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Intensive In-Community Service (IIC) is an analytical, focused, goal oriented, and needs based clinical intervention that addresses emotional and behavioral challenges of youth with moderate to high needs. It may be provided in a youth’s home or in an amenable community location by a licensed behavioral health clinician. IIC is intended to stabilize and support the youth and family in an effort to deter more intensive interventions and to support the youth and family in collaboration with the Child Family Team (CFT) or identified support system. This is a short-term, solution-focused intervention that addresses presenting behaviors resulting in the youth and their family/care giver/guardian gaining insight and improving function at home and in the community.

The primary objective of the intervention is symptom reduction and individual skill development, with the goal of restoring or maintaining the youth’s functioning. IIC clinicians may provide youth and their families with an array of interventions such as psychoeducation, negotiation, conflict resolution skill training, effective coping skills development, healthy limit-setting, emotional regulation skills development, stress management, self-care, symptom management, problem solving skills, and skill building that enhances self-fulfillment. IIC services incorporate the Nurtured Heart Approach values and principles, and are designed to address a specific treatment need(s) as identified by the CFT. IIC providers are expected to be an integral component of CFT or identified support system.

Treatment is family-driven and youth-specific. The identified treatment needs are clearly documented in the CFT ISP/ICP/treatment plan, which includes specific therapeutic intervention(s) with benchmarks that achieve goals focusing on the restorative functioning of the youth with the intention of:

  • Improving youth and family dynamics and functioning;
  • Preventing/reducing the need for higher intensity behavioral health or substance use treatment;
  • Preventing /reducing the need and/or risk for inpatient hospitalization or out of home treatment;
  • Preserving a youth’s current residence;
  • Transitioning youth from out–of–home treatment back into the community