A Continually Evolving Model of Children’s Mental Health Care

In the summer of 1994, a young psychiatrist sought to build a different type of mental health practice for children and families in the Chagrin Valley.

He envisioned a practice where families of kids with emotional or behavioral disorders could access care of the quality offered at major research universities, but with creativity and flexibility not available through big institutions. A practice where families could find psychiatrists and therapists who would work as a team and offer truly coordinated care. A place where child psychiatrists took the time to get to know their patients before pulling out the prescription pad. A place where new patients could be seen in days as opposed to months. The goal was never to build the biggest practice but one that would be among the best using a model that could be replicated by like-minded practices in other parts of the country.

The practice flourished in ways he never imagined for over a quarter century. The core group of professionals that launched the practice in 1994 became involved in teaching, research and leadership roles within the mental health system. Residents and medical students came to Chagrin Falls as part of their required training. The practice was at the forefront of research examining the safety and effectiveness of medications now used to treat kids with ADHD, anxiety disorders, depression, mood disorders and aggressive behavior. Members of the practice were regularly invited to speak and teach at national and international conferences. Our people got to work and teach alongside others whose work in our field is world-renowned, and time and time again our people more than held their own.

Times changed, and the economics of medicine changed as well. The families we serve need psychologists and counselors who accept insurance. They can accept insurance without compromising the quality of the services they offer. That’s not true for psychiatry, where insurance reimbursement forces doctors to see as many patients as possible in as little time as possible. We had to break up the team in order to preserve the approach to care that defined us for 27 years.

Our practice is very small now and the not so young psychiatrist finds himself alone. Not unlike a family in which the kids thrive, head off to college and make their impact upon the world. Several members of our team have either opened their own practices or are leading large child mental health practices in Northeast Ohio. One of our original team members has assumed leadership of a flagship children’s mental health agency in the region. The not so young psychiatrist couldn’t be more pleased with the impact his former colleagues are having in the world.

While the faces and the methods may have changed, the mission and values upon which our practice was founded remain the same. And this seasoned psychiatrist has developed rich connections while learning a few things over the last quarter century he can draw upon to help your child be who they were created to be.

I look forward to meeting you and your child soon!

Stephen Grcevich, MD

Child and Adolescent Psychiatry

President and Founder, Family Center by the Falls

What People Say

He always makes time for us whenever we feel we need to be seen.


Family Center by the Falls has been a much-needed resource and blessing to our community. I have confidence in the counselors and therapists at FCBTF to offer care to those who need it most.

Jonathan Holmes
Fieldstone Counseling

During the twelve years my son has been served by the practice, we are very pleased with the excellent quality of care, compassion and professionalism.


Interested in having your child seen by Dr. Grcevich?

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