For children and adolescents, ages 4-21, who are being transitioned back into their home from an out-of-home placement or who are at risk of removal from their home. The intent of this service is to provide the clinical intervention and support necessary to successfully maintain each individual in his or her home. The goal is to provide a degree of clinical care and supervision in the home and community setting that is appropriate to children discharged from a more restrictive setting (e.g., residential, psychiatric hospitalization), or as an alternative to a more restrictive setting. All treatment, care and support services must be provided in a context that is person-centered, family-focused, strength based, culturally competent, comprehensive, and responsive to each individual’s psychosocial, developmental, and treatment care needs.
Individuals qualifying for this service shall demonstrate a clinical necessity for the service. The diagnosis must be the primary clinical issue addressed by services and meet the following criteria:
Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with family or community.
Exhibit such inappropriate behavior that documented, repeated interventions by the mental health, social services, or judicial system are or have been necessary resulting in being at risk for out of home placement.
Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior resulting in being at risk for out of home placement.
The diagnosis must support the mental, behavioral or emotional illness attributed to the recent significant functional impairments in major life activities.
In the instance of this service, a responsible adult shall be an adult who lives in the same household with the child and is responsible for engaging in therapy and service related activities to benefit the individual.