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Intensive In-Home Services

Service Description

about img Intensive in-home Service means family preservation interventions for children and adolescents who have or are at-risk of serious emotional disturbance, including individuals who also have a diagnosis of mental retardation (intellectual disability). Intensive in-home service is usually time-limited and is provided typically in the residence of an individual who is at risk of being moved to out-of-home placement or who is being transitioned back home from an out-of-home placement. The service includes 24-hour per day emergency response; crisis treatment; individual and family counseling; life, parenting, communication skills; case management and coordination of care with other services. The service is designed to assist children and their parents to understand and practice appropriate problem-solving, anger management, and interpersonal interaction, etc.

These services should only be used when there is a risk of out-of-home placement, due to the clinical needs of the child, and either:

1. Services that are far more intensive than outpatient clinic care are required to stabilize the child in the family situation; or

2. The child’s residence, as the setting for service is more likely to be successful than a Philosophy

Intensive In-Home Eligibility Criteria

An Independent Clinical Assessment must be conducted by the CSB/BHA prior to the authorization of new service requests. Individuals receiving Intensive In-Home (IIH) Services must have the functional capability to understand and benefit from the required activities and counseling of this service.

These services are rehabilitative and are intended to improve the individual’s functioning. Individuals must demonstrate a clinical necessity for the service arising from a severe condition due to mental, bebehavioral, or emotional illness that results in significant functional impairments in major life activities.

Individuals must meet at least two of the following criteria on a continuing or intermittent basis:

1. Have difficulty due to mental, behavioral, or emotional illness in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with family or community; and/or

2. Exhibit such inappropriate behavior due to mental, behavioral, or emotional illness that repeated interventions by the mental health, social services, or judicial system are necessary; and/or

3. Exhibit difficulty in cognitive ability due to mental, behavioral, or emotional illness such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior. For example, is at risk for acting out in such a fashion that will cause harm to themselves or others.

Discharge Criteria

Destiny will discharge a child from intensive in-home services when other less intensive services may achieve stabilization and the following:

1. Destiny will not continue this level of care if the following applies:

a. The individual is no longer at risk of being moved into an out-of-home placement related to behavioral health symptoms; and

b. The level of functioning has improved with respect to the goals outlined in the ISP, and the individual can reasonably be expected to maintain these gains at a lower level of treatment.

c. The child is no longer in the home.

d. There is no parent or responsible adult actively participating in the service.