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Case Management

Youth Case Management is a service that offers support to youth and their families. This support can assist the youth’s educational, legal, social and emotional needs, and assisting the family with identifying and accessing programs and resources in the community. In addition, they can help the family navigate the network of professional services through a referral and assessment process. Case management services include assessment, determination of need, development and periodic revision of a specific care plan, referral, and related activities, and monitoring and follow-up activities.

Access to psychiatric care, psychological testing and assessment, neurological testing, specialized medical care, in-home support services, and if the need arises, assistance in accessing higher levels of care, outside of the community setting. The youth case management staff recognizes and promotes collaboration between the family and organizations working with the youth. The youth case manager monitors the continuum of care until the youth has reached independence and is able to successfully navigate their environment without additional supports.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at

Comprehensive School and Community Treatment (CSCT)

Comprehensive School and Community Treatment is a comprehensive planned course of community mental health outpatient treatment that includes therapeutic interventions and supportive services provided in a public-school based environment in office and treatment space provided by the school. Services are focused on improving the youth’s functional level by facilitating the development of skills related to exhibiting appropriate behaviors in the school and community settings. These youths typically require support through cueing or modeling of appropriate behavioral and life skills to utilize and apply learned skills in normalized school and community settings. CSCT includes: individual, group and family therapy in addition to skill building and integration within academic and community-based settings. CSCT can also offer crisis-based services on a limited basis.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at


What are the benefits of having CSCT staff work with your child?

The therapist and behavior specialist create a treatment plan with you and your child to help meet the specific needs of your child to help them succeed in the school setting.  The CSCT staff work together as a team with your child, the school staff, other service providers that work with your child and with yourself and/or other family members that you recommend. Elementary age children have difficulty working though problems with words, so staff may facilitate the process by providing a play environment from which they can begin to work through those issues that may be getting in the way of completing schoolwork or negatively impacting their peer and family relationship(s).

What does that mean for you as a parent/guardian if your child is enrolled?

L’esprit and the school work together to help your child succeed in the school and community-based setting(s).  Your child will have support that is available every day in the school setting during school hours and during summertime through group therapy programming.

This support will include therapy and behavioral support that offers your child an opportunity to learn new skills to help them manage themselves more effectively in the school and community setting.

The CSCT therapist is able to address social and emotional issues with your child on a frequent basis through various individual, family, and group sessions.  Through the treatment plan, interventions and objectives are created to guide the behavioral specialist in supporting and teaching new behavioral support as appropriate/needed.

The behavior specialist will work with your child to identify behaviors that inhibit your child from being successful in school in close collaboration with the CSCT therapist. The focus of the behavioral specialist is offer supportive redirecting, modeling and guidance through interventions that help to build positive coping skills and life skills for school, home and in the community.

What do CSCT teams need from parents?

We invite parents to be a large part of their child’s treatment throughout the process. Parents are encouraged to communicate often with both the therapist and the behavioral specialist as issues arise, living situations change, or successes occur. The therapist is available for family therapy on as-needed basis. L’esprit staff recognizes that the parent knows their child best and any suggestions and recommendations for their child’s treatment are taken into account through the collaborative process.

In order to determine if your child is eligible for services, please contact the therapist or school administrator in your child’s school or contact the L’esprit main office at 406-222-7641 or email us at

Child Therapist

Home Support Services

A family support coordinator is an in-home therapeutic and family support services for youth living in biological, adoptive or kinship families who require more intensive therapeutic interventions than are available through other outpatient services. Services are focused on the reduction of symptoms and behaviors that interfere with the youth’s ability to function in the family and facilitation of the development of skills needed by the youth and family to prevent or minimize the need for more restrictive levels of care. The provider is available by phone or in-person to assist the youth and family during crises. Family support services include: skill building and integration, crisis response, and may include individual and family therapy.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at

Day Treatment

The youth day treatment program is designed to meet the mental health needs of children grades pre-k through 12 who are exhibiting problematic behaviors in the general education setting. Through this structured program, a wide variety of services are offered including individual and family counseling, group therapy specific to the needs of the child, and academic assistance.

The program seeks to promote positive social skill interactions among children and adolescents while providing assessment, redirection, and interventions to behavioral challenges a child faces with specific interactions with others.

Using evidence-based modalities and trauma informed treatments, such as person-centered approaches, group therapy sessions, psycho-educational techniques, and cognitive behavioral techniques; the behavioral specialist focuses on helping the child to fulfill treatment goals. Upon successful completion of the program, the child will have built a more stabilized sense of socializing with others and appropriately managing behavioral challenges.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at

Teen study group

Medication Management

Our office is proud to offer medication management services through Livingston Health Care, Community Health Partners, and Dr. Jeff Green.  The provider works with L’esprit clients to best prescribe psychiatric medications while the L’esprit staff work to help the client establish primary care to best support their medical and mental health needs.  Psychiatry is a sub-specialty of medicine concerned primarily with brain disorders, especially those that affect emotions, thoughts, sleep, behaviors, and relationships with others. Medication management is important for the maintenance of psychiatric issues and essential for those dealing with mental disorders or extreme life changes.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at

Filling Prescription
Helping a Student

Youth Mentoring

Mentoring services are adaptive skill building and integration services provided in person for a youth in home, school or community settings in order to help the youth maintain his participation in those settings.  Mentoring is provided under the supervision of a licensed mental health professional and according to the youth’s rehabilitation goals.


The focus of the services is to:

  • Improve or restore the youth’s functioning in identified areas of impairment to prevent or minimize the need for more restrictive levels of care

  • Assist the youth to develop communication skills, self-management of psychiatric symptoms, and the social networks necessary to minimize social isolation and increase opportunities for a socially integrated life

  • Assist the youth to develop daily living skills and behaviors necessary for the maintenance of relationships, an appropriate education, and productive leisure and social activities

  • Immediately intervene in a crisis situation to refer the youth to necessary and appropriate care and treatment


Face-to-face consultation with family members, teachers or other key individuals may be included. Mentoring may only be provided if a youth also receives other mental health services. It is not provided at the same time as other mental health services.

If you are interested in this service, please contact the L’esprit main office at 406-222-7641 or at

Advantages of Day Treatment

  • provides an alternative to impatient care with a considerably lower cost

  • serves as a transition from inpatient care to outpatient care

  • keeps the child in the home while providing therapeutic programming

  • more therapeutic resources are available than can be provided by outpatient treatment

  • reduces the impact of negative behaviors in the regular education setting

  • schedule allows for supports to occur while the child needs intervention

  • provides learning opportunities to those who may not be successful in a classroom education environment

Goals of Day Treatment

  • increase academic engagement of children and adolescence struggling with emotional and behavioral disturbances

  • increase likelihood of student progressing at a positive pace and meeting his/her educational and behavioral goals

  • foster the development of skills to improve academic success

  • provide professional guidance and responsive support in the areas of mental health and behavioral interventions

  • assist and support students during their emotional challenges and behavioral crisis and prompt the development of productive strategies designed to process their thoughts, feelings and actions in an appropriate manner

  • offer support to the student’s family to ensure techniques and interventions utilized at school are also being used in the home and community

  • assist in connecting clients with any additional community and mental health services needed to be successful

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