Overview
of Level
of Care
Guidelines
-- LOCUS
v. 2000 LOC
for Adult
Continuous
Treatment
Overview
of Level
of Care
Guidelines
-- CA-LOCUS
v. 1.5 LOC
for Childrens
Treatment
Teams
Outpatient
Therapy
Psychiatric
Medication
Psychosocial
Rehabilitation
In-Home
Treatment
Stabilization --
Non-Medical
Stabilization --
Medical
Partial
Hospitalization
Inpatient
Hospitalization
Residential
Treatment
Payeeship
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Intensive family in-home treatment is an intensive, home-based crisis intervention program used to avoid out-of-home placement of children in families experiencing crisis. Flexibility and skills in children and family treatment are needed. Supplemental home-based services:
- Wraparound services
- Respite care
Service Components
- An in-home assessment is initiated within 48 hours of referral
- Intensive services providing up to 20 hours of contact per week, per family
- Services average five to six weeks of treatment; extended treatment may be authorized up to 90 days
- Active treatment focuses on:
- Reducing psychiatric symptoms
- Educational intervention aimed at understanding the course of psychiatric illness and prevention and management of the acute phases of the condition
- Identifying families' behavioral assets and strengths
- Providing family-centered services according to the families' individualized needs:
- Family therapy
- Individual therapy
- Communication skills
- Anger management
- Parenting education
- Child development
- Nutrition
- Resource acquisition
- Networking
- Fiscal and home management
- Appropriate clinical documentation in the care record:
- Screening for child at risk for out-of-home placement
- Progress notes
- Family assessment
- Individualized treatment plan
- Progress notes
- Discharge plan
Admission Criteria -- Must Meet All
- One or more children under 18 is at risk for out-of-home placement
- DSM-IV Axis I or II diagnosis for the child or primary caregiver
- The children are at risk to self, others or property, but do not need hospitalization
- Family is unable to cope with immediate crisis
- Family is willing and able to participate in intensive in-home services
Exclusion Criteria -- Any Are Sufficient
- Both parents or caregivers are actively abusing chemicals and unwilling to enter substance abuse treatment
- Child is actively abusing chemicals and is unwilling to enter substance abuse treatment
- The alleged perpetrator of sexual abuse continues to have access to the victim
- The risk of severe physical abuse is high
- The caretaker or targeted child has a psychiatric pathology
- The family is unwilling to participate in the intervention
Continued Services Criteria -- Must Meet All
- The family has one caregiver who understands the ramifications of the intervention and is willing and capable of participating in the intervention
- The patient and family is cooperating with the intervention plan
- Symptoms continue and require intensive in-home family treatment
Discharge Criteria -- Any Will Suffice
- Treatment objectives for the family and child have been met
- Child is no longer at risk of out-of-home placement
- Child needs higher LOC
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