Tulare Youth Service Bureau (TYSB) opened in 1971 as a “drop-in center” for at risk youth. Originally named, Operation Helping Hand, in its first decade, TYSB expanded to provide services in all Tulare City schools and outlying rural communities. In 1987, the Agency was able to partner with Tulare County Mental Health and expand services under the Federal EPSDT (Early, Periodic Screening, Diagnosis and Treatment) Medi-Cal program. Also in 1980’s, TYSB recognized the need to have a well-trained team to serve children and families impacted by sexual abuse. Annually, TYSB maintains efforts to secure grant funding to support this program. In 2009, under the newly funded Mental Health Services Act, TYSB successfully expanded its Parent-Child Interaction Therapy Program to some the most rural areas of Tulare County.