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Intensive Family In-Home Treatment

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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
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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