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 families 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 that seem out of reach into small steps that will lead to success.

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 program focuses on the family-based approach, partnering with families in teaching cognitive self-control, personal coping skills, behavioral interventions, living skills accountability, and self-responsibility. Enhanced programs are tailored to each youth’s specific needs.

Functional Family Therapy

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

Iowa Aftercare Program

Scott, Polk, Dubuque, Johnson, Black Hawk, Allamakee, Clayton, Jackson, Clinton, Cedar, Muscatine, Louisa and Winneshiek countiesThis program helps foster care alumni move toward stability and self-sufficiency as they age out of care. Participants meet at least twice monthly with a Self-Sufficiency Advocate who helps them achieve their individual goals, focusing 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 (SSAs) 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 Iowa Aftercare Services Network and provides services in Scott, Polk, Dubuque, Johnson, Black Hawk, Allamakee, Clayton, Jackson, Clinton, Cedar, Muscatine, Louisa and Winneshiek counties.

Integrated Health Home

This program helps coordinate health services for Linn, Benton, and Buchanan county children enrolled in Medicaid. IHH connects the family with a care coordinator, who works with the parent(s) to manage their child’s whole health, including his or her mental health, behavioral health, and physical health.

At Four Oaks, we understand that you want the best for your child. We do, too! The Integrated Health Home program helps coordinate services that your child needs to live a healthier life. The care coordinator can help you:

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

This free program supports your decision to ensure your child 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 child, 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 child.

Phone: 319-784-2250 Hablamos Espanol!

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, voluntary family educationand support program designed to provide practical, timely information to allfamilies on child development. The program is available to anyone who hasa child prenatal to age 5 or kindergarten entry and lives in DubuqueCounty. Parents as Teachers is based on the truths that parents are thefirst and most influential teachers of their children and that the early yearslay the foundation for a child’s life.

Families participating in PAT receive the followingservices:

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

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

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

Connection to Community Resources: A parent educatorcan link your family to services in the community not offered by the PATprogram.

Visit the national PAT website to learn more.

Partnership for Safe Families

This is a community-wide effort to support families, prevent child abuse, and promote family safety and stability. Services for families involved with DHS or JCS include Family Team Meetings, Minority Family Advocates, the Fatherhood Initiative, and other supports to help families navigate the child welfare system.

Psychiatric Medical Institute for Children (PMIC)

Four Oaks runs four PMIC residential programs serving 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 the child(ren) can remain in their parents’ home while a child abuse assessment is being completed. They also provide services to 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—to resolve issues so the child can return home.

Supervised Community Treatment

This is a specific program in Cedar Rapids, Dubuque, and Waterloo that 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, 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 run away, 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.

Independence Youth Shelter

(Independence; 15 adolescents, ages 12-17)

Youth Emergency Shelter (YES)

(Iowa City; 9 adolescents, ages 12-17)


TotalChild® is an innovative long-term holistic program focused on helping children become successful adults, by assisting the youth and their families in any situation that comes along. The Success Manager partners with a child and his or her family by helping coordinate different services throughout Four Oaks and the community and assisting the family progressing 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 and safety nets.