Services Offered

Intensive In-Home (IIHS)

What is IIHS?

Intensive In Home Services are designed for individuals ages 5-18. The purpose is to prevent the need for an out-of-home placement such as psychiatric hospitalization, correctional placement, group home, residential program, foster care, and/or to assist with the transition back into the home from any of the above mentioned placements. Traditionally, the young people in the IIHS progam will receive 8-10 hours per week (up to 15 in the case of a crisis situation) of evidence-based, solution-focused interventions geared towards restoring the family to an acceptable level of functioning. IIH services last for approximately 6-9 months.

What to Expect with IIHS

Clients enrolled in IIHS can expect to receive services related to mental health and substance abuse symptoms, parenting skills training, crisis response, school attendance and other school-related issues, alcohol and drug use issues, delinquent behaviors such as gang violence, anger management, blended family issues, conflict resolution, and more. Services rendered are based on the individual and their families needs.

Who Is Eligible for IIHS

Individuals qualifying for in-home counseling shall demonstrate a clinical necessity for the service arising from mental, behavioral or emotional illness which results in significant functional impairments in major life activities. The diagnosis must be the primary clinical issue addressed by services and meet the following criteria:

MEET ONE:

The diagnosis must support the mental, behavioral or emotional illness attributed to the recent significant functional impairments in major life activities.

At Risk Criteria

The impairments experienced by the member are to such a degree that they meet the criteria for being at risk of out of home placement as defined in the below section.

MEET TWO:

  1. Have difficulty in establishing or maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization* or out-of-home placement** because of conflicts with family or community.
  2. Exhibit such inappropriate behavior that documented, repeated interventions by the mental health, social services, or judicial system are or have been necessary resulting in being at risk for out of home placement.
  3. Exhibit difficulty in cognitive ability such that they are unable to recognize personal danger or recognize significantly inappropriate social behavior resulting in being at risk for out of home placement.

MEET ONE:

These services shall be provided in this level of care when the clinical needs of the individual put him at risk for out-of-home placement, as these terms are defined in this section:

  1. When services that are far more intensive than outpatient clinic care are required to stabilize the individual in the family situation, or
  2. When the in-home counseling as the setting for services is more likely to be successful than a clinic.

Family Involvement:

MEET BOTH:

  1. At least one parent/legal guardian or responsible adult with whom the individual is living must be willing to participate in the intensive in-home counseling services with the goal of keeping the individual with the family.
  2. In the instance of this service, a responsible adult shall be an adult who lives in the same household with the child and is responsible for engaging in therapy and service-related activities to benefit the individual.
How to Get Started

To get started with IIHS click here to submit a referral. Or if you prefer to speak with us directly, gives us a call:

Richmond: 804.272.2277
Danville: 434.822.0084

Mental Health Skill-Building (MHSS)

What is MHSS?

Mental Health Skill-Building Services is a time limited training  and support program that provides individualized counseling and life skills training to adults 18 or older who, due to mental illness, would otherwise have trouble maintaining community stability and independence.  Major focus areas include counseling, education, reinforcement of independent living skills, identifying and using community resources, assistance with medication management, budgeting, and monitoring of physical health and nutrition. Mental Health Skill-Building Services are individualized, client centered and facilitated in the clients’ home and their community. MHS services last for approximately 6-12 months.

What to Expect with MHSS

Clients enrolled in MHSS can expect to receive services related to medication education & support, crisis support and coordination, household management & personal budgeting, health care engagement & appointment coordination assistance, life skill development, independent living promotion, nutrition education & meal planning, personal hygiene & daily living skills training, service coordination and community resource linkage, comprehensive case management and discharge planning.

Who Is Eligible for MHSS

Individuals qualifying for Mental Health Skill Building Services must demonstrate a clinical necessity for the service arising from a condition due to mental, behavioral, or emotional illness that results in significant functional impairments in major life activities.

