Mental Health In-Home Service

Our comprehensive Intensive In-Home Service for children and adolescents, align with Virginia Medicaid and Department of Behavioral Health and Developmental Services (DBHDS) expectations. The intensive In-Home (IIH) Services are structured, goal-directed, and time-limited mental health services provided to children and adolescents who exhibit serious emotional and/or behavioral issues that place them at risk of out-of-home placement or who are transitioning back into the home from residential or foster care settings. The primary goal is to preserve the family unit, improve emotional and behavioral functioning, reduce psychiatric hospitalizations, and promote stability in the least restrictive environment.

These services are primarily delivered in the individual’s home and community settings and are designed to address the clinical needs of the youth while empowering families with the skills, knowledge, and support required to maintain youth safely in their home.

1. Clinical Assessment and Service Planning

   • A comprehensive biopsychosocial assessment conducted by a Licensed Mental Health Professional (LMHP), LMHP-Resident, LMHP-Supervisee, or QMHP-C.
   • Development of an Individualized Service Plan (ISP) based on the assessed strengths, needs, goals, and preferences of the youth and their family.
   • Plans must include measurable objectives and therapeutic interventions that guide service delivery.

2. Individual and Family Therapy

   • Direct therapeutic services for the youth to address mental health diagnoses such as depression, anxiety, conduct disorder, PTSD, and mood dysregulation.
   • Family therapy focuses on strengthening the family system, improving communication, resolving conflict, and enhancing parenting skills.

3. Crisis Response and Stabilization

   • Immediate crisis intervention services available 24/7, including telephone and in-person support.
   • Development and implementation of individualized crisis/safety plans to manage acute episodes and reduce the need for psychiatric hospitalization or residential placement.

4. Behavioral Modification and Skill-Building

   • Evidence-based strategies used to reduce problematic behaviors and reinforce positive behaviors.
   • Teaching of adaptive coping skills, self-regulation techniques, and anger management strategies.

5. Psychoeducation

   • Education provided to the youth and family on mental health conditions, treatment options, trauma recovery, medication compliance, and community resources.
   • Teaching strategies for stress reduction, effective communication, and managing mental health symptoms.

6. Care Coordination and Case Management

   • Coordination with school personnel, primary care providers, juvenile justice, child welfare, and other service providers.
   • Advocacy and support for navigating complex systems, including IEPs, court involvement, and community service access.

7. Parenting Support and Empowerment

   • Coaching caregivers on appropriate discipline methods, supervision, and problem-solving techniques.
   • Support groups or individual sessions with caregivers to build parenting confidence and resilience.

8. Functional Skill Development

   • Teaching life skills such as hygiene, time management, homework completion, social interaction, and conflict resolution.
   • Social skill development tailored to age-appropriate developmental stages and environmental expectations.

9. Medication Adherence Support (Non-Medical)

   • Monitoring adherence to prescribed medications.
   • Support with scheduling psychiatric follow-up and reporting side effects or concerns to prescribing professionals.

10. Progress Monitoring and Reassessment

    • Regular review of treatment goals, documentation of progress, and necessary modifications to the ISP.
    • Ongoing evaluation of the youth’s clinical needs, functioning, and risk status to ensure appropriateness of services.

11. Discharge Planning and Linkage to Community Supports

    • A structured discharge plan developed collaboratively with the family and treatment team.
    • Referrals to less intensive services such as outpatient therapy, mentoring programs, support groups, or case management to ensure continued success post-discharge.