(initiated 2004) Michigan was the first implementation site of GenerationPMTO in the United States. This statewide implementation is a full transfer partnership between Michigan Department of Health and Human Services (MDHHS) and ISII. MDHHS serves families with children with Serious Emotional Disturbance (SED). As of (DATE), PMTO is delivered in 39  counties by 115 PMTO clinicians. A team of approximately 7 trainers, 21 coaches, and 14 reliable FIMP raters provide the infrastructure that has sustained PMTO growth in the state. It was in Michigan where the first PMTO Matrix of Roles and Responsibilities for statewide infrastructure was created by Michigan leadership and ISII. PMTO is supported by Federal Mental Health Block Grant funds from the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, contracted through MDHHS. 

Michigan offers families a range of PMTO services, including individual delivery of PMTO for families in the office, at home, or virtually, Parenting through Change (PTC) groups, Parenting through Change – for Reunification (PTC-R) groups, Parenting through Change – for Return Home (PTC-RH) for families in the office, at home or virtually, TelePMTO – MI (manualized delivery), Informed PMTO (basic skills training for professionals), and Informed PTC (a 2-day skills-focused training).

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