One element that Mr. Phillip said he would include at the beginning of this program, if he were starting over, is referral to a medical doctor for a physical examination of the primary juvenile client. Often, youth are having medical problems that may be causing other behavioral problems, are in need of medical attention that could resolve some family problems, or reveal problems that need to be addressed early on in the process of family assistance. The Kenosha County Department of Human Services was described as very progressive, proactive, and cooperative in helping to establish the initial program, and has continued to be so today. Since this is a contracted services situation, the county provided the initial request for proposal of services for the contract, and now provides contract oversight and coordination to meet changing needs. Mr. Phillip felt that the basic STEP model of parent training was the foundation for the PACT Program, but that it also included other important elements.
Communication is emphasized and practiced.
PACT provides youth discussion groups, as well as group discussions that include parents and children in role reversal. While Mr. Phillip feels that a government agency could provide the same services as the PACT Program, it is unlikely that it could do it for a lower cost, or be as cost-effective. There are essentially no limitations to the type of client that can benefit from the PACT Program. In order for PACT to be most effective, the entire family should be involved in the counseling and training, and should work toward a family solution and family preservation. There are essentially no demographic limitations.