.

It can be a computer, tablet, or smartphone. There is no special hardware required and you don’t need to install any software.

HelpForTroubledTeen is the only reduced rate Team Member based and supported online educational consulting company worldwide.

We change the way families get help facing life’s challenges by providing affordable, reduced rate, convenient, and discreet access to needed services. The services are provided by a team with more than 60 years of experience in assisting families all across the United States.

HelpForTroubledTeen makes professional educational consulting services available for families anytime, anywhere, through a computer, tablet or smartphone at the All Inclusive Flat Rate of $1,799.00.

This reduced rate is for reduced services. Please make sure you read the entire site to have a full understanding of what these professional services entail. 

We are available to answer all your questions upon your initial intake call.

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Office Hours are Monday – Friday 8:30am – 5pm MST.

Help For Troubled Teen has an experienced and season team to assist you. Our Team Members are experienced in assisting families.

Some of our Team Members have college degrees including masters and Ph.D.

Some have been parents who have gone through this process themselves and understand the unique challenges of this decision-making process. Parents helping parents.

Some Team Members have 20 to 30 years of experience working in the industry of addictions, academics, family help centers, leaning disability schools, residential treatment centers and have other industry related backgrounds.

While each family client is assigned to one specific Team Member, Help For Troubled Teen uses a complete team approach to make the final recommendations to provide you with the very best recommendations and service.

Each Team Member goes through a rigorous application, and interview process that includes background checks.

Team Members are expected to conform to the guidelines of HIPPA, as well as our policies and procedures, including critical areas like confidentiality, health and safety, and reporting.

Team Members receive extensive coaching and training before assisting families and during their time with Help For Troubled Teen.

Specific training is required at the beginning that includes travel to visit programs and schools and/or attending local conferences.

Should you be interested in joining our team here at Help For Troubled Teen, please reach out to Dr. Doré Frances at dore@dorefrances.com.

All requests are confidential.

After you complete the client profile, you will be contacted by Julie Forland, M.Ed.

 

Absolutely!

Federal subsidies were created by Congress (through Public Law 96-272 – the Adoption Assistance and Child Welfare Act of 1980) to encourage the adoption of special needs children and remove the financial disincentives for families to adopt.

Recognizing that adoptive parents often experience financial difficulty meeting the special needs of children who formerly were placed in California’s foster care system, the State Legislature created the Adoption Assistance Program (AAP). In creating the program, the Legislature intended to benefit children in foster care by providing the security and stability of a permanent home through adoption. Children may receive a federally funded subsidy under Title IV-E or a state-funded subsidy per state guidelines. To apply for the AAP, adoptive families must submit a completed Request for Adoption Assistance ( AAP 1 ) form which is provided by their licensed adoption agency.

The responsible public agency will determine the child’s special needs eligibility for participation in the program. When the child is deemed eligible, the responsible public agency will negotiate a signed adoption assistance agreement, or a deferred adoption assistance agreement will be executed with the adoptive parents, prior to the adoption finalization. A reassessment of the child’s needs and family’s circumstances is conducted every two years.

The amount of financial assistance is determined based upon the special needs of the child and circumstances of the family. An adopted child who receives AAP benefits from California may move anywhere in the world and still receive monthly subsidy payments until the age of 18 or 21, when the child has a mental or physical disability.

AAP will require that the program or school you find for your child be a non-profit.

We have assisted many families in securing a best fit placement for their adopted child to meet all of their academic, behavioral, clinical and family support needs.

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Families pay for our services directly. Please visit our Get Started Now page.

We work on your behalf, and our obligation is to your family, not to any program or school. We do not accept nor solicit any compensation from any agency, program or school.

We are professionals and are committed to Ethical Guidelines for the Profession of Educational Consulting.

Families pay the All Inclusive Flat service fee in full at the beginning of services – $1,799.00.

The service fee covers one placement and the support for that placement as described on our page Get Started Now, number 3.

