Welcome to IHBTOhio

Intensive Home-Based Treatment (IHBT) | Read IHBT Overview and Learn More

IHBT Awards Announced
The Child and Adolescent Behavioral Health Center of Excellence (CABH COE), in partnership with the Ohio Department of Medicaid (ODM) is excited to share the list of organizations who were awarded funding to support building capacity and access to Intensive Home-Based Treatment programs that meet Ohio’s IHBT Service Delivery Model. Awardees were selected through a competitive RFP process released in January 2024. Through this funding opportunity, the noted organizations will provide new and expanded access to Intensive Home-Based Treatment Programs in over 32 counties across the State.
Click here to view IHBT award recipients.

CIP MST Parternship |Ohio Multisystemic Therapy (MST) Network Teams Co-Present at Conferences in the Spring of 2024
In the Spring of 2024 Maureen was joined by Dominique Gambrell (Deputy Chief of Intervention & Specialized Services) and Elizabeth (Liz) Cipollone (MST Manager) from the Cuyahoga County Juvenile Court at the Ohio Association of County Behavioral Health Authorities (OACBHA’s) Mental Health & Addiction Conference focused on Building Systems of Care.

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The presenters focused on a key part of a system of care being Multisystemic Therapy (MST): A Family-Focused, Evidence-Based Treatment for Adolescents with Complex Behavioral Needs. They paid special attention to the use of this treatment model for youth who are involved in the justice system. Liz shared a wonderful successful case of a very high-risk youth and the family her team served who had experienced a recent traumatic loss. Dominique spoke about her experience as a probation officer herself collaborating with MST Therapists to help youth on her caseloads, and about their county’s probation transformation, and such efforts across the state supported by the Annie E. Casey Foundation.

Newly released | The Role of Intensive Home Based Treatment (IHBT) in Ohio’s System of Care
The goal of IHBT is to provide the necessary mental health services and supports to enable youth to live in their homes in the least restrictive, most normative setting possible. IHBT services are provided in the home, school and community where youth live and function. These services focus on the mental health issues that put the youth at risk, while promoting positive development and health family functioning. IHBT integrates core mental health services (community psychiatric supportive treatment, behavioral health counseling and therapy, mental health assessment and crisis response) into one seamless service. Service is flexibly delivered at a time that is convenient for the entire family and is available around the clock.

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Host Patrick Kanary discusses Ohio’s expansion of Intensive Home-Based Treatment (IHBT), a mental health service designed to meet the needs of youth with serious emotional disturbances who are at risk of out-of-home placement or who are returning home from placement. Guests are Heather Distin and Richard Shepler of the Center for Innovative Practices (CIP) and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE) at Case Western University’s Begun Center.

View complete Innovative Conversations library.

We welcome you to check out our various trainings presented by the CABH COE/CIP. Click on the respective name for upcoming training schedules: UPCOMING TRAINING SCHEDULES from the CABHCOE CIP:  CANS, IHBT, MRSS and Wraparound Care Coordination

Supervisors’ Learning Collaborative | Monthly Meeting Minutes
The Center for Innovative Practices (CIP), in partnership with Ohio’s Intensive Home-Based Treatment (IHBT) initiative, hosts a Supervisors’ Learning Collaborative each month as a complement to its IHBT trainings and consultation efforts.  If you are a home-based supervisor, program manager or administrator, this group is for you. click here to request to be added to this monthly Learning Collaborative.

CLICK HERE TO LOCATE AN OHIO PROVIDER IN A COUNTY NEAR YOU specializing in high-fidelity ICT (Integrated Co-occurring Treatment) | IHBT (Intensive Home-Based Treatment) |  MST (Multi Systemic Therapy) | MST/PSB (Multi Systemic Therapy/Problem Sexual Behavior)

Newly released. | Innovative Conversations Session 16 – Motivational Interviewing (MI): Effectiveness Across Multiple Populations and Systems,
You may click on the pic below to the right to immediately view session of click on the link below to read intro and learn more about topic.

This hour-long conversation focuses on the collaborative conversation style that Care Coordinators can use to assist children, youth, and families in identifying their own reasons for and pathways toward change. The skills in Motivational Interviewing can be quite helpful in engaging and assisting kids and families in exploring and even resolving their ambivalence about change. Patrick welcomes Jeremy Evenden, with Center for Evidence-Based Practices (CEBP) and Mike Fox, with the Center for Innovative Practices (CIP), both a part of the Begun Center at Case Western Reserve University.

