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FamilyCSI is a full service private mental health clinic with 20 years experience delivering over half a million therapy visits to hard to reach Medicaid families in the Springfield and Boston areas.

CSI is a “boutique clinic” specializing in psychotherapy delivered to multiple problem families in their homes.

As a licensed clinic, CSI offers multidisciplinary services including psychiatric evaluation and medication monitoring, psychological testing, and specialty parenting and risk evaluations.

CSI pioneered the use of home-based psychotherapy to stabilize children living in high-risk community families or substitute care homes. CSI is dedicated to keeping families together in the community safely.
Hands Connected

Psychotherapy is CSI's passion

Multi-disciplinary teams offer support, treatment planning oversight, and medical and psychological backup. The therapy is the primary service offering families options to solve problems, deal with crisis early, and live safely together in their community.

CSI prides itself in offering its clinical staff the best supervision, training, and documentation support.  CSI’s President, Frank C. Sacco, Ph.D. published his first book in 1982 on Outreach Family Therapy and has been a pioneer in developing techniques to empower families to solve crisis before children have to be removed.

Ghosts in the Nursery

by Frank C. Sacco, Ph.D., CSI President, Scholar in Residence

Scholars CornerEarly childhood memories of trauma, fear and pain can live on in a child’s mind throughout their life.  Anna Freud coined this term when she provided therapy to children orphaned by the Blitzkrieg bombings of London by the Germans in WW II.  Children lost their parents and experienced tremendous trauma through this period of very high danger and stress.  She noticed that children turn their fears and pain into symbolic ghosts revealed in their play.
When children are given the ability to freely associate and play, they tend to symbolize their pain in how they play.  The child’s play is the language of symbolization.  The ghosts live in the characters of the play and can become ingrained into a child’s mind and develop into self or other destructive symptoms that disrupt family, school, and community life.  Ghosts hate school and get loose in a crowd.
Play therapy creates an arena for the child to let the ghosts fly through their play.  Ghosts lose their power when released and are challenged by the therapist.  Children will show how they learned to cope with stress and emotional pain.  They may become aggressive and attack before being attacked, retreat before being attacked, deny danger, overreact to normal stress and limits, and other self-defeating strategies to cope.

Ghosts only have power to create fear when they are hidden; it is the therapist’s job to pull the ghosts out into the therapy and contain them.  The child’s mind sees the ghost slowly defeated by the supportive therapist communicating through play.
Play therapy is an unraveling of the ghost stories exhibited through play in the safety of the supportive relationship between the child and therapist.  Fear threatens a child’s sense of safety and attachment to protective adults.  Kids will try to stand on their own but quickly develop habits that inhibit their social-emotional development.  The therapist’s job is to invite the ghosts out, exercise them, identify them, CONTAIN THEM, and gradually help a child to let the ghosts go and grow emotionally healthy. This is a basic human right of all children.
Anna Freud and Marie Montessori were buddies and both understood that children need to be allowed to be children and us as adults should protect, inspire, and guide them and not turn them into little boxes of answers for tests.

Community Services Institutes' President featured on CNN Opinion

SaccoFrank Sacco, Ph.D., President of Community Services Institute, co-wrote a featured article for CNN Opinion titled "Clues your child is bullied, and what to do".  

Since 1984, Frank Sacco has pioneered home-based mental health programs for families with multiple problems. He is a consultant to the FBI's Behavioral Sciences Unit. Frank Sacco recently co-wrote "Why School Anti-Bullying Programs Don't Work."

An excerpt of the referenced article...

(CNN) - It's difficult for parents to know if their child is a bully or a bully's victim. Children will not tell you, so you need to be tuned in to your child every day.

You can pick up on subtle clues, but this takes time and a certain amount of luck. Bad things can happen to children even if the parents do everything right.

Parents can recognize victimization the easiest. Children who are victimized show sudden shifts in behavior, such as getting poor grades after receiving good grades in the past. They may exhibit "Mondayitis," seeming sad and making excuses not to go to school, or if they're young, they may cry.

Read full article on CNN Opinion...
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Are You Up For The Challenge?

Join our team! We are always seeking good clinicians, case managers, and the staff to support them.

We are currently hiring for both our Springfield and West Roxbury, MA locations and offering pre-doctoral internships for in-home and community-based mental health.




Outreach into the community demands a commitment to individuals and families struggling with difficult circumstances. A Community Services Institute (CSI) therapist is first and foremost dedicated to client treatment in their homes and community.

Therapeutic Mentoring

Offers structured, one-to-one, strength-based support services between a therapeutic mentor and a youth for the purpose of addressing daily living, social, and communication needs.


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