No additional fees will be charged without the express agreement of both parties.

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Everything is the same as far as the professional services behind all we offer!

There are several aspects of this service which provide parents a degree of Educational Consulting / Therapeutic Consulting expertise that is quite unique.

First, our team specializes in our approach to offering streamlined reduced rate Educational Consulting services.

That is, we focus on the specific area of your need. Given that there are literally thousands of programs and schools all across the United States, we have the all important familiarity that is essential to narrow down to what your child, teen or young adult may need.

We have spent over 20 years, and continue to do so, evaluating and visiting programs and schools every month so that we have first hand knowledge of all aspects of what they offer.

We bring 60 years of combined experience of Educational Consulting / Therapeutic Consulting to this professional and specialized reduced rate service. As experienced professionals our team understands the implications of family situations. Some of us have been there ourselves with members of our own family.

Our continued professional training in areas of adoption, advocacy, attachment, alcohol and drug abuse, bereavement, eating disorders, parenting, adolescent sexual behaviors, trauma, and youth culture, enables us to be available to you with years of knowledge about hundreds of programs and schools and we can assist with in-depth recommendations, even when assisting with complex issues.

The result?

Carefully honed program and school recommendations and a national reputation for successfully completed placements over a 20 year period.

Please make sure you read this site entirely so as to understand that reduced services you will be receiving for the reduced cost.

To view full time Educational Consulting Services – visit Horizon Family Solutions

Office Hours are Monday – Friday – 8:30am – 5pm MST.

Good question and one that most parents (and students) want to know!

The duration of your adolescent’s or young adult’s treatment program will depend largely on their individual and specific needs.

After your teen or young adult has been assessed by the program staff, they will determine the length of their treatment program.

We have an ideal number in place that works for the process!

It will vary depending on the specifics of what your needs may be.

Residential Treatment Centers and Therapeutic Boarding Schools are numerous all across the United States. These types of programs and schools will have a larger selection and you may be provided anywhere from three to seven choices.

There are always variables we need to work with around the specific situation at hand.

For example, should you be working with an Adoption Assistance Program or School District that is providing funding, they usually require a non-profit program or school.

Speciality Psychiatric and Behavioral Hospitals will be fewer because of specialization.

Wilderness Therapy Programs can vary depending on the age of the child, teen or young adult and any other specific needs they may have such as addiction factors, alcohol / drug usage, ASD, mental health disorders, mood disorders, etc.

Young Adult Transition Programs and Substance Abuse Programs have quite a few choices and will vary on the age of the young adult and any specific requirements that need to be met.

College Prep Boarding Schools have quite a few choices and can meet various needs around the special interests and needs of the students such as academic aspirations, art / dance / drama, equine, learning challenges, military, outdoor adventure, robotics, sports, etc.

We will gather specifics from you during the intake call and make sure we are recommending those program that are a best fit for your child, teen or young adult.

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We are very selective about the programs and schools we recommend.

We do not recommend brand new programs or schools. All programs and schools need to have been in operation no less than 3 years.

Occasionally a new program or school will open as an offspring from another program or school and therefore appear to be new. All of this information is disclosed to you in the recommendation.

First – Please visit the page – Finding the Right Program!

Effective therapeutic residential and wilderness programs as well as young adult transitional living programs, offer comprehensive and highly individualized services and varying lengths of stay, therefore, enrollment costs depend upon a number of personal factors.

To get the most accurate possible picture of the expenses associated with a program or school, we will give you the most recently known tuition as a part of your service package. It is always best to contact the program directly for any recent changes regarding tuition and enrollment fees. The admissions staff will be happy to work with you to develop a detailed financial picture based upon your family’s unique needs when you inquire about their program.

Yes, we do!

Currently, IDEA states that public school districts only have to provide special education services to students in private placements when the district has referred the student to an out-of-district placement.

These will need to be non-profit programs and schools, of which we are familiar.

Absolutely!

