9.11 In Home Service Provision

Referral and Selection Process for Intensive In Home Services (IIHS)

The SSW:

1. Identifies a family who may be a candidate for the intensive in home services (IIHS); 
2. Consults with the FSOS, and if appropriate, a referral is submitted to the regional referral and selection staff; 
3. Completes the referral form for IIHS, to include information on identified fathers and paternal family members as outlined in SOP 4.14 Family Attachment and Involvement; 
4. Seeks approval of the FSOS, and forwards the referral to the regional referral and selection staff who then forwards the referral to the IIHS provider; 
5. Upon approval from the FSOS and the regional referral and selections staff, discusses the potential referral with the family to: 
1. Inform the family that IIHS is an alternative to out of home placement; 
2. Determine the family’s willingness to participate with the referral to IIHS; 
3. Inform the family that referral to IIHS is based upon availability and regional referral and selection review; and 
4. Inform the family that if IIHS is appropriate and available, a referral will be initiated upon the family’s agreement and that if the referral is approved, IIHS will schedule a visit within twenty-four (24) hours of receipt of the referral; 
5. Should, if possible, join the IIHS staff for the initial visit within twenty-four (24) hours of receipt of referral; 
6. Consults with IIHS staff as often as necessary, based on the needs of the family, during the course of the in home service provision; 
7. Conducts (at minimum) one joint home visit with IIHS staff and is encouraged to consult with IIHS staff through: 
1. Telephone contact; 
2. IIHS staff weekly case conferences; 
3. Cabinet case planning meetings; or 
4. Other face to face contacts; 
8. Reviews the IIHS aftercare plan and provides follow-up services as necessary once IIHS involvement has been terminated; 
9. Ensures that the case record includes the following IIHS documentation: 
1. IIHS client referral form; 
2. IIHS intervention/treatment plan; 
3. IIHS two month progress report; 
4. IIHS aftercare plan; and 
5. Documentation of contacts with IIHS staff.
   

Working with a Family Utilizing IIHS

The SSW who works with IIHS clients completes the following tasks and expectations throughout the life of the case:

1. Conducts a clinical assessment with the family that must include the North Carolina Family Assessment Scale (NCFAS) or NCFAS-R for reunification cases; 
2. Develops an intervention/treatment plan within thirty (30) days of receipt of referral based on the completed clinical assessment which: 
1. Ideally includes any community partners/agencies involved with family; 
2. Includes client centered, specific and individualized goals and dates of completion; 
3. Has a provider assisting the family in accessing appropriate community services deemed necessary and provides other services that are not available from existing community resources; 
3. Provides at least half of the services in the family’s home or other natural community setting; 
4. Carries no more than six (6) cases at one time; 
5. Is available to families twenty-four (24) hours a day, seven (7) days a week; 
6. Has regular (weekly) contact with DCBS worker to update family’s progress; 
7. Completes another NCFAS or NCFAS-R at two months to determine progress; 
8. Develops an aftercare plan for the family and NCFAS or NCFAS-R for case closure meeting; 
9. Conducts a post evaluation of the family at three (3), six (6) and twelve (12) months.

1. Designates a cabinet staff person to be the regional referral and selection staff and this individual assumes responsibility for reviewing all referrals to IIHS.​​