Intensive In-Home Team Lead

Overview

The intensive in-home (IIH) service is a time limited, intensive child and family intervention-based on the clinical needs of the youth (through age of 20 for Medicaid funded service and through the age of 17 for state funded services). The service is intended to:

• Reduce presenting psychiatric or substance abuse symptoms,
• Provide first responder intervention to diffuse current crisis,
• Ensure linkage to community services and resources, and
• Prevent out of home placement for the child

IIH services are authorized for one individual child in the family, the parent/caregiver must be an active participant in the treatment. The team provides individualized services that are developed in full partnership with the family. Effective engagement, including cultural sensitivity, is essential in providing services in the family's living environment. Services are generally more intensive in the beginning of treatment and decrease over time as the youth's skills develop.

The team service includes a variety of interventions that are available 24 hours a day, 7 days a week, 365 days a year and are delivered by the IIH staff, who maintain contact and intervene as one organizational unit. IIH services are provided through a team approach; however, discrete interventions may be delivered by any one or more team members as clinically indicated.

Not all team members are required to provide direct interventions with each child. The team approach involves structured, face to face, scheduled therapeutic interventions to provide support and guidance across multiple functional domains including emotional, medical and health. This service is not delivered in a group setting. IIH services are delivered to children and adolescents, primarily in their living environments, with a family focus, and include but are not limited to the following interventions as clinically indicated:

• Individual and family therapy
• Substance abuse treatment interventions
• Developing and implementing a home-based behavioral support plan with the youth and his or her caregivers
• Psychoeducation, which imparts information to the recipients, families, caregivers, and/or other individuals involved with the recipient's care about the recipient's diagnosis, condition, and treatment
• Intensive case management
• Assessment
• Planning
• Linkage and referral to paid and natural supports
• Monitoring and follow up
• Arranges for psychological and psychiatric evaluations
• Crisis management

All treatment shall be focused on, and for the benefit of, the eligible recipient of IIH services. The service model requires that IIH staff provide 24 hour a day coverage, 7 days a week, 365 days a year.

For IIH services focused on substance abuse interventions, the team shall include at least one Certified Clinical Supervisor, Licensed or Provisionally Licensed Clinical Addiction Specialist (LCAS), or Certified Substance Abuse Counselor as a member of the IIH team.

All staff providing IIH services to children and families must have a minimum of one (1) year documented experience with this population.

No IIH Team member who is actively fulfilling an IIH Team role may contribute to the staffing ratio required for another service during that time. When fulfilling the responsibilities of IIH services, the staff member shall be fully available to respond in the community. The team to family ratio shall not exceed 1:12 for each IIH team.

The Intensive In-Home Qualified Professional must have the following Knowledge/

Skills:

• Strong psycho-educational and individual and group counseling skills;
• Strong assessment skills;
• Strong community integration skills;
• Strong family/caregivers training and consultation skills;
• Strong adaptive skill training in all functional domains including vocational, educational, personal care, domestic, social, communication, leisure, problem-solving, etc.;
• Strong behavioral crisis and modeling intervention skills;
• Strong motivational interviewing, mentoring and mediation skills;
• Competency in Wellness Education and Symptom management issues;
• Cognitive Behavioral Therapy Interventions;
• Cultural Competence;
• Energy and enthusiasm for service provision.

To provide day-to-day supervision of Intensive In-Home workers and to be available to provide consultation, guidance, direction, resource identification, problem resolution, seeking input and approval from Clinical Director when necessary.

• To ensure that employees follow the organization's policies and procedures. e.g., sick time, personal leave, overtime, confidentiality, incident reporting, intake, discharge, etc.
• To provide clinical supervision for staff providing intensive in-home services.
• To regularly review the needs of the employees and identify strategies to meet the client's needs.
• To ensure that new employees providing direct care are oriented and trained to the organization as well as the company's policies and procedures pertaining to the service. This training should include all the things outlined in the…