Intensive Home-Based Treatment (IHBT) is a mental health treatment option 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, such as inpatient hospitalization or residential treatment.

IHBT focuses on the mental health issues that put the youth at risk, while promoting positive development and healthy family functioning with services provided around the clock. The goal of IHBT is to help young people avoid out-of-home placements such as inpatient hospitalization or residential treatment. It is also used to assist with the transition from these types of placements so they can live and function successfully at home, in school, and in the community.

IHBT is designed 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 focus on the mental health issues that put these youth at risk, while promoting positive development and healthy 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.

IHBT consists of a coordinated and comprehensive package of these mental health services, designed for and provided to families with youth experiencing severe mental health challenges and emotional problems.

IHBT is designed to include the following services:

  • Initial and ongoing assessment and safety planning
  • Home and community-based individual and family therapy sessions
  • Community Psychiatric Supportive Treatment services
  • Intensive interventions and case management services for crisis stabilization, service coordination, advocacy and education
  • Referral for psychiatric assessment and treatment services

IHBT services are culturally, ethnically, racially, and linguistically appropriate, and respect and build on the strengths of the child and family’s race, culture, and ethnicity.

View and Download IHBT Fidelity Individual Model Tool

View and Download IHBT Fidelity Team Model Tool

Additional IHBT Resources

Behavioral Health Juvenile Justice
The Behavioral Health Juvenile Justice (BHJJ) initiative, a shared effort of the Ohio Department of Mental Health and Addiction Services (OhioMHAS) and the Ohio Department of Youth Services (DYS), was created to enhance local options for providing services to juvenile offenders with serious behavioral healthcare needs. Pilot projects that started in a few Ohio counties in early 2000 have grown into a statewide initiative with strong support from additional state and local stakeholders. The projects are designed to transform child-serving systems by enhancing their assessment, evaluation, and treatment of multi-need, multi-system youth and their families. In addition, they provide the Juvenile Court judges an alternative to incarceration.

Considering IHBT for your area or agency?

CIP IHBT Experts

Richard Shepler, PhD, PCC-S
Director, IHBT Model Creator, Center for Innovative Practices
(216) 368-4815

Renne R. Dragomir, PhD, IMFT-S, LPCC-S, LICDC-CS, AAMFT AS
Director of Provider Professional Development/Senior Research Associate
(216) 368-1932

Kimberlyn Meyer, MA,CPC, LPCC-S, LICDC-CS
Director of Fidelity and Quality Management
(330) 858-3407 is presented by The Center for Innovative Practices | 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: 216-368-5235 | email:
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