In-Home Services Program Overview
In Tucson and neighboring rural Arizona communities, Intermountain staff members provide In-Home Wraparound Services in the context of the Child and Family Team. The staff normally work with children from birth to 21 years who have been identified as at-risk and are Title XIX eligible. An emerging program allows for home-based services to be provided and supported by Adult Recovery Teams to adult seriously mentally ill members of the Tohono O’odham Nation, as well. In-Home services are often designed to facilitate the reunification of child or adult with his/her biological family following an out-of-home placement or to ease the transition from a restrictive environment back to a community-based living arrangement.
Objectives of In-Home Services include:
- To maintain the client in their home with support and prevent removal
- To address safety and crisis issues within 24 hours of referral
- To transition clients and their families out of crisis to a stabilized state
- To provide therapeutic support services 24 hours/7 days a week
- To wrap individualized support services around each client and family
- To support a client’s transition from an out-of-home placement back home
- To teach independent living skills
Following referral, a therapist assigned to the client travels to the client’s home environment where a Functional Behavioral Assessment is made. Through a series of meetings with the client and family members, the family’s strengths and needs are identified. From the first contact, a network of natural support resources is woven for the client and family, and a Child and Family Team or Adult Recovery Team is developed from friends, neighbors, family members and service providers. As the client’s situation is periodically reassessed, new service needs are identified and incorporated into the service plan.
Some of the In-Home Services include:
- Behavioral Treatment Planning
- Behaviorally-based Interventions
- 24/7 Crisis Response
- Crisis and Safety Planning and Implementation
- Parent or Caregiver Skill Training and Education
- Positive Life Skill Training and Development
- Structure and Daily Routine Development, Consistency
- Consultation with Child and Family Teams or Adult Recovery Teams Regarding Behavior and Appropriate Interventions
- Wraparound Community Supports
Home-based therapists assist each client and family in finding and accessing community resources available to them such as day care, legal aid, education, transportation, leisure activities, medical care, food and shelter. Parents and caregivers are taught behavior management skills including how to address and assess developmental needs, the use of rewards/natural and logical consequences for behavior, and the importance of consistency and limit-setting in childrearing and caregiving for adults with serious mental illness.
In some cases, a child or adult and his/her family are referred to In-Home Services to receive support as a client is transitioned back to his/her family following an out-of-home placement. In those instances, the therapist assigned to the client works with him/her in the current placement and with the family prior to the client’s return to create a smooth plan for transition and ongoing support.
Through the provision of intensive and innovative support systems, Intermountain In-Home Services staff members seek to:
- Increase the number of children and adults who are living successfully at home;
- Improve functional outcomes for all clients; and
- Assist all clients in reaching goals they set with their Child and Family Team or Adult Recovery Team.
Referral Process
For information, contact:
Kelly Burroughs
Phone: (520) 721-1887 x 7383
Fax: (520) 751-2140
Email: kellyb@ichd.net