Home-Based Therapy

Intensive In-Home

Intensive In-Home (IIH) services at Carolina Outreach are a time-limited (approximately 6 months), family-focused intervention for youth between the ages of 3 and 20 years, intended to stabilize current living arrangements, promote reunification, or prevent the use of out-of-home therapeutic placements (e.g., psychiatric hospital, therapeutic foster care, residential treatment facility). These services are delivered primarily to children in their family’s home, with the following goals aimed at restoring the family’s inherent strengths:

  • Defuse crises, evaluate its nature, and reduce the likelihood of a recurrence
  • Provide self-help and development of coping skills for the youth and family to manage mental health symptoms
  • Provide parenting skills training to help the family manage behaviors or mental health symptoms
  • Coordinate care and communication among psychiatric, medical and other providers
  • Ensure linkage to needed community services and resources (sports leagues, tutoring, etc)

Intensive In-Home services employ a three-person Clinical team, which, with the parent(s), composes the child and family team (CFT). The team’s lead, a licensed clinician, coordinates the development of the child’s person-centered plan (PCP), which includes interventions created via consultation with the child’s guardian. Families generally meet 2 – 3 times per week face to face with the staff on the IIH team with additional case management, including phone coaching (1 – 2 times per week). Other members of the CFT can include school staff, DSS, DJJ/court counselors, family friends, spiritual leaders, coaches, etc.

Family Centered Treatment

Family Centered Treatment is part of Carolina Outreach’s continuum of care for at-risk children and their families. FCT is an evidence-based, in-home service that helps to preserve the family and prevent out-of-home placements.

FCT services are conducted in the family’s home and include:

  • Individualized Service Plans
  • Case management
  • Counseling / behavioral therapy
  • Skills training
  • Resource coordination
  • 24/7 Crisis interventions

For youth in therapeutic foster care and residential programs, we utilize the FCT model to help reunite them with their families when it is in the best interest of the child. For children and adolescents living at home, our skilled therapists bring FCT services into their home, where they and their parents/caregivers can learn the skills they need to succeed in their everyday lives.

The FCT model includes multiple contacts with the family each week, excluding the ramping up period (first month) and the slowing down period (last month of treatment). Lengthier and more frequent sessions are available based on assessed need.

On-call support is available 24/7/365. The average length of treatment is 6 months, but the length of treatment is driven by family need and progress and may be shorter or longer in duration.

FCT services are typically conducted in a(n):

  • Adoptive home
  • Birth family home
  • Foster/kinship care