We have a list of aftercare programs / resources that you may obtain for $99. It takes about one hour of time to match your needs to your current situation. 

Just reach out to your Team Member and they will supply you with recommendations of which you may call. This takes 24 to 48 hours.

Always make sure you check with the current program your child or young adults is enrolled in as well, as some have after care as a part of their program.

Horizon Family Solutions also offers an aftercare program that is customized to your specific needs. Please speak with Julie Forland,M.Ed about these services.

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Good question!

Please start with thoroughly reading the ABOUT page, and then proceed on to the FINDING THE RIGHT PROGRAM PAGE, and then go to the GET STARTED NOW PAGE.

Here you will begin by filling out the Confidential Client Profile.(*)

For therapeutic needs, when you have a recent psychological evaluation, within the last 12 months, please have that ready to send us, should the request be made, when we schedule your intake phone call.

Also, current school transcripts can be beneficial for a quick review, so having those available may be helpful.

No release form is necessary as we will not be making calls to counselors, doctors, or health care professionals on your behalf. You will be able to list and write about your child, teen or young adults health and school needs on the client profile. The GET STARTED NOW PAGE will walk you through all the steps needed to engage in our professional services.

(*) Horizon Family Solutions is sponsoring the use of the client profile at this time.

Please direct all general questions to Julie Forland, M.Ed.

Make sure you add “Help For Troubled Teen” in the email subject line.

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Really good question!

Some companies may provide similar services, at no charge to the family, claiming to match troubled kids with an appropriate treatment program. Be aware that although some of these services represent themselves as independent, they may not be. They may actually be operated or paid by one or more of the treatment programs they are recommending. Always ask the service, especially when there is no cost to the family, whether it receives commissions or any type of payment compensation from the treatment programs they are recommending.

Help For Troubled Teen provides All Inclusive Flat rate services in which the family must make a reduced priced financial investment of $1,799.00

The programs and schools recommended have been and are currently being recommended by Horizon Family Solutions, which has been in business as an Educational Consulting / Therapeutic Consulting and Advocacy firm for almost 20 years.

Help For Troubled Teen is completely independent of any relationship with any program or school we recommend other than professional knowledge of the services they provide. We are not operated by nor do we get paid by or receive any compensation from any program or school we recommend. We feel doing it any other way would be professionally biased and could create an inappropriate placement for the child, teen or young adult.

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We have many different types of appropriate schools and programs available and ready to recommend. To name a few:

Addiction Treatment Programs

Adoption / Attachment Schools

Aftercare / Transition Programs

Clinically Based Programs

College Prep-Boarding Schools

College Support Programs

Eating Disorder Programs

Faith Based Schools

Leanring Disability Programs

Military Schools

Pre-Teen Programs

Summer Programs and Schools

Therapeutic Treatment Centers

Wilderness Based Programs

Young Adult Transitional Programs

 

 

We typically schedule an initial 30 to 45 minute call and then a secondary 60 to 90 minute call.

This secondary call is after the client profile has been received, reviewed, agreement signed and returned and payment has been received.

Should the student / young adult be a part of the process, they will be invited into the last 30 minutes minutes of the call depending in the situation.

Additional time from your Team Member is available at anytime. We understand that you may need additional support as you start this process on your own.

It is important that you read the entire site to understand that this is a reduced service rate and reduced services are offered.

Please visit the Get Started Now page and scroll to the bottom for more information of obtaining additional time.

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Office Hours are Monday – Friday 8:30am – 5pm MST.

Additional phone calls can be arranged when you plan to extend your services with some hourly support or family educational service support.

Please scroll to the bottom of the Get Started Now page to see how you can sign up for additional needed time. 

All additional communication will be via brief emails as we step into the recommendation phase.

Please be sure to read this site entirely to understand that reduced rate services are only available during normal business hours -Monday – Friday –  8:30am – 5pm MST. 

Good question!

