Intensive in-home services (IIH) for youth under age 21 are intensive therapeutic interventions provided in the youth’s residence (or other community settings as medically necessary and documented in the Comprehensive Needs Assessment and ISP), to improve family functioning, and significant functional impairments in major life activities that have occurred due to the youth’s mental, behavioral or emotional illness in order to prevent an out of home placement, stabilize the youth, and gradually transition the youth to less restrictive levels of care and supports. All IIH services shall be designed to specifically improve family dynamics, provide modeling, and include clinically necessary interventions that increase functional and therapeutic interpersonal relations between family members in the home. IIH services are designed to promote benefits of psychoeducation in the home setting of a youth who is at risk of being moved into an out-of-home placement or who is being transitioned to home from an out-of-home placement due to a documented medical need of the youth.
Youth receiving 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 youth’s functioning. It is unlikely that youth with severe cognitive and developmental delays/impairments would clinically benefit and meet the
service eligibility criteria.
Youth shall meet all of the following criteria including Diagnostic, At Risk, Level of Care and Family Involvement to qualify for IIH services.
1. Diagnostic Criteria
Youth qualifying for this service shall demonstrate a clinical necessity for the service arising from mental, behavioral or emotional illness which results in significant functional impairments in major life activities. The diagnosis must be the primary clinical issue addressed by services and must support the mental, behavioral or emotional illness attributed to the recent significant functional impairments in major life activities.
2. At Risk Criteria
The impairments experienced by the member are to such a degree that they shall meet at least two of the criteria below, on a continuing or intermittent basis, for being at risk of out of home placement as defined in definitions section.
a. Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement as defined in the definition section of this manual because of conflicts with family or community; and/or
b. Exhibit such inappropriate behavior that documented, repeated interventions by the
mental health, social services, or judicial system are or have been necessary resulting in being at risk for out of home placement; and/or c. Exhibit difficulty in cognitive ability such that they are unable to recognize personal
danger or recognize significantly inappropriate social behavior resulting in being at risk for out of home placement.
3. Level of Care:
The impairments experienced by the member are to such a degree that they shall meet one of the criteria below:
a. When services that are far more intensive than outpatient clinic care are required to stabilize the youth in the family situation, or
b. When the youth’s residence as the setting for services is more likely to be successful than a clinic.
4. Family Involvement:
At least one parent/legal guardian or responsible adult with whom the youth is living shall be willing to participate in the intensive in-home services with the goal of keeping the youth with the family. In the instance of this service, a responsible adult shall be an adult who lives in the same household with the child and is responsible for engaging in counseling and service-related activities to benefit the youth