Intensive Home-Based Treatment (IHBT)

IHBT is a mental health treatment option designed to meet the needs of youth with serious emotional disturbances who are at risk of out-of-home placement or who are returning home from placement, such as inpatient hospitalization or residential treatment.

intensive-home-based-treatmentIHBT focuses on the mental health issues that put the youth at risk, while promoting positive development and healthy family functioning with services provided around the clock. The goal of IHBT is to help young people avoid out-of-home placements such as inpatient hospitalization or residential treatment. It is also used to assist with the transition from these types of placements so they can live and function successfully at home, in school, and in the community.

IHBT is designed to provide the necessary mental health services and supports to enable youth to live in their homes in the least restrictive, most normative setting possible. IHBT services focus on the mental health issues that put these youth at risk, while promoting positive development and healthy family functioning.

IHBT integrates core mental health services – community psychiatric supportive treatment, behavioral health counseling and therapy, mental health assessment, and crisis response – into one seamless service. Service is flexibly delivered at a time that is convenient for the entire family and is available around the clock.

IHBT consists of a coordinated and comprehensive package of these mental health services, designed for and provided to families with youth experiencing severe mental health challenges and emotional problems.

IHBT is designed to include the following services:

  • Initial and ongoing assessment and safety planning
  • Home and community-based individual and family therapy sessions
  • Community Psychiatric Supportive Treatment services
  • Intensive interventions and case management services for crisis stabilization, service coordination, advocacy and education
  • Referral for psychiatric assessment and treatment services

IHBT services are culturally, ethnically, racially, and linguistically appropriate, and respect and build on the strengths of the child and family’s race, culture, and ethnicity.

IHBT Fidelity Rating Tool

Additional IHBT Resources

Researchers at the Ohio Department of Mental Health and Addiction Services identify questions of importance to the agency and the public behavioral health system and lead studies that can inform planning priorities, disparities and quality of care. Major statewide research has been conducted on services and outcomes for adults with serious mental illness, as well as children/adolescents with serious emotional disturbances, and youth and young adults in transition.

The Substance Abuse and Mental Health Services Administration (SAMHSA) is the agency within the U.S. Department of Health and Human Services that leads public health efforts to advance the behavioral health of the nation. SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America’s communities.

The Behavioral Health Juvenile Justice (BHJJ) initiative, a shared effort of the Ohio Department of Mental Health and Addiction Services (OhioMHAS) and the Ohio Department of Youth Services (DYS), was created to enhance local options for providing services to juvenile offenders with serious behavioral healthcare needs. Pilot projects that started in a few Ohio counties in early 2000 have grown into a statewide initiative with strong support from additional state and local stakeholders. The projects are designed to transform child-serving systems by enhancing their assessment, evaluation, and treatment of multi-need, multi-system youth and their families. In addition, they provide the Juvenile Court judges an alternative to incarceration.

Richard Shepler, PhD