Program / School Name
Age Range of Students Accepted
City, State of Location
Contact Information
Gender of Students Accepted
Last Known Current Tuition
Program Type
Approximate Duration of Program Stay

Example:
Academy Example Center
6 to 22
Example, Texas
000-000-0000 / Email address of admissions person
Co-Ed
$7,500 per month
Residential Treatment Center
1 month to 1 year

An Educational Consultant is an expert in finding the appropriate fit between a student and a program or school.

An educational consultant has the professional background to fully assess a child, teens or young adults’s academic, emotional and social needs and match them with the appropriate and best fit setting as well as with the most appropriate academic, clinical and support staff.

Much of the educational consultant’s time is spent on the road evaluating, researching and visiting programs and schools in order to be prepared to address the specific individual needs of each child, teen, and young adult and their family. An educational consultant is the family’s advocate before, during and after placement when engaging in full services.

Families who seeking reduced rate services for a reduced price and need a residential or wilderness alternative for their child, teen or young adult use our services.

Families have usually attempted all local options and their child or young adults is still struggling.

It may be as simple as finding a small, supportive college-prep boarding school; however, often it is more complicated and includes an addiction treatment center, clinical support, eating disorder treatment, residential treatment center, therapeutic boarding school, wilderness program or young adult transiotnal living program. There is a wide-range of reasons a family may be considering placement including:

  • ADHD/ADD
  • Asperger’s Syndrome and Autism Spectrum Disorders
  • Developmental Disabilities|
  • Dysgraphia
  • Language-based learning difficulties
  • Math Disabilities
  • Nonverbal Learning Disability
  • Visual or Auditory Processing Disorders

Families that are needing to have more of an intervention may be challenged with:

  • Attachment challenges
  • Eating Disorder
  • Alcohol / Drug Addiction
  • Dual Diagnosis
  • Emerging Personality Disorders such as Borderline and Narcissistic
  • Gambling Addiction
  • Gaming / Video Addiction
  • Grief & Loss
  • Identity Issues
  • Impulse control issues
  • Inappropriate Sexual Conduct
  • Internet / Technology Addiction
  • Low Self-Esteem
  • Mood disorders
  • Oppositional Conduct Disorder
  • Oppositional Defiant Disorder
  • Pornography Addiction
  • Post-Traumatic Stress Disorder (PTSD)
  • Promiscuity
  • Running away
  • School failure
  • School refusal
  • Self-harming behavior
  • Substance abuse
  • Suicidal ideation
  • Threats of violence
  • Trauma

Families may have a child, teen or young adult with more clinical challenges such as:

  • Anxiety Disoder
  • Bipolar Disorder
  • Borderline Personality Disorder
  • Depression

For families who have young adults ages 18 and over the challenges may be a bit different:

  • Academic deficiencies
  • Anger management
  • Anxiety challenges
  • Developmental disabilities
  • Difficult parent relationships
  • Employment challenges
  • Entitlement challenges
  • Gaming / Video Addiction
  • Gender Identity and Sexual Issues
  • Lack of motivation
  • Lack of life skills
  • Legal problems
  • Negative Life Patterns
  • Social Skills Deficits
  • Learning disabilities
  • Relationship Issues
  • Self-esteem issues
  • Alcohol / drug abuse

HelpForTroubledTeen is a reduced rate service for families who are able to commit to the time needed to make all of the admissions calls and proceed with evaluating the programs / schools themselves on the adolescent’s or young adult’s behalf. We provide you the very best options based on our 60 years of combined professional experience and over 20 years in the field working with families.

Please make sure you read the entire site in order to understand these services. Our business hours for these services are Monday – Friday – 8:30am – 5pm MST. 

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Anytime a program or school placement decision is being made, it is a big step, both emotionally and financially.

This is not a time to make a costly or emotionally taxing mistake. Our Team Members spend the time evaluating, researching and visiting programs and schools that are some of the very best in the United States. We also have visited lower cost programs and schools that we can recommend when a family has a certain financial need. Please make sure your Team Member knows about any specifics so we can assure you that we can help, before making payment.

