Intensive In-Home Program
Daymark Recovery Services provides Intensive In-Home (IIH) services for youth up to age 17 who are experiencing serious mental health or substance use challenges. IIH is a short-term, team-based treatment program designed to help children and teens stay safely in their home and community.
IIH services are provided in the home, school, and community. The goal is to prevent out-of-home placement, stabilize behavioral health crises, and improve overall family functioning.
Our IIH team provides individual and family counseling, crisis support, life skills training, substance use treatment when needed, and 24/7 on-call crisis assistance. We also work closely with parents and caregivers to build parenting skills, connect families to community resources, and create strategies to prevent future crises.
Services typically last 6 to 12 months and begin with multiple weekly visits that decrease as behaviors improve.
Who May Be Eligible for IIH?
IIH services may be appropriate for youth who:
- Are under age 18 with a mental health or substance use diagnosis
- Are at risk of out-of-home placement
- Have behaviors that are difficult to manage at home, school, or in the community
- Have not improved with traditional outpatient services
- Have active North Carolina Medicaid
Intensive In-Home Therapy is Intended to
Prevent the utilization of out-of-home placements (i.e., psychiatric hospital, therapeutic foster care, and residential treatment facility)
Reduce presenting psychiatric or substance abuse symptoms
Provide first responder intervention to diffuse current crisis,
Ensure linkage to community services and resources.
A recipient is eligible for IIH services when all of the following criteria are met
There is a mental health or substance use disorder diagnosis (as defined by the DSM-5, or any subsequent editions of this reference material), other than a sole diagnosis of intellectual and developmental disability.
Based on the current comprehensive clinical assessment, this service was indicated and outpatient treatment services were considered or previously attempted, but were found to be inappropriate or not effective.
The beneficiary is at imminent risk of out-of-home placement based on the beneficiary’s current mental health or substance use disorder clinical symptomatology, or is currently in an out-of-home placement and a return home is imminent.
The beneficiary has current or past history of symptoms or behaviors indicating the need for a crisis intervention as evidenced by suicidal or homicidal ideation, physical aggression toward others, self-injurious behavior, serious risk taking behavior (running away, sexual aggression, sexually reactive behavior, or substance use).
The beneficiary’s symptoms and behaviors are unmanageable at home, school, or in other community settings due to the deterioration of the beneficiary’s mental health or substance use disorder condition, requiring intensive, coordinated clinical interventions.
There is no evidence to support that alternative interventions would be equally or more effective, based on North Carolina community practice standards (Best Practice Guidelines of the American Academy of Child and Adolescent Psychiatry, American Psychiatric Association, American Society of Addiction Medicine).
The services are time-limited and intensive face to face interventions are expected. The team provides the service in various environments, such as homes, schools, court, secure juvenile detention centers and jails (for State funds only), homeless shelters, libraries, street locations, and other community settings.