Intensive In-Home (IIH) is a program designed to wrap-around a child and their family in crisis to bring stability and maintain the child in the home environment. This program is a stabilization and preventative service focused on children or adolescents who are at –risk to be removed from their home environment.

Risks for out-of-home placement could include aggression, defiance, noncompliance, truancy, or parenting limitations. Intensive In-home is home-based and is intended to be a short-term service.  


Who is Eligible:

  • Ages 5-21 that are at-risk of an out-of-home placement
  • Youth who are transitioning back into the home from an out-of-home placement
  • Families who are willing to cooperate with IIH counselor and commit to at least 5 hours per week in the home to support the therapeutic process

Medical Necessity Criteria:

Individuals receiving IIH Services must have the functional capability to understand and benefit from the required activities and counseling of this service. It is unlikely that individuals with severe cognitive and developmental delays/impairments would clinically benefit and meet the service eligibility criteria.

Prior to admission, an appropriate service-specific provider intake, shall be conducted by the licensed mental health professional (LMHP), LMHP-supervisee, LMHP-resident, or LMHP-RP, documenting the individual's diagnosis and describing how service needs can best be met through intervention provided typically but not solely in the individual's residence.

Family Involvement:

  •  At least one parent/legal guardian or responsible adult with whom the individual is living must be willing to participate in the intensive in-home services with the goal of keeping the individual with the family.
  • In the instance of this service, a responsible adult shall be an adult who lives in the same household with the child and is responsible for engaging in therapy and service-related activities to benefit the individual.

Discharge Criteria:

  • The individual is no longer at risk of being moved into an out-of-home placement related to behavioral health symptoms.
  • The level of functioning has improved with respect to the goals outlined in the ISP and the individual can reasonably be expected to maintain these gains at a lower level of treatment.
  • The child is no longer in the home.
  • There is no parent or responsible adult actively participating in the service.

Covered Services:

  •  Individual and family counseling
  • Training to increase appropriate communication skills (e.g., counseling to assist the individual and his parents or guardians, as appropriate, to understand and practice appropriate problem solving, anger management, and interpersonal interaction, etc.)
  • Services shall also be used to facilitate the transition to home from an out-of-home placement when services more intensive than outpatient clinic care are required for the transition to be successful. The individual and responsible parent/guardian shall be available and in agreement to participate in the transition.
  • Service Coordination

We accept Medicaid, self-pay and CSA funding. To initiate services or get additional information please contact the intake team, at 804) 225-0749 or click here to complete the form.