|Intensive Interventions for Families (IIF) - For BlueCare Use Only
Line of Business Specific Guidelines - Intensive Outpatient Program
last reviewed June 13, 2019*
Applies to BlueCare Only.
Clinical Indications for Admission to Intensive Outpatient Program
- Admission to IIF is indicated by ALL of the following:
- Member is in DCS custody
- Provider has determined that IIF is appropriate to meet the member’s needs and there is capacity in the IIF program
- Member is in Imminent risk of placement in psychiatric hospital, Level 4 DCS residential care, or at risk for extensive stay in Level 4 DCS residential care, or at risk of Foster Care disruption
- The services must be recommended/ordered by a Tennessee licensed behavioral health clinician who has provided an assessment of the child/adolescent at the time of the recommendation
- Presence of Serious Emotional Disorder (SED)/or current DSM or ICD diagnosis appropriate for this level of care
- Functional impairment in any of the following areas: psychosis, dangerousness to self or others, lack of age-appropriate decision making, social relationship issues with peers and adults, disruptive behavior, violence in the home/school/work settings
- The child/adolescent’s behaviors have measurably escalated within the past 30 days, showing significant change in school, home, or community functioning
- Intensive, time-limited (approximately 100 days) support services are likely to avert an inpatient admission or long term out of home placement and return the child/youth and family to a level of functioning where hand-off to natural supports and/or minimal formal systems can safely occur
- Symptoms require multi-level intervention
- The legal guardian consents to these services
- The child/adolescent and family voluntarily participate in treatment with these services
- Traditional outpatient services do not sufficiently meet the child/adolescent’s and family’s needs
- Child/adolescent’s support system is temporarily too unstable or weak to manage child/adolescent’s behaviors without extra supports
- All services can be provided in home and community settings
- Alternatives to inpatient mental health care for children and young people: Evidence and implications for public health. Retrieved 7/18/17. http://www.healthevidence.org/documents/byid/19286/Shepperd2009_EvidenceSummary_EN.pdf
- Home-Based Multisystemic Therapy as an Alternative to the Hospitalization of Youths in Psychiatric Crisis: Clinical Outcomes. Henggeler, S.W., Rowland, M.D., Randall, J., Ward, D.M., Cunningham, P.B., and Miller, S.L. Volume 38, Issue 11, November 1999. Retrieved 7/18/17. http://www.sciencedirect.com/science/article/pii/S0890856709666818.
- One-Year Follow-up of Multisystemic Therapy as an Alternative to the Hospitalization of Youth is Psychiatric Crisis. Henggeler, S.W., Rowland, M.D., Halliday-Boykins, C., Sheidow, A.J., Ward, D.M., Randall, J., and Pickrel, S.G. Volume 42, Issue 5, May 2003. Retrieved 7/18/17. http://www.sciencedirect.com/science/article/pii/S0890856709609394.