Department for Community Based Services

Standards of Practice Online Manual

9.11 In Home Service Provision

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter 9-Status Offender Services
9.11 In Home Service Provision

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Legal Authority/Introduction


  • N/A

Intensive In-Home Services (IIHS) is a time limited crisis intervention resource that is intended to prevent the unnecessary placement of children.


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;
  6. Should, if possible, join the IIHS staff for the initial visit within twenty-four (24) hours of receipt of referral;
  7. Consults with IIHS staff as often as necessary, based on the needs of the family, during the course of the in home service provision;
  8. 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;
  9. Reviews the IIHS aftercare plan and provides follow-up services as necessary once IIHS involvement has been terminated;
  10. 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.

The SRA or designee:

  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.

Practice Guidance

  • The clinical assessment may also include other assessment tools and ideally includes information provided by the DCBS worker and must be completed within ninety-six (96) working hours of receipt of referral. 

Eligibility Requirements for IIHS:

  • The family must have an open case with the Department for Community Based Services;
  • There is at least one target child in the home between the ages of five (5) and seventeen (17) and is enrolled in school;
  • The family’s current income does not exceed the maximum amount allowable to receive TANF funds.


 Additional content will be added to this section in Phase II.  





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