The CREOKS Behavioral Health Children’s team provides confidential outpatient services for youth and adolescents up to age 25, in their clinics, in-home and through school-based programs. The 13 counties of DHS Region IV have the highest per capita out-of-home placement as well as abuse and neglect cases. They also have the lowest number of foster homes. The Alternatives to Foster Care project provides technology upgrades to be used by CREOKS Behavioral Health Children’s staff embedded in DHS Region IV clinics and supporting DHS-involved or in-custody children. Increased access to technology allows staff to work with families and community providers to develop plans of support that would build on community and family strengths to support families and children to remain safely in the home.