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Intensive In-Home Mental Health Services Program (IIHMHS)

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The Intensive In-Home Mental Health Services Program (IIHMHS) was developed by the Los Angeles County Department of Mental Health (DMH) in collaboration with California Institute for Mental Health (CIMH) and the Department of Children and Family Services (DCFS) to provide comprehensive therapy to children and youth in the child welfare system. 

The types of therapy available through the Intensive In-Home Mental Health Services Program are evidence-based and were selected from the best evidence-based practices (EBPs) currently available.  Evidence-based practices (EBPs) are interventions and treatment approaches that have been proven effective through a rigorous scientific process.  Evidence-based practices structure the services to provide every family with the most effective interventions.  They provide the ability to evaluate practices to ensure they meet the Federal and State targets for the outcomes of safety, permanency and child/family well-being.

The EBPs selected for the IIHMHS Program are:

Comprehensive Children’s Services Program (CCSP)
The CCSP provides 24/7 intensive case management for children ages 3-17, as well as access to one or more of the following EBPs:

  • Incredible Years (IY)
  • Trauma Focused Cognitive Behavioral Therapy (TFCBT) 
  • Functional Family Therapy (FFT)
Multisystemic Therapy (MST)
Multidimensional Treatment Foster Care (MTFC)

These services are voluntary and require participation of the family and/or caretakers.

What is the Comprehensive Children’s Services Program (CCSP)?

The CCSP provides 24/7 intensive case management for children ages 3-17, as well as access to one or more of the following EBPs:

  •  Incredible Years (IY) has been developed to assist caregivers of children (ages 3 – 12) with behavioral and emotional problems.  IY promotes social and emotional competence, and prevents, reduces and treats behavior and emotional problems in young children.  It also strengthens family relationships via a series of 12-14 weekly group sessions.  The CCSP program includes two Incredible Years programs: the Basic Parenting Program and the Dinosaur Children’s Program, both of which are conducted in a group format, and are currently being offered in English and Spanish.  For more information on the Incredible Years, please visit their website at:  www.incredibleyears.com.  

  • Trauma-Focused Cognitive-Behavioral Therapy (TFCBT) is a short-term treatment intervention program designed to help children ages 4 to 17 and their parents overcome the negative effects of traumatic life events such as child sexual or physical abuse, witnessing domestic or community violence, or other traumas.  The therapy involves 60-90 minute individual sessions with the child and parent as well as several joint parent-child sessions over 12-16 weeks.  For more information on Trauma-Focused CBT, please visit their website at: www.tfcbt.musc.edu

  • Functional Family Therapy (FFT) is a short-term (12-15 weeks) treatment program for at-risk youth (ages 10-17) with a history of delinquency, violence, substance use/abuse, conduct problems and family conflicts.  Often these children may present with additional challenges, such as depression. Therapy includes the identified youth, the parents or caregivers and any siblings who are old enough to participate in the sessions.  For more information on Functional Family Therapy, please visit their website at:  www.fftinc.com.

What is Multisystemic Therapy (MST)?

MST is a type of therapy that helps adolescents (12—17) who have severe antisocial and delinquent behaviors.    

  • MST is provided by specially trained therapists who work with each family for about 3 to 5 months.
  • MST is delivered in a youth’s natural environment, which means that therapists go to the home, school, and community to work with the people who are part of the youth’s world.  
  • MST therapists offer 24/7 availability and usually meet with families more than once a week,   scheduling these meetings at a time and place that are convenient for the family.   
  • MST is a practical and goal-oriented therapy that focuses on empowering caregivers.
  • MST targets the people and places that contribute to a youth’s anti-social behavior.  The MST therapist helps the caregiver increase the youth’s contact with positive influences available within the family, peer group, school, and neighborhood.
Please visit their website at www.mstservices.com.

What is Multidimensional Treatment Foster Care (MTFC)?    

MTFC is for youth, ages 12-17, who are currently living in a group home AND have a permanent placement that would be available to them—were it not for their severe behavior problems.

MTFC provides a treatment-oriented foster home that serves as an alternative to group care   and works intensively to prepare the youth and their permanent caregiver for the youth’s return home.

MTFC provides a youth with short-term treatment (average 6-12 months) in a home environment where:

  • They are the ONLY foster child and has their own room
  • They are the ONLY foster child and has their own room
  • They have an individual therapist and a skills trainer
  • They will attend public school and use a daily school card
  • Their foster parents are specially trained in the MTFC model
  • Their permanent caregivers receive behavior training and family therapy before and after the youth is returned to their home
  • The program supervisor coordinates care and is available 24/7
MTFC Criteria for LA Intensive In-Home Program:

  • Youth 12-17 
  • Youth is currently in a (6 bed or more) group home 
  • If not currently in a RCL 12 or 14, youth is at risk of this level placement
  • Youth has a history of two or more previous out of home placements
  • Identified permanent placement for discharge (at present, in or near SPA 1 or 6)
  • Permanent placement caregiver is likely to participate in treatment plan
  • CSW is willing to collaborate with MTFC provider
MTFC Referral is Not Appropriate for:

Ø Youth with active suicidal or homicidal ideation
Ø Youth with a developmental disability that precludes comprehension of program

Please visit their website www.mtfc.com

 

Presented by
Los Angeles County Department of
Children and Family Services

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