Recorded March 2024

Ambivalence is a natural state of uncertainty that each of us experiences throughout most change processes (e.g., dieting; exercising; maintaining health; restructuring an organization). Ambivalence occurs because of conflicting feelings about the process and outcomes of change.

Visit Innovative Conversation page to learn more and viiew video of Session 16 here.

Learn more about the upcoming CIP CCOE Introduction to Motivational Interviewing trainings:
April 15, 2024 | May 1, 2024 | June 5, 2024

The Role of Care Management Entities in OhioRISE
A new brief written by Center for Innovative Practices Founder and former director, Patrick Kanary and published by the Center for Community Solutions.

Ohio has long worked to meet the serious and complex behavioral health needs of children, youth, and their families. Previous (and ongoing) efforts to move this work forward have included state and local system of care grants, Family and Children First initiatives[3], local intersystem collaborations, advocacy to fund multisystem youth[4], the state’s current multi-system youth custody relinquishment prevention program, and many other efforts. However, despite these achievements, there remain gaps to fill, access to achieve, and services to provide. OhioRISE enters this landscape with the tools and resources to move the system to the next level, including a new waiver to prevent custody relinquishment in order to access services. READ FULL BRIEF BY CLICKING HERE.

Resource Presentations on Provider Resilience
View video of new presentation, Provider Resilience: Or What Do You Mean It’s Not Over Yet?, presented by Bobbi Beale, PsyD, Co-Director of the Center for Innovative Practices (CIP) for Project ECHO’s latest weekly didactic session. It the latest in a continuing series of training presentations by Dr. Beale and her colleagues designed to help care providers care for themselves after two years of intense Covid challenges.

We invite you to also view Urban Zen: Avoiding Burnout in High Stress Work Environments as well as Experience TIC | Covid 19 and Provider Resilience Secondary Traumatic Stress, co-hosted CIP consulting partner Marcia Miller.

IHBT NEWS from the State of Ohio | New IHBT Enhancements Announced
(Download PDF}
Effective March 1, 2022, the Ohio Department of Medicaid (ODM) and the Ohio Department of Mental Health and Addiction Services (OhioMHAS) will implement enhancements to the Intensive Home-Based Treatment (IHBT) service in accordance with new Ohio Administrative Code (OAC) rules 5122-29-28 and 5160-27-05.Notably, changes have been made, as authorized in OAC rule 5160-27-05, to the list of behavioral health services that are allowed to be rendered to a youth receiving IHBT, MST, or FFT.
More information about the transition of youth into OhioRISE will be shared in the coming months.The Ohio Department of Medicaid (ODM) updated the Behavioral Health Provider Manual to incorporate these changes.
Again, you’re invited to download the two-page outline and specific information here. Please send any questions about these changes to BH-Enroll@medicaid.ohio.gov.

Resource from the Ohio Governor’s Children’s Initiative | Healthy Families Handbook:
Resources for Building a Collaborative Family Support Plan
n 2020, a total of 1,652 suspected cases of neonatal abstinence syndrome (NAS) were reported to the Ohio Department of Health. That’s 1,652 babies who were born with drugs — most often opioids — in their system causing them to go through withdrawal in their first days of life. An unborn baby’s exposure to drugs may lead to long-term health and development problems, including hearing and vision problems, as well as
difficulties with learning and behavior.Download 27-Page PDF of Handbook The purpose of this handbook is to assist all community partners with understanding implementation of the Comprehensive Addiction and Recovery Act (CARA) specifically plans of safe care (POSC). It was created to assist those professionals responsible for developing plans of safe care, Public Children Services Agencies (PCSA) and community partners.This handbook is the result of the hard work and dedication of the Practice and Policy Academy team, which came together because of a technical assistance grant from the Center for Children and Family Futures.Our partners include members from five state departments, the Supreme Court of Ohio, medical hospitals, the Ohio Perinatal Quality Collaborative, the Ohio Hospital Association, and many other organizations. The team’s primary goal is to focus on implementing the changes related to CARA and Plans of Safe Care (PoSC) within Ohio’s communities.