Searching on the internet is not enough. We visit the programs and schools, tour the complete facility, meet those in attendance without staff present and interview the day staff as well as the night staff. We have the professional expertise to help you make well-informed, wise decisions that can positively affect your child’s future at this crucial and difficult time.

We do our best to make this process as streamlined as possible to meet your required needs!

Normally we require from 5 to 7 days to provide you all the detailed information. The intention of our approach to this professional service is detailed thoroughness.

Our team views each student and family as unique and deserving of a process that is careful, thorough and thoughtful. In order to provide recommendations that address the individual needs of each person, the initial phone call is most important as is all the written information in the student profile.

Our team then can carefully tailor to the goals, interests and needs of the family.

Thoroughness need not equate with a long, drawn out process. We have designed a very efficient approach to our research that allows us to move forward with a family’s desire for timely recommendations.

There are instances, generated by crises such as hospitalization, running away, sudden decline in performance or compliance that necessitate, in the interest of safety, a very rapid response. Our team will need to know this immediately, upfront, so as to assure our time is available to meet your needs. Again, we have honed a process that can, in these situations, allow for an almost immediate intervention for families who have paid for the services and submitted the student information. In any case, at the initial phone call we are able to discuss a realistic timeline that incorporates the family’s sense of urgency and our need for absolutely professional thoroughness in all recommendations.

We are here to help!

At such time you feel the need to obtain full Educational / Therapeutic Consulting services from Horizon Family Solutions, please advise your Team Member.

They will advise Dr. Doré E. Frances and/or Julie Forland, M.ED. and will update them on your current situation. The earlier in the process you make this determination, the better for your family and student. Once your child / young adult is enrolled in their program, there can be a lot of catching up do to, and this can be very time consuming.

It is preferred that this commitment be made within the first one to two weeks your child / young adult is in treatment. 

The original HFTT FULL service payment will be applied towards a full Educational Consulting service fee when this change in services is made within the first 30 days. Should this occur after 30 days, we will have a conversation with to work out an appropriate transfer of services and costs associated with the transfer.

We cannot retroactively change any agreements you have with the program / school in which your child / young adult is enrolled and will not be able to ask for any discounted rates or scholarships available. 

A subsequent contract for different services as well as a HIPPA Compliant release form, and potentially some other release forms, will also need to be signed and submitted once you engage in full time Educational Consulting services.

You can read more about Doré E. Frances, PhD by CLICKING HERE.

Your can read more about Julie Forland, M.Ed. by CLICKING HERE.

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This is a good question that most parents think about!

In this situation we recommend that parents contract with a teen transportation service to assist. We are able to make recommendations on whom to call.

We recommend only the very best services in which we have had over 20 years of experience in also evaluating for compassion, integrity and respect. All are licensed and bonded and staff receive ongoing and updated training in assisting youth and families.

Thank you for asking!

Your Full All Inclusive payment of $1,799.00 is requested after the confidential client profile has been received, reviewed, and an initial 30 minute call has been completed.(*)

Please visit the GET STARTED NOW page for the Pay Pal payment options.

(*) Horizon Family Solutions is sponsoring the use of the client profile at this time.

Please direct all general questions to Julie Forland, M.Ed.

Please add “Help for Troubled Teen” in the email subject line.

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We are here to help!

We have access to some of the very best psychologists who can provide Confidential Psychological Assessment Reports either before your child or young adult is admitted to a program or while they are enrolled.

These professionals are able to come to your adolescent or young adult at your location prior to enrolling in a program or can meet them at their residential or wilderness program to complete the needed testing.

These clinical interviews can happen wherever you are located or wherever your teen or young adult may be in treatment. Please let us know during the process should you need a recommendation and after reviewing your needs we can make the proper recommendation based on your concerns, area of focus and specific needs.