All of the programs at Four Oaks use a Trauma Informed Care approach—looking below the surface of a child's behavior to address the deeper trauma that caused it.

Behavioral Health Services

Four Oaks offers two different Behavioral Health Services—therapy (including individual, family, and group psychotherapy) and skill-building. In the skill-building services, children and families are taught techniques to improve anger management, behaviors, peer/family relationships, communication, problem-solving, social skills, and conflict resolution. Both programs are offered in outpatient settings as well as in the Four Oaks residential programs.

Cornerstone—Family Development and Self-Sufficiency (FaDSS) Program

Focusing on a family’s strengths this voluntary program helps those at risk of long-term welfare dependency become self-sufficient. The foundation of the program is regular home visits where the Family Development Specialist works closely with families, breaking down goals into small steps that will lead to success.

Foster & Adoptive Family Connections

Four Oaks Foster & Adoptive Family Connections is responsible for services to foster and post-adoptive families in 69 counties throughout central and eastern Iowa. These services include foster and adoptive family recruitment, retention, pre-service training, licensing, and on-going and crisis support.

For more information please visit

Foster Group Care Services

Residential treatment services are designed for youth with a variety of needs. These programs focus on partnering with families to teach cognitive self-control, personal coping skills, behavioral interventions, life skills, and self-responsibility. Enhanced programs are tailored to each youth’s specific needs.

Functional Family Therapy

FFT is a short-term therapeutic intervention for delinquent youth at risk of institutionalization. Therapists work with the whole family—often in the family’s home—to decrease negativity and dysfunctional patterns of behavior, improve family communication and supportiveness, develop positive behavior change and improve parenting strategies.

Iowa Aftercare Program

The Iowa Aftercare Program helps foster care alumni move toward stability and self-sufficiency as they age out of the foster system. Participants meet at least twice monthly with an Aftercare Self-Sufficiency Advocate (SSA) who helps them achieve their individual goals. These relationships focus on five areas: education, employment, housing, health, life skills, and relationships.

In addition, need-based financial support is available to youth who qualify for the Preparation for Adult Living (PAL) program.

Aftercare Services may be contacted several months prior to a young person’s planned exit from the foster care system. Aftercare Self-Sufficiency Advocates are available to attend Family Team Decision-Making meetings, transition meetings, or other events related to a young person’s transition from care. Involvement prior to discharge helps SSAs build a relationship with eligible youth and facilitates a connection to Aftercare services.

Four Oaks participates as a member of the Iowa Aftercare Services Network and provides services in Allamakee, Black Hawk, Cedar, Clayton, Clinton, Dubuque, Jackson, Johnson, Muscatine, Louisa, Polk, Scott, and Winneshiek counties.

Integrated Health Home

We understand you want the best for your family. We do too! The Integrated Health Home program helps coordinate services that your family member needs to live a healthier life. A care coordinator can help you:

  • Understand and manage your family member's mental, physical, and behavioral health services.
  • Create a whole health treatment plan just for your family member.
  • Provide support to you, your child, and your family members.
  • Make sure your family member has access to care when he or she needs it.

This free program supports your decision to ensure your family member receives the best possible care and that he or she is healthy and happy. Four Oaks’ IHH team is excited about this opportunity for your family, and team members are available to answer any questions you may have. Even though we have listed some common questions below, we encourage you to call today to find out more about this program and how it can benefit your family.

Hablamos Espanol!

Cedar Rapids Office (5400 Kirkwood Blvd SW)

Counties: Benton, Black Hawk, Buchanan, Fayette, Iowa, Johnson, Jones, Linn

Call 319-784-2250. Referrals can be sent to

Mason City Office (East Campus 980 S Iowa Ave)

Counties: Black Hawk, Cerro Gordo, Floyd, Franklin, Hancock, Kossuth, Winnebago, Worth

Call 641-423-3222, Ext. 4804.

