Family and Children's Agency

Services

Intensive In-home Child & Adolescent Psychiatric Services (IICAPS)

IICAPS (Intensive In-home Child & Adolescent Psychiatric Services) is a Yale University model created to meet the comprehensive needs of children with severe emotional disorders.

Children appropriate for IICAPS intervention may be returning home from psychiatric hospitalization, at-risk for institutionalization or hospitalization, or unable to benefit from traditional outpatient treatment.  The program makes use of a consistent treatment team to provide comprehensive assessments, case management, individual and family treatment, and crisis intervention. Intervention is informed by a synthesis of the medical model, development psychopathology, systems theory, and wraparound concepts.

What are the criteria for admission to IICAPS?

To be accepted into the IICAPS program, a child/adolescent must be between the ages of 5-17. He or she will have a mental health diagnosis, and be at imminent risk of psychiatric hospitalization or residential placement. Or, the child will be just coming out of a psychiatric hospital or other residential treatment. IICAPS works with children who have been diagnosed with disorders such as depression, anxiety, psychosis, bipolar, among others. The program works with the child/adolescent in all areas of their life, including their own personal challenges, school, home, and their community. IICAPS focuses on the child and family’s strengths, and helps identify areas that need improvement.

Who can make referrals to IICAPS?

Referrals can be made by almost anyone: therapists, psychiatrists, probation officers, school social workers. If a parent would like to refer their child, we will ask that a current or past treater provide clinical information so that we can have the complete mental health history and help ensure that the program is a good fit for the child.

How is IICAPS paid for?

Husky pays for IICAPS, and if a family is involved with DCF, in most cases that will cover payment through the Connecticut Behavioral Health Partnership. There are a limited number of grant-funded spots, for families who have commercial insurance, which does not cover in-home services. Families can also pay for services directly.

What is the time commitment to IICAPS?

A team of two staff members (a master’s level clinician and a bachelor’s level mental health counselor) visits with the child and/or family at least twice a week for 1- 1 ½ hour each time. The sessions are structured based on the needs of the individual child and family. IICAPS staff also can attend PPT’s at school,  meet with the child’s individual therapist if they have one, and any other important people in the child’s life. IICAPS treatment lasts an average of six months, depending on need.

What kind of things do the therapists work on?

Having a child with mental health concerns is very stressful for all involved. Typically, the team works with the child and the family to understand the child/adolescent’s diagnosis and what it means to them. Other interventions include, but are not limited to: skill building in anger management, social skills, emotion identification and expression, family communication, and strengthening parenting skills. Past IICAPS parents have let us know that they have found the support given by the team to be a great help.

My child already has a therapist who she feels connected to? Does that mean we cannot have IICAPS?

We welcome the opportunity to work with existing providers. The collaboration can provide comprehensive care to the child and family. We also work closely with the child’s school to make sure there is consistency between home and school, and can attend PPT’s and other school meetings.

Is there emergency on-call coverage?

Yes, there is an emergency pager, and a staff member can be reached in case of emergency 24/7.

How are the outcomes?

The IICAPS program’s mandate is to keep children out of psychiatric hospitals and residential placements. We have a very good track record of helping to keep children at home.

Does IICAPS provide medication management?

Yes, in some cases the IICAPS Medical Director who is a child and adolescent psychiatrist will oversee medication. The IICAPS team works with the family and other providers to determine where the medication will be managed.

What about after IICAPS?

We believe that continuity of care for a child is extremely important. The IICAPS team works closely with the family to work out the best after-care plan, including making referrals to other providers.

For more information

For more information about our IICAPS program, contact Stephanie VanHatten, Clinical Coordinator at (203) 523-5712 or email svanhatten@fcagency.org.

Family & Children’s Agency is licensed by The Department of Children & Families, The Department of Mental Health & Addiction Services, and The CT State Department of Public Health.