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Intensive Home-Based Services

Intensive Home-Based Services are clinical services provided in the child’s home and community. Services are provided to children and youth who have returned or are returning home from out-of-home care or psychiatric hospitalization and require intensive community-based services or are at imminent risk of placement due to mental health issues, emotional disturbance, or substance abuse.

The intent of these services is to provide the clinical intervention and support necessary to successfully maintain each child in his or her home or community. The service models are evidence-based, meaning research on these service models have shown them to be effective.

Child FIRST Early Childhood Services

This service provides home-based assessment, family plan development, parenting education, parent-child therapeutic intervention, and care coordination/case management for high-risk families with children under six years of age to decrease social-emotional and behavioral problems, developmental and learning problems, and abuse and neglect.

Family Based Recovery

This service is an intensive, in-home clinical treatment program for families with infants or toddlers (birth to 36 months) who are at risk for abuse and/or neglect, poor developmental outcomes, and removal from their home due to parental substance abuse. The overarching goal of the intervention is to promote stability, safety, and permanence for these families. Treatment and support services are provided in a context that is family-focused, strength-based, trauma-informed, culturally competent, and responsive to the individual needs of each child and family. The clinical team provides intensive psychotherapy and substance abuse treatment for the parent(s) and attachment-based parent-child therapy to the parent-child.

Functional Family Therapy

FFT provides intensive clinical intervention, family support and empowerment, access to medication evaluation and management, crisis intervention and case management to stabilize children at risk of out-of-home placement due to mental health issues, emotional disturbance or substance abuse, or to assist in their successful return home from an alternative level of care. Length of service averages 4 months per youth served. Services include flexible, strength-based interventions, offered primarily in the client’s home as well as in community agencies, schools, and other natural settings.

  • Functional Family Therapy – Foster Care: An evidenced based in-home clinical intervention with a relational focus on the family unit for DCF-involved children receiving clinical treatment within a Therapeutic Foster Care setting. In addition to clinical treatment, FFT FC also offers case management services. Interventions focus both on the birth families and foster families. FFT FC uses the core FFT model; it is completed once with the foster family and with the birth family when the youth is reunified. The service provider and foster parents receive initial training on the FFT FC model, ongoing clinical consultation, and booster training for the first three years.

Helping Youth & Parents Enter Recovery

HYPE integrates three (3) evidence-based service components:

  • Multidimensional Family Therapy (MDFT)
  • Medication Assisted Treatment (MAT)
  • Recovery Management and Support

These components are designed to deliver high-quality, outcomes-based substance use treatment, ensure access to medication assisted treatment (MAT) when needed and desired during treatment, and provide a period of recovery support services after the substance use treatment component is completed.

Intensive In-Home Child and Adolescent Psychiatric Services

IICAPS provides an intensive in-home, family-focused treatment program that helps children and adolescents ages 4-18 with complex psychological and behavioral needs returning from—or at risk for—hospitalization or placement in detention or a residential treatment facility. The program engages all family members in a strong working partnership between the child, the family, the school, and community and includes: Home-based individual and family therapy, 24-hour-a-day/7-day-a-week crisis response, reflective parenting and education, school consultation, a comprehensive treatment plan, trauma informed treatment that helps children learn effective coping and problem-solving skills, and connections to ongoing supports in the community.

Multisystemic Therapy

MST is an evidence-based, in-home treatment for youth with complex substance use, social, and educational problems. The treatment focuses on supporting parents/caregivers in addressing the youth’s behavioral health issues and helping them be successful in managing their child’s behavior. Parents/caregivers are active participants in every stage of the treatment process. Most sessions are done with the family in their home. MST also offers individual therapy sessions with youth to assist the family in the therapy process. Drug tests occur at the evaluation and randomly throughout treatment. 24-hour emergency and crisis intervention services to children and/or youth and their families is available by phone or pager.

  • Multisystemic Therapy – Building Stronger Families: This service, using a national evidence-based treatment model, provides intensive family and community-based treatment to families that are active cases with (DCF) due to the physical abuse and/or neglect of a child in the family and due to the abuse of or dependence upon marijuana and/or cocaine by at least one caregiver in the family. Core services include clinical services, empowerment and family support services, medication management, crisis intervention, case management and aftercare. Average length of service is 6-8 months per family.
  • Multisystemic Therapy – Emerging Adults: This service was designed for young people aged 17-21 at the highest risk for negative outcomes—those with multiple co-occurring problems and extensive systems involvement. The Connecticut MST-EA program serves youth between their 17th and 21st birthdays who (1) are aging out of foster care or involved in the child welfare system and (2) have a behavioral health condition(s) (i.e., serious mental health and/or substance use disorders).
  • Multisystemic Therapy – Intimate Partner Violence: This service, based upon an evidence-based treatment model, provides intensive family and community-based treatment to families that have active cases with the Department of Children and Families (DCF) due to the physical abuse and/or neglect of a child in the family and due to the impact of intimate partner violence within the family.
  • Multisystemic Therapy – Problem Sexual Behavior: This service provides clinical interventions for youth returning home from a residential treatment program after having been identified as being sexually abusive or displaying sexually reactive and/or sexually aggressive behaviors and who have been assessed to need sexual offender specific treatment. The service is based on the MST team model, an evidence-based clinical model with an established curriculum, training component and philosophy of delivering care. The average length of service is 6-8 months per youth/family. All clients referred receive a comprehensive evaluation resulting in a diagnosis and individualized treatment plan.

Multidimensional Family Therapy

MDFT provides intensive home-based clinical interventions for children ages 11-18 with significant behavioral health service needs who are at imminent risk of removal from their home or who are returning home from a residential level of care. After a comprehensive evaluation, a strength-based Individualized Service Plan is developed to include goals, interventions, services, and supports that address the issues and problems threatening the stability of the child in the home or the return of the child to the home. Staff work a flexible schedule, adhering to the needs of the family. Average length of service is 3-5 months per family.

SAFE Family Recovery

SAFE Family Recovery provides three evidence-based approaches to identify, engage in substance use treatment, and support parents/caregivers impacted by substance use. The three services are:

  • Screening, Brief Intervention, and Referral to Treatment (SBIRT)
  • Multidimensional Family Recovery (MDFR)
  • Recovery Management Check-ups and Support (RMCS)

To find the best service match for a child’s needs, use the AIM Tool.