Daymark Intensive In-Home (IIH) services operate as a team approach designed to address the identified needs of children and adolescents, who due to serious and chronic symptoms of an emotional, behavioral, and/or substance use disorders, are unable to remain stable in the community without intensive interventions.
Daymark’s Intensive In-home philosophy is to provide high quality care through the use of evidence-based, person-centered interventions to reduce symptomology, improve functioning, decrease the frequency and intensity of crisis episodes, prevent the need for out of home placement, and increase the utilization of coping skills of the consumers receiving the service and their families.
Intensive In-home services are delivered to children and adolescents, primarily in their living environments, with a family focus
Intensive In-home service is a time limited, person centered team approach that is offered in various environments and is available 24 hours a day, 7 days a week, 365 days a year.
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:
A. 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;
B. Tased 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;
C. 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);
D. 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;
E. 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; and
F. 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.