Intensive In-Home Services (IIHS)

​​Click here for full service definition information in the Clinical Coverage Policy.

Intensive In-Home Services (IIHS) is a time-limited intervention performed by a team of professionals under the direction of a licensed clinician serving as team leader. IIHS is available to the youth and family 24 hours per day, 7 days per week. The goal of the service is to reduce psychiatric and/or substance abuse symptoms, provide first responder intervention to diffuse a current crisis, ensure linkage to community services and resources, such as school, and prevent out of home placement. The team uses a variety of clinical rehabilitative interventions based on the provider agency's selected evidence-based practice model.

Intended Population 

  • Youth with serious and chronic symptoms of emotional, behavioral, and/or substance use disorders, who are unable to remain stable in the community without intensive, coordinated interventions. In addition, the parents/caregiver(s) lack sufficient understanding and skills to manage the youth's symptoms/behaviors.

  • The youth and families have typically attempted outpatient services or other enhanced services but treatment goals have not been reached/sustained or the current services are insufficient to meet the chronic needs of the youth at risk of out-of-home placement. 

  • IIHS also is used for youth as a step-down service from higher levels of care (e.g., residential treatment), assisting the youth/family with the transition back into the family/community setting and maintaining the skills/goals achieved.

Recommended Best Practices

Expected Outcomes

  • Core Expected Outcomes

  • The outcomes include but are not limited to: (a) decrease in the frequency or intensity of crisis episodes; (b) reduction in symptoms/behaviors that interfere with a youth's daily living; (c) youth and family/caregivers' engagement in the recovery process; (d) improved and sustained youth functioning in the home, school and community settings; (e) ability of the child and family to better identify and manage triggers and symptoms; and (f) increased use of available natural and social supports by the child and family/caregivers.

  • Services are more intensive at the beginning of treatment and expected to decrease over time as the youth and family's skills develop, and treatment needs can be met in a less-intense service.

Management Approach

  • Conduct focused Utilization Review (UR) of IIH providers based upon over/under utilization, negative outcomes (e.g., high use of acute care or crisis services), concerning incidents and/or grievances, and other data suggesting a team's practices are an outlier compared to the community standard of care​