attachment and bonding center of ohio
gregory c. keck phd
Application Process
A complete application package is provided to help expedite the collection of information and the assessment process. If you wish to pursue the assessment process, please return all the requested material to ABC of Ohio. Include at the time submission of any other materials that you have, i.e., social history, adoption information, psychological/psychiatric treatment summaries, etc. You may print the entire application packet, along with the checklist and return the completed package with your fee of 110.00.
Please
note -- Application materials should only be sent by mail or alternate
delivery service. We do not utilize the Internet or Faxing for application
processing. All phone calls will be returned promptly.
Financial Information
The total application fee for this process is $110.00. The fee, $110.00 is due with the return of your application material. Your books will be shipped at no additional cost upon receipt of your application and fee. A receipt will be provided for your county should you apply for PASSS funding after the assessment is completed. Please make your check payable to ABC of Ohio.
If you have more than one child to be evaluated, the sibling application fee is $55.00 ($5.00 prepayment + $50 balance) for each child. One set of books will be issued per family.
Please be aware that due to the time intensive nature of attachment and bonding therapy, Medicaid is not accepted.
Our Financial Agreement has been prepared to help you in researching and arranging for payment of treatment. Please be prepared to provide accurate billing information for County/agency contacts and billing personnel, or other funding sources at the assessment appointment. If payment is to be made by a County or agency, it is necessary for you to provide a letter of financial commitment prior to the beginning of treatment.
A 50% prepayment is required for intensive therapy sessions. The prepayment is due on or before the first date of scheduled treatment. If County/agency payment is expected, this term will be waived upon receipt of a letter of financial commitment from the County/agency.
Medicaid funding is not accepted for treatment at ABC of Ohio.
State of Ohio PASSS Funding
You can get a PASSS application from either a Children Services Board (CSB) or the Ohio Department of Job and Family Services (ODJFS) in the county in which you reside. You can not apply for PASSS from the county from which your child was adopted. Contact our office PRIOR to submitting your PASSS application as we have to provide you with a form from our office to accompany your application.
ASSESSMENT:
$375.00
Prior to the child's assessment, the therapist talks with the parent(s)
to discuss the history of the problem, current status of the child being
referred, and other family issues. Prior to the end of the assessment,
the parent(s) and child are seen together. The quality of the family relationship
is critical as we work with the child. Most children with attachment difficulties
often have quite effectively created a split between the parents, and,
as a result, some erosion of the family relationship may have occurred.
It is helpful in the treatment of your child for us to thoroughly understand
the nature and quality of your family's relationship.
INTENSIVE
THERAPY: $600.00 per Day -- 10-Day Model (Maximum)
The intensive model is a maximum period of 10 days during which the parent(s)
and child spend three hours daily in outpatient treatment. There are times
when progress made is such that the intensive is shortened. This is a
clinical determination that is made during the treatment process. Intensive
therapy is scheduled Monday -- Friday.
FOLLOW-UP:
$250.00 -- 90-minute session
Follow-up to the intensive is required. Some families choose to use the
Attachment and Bonding Center of Ohio; others choose to work with a therapist
who may have referred them to ABC of Ohio. If people choose to work with
a therapist outside the office, we strongly recommend that the therapist
participate in the intensive treatment process in an effort to provide
continuity of care.
BI-WEEKLY
THERAPY MODEL: $250.00 -- 90-minute session
Children who are not so severely disturbed benefit from our biweekly 90-minute
sessions. This option may be recommended at the time of assessment.
You will need to have the Adobe Acrobat Reader installed on your computer to view PDF files. Click the button to safely download this free program.
You can download the Full Application Package or you may download by sections.
All of the following sections are required to complete your application:
Please return all completed application materials, the application fee
($110.00) payable to ABC of Ohio, and any additional case information.
You will be contacted when a review of all information is complete.
Partial application packets will be held until all required material is received.
In preparation for the treatment of your child in this office, we are providing copies of two books with your paid application fee: "ADOPTING THE HURT CHILD" and "PARENTING THE HURT CHILD" by Gregory C. Keck, PhD, and Regina Kupecky, LSW,. These books will be referred to throughout the treatment process. You will be better prepared for the assessment and treatment process after reading them.
Upon receipt, all material will be reviewed and, if appropriate, you will be contacted to schedule the assessment. If there are issues that would be best treated by another approach at another setting, you will be informed at this time. The application package can be printed from the link provided below.
Adopting the
Hurt Child
Parenting the
Hurt Child
Gregory Keck
Regina M. Kupecky
Click covers
for details
Gregory Keck, PhD
Attachment and Bonding Center of Ohio
Cleveland
Office 440-230-1960
12608 State Road
Suite 1
Cleveland, Ohio 44133
Columbus
Office 614-850-9800
3966
Brown Park Drive
Suite H
Columbus, OH 43026
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