CIP Co-Director Rick Shepler Co-Authors Two New Articles on IHBT
Richard Shepler, PhD, Co-Director of the Center for Innovative Practices at Case Western Reserve University’s Begun Center for Violence Prevention has co-authored a new article entitled, “Defining Quality Standards for Intensive Home Based Treatment Programs for Youth with Serious Emotional Disorders,” appearing in Administration and Policy in Mental Health and Mental Health Services Research. The article accompanies Program and Practice Standards for Intensive Home-Based Behavioral Health Treatment (IHBT) for Children, Youth, and Families.

Download Article PDF | Download Program and Practice Standards PDF

Visit Manuscript Website Here

WEBINAR | Supporting LGBTQIA+ Children and Adolescents
The Center for Innovative Practices (CIP) and the Bridgeway Academy presented an online training in June for over 200 participants in the behavioral health field in Ohio entitled, Supporting LGBTQIA+ Children and adolescents. The training is hosted by the CIP’s Bobbi Beale, PsyD and Kynetta McFarlane, PsyD,

TRAINING | Cultural Humility Training: Working With Latinx Youth and Families and Recovery from Trauma
The Center for Innovative Practices presents a two-part discussion and training entitled, “Working With Latinx Youth and Families and Recovery from Trauma,” with Ramfis L. Marquez, PhD, LPC,, Gisela Diaz, MA, and Francisco J. Cornejo, MSW. The two sessions guide clinicians and caregivers toward a better understanding of the many Latinx cultures and offers approaches, strategies, and tools for when working with Latinx youth and their families. Topics range from the subtleties and diversity of experiences in the many Latinx cultures to the degrees of generational trauma that uniquely affects these families and communities.

THIS TWO-SESSION, SIX-HOUR deep dive into Latinx culture in the United States and the unique challenges presented for behavioral healthcare clinicians and caregivers working with Latinx youth and families is explored in significant detail in a wide-ranging conversation, covering a broad landscape of topics, punctuated with dozens of real-life examples of challenges met and triumphs made along the path of recovery. The collaborative team-approach uses a combination of instruction, intervention, (listen for Uno Therapy in the fifth stanza), and lessons learned. The true-life examples – some amusing, some harrowing, all poignant, if not inspiring – provide a narrative tapestry that connects and engages throughout the training and makes the daily small victories.
Learn More and Listen to Sessions

CIP Training Brief | Introduction to Integrated Co-Occurring Treatment (ICT)
The Center for Innovative Practice’s Mike Fox, MA, PCC-S, LCDC-III, launches a new series of Training Briefs on Integrated Co-Occurring Treatments and Youth with Multiply-Occurring Needs. The Integrated Co-Occurring Treatment (ICT) model, an evidence informed practice, uses an intentionally-integrated and domain-guided treatment approach, which aligns with the Intensive Home Based Treatment (IHBT) design. The reciprocal interactions of co-occurring substance use and serious emotional disabilities are addressed directly, with each considered ‘primary’. Guiding principles include: System of Care (SOC) core values, a developmentally mindful and resiliency-oriented approach, strong family partnering, intentionally integrated screening and assessment, integrated and stage-matched treatment design, and ongoing safety and risk assessment. Youth, family and community engagement is emphasized and evaluated at all phases. ICT therapists receive weekly coaching and consultation in order to stay on top of the multi-faceted challenges and evolving areas of focus. Learn More

View Video of ICT Training Brief 1 |Download PDF of ICT Overview | Download PDF of Presentation Slides PDF

Crisis Text Line
Crisis Text Line is designed to get a person through an intense or emotional period of time, but it is not meant to serve as counseling or therapy. It is a human response during a time of need. According to Crisis Text Line, it is “in the moment” crisis work. The highly trained volunteers are supervised by full-time paid staff who have a higher degree in social work, psychology or a related field.

The Crisis Text Line provides Ohioans with a state-specific keyword to access its free, confidential service available 24/7 via text on mobile devices. Text the keyword “4hope” to 741 741 to be connected to a person trained to help. | Learn More |

IHBTOhio.org is presented by The Center for Innovative Practices (CIP)
and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE)
Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375  | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216 368-6293 | email: pxm6@case.edu
© 2022 Center for Innovative Practices, Cleveland, Ohio 44106