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Intensive Home-Based Family Counseling  
and Mentoring Services:

Family Trauma Service’s Home-Based Services provide immediate, intensive, problem-specific, in-home interventions to the child and family.  Home-Based Family Counseling is provided by a Master’s level clinician under the supervision of a Licensed Clinician.  Home-Based Counselors focus on stabilizing crises, identifying areas in need of attention, and helping to stabilize the family unit.  

Specific interventions provided by Home-Based Family Counselors include the following:

1. support, counseling and guidance in coping with and addressing issues related to traumatic events and/or transitions; 

2. information, education, and guidance concerning issues of discipline, effective communication skills,  problem-solving, anger-management, child development, and coping skills; 

3. individual and family counseling to examine core trauma issues, family relationships, roles and dynamics, and how these issues impact family functioning; 

4. advocating for clients by accompanying them to appointments relevant to achieving stated objectives (e.g., FAPT, court hearings, and outings as necessary); 

5. education and support to enhance the youth’s and family’s capacity to function independently by assisting the family with locating and appropriately utilizing community resources, services, and activities 

Home Based Mentors are Associate- or Bachelor-level counselors under the supervision of a Master’s level Clinician.  Home-Based mentoring services include in-home individual and family counseling, role-modeling, mentoring, academic and vocational support, and participation in family social/recreational activities.  The intent of the mentoring relationship is to provide one-to-one caring support, guidance, and supervision to youth so as to help buffer the risks that may be present in the home, school, and community.  

FTS mentors strive to offer new perspectives to youth by providing opportunities for creating a sense of self-worth, knowledge of spirituality and values, and aspiration and hope for the future.  

Specific interventions provided by Home-Based Mentors include the following: 

1. serving as a positive role model for clients to observe and learn socially effective values, attitudes, and behaviors; 

2. providing a therapeutic, non-threatening outlet for clients to explore issues, resolve conflict, and receive positive feedback; 

3. helping to link clients with positive experiences in the community such as employment, sports, community service, and recreational clubs; 

4. encouraging the development of independent living skills and;   

5. providing one-to-one tutoring support to provide the opportunity for academic and future vocational success.

Home-Based Family Counselors and Mentors work together to support the clients’ successful participation in school, home, and in the community.  Transportation of clients to facilitate aspects of the treatment plan may be provided. 

CRISIS INTERVENTION

Family Trauma Services provides on-call crisis intervention support in the event such services are warranted.  Home-Based Counselors may be reached via pager after hours or on weekends.  Additional Crisis Intervention Counselors are available 24 hours a day/7 days a week to provide emergency support. 

In order for an individual to be eligible for Medicaid Intensive In-Home services, the following criteria must first be met:

• Clients must have a valid medicaid number

• Clients must have a DSM- IV Diagnosis

• Client's 0-18 years of age

• Services must be client focused

In addition, individuals must demonstrate a clinical necessity arising from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities. Individuals must meet at least two of the following criteria on a continuing or intermittent basis:

• Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or out-of-home placement because of conflicts with family or community.

• Exhibit such inappropriate behavior that repeated interventions by the mental health, social services, or judicial system are necessary.

• Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior.

Services shall be used when out-of-home placement due to the clinical needs of the child is at risk and either:

• Services that are far more intensive than outpatient clinic care are required to stabilize the child in the family situation; or

• The child's residence, as the setting for services, is more likely to be successful than a clinic; and

• At least one parent or responsible adult with whom the child is living must be willing to participate in in-home services, with the goal of keeping the child with the family.

Services: 

The "wrap around" interventions include: individual and family counseling, mentoring services, crisis intervention, life, parenting, and communication skills, psychoeducational opportunities, case management and collaboration with other service providers, and 24 hour emergency response. There is a minimum of 5 hours of service per week with a maximum of 26 weeks per calendar year.