TOPS Extended Day Treatment for Children & Adolescents

The TOPS (Teaching Our Positive Side) Extended Day Treatment Program offers therapeutic extended day treatment services to children/adolescents (age 11 - 14 years) and their parents/guardians in the North Central Region of Connecticut who utilize Department of Children and Families services and/or System of Care.

Our program provides a positive, structured, and challenging therapeutic environment in order to nurture and support individual and group/social competencies. We can help with chronic behavioral and emotional problems, ADHD-hyperactivity and associated emotional problems, depression, post-traumatic stress disorder and anxiety-related disorders, family conflicts, and parenting issues.

Clinical Services

  • Assessment
  • Highly Structured Behavioral Milieu
  • Medication Management
  • Group Therapy
  • Individualized Care
  • Therapeutic Recreation Groups
  • Case Management
  • Family Sessions
  • Multifamily Activities
  • Collaboration with schools, agencies, and other treatment providers
  • Community field trips for skill building


The TOPS Program provides services to children/adolescents ages 11-14 who are involved with or committed to the Department of Children and Families and who are at risk of out-of-home placements or who are returning to the community from residential treatment facilities. Referrals to the program are made through the Department of Children and Families and/or System of Care. The costs of the program are jointly borne by Hartford Hospital and by the Department of Children and Families, which provides an extended day program grant.

Groups Offered

  • Social Skill Building
  • Anger Management
  • Adventure-Based Counseling
  • Multifamily Groups
  • Health & Wellness
  • Gender Activities
  • Expressive Arts
  • Sewing
  • Art Therapy
  • Video Club
  • Visits to Cultural & Special Events
  • Community Trips
  • Guest Speakers
  • Group Therapy
  • Art Therapy
  • Life Skills


The program operates three hours a day from 2 PM - 5 PM – Monday through Friday – except for major holidays. Participants can attend up to five days a week and may be enrolled in the program for up to six months. Our summer and school vacation hours are 8:30 AM - 11:30 AM.

Medical Services

The program has a child psychiatrist to prescribe medication if needed, and a full-time psychiatric nurse is available to administer and monitor them. Laboratory resources are also available.


We provide transportation to and from the program within the city of Hartford.

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