Referral Forms

 Please print, fill out the information and send the scanned form to  


Systems of Care Referral Form (Link by YIS and Oklahoma Department of Mental Health & Substance Abuse Services)


Strengthening Families

STRENGTHENING FAMILIES SFP is an Evidence Based Parenting and Family Skills Program, which uses a 14 week curriculum. This program has been proven to be effective in modifying unwanted behaviors in children of high-risk, as well as regular families, by using a rewards... read more

Latino Plenitud/Systems of Care

LATINO PLENITUD/SYSTEMS OF CARE Funded by the Oklahoma Department of Mental Health & Substance Abuse Services, this program provides comprehensive care to children with severe emotional and behavioral disturbances between the ages of 4-21 years of age in their... read more

Child Trauma

CHILD TRAUMA The Child Trauma Program is certified and under contract to the Oklahoma Department of Mental Health and Substance Abuse Services. The program utilizes a specialized cognitive behavioral model.  It serves children between the ages of 4 and 21 years old... read more

Proyecto Cambio Intimate Partner Violence/Sexual Violence

PROYECTO CAMBIO INTIMATE PARTNER VIOLENCE/SEXUAL VIOLENCE The IPV/SV program is certified by the Office of the Attorney General to provide services to victims of domestic violence/sexual assault and stalking such as crisis intervention, advocacy, safety planning, case... read more

Child Mental Health

CHILD MENTAL HEALTH Provides individual and family counseling including Parent/Child Interaction Therapy (PCIT) for children with mental health problems Contact: Janys Esparza, Director 405-236-0701 ext. 143   Referral Form  Child Trauma... read more

Latinos M-power

LATINOS M-POWER The Latinos M-POWER of Oklahoma City aims at creating a better and healthier Oklahoma environment.  One of our goals is to establish a stronger statewide Hispanic Latino Network composed of individuals representing Oklahoma, Tulsa, Jackson, and Texas... read more

Outpatient Substance Abuse Treatment Program

OUTPATIENT SUBSTANCE ABUSE TREATMENT PROGRAM The Outpatient Substance Abuse Program (OSAP) is a certified program funded by The Oklahoma State Department of Mental Health and Substance Abuse Services. The goal is to provide effective drug/alcohol treatment services to... read more

Parent Assistance and Parent Aide

PARENT ASSISTANCE AND PARENT AIDE Through a contract with the Department of Human Services, the Latino Community Development Agency provides Parent Assistance and Parent Aide services for parents referred to the program. Parent Assistance services consist of 16 week... read more

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Contact Us

420 SW 10th
Oklahoma City, OK 73109
Phone: 405.236.0701
Fax: 405.236.0737