Decision Tree

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THE INTENSIVE IN-HOME SERVICES DECISION TREE

children and youth age 11 to 17 (or age 3 to ) 7 for the HCAPS and FST programs); who

intensive services for serious emotional and behavioral problems;

inpatient hospitalization, have been recently discharged from or are at-risk for out-of~home placement residential OR whose level of treatment needs exceed what is available in lower levels of care (e.g., outpatient therapy); [; due to its emphasis on family-oriented services, youth must have at least one stable caregiver (parent or other) who is to aetively participate in treatment.

1. Is the youth eurrently in detention? Yes

Evidence of caregiver substance abuse? Yes

No May become for inhome services at discharge 2. Is one ofthe presenting problems a severe mental illness?

Yes

No

Youth is rel:illrnmg from out-of足 home placement

3. Is there an active DCF case? Yes

Yes

No Substance abusing caregiver and CPS involvement No

No

No

4. Does the youth require highest services for behavior problems or substance abuse?

Yes

CPS or DCF involvement for a sexual offense

Eligible for referral to MST-PSB

Yes

OR Yes

No 5. Are problematic family relationships or family systems issues a significant concern?

OR Yes

No OR* 6. Conditions 1-5 do not apply but youth requires moderate intensity services, and the primary presenting problem is acting out behavior (e.g., conduct problems, delinquency, disruptive behavior, substance abuse).

OR* Yes

'" Referral to these services should be based on assessment data cohesion, family engagement, treatment and availability ofresources.

OR*

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