King County Family Integrated Transitions (FIT) - PrimeTime

Principal Investigator: 
Eric Trupin, Ph.D.
Funding Source: 
King County Department of Adult and Juvenile Detention
Project Period: 
PBHJP Project Faculty and Staff: 
Mark Wirschem, King County Juvenile Detention
Project Summary: 

The original PrimeTime project was designed to reduce the disproportionate minority confinement of youth in detention.  It adapted an existing Multisystemic Therapy Program (which looked at the behavior of a youth from all the systems:  Family, school, peer, community, and individual), and added elements from Dialectical Behavior Therapy, Motivational Interviewing, and Relapse Prevention.  The model has transitioned into a program to work with youth transitioning back from residential stays, as well as preventing youth from being placed out of home.  

This program currently sees a minimum of 30 youth/year as referred by parole officers working for the King County Department of Youth Services in the King County Department of Adult and Juvenile Detention.  FIT Mental Health Practitioners provide services in accordance with the FIT program. Therapists are available 24 hours a day 7 days a week and address family and community involvement.  Each therapist carries caseloads of 4-6 families at one time.  Both on-going supervison and expert consultation occur with the therapists for at least an hour a week. The consultation and quarterly booster trainings on core treatment elements are provided at the University of Washington. Medication consultation is also available as needed.

Target Population:

  • Referred by King County probation counselors based on risk screeing
  • Aged 12-17 ½
  • Not in the Pervasive Developmental Delay spectrum
  • Not currently psychotic/suicidal
  • Has a committed caregiver
  • Either currently substance using or at risk to use
  • Not referred for sex offending behavior in the absence of other externalizing behavior


  • Lower risk of reoffending
  • Focus on family strengths and empowerment
  • Improve educational level and vocational opportunities
  • Connect with appropriate community services
  • Improve mental health status and stability of the youth
  • Convert structured abstinence to motivated abstinence and have an early focus on relapse prevention
  • Stregthen the family's ability to support their youth, including teaching specifics of interventions
  • Emphasis on family and community involvement
  • Increase pro-social activities and behavior