In order to be eligible for Mental Health Skill-building Services, a client must meet all of the following:

  • Have a need for individualized training in acquiring basic living skills such as symptom management; adherence to psychiatric and medication treatment plans; development and appropriate use of social skills and personal support system; personal hygiene; food preparation; or money management;
  • Have a qualifying mental health diagnosis (psychotic disorder, major depressiive disorder-recurrent, or bipolar disorder I or II). If an individual has another disorder (such as, but not limited to PTSD and anxiety disorders) they may meet eligibility requirements if a pysician determines it is a significant mental illness that results in severe and recurrent disability that produces functional limitations in major life activities, and the individual requires individualized training in order to achieve or maintain independent living in the community (this must be documented by a physician);
  • Have a prior history of qualifying mental health treatment (psychiatric hospitalization, residential treatment, residential crisis stabilization, PACT or ICT services, RTC-Level C placement, or TDO evaluation by a CSB/BHA due to mental health decompensation). This bullet must be met in order to be initially admitted to services, however not for subsequent authorizations;
  • Have had a prescription for an anti-psychotic, mood stabilizing, or anti-depressant medication within the twelve months prior to the assessment date unless a physician documents that such medication is medically contraindicated. This bullet must be met in order to be initially admitted to services, however not for subsequent authorizations; and
  • If an individual is under the age of 21, they must be in an independent living situation or transferring into one within six months.
    How to Get Started

    To get started with MHSS click here to submit a referral. Or if you prefer to speak with us directly, gives us a call:

    Richmond: 804.272.2277
    Danville: 434.822.0084

    Crisis Stabilization (CS)

    What is CS?

    Crisis Stabilization Services are designed for individuals ages 5 and up to provide direct mental health care to non-hospitalized individuals experiencing an acute crisis of a psychiatric nature that may jeopardize their current community living situation or which puts them at risk of psychiatric hospitalization. Services may be provided in the client’s home, in the community or in group settings. The goals of these service are to avert hospitalization or re-hospitalization; provide normative environments with a high assurance of safety and security for crisis intervention; stabilize individuals in psychiatric crisis; and mobilize the resources of the community support system, family members, and others for ongoing maintenance, and rehabilitation. Services are authorized for up to a 15-day period per crisis episode following a face-to-face intake and may be provided up to 15 consecutive days in each episode, or up to 60 days annually.

    What to Expect with CS

    Clients enrolled in CS can expect to receive services related to eliminating and/or limiting hospitalization or re-hospitalization, stabilizing client’s symptoms to increase ability to live independently, assistanc with accessing needed psychiatric care and medication management, decreasing/eliminating problematic behavior to increase ability to live independently, ensuring a normative living environment that is safe and secure, assisting with accessing needed resources, and more.

    Who Is Eligible for CS

    To qualify for Crisis Stabilization services, individuals must demonstrate a clinical necessity for the service arising from an acute crisis of a psychiatric nature that puts the individual at risk of psychiatric hospitalization.

    Individuals must meet at least two of the following criteria at the time of admission to the service:

    • Experiencing difficulty in maintaining normal interpersonal relationships to such a degree that they are at risk of hospitalization or homelessness or isolation from social supports;
    • Experiencing difficulty in activities of daily living such as maintaining personal hygiene, preparing food and maintaining adequate nutrition, or managing finances to such a degree that health and safety is jeopardized;
    • Exhibiting such inappropriate behavior that immediate interventions by mental health, social services, or the judicial system are necessary; or
    • Exhibiting difficulty in cognitive ability – unable to recognize personal danger or recognize significantly inappropriate social behavior.
    How to Get Started

    To get started with CS click here to submit a referral. Or if you prefer to speak with us directly, gives us a call:

    Richmond: 804.272.2277
    Danville: 434.822.0084

    Why Choose US

    Knowledgeable and experienced staff

    Each ATIBA staff person is an expert in the services they provide. Our professionals take part in ongoing education, maintain up to date licensing and/or certifications, and are invested in producing positive outcomes for our clients.

    Personalized and Compassionate Treatment

    ATIBA programs are designed to ensure that our clients will reach their treatment goals. Each service begins with a treatment plan that details the goals and objectives most appropriate for their unique needs, and as those needs change, treatment plans can evolve as well.

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    Comprehensive Programming and Care

    All programs at ATIBA are designed to meet the unique needs of our clients, provide well-rounded care in a safe and nuturing environment, and utilize the most effective interventions and therapeutic support.