1. (1) The Intensive In-Home Behavioral Health Treatment (IIBHT) is a community based, multidisciplinary mental health treatment program for youth and young adults under the age of 21 and anyone covered under Early and Periodic Screening. Diagnostic and Treatment (EPSDT) or Youth with Special Health Care Needs (YSHCN) and their families. IIBHT offers a menu of therapeutic services and supports for youth, young adults and their families delivered in a community-based setting. The intent of IIBHT is to work collaboratively with youth, young adults and their families to address complex mental health concerns, reduce emergency department use, avoid out of home placement or facility-based treatment where possible, and support youth, young adults and their families when returning home from out of home placement or facility-based treatment.
2. (2) IIBHT Providers shall have program staff that includes Licensed Medical Providers (LMP), Qualified Mental Health Professionals (QMHP), Qualified Mental Health Associates (QMHA) and  Peer Support Specialists available and sufficient to meet the individual needs and preferences of the youth, young adults, and their families enrolled in services.
3. (3) IIBHT providers shall coordinate care with internal and external partners as needed to support the mental health needs and supports of the youth/young adult and their family.

4. (4) IIBHT Services shall include, at a minimum, the following types of services:

   1. (a) Child Psychiatric Services provided by:

      1. (A) A Board Eligible or Certified Child and Adolescent Psychiatrist; or
      2. (B)  A Psychiatric Mental Health Nurse Practitioner (PMHNP) with at least 3 years of experience working with youth, young adults, and families.
   2. (b) Skills training;
   3. (c) Individual therapy;
   4. (d) Family therapy;
   5. (e) In-home Proactive Support and Crisis Response available 24 hours each day;
   6. (f) Case Management

   7. (g) Peer Delivered Services:

      1. (A) Family Support Specialists; and
      2. (B) Youth Support Specialists.
   8. (h) Care Coordination; and
   9. (i) 90 Day Treatment Review Meetings
5. (5) All providers must operate in compliance with these rules.  These rules create the minimum service delivery standards for services and supports delivered by providers certified by the Behavioral Health  Division of the Oregon Health Authority.
6. (6) Before a provider can apply to render IIBHT services, providers must hold a current Certificate of Approval for outpatient mental health services in accordance with OAR Chapter 309, Division 008 (309-008-0100 – 309-008-1600) Certification of Behavioral Health Treatment Services.

Statutory/Other Authority

ORS 413.042, 430.640 & 430.705

Statutes/Other Implemented

ORS 430.010, 430.205 & 430.708

History

BHS 3-2025, adopt filed 02/27/2025, effective 03/01/2025