Home Based Crisis Intervention (HBCI)

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Home Based Crisis Intervention (HBCI)

Home Based Crisis Intervention (HBCI) is an intensive program designed to provide crisis intervention and stabilization as well as consistent, person-centered, family-focused, trauma-informed care.

HBCI is an intense program designed to provide consistent, persistent, and positive services over a 4 to 6-week period to clients:

  • Aged 5 to 20 years and 11 months.
  • Clients experiencing a mental health crisis and are at risk of acute psychiatric admission or residential admission and/or:
  • High utilization of crisis services, emergency department, and/or psychiatric admissions
  • High needs youth/families, who may be multi-system involved

Home Based Crisis Intervention (HBCI) is based on the Homebuilders Model, an evidence-based model of crisis intervention that highlights:

  • Serving children/youth @ imminent risk for hospitalization/placement
  • Staff has flexible hours, a small caseload, and the intervention is of a brief duration
  • It is both strengths and needs based
  • The preferred outcome is that skills are developed, mentoring is provided, and concrete services are offered

Goal
HBC Interventionist will spend time with the client and family in home, school, and relevant settings, assisting in addressing and adjusting behaviors that can lead to out of home placement. Interventionists will assist families in building communication and coping skills while focusing on family structure to promote positive family and individual dynamics.

HBC Interventionist will work with the client and family to determine their needs utilizing the Social Determination of Health assessment (SDOH), which can effectively recognize non health factors that affect their health and quality of life. Interventionist will discuss options of local services available to the family and assist the family in completing referrals to providers and the expectations to be met when interacting.

Participation process:

  1. Referral received
  2. Phone Screen completed within 2-business days
  3. Family educated on HBCI
  4. Acceptance/Denial made within 2-business days
  5. Admission Scheduled

Referrals are initiated by (but not limited to):

  • Outpatient Mental Health Provider
  • Crisis Services
  • Local Emergency Department
  • Inpatient Mental Health Unit
  • Individuals aware of the youth/family’s need for immediate, intensive crisis support
  • Self-Referral