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Intensive In Home (IIH) Services

  • IIH is a home and community based treatment model that is delivered by a team of highly trained mental health professionals.
  • The goal of this service is to reduce crisis behaviors and prevent out of home placement for the child and adolescents.
  • The team delivering services is comprised of a licensed professional, a qualified professional, and one additional qualified or associate professional.
    • All three team members work with the family to provide services to the identified patient and their family.
  • Treatment will include:
    • Individual therapy
    • Family therapy
    • Skill building exercises
    • Connecting the family to other community and mental health resources.
  • A team member may work with one individual during a session or multiple family members during a session.
  • The first month of IIH services is the most intensive. There will be 4-5 scheduled IIH sessions per week. There must be at least 12 sessions in the first 30 days.

Program Goals

  • Expected outcomes include but are not limited to:
    • A decrease in crisis intensity/episodes
    • Reduction and improved management of mental health symptoms
    • Improved functioning in all settings
    • Increased use of coping skills
    • Increased use of support systems and overall healthy family interactions.
  • Discharge planning often includes step down to community resources and natural supports.


  • It is our program’s belief that patient and their family’s participation in treatment is essential in making progress on their treatment goals.
  • Guardians must commit to the patient and the immediate family members attending the sessions as per the agreed upon treatment schedule on a regular and consistent basis.
  • If a patient accumulates more than 3 unexcused absences, discharge from the program may be recommended.
  • Each session date/time and needed family participants will be determined the week prior for the following weeks sessions.
  • If you must be outside of your home during your appointment time, ensure you are able to have confidential conversations.
    • Under no circumstances will team members conduct appointments while patients/parents are driving a vehicle or in a public location such as a grocery store.

Scheduling and Communication

  • IIH team members create schedules on Fridays for the following week.
    • Patients and families are expected to confirm the schedule within 24 hours of receipt of schedule.
  • Please help us identify the preferred method of communication (phone, text, email).
    • We will do our best to utilize this method when possible.
  • If there are any concerns regarding treatment or communication, we ask that you address these concern with your team lead.

Inclement Weather

  • Please be aware that IIH is a 24/7/365 service and as such staff will do the best they can to maintain scheduled appointments during time of inclement weather.
  • If driving is unsafe staff will communicate with patients and families to ensure that scheduled appointments are rescheduled within the give day/week based on safety.

Intensive In Home Treatment Models

  • Trauma Focused Cognitive Behavioral Therapy (TFCBT) is a conjoint child and parent psychotherapy approach for children and adolescents who are experiencing significant emotional and behavioral difficulties related to traumatic life events.
    • Children and parents learn new skills to help manage and resolve distressing thoughts, feelings, and behaviors related to their trauma.
    • Within the IIH services, the team lead conducts the specialized therapy sessions with the individual patient, identified non-offending support person and joint sessions.
    • The IIH support staff play a vital role in this model by working with the patient on identified coping skills and case coordination to reinforce skills learned in therapy.
  • Parent Child Interaction Therapy (PCIT) is an evidence-based, real time, coached, behavioral parent training intervention for young children with emotional and behavioral disorders.
    • The parent and child are seen together with an emphasis on restructuring interaction patterns in order to strengthen the bond between parent and child while also providing parents with appropriate discipline strategies.
    • Within IIH services, the team lead or QP conducts a weekly office based coaching session.
    • The support staff assists families with implementing the treatment model in the home by assisting with barriers to completing “special time” practice.
  • Eco-Systemic Structured Family Therapy (ESFT) is an evidenced-based family therapy model that promotes the functioning and well-being of the family.
    • While the team assesses the needs of all family members including siblings of the referred child, the primary therapeutic focus involves the referred child, the child’s parents or legal guardians, and the family system as a whole.
    • An underlying assumption of ESFT is that each child lives in a family and a community, and that the child’s functioning needs to be understood within the context of relationships within the family and relationships with individuals and systems external to the family, not just in terms of the characteristics of the child individually.
    • ESFT interventions are based on an understanding of the developmental tasks and challenges that involve the child and the family as a whole.

IIH Crisis Line 919.866.2223

  • The IIH team provides “first responder” crisis response 24/7/365 to recipients of IIH services.
  • This may include phone and/or in-person support in efforts to ensure the safety of your child and family as well as crisis planning to prevent further incidents.
  • By using us as the first crisis response, we will assist your family in preventing police involvement or acute hospitalization for your child whenever possible.

Student Interns

  • As part of IIH Services, Student Interns may shadow sessions or assist with session planning.
  • Interns are held to the same Patient Rights and Confidentiality as well as reporting requirements (in regard to allegations of abuse/neglect or exploitation) as all other Hope Services staff.
  • If you wish to not have an intern work with your family, please let your assigned team lead know.
    • Declining intern involvement in your families treatment will not affect your ability to receive services.