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Intensive In-Home Behavioral Health Treatment (IIBHT)

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Intensive In-Home Behavioral Health Treatment (IIBHT) is an Oregon Health Plan (OHP) level of care for youth and families who have intensive behavioral health symptoms, multisystem needs, and/or are at risk of placement disruption that was implemented in 2021.

About IIBHT 

Intensive In-Home Behavioral Health Treatment or IIBHT, is funded by Oregon Health Authority and implemented by community partners around the state to support Oregon Health Plan youth and families who have complex and intensive behavioral health symptoms, multisystem needs, and/or are at risk of placement disruption. In Eastern Oregon, Community Mental Health Programs in your county will be certified to provide this level of care for its members. This team-based service is available to youth and families who may benefit from mental health support services provided in the home and in the community, rather than at an in-patient hospital setting.

This short-term level of care is intended to:

  • Be an intensive 3 to 6 months array of services provided within the youth and family homes, or an identified community location chosen by the family and tailored to meet the individual needs of the young person and their family.

  • Help children, youth, and young adults through age 20, and their families, who require more frequent and intensive mental health treatment to help youth safely step back into the community from residential care or hospitalization.

  • Provide additional services to youth and families, which is different from the traditional “once a week” outpatient model.

  • Offered at times and locations that best meet the needs of the youth and family. Whenever possible services will be offered in person in the community and/or at the family’s home.

Who can access these services?

Medicaid-eligible children and youth through age 20 (under age 21) who display Intensive behavioral health needs, which shall include:

  • Multiple behavioral health diagnoses; and

  • Impact on multiple life domains (school, home, community) effected as identified on the mental health assessment; and

  • Significant safety risks or concerns; or

  • Are at risk of out-of-home treatment or placement; or

  • Are transitioning home from an out-of-home treatment or placement.

IIBHT Services

IIBHT offers treatment services outlined in the youth and family’s Service Plan, including proactive support and 24/7 crisis response, as outlined in the youth and family’s Crisis and Safety Plan. The youth and their family will work with the provider to collaboratively determine the frequency and types of services that will best meet the needs of the family. Providers are  required to offer a minimum of 4 hours of planned services per week.

Delivered by a multidisciplinary team of professionals, treatment services include:

  • Psychiatric services, including assessment and medication management

  • Individual therapy and Family therapy

  • Peer-delivered services by a Family Support Specialist and Youth Support Specialist

  • Skills training

  • Care coordination

Proactive support and 24/7 crisis response services include in-home interventions, resources

and contact information to help youth and their families reach out for proactive support before a crisis happens, as well as provides support in the event of a crisis.

Referral Process

Once the referral has been submitted, IIBHT providers will schedule a meeting with the young person and their family within 3 days to complete a mental health assessment for the youth and collaboratively develop a Service Plan and Crisis and Safety Plan.

  • The provider will give the youth and family a copy of these plans.

  • The Service Plan outlines the treatment plan.

  • The Safety Plan clearly outlines contact information for proactive support and 24/7 crisis response offered by the provider.​

IIBHT providers then meet monthly with the young person and family to review progress, update treatment goals and update the plans as needed.

What does In-Home Proactive Support mean?

​Youth and their families should reach out for support proactively whenever possible, rather than waiting until there is an emergency. IIBHT providers will have a plan in place for how to support youth and their families which includes proactively responding in person to the home. The provider will work collaboratively with the youth and their family to establish a crisis and safety plan which will outline a comprehensive plan and includes proactive interventions.

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If you or your client have recently visited the emergency department for a mental health crisis, please utilize Advocating for your loved one during a crisis: A guide for parents and caregivers while at the hospital emergency department [PDF].

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