Referrals can be sent to

Iowa City Office (1916 Waterfront Dr)

Counties: Cedar, Iowa, Johnson

Call 319-784-2250. Referrals can be sent to

Dubuque Office (2460 Kerper Blvd)

Counties: Clinton, Dubuque, Jackson

Call 319-784-2250. Referrals can be sent to

Frequently Asked Questions:

  • I received a letter indicating that Four Oaks is my Integrated Health Home Provider. What do I do?
    • Please call us 319-784-2250 and connect with a care coordinator who is ready to assist with your child’s needs.
  • How much does the program cost?
    • The program is free for Medicaid members. It does not change your child’s Medicaid benefits. It simply adds to them.
  • Is my child eligible to participate in the Integrated Health Home program?
    • We would be happy to check! Please call us at 319-784-2250 so we may help.
  • Will we have to switch doctors?
    • No. We honor our families’ choice of providers, and will support their decisions on who will provide the best care for their child.
  • What service does Integrated Health Home provide?
    • Integrated Health Home provides care coordination. Our team will help you and your family manage your child’s whole health, including his or her mental health, behavioral health, and physical health services. We are focused on helping you and your child achieve positive outcomes.
  • What is the need for Integrated Health Home?
    • Mental health plays a major role in children’s ability to maintain good physical health. Studies show that children with mental health challenges often experience worse health outcomes than their peers. The good news is many of the conditions can be prevented. Four Oaks’ Integrated Health Home. Program will team with you to help your child lead a healthy life.

Parents as Teachers

Parents as Teachers is a free and voluntary family education and support program designed to provide practical, timely information to all families on child development.

The program is available to anyone who has a child prenatal to age 5 or kindergarten entry and lives in Dubuque county. Parents as Teachers is based on the truth that parents are the first and most influential teachers of their children and that the early years lay the foundation for a child’s life.

Click here to view our informational pamphlet.

Families participating in PAT receive the following services:

Personal Home Visits: The program offers two, one-hour home visits per month designed to provide information and support for parents.

Group Meetings: Families have the opportunity to meet with other parents to share experiences and discuss parenting topics. Children are included in the group time and there are planned activities for parent and child interaction.

Screening: A parent educator will assess the child's overall development as well as health, hearing, and vision. Lead levels, immunizations, and dental are also monitored.

Connection to Community Resources: A parent educator can link your family to services in the community not offered by the program.

Visit the national PAT website to learn more:

Psychiatric Medical Institute for Children (PMIC)

Four Oaks runs four PMIC residential programs for children across the state of Iowa.

These programs serve children between the ages of 5 and 18 who have serious emotional, behavioral, and mental health conditions. The basic foundation of these programs is designed to help youth develop positive self-concepts as well as social and problem-solving skills, while integrating child and family treatment components.

Safety and Permanency Services

This program offers supportive safety services so that children may remain in their parents’ home while a child abuse assessment is being completed. These services reduce the risk of the child needing a foster care, shelter care, or group care placement, or—if they are already in an out-of-home placement—work to resolve issues so the child can return home.

Supervised Community Treatment (SCT)

Operating from Cedar Rapids, Dubuque, and Waterloo the SCT program incorporates evidence-based interventions for juvenile offenders. While remaining in the community and connected to their families, participating youth attend the program 5 days a week— participating in individual and group treatment, group outings, and community service projects. Youth graduate from the program with reduced risk to reoffend.

School-Based Programming

Four Oaks has collaborated with local school districts across the state of Iowa to create unique and innovative school-based programs to meet the needs of at-risk students. Currently there are several supervised suspension and detention centers, conduct disorder and specific intervention/discipline classrooms and special education staff in-service training.

For more on Four Oaks' school-based programming and the services offered for teacher training and more, click here.

Sexual Abuse Treatment and Re-orientation Program (STOP)

STOP serves adolescent males who have sexual behavior problems in an enhanced residential treatment facility and in their community-based out-patient program. Components of treatment include individual and family therapy, individual core counseling, and group skill training.

Shelter Program

The Four Oaks Shelter Program provides emergency and temporary care and supervision to runaway, homeless, delinquent, and transitional adolescents. Referred youth—to both our Independence and Iowa City locations—may be victims of abuse, neglect, exploitation, or violence, and may also have difficulties controlling their behavior.


TotalChild® is Four Oaks' innovative long-term holistic program. We focus on helping children become successful adults by assisting the youth and their families in any situation that comes along. TotalChild Success Managers partner with a child and his or her family by helping coordinate different services throughout Four Oaks and the community -- assisting the family through life’s twists and turns. Most programs phase out clients once the child reaches stability, however with TotalChild®, the Success Manager stays connected with their family until the child turns 18, providing ongoing support.