Intensive Home-Based Treatment (IHBT) providers take a lead role in facilitating the coordination of formal and informal services and supports, as guided by the youth and family.
IHBT Service Progression and Processes should begin with high intensity Engagement and Assessment with the youth, family, and collaborative partners. That should be followed by the creation of a Crisis Stabilization and Safety Plan and Assessments.
Next, the introduction of high to medium intensity treatments. These should be evidenced-based individual and family treatments and supports that include skill building, skill consolidation, and generalization. During this time, it is vital to nurture an enhancement of a positive support network that can assist and contribute to the individual’s continued and sustaining recovery.
Learn More about Evidence-Based and Promising Practices
This is (eventually) followed by the preparation of continuing care and support needs as the need for treatment intensity decreases. This will include solidifying continuing care and support needs, providing linkages, closures, and follow-ups with an increased reliance on informal supports.
ONE OF THE CONTINUING aspects of the individual youth’s intervention will be ongoing assessments, notably – as treatment progresses – in contextual functioning.
Download Resource Tool | Discharge Booklet Framework
Download Resource Tool | Discharge Booklet
And an ongoing assessment of:
– Risk and protective factors per life domain
– Recovery and resiliency environments: supports and barriers
– Interactions, influences, systemic dynamics
Useful tools include:
– Risk and Protective Factor Checklist
– Contextual Map
TWO TOOLS FOR CAREGIVERS
(Left to Right) Use of Everyday Games Therapeutically Framework | Use of Everyday Games Therapeutically
(Click on image to download PDF.)
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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
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Consistent with the Ohio Department of Medicaid’s (ODM) and OhioMHAS, rules to promote high-quality service, the IHBT Fidelity Tool was developed to ensure compliance with IHBT service delivery standards. Providers choosing to bill services under Medicaid’s IHBT bundled rate must be certified. Certification assures minimum fidelity standards are being met.