Intensive Community Outreach and Recovery Team for Children/Youth

Intensive Community Outreach and Recovery Team for Children/Youth Admissions and Discharges A. In order to be admitted into Intensive Community Outreach and Recovery Services, children and youth must meet the criteria outlined in this rule. B. Intensive Community Outreach and Recovery Teams serve children and youth with a serious emotional/behavioral disturbance, as listed in the most current edition of the Diagnostic and Statistical Manual of Mental Disorders, which seriously impairs their functioning in community living. Priority is given to children, youth, and their families who lack access to office-based services and/or who have experienced multiple acute hospital and/or residential care stays, who are at risk of out-of-home placement or have been recommended for residential care, and for those children and youth for whom traditional outpatient care has not been successful. C. Children and youth with functional impairments as demonstrated by at least one (1) of the following conditions: 1. Child or youth has a serious emotional/behavioral disturbance, as listed in the most current edition of the Diagnostic and Statistical Manual of Mental Disorders, which impairs the child or youth’s functioning in community living. 2. Child or youth is at-risk for out-of-home placement or use of out-of-home therapeutic resources without community-based intervention. 3. Child or youth has difficulty demonstrating success in the home and educational environment due to emotional, social, and/or behavioral challenges. 4. Child or youth has had difficulty effectively utilizing traditional office-based or school- based outpatient services (office-based individual and/or group therapy, day treatment services, school-based therapies). 5. Family members of the child or youth have needs to be met, and/or the family is experiencing multiple system involvement. 6. Child or youth has high risk or recent history of juvenile justice involvement (e.g., arrest, incarceration) due to behavioral problems attributed to the youth’s emotional and/or behavioral problems. D. Discharges from the ICORT occur when the child/youth’s family and service personnel mutually agree to the termination of services. This must occur when children/youth: 1. Have successfully reached individually established goals for discharge, and when the child/youth’s family and service personnel mutually agree to the termination of services. 2. Have successfully demonstrated an ability to function in the areas of home, school and other entities, and social interactions without ongoing assistance from the agency provider, without significant relapse when services are withdrawn, and when the child or youth’s family requests discharge, and the agency provider employees mutually agree to the termination of services. 3. Move outside the geographic area of the ICORT’s responsibility. In such cases, the ICORT must arrange for transfer of mental health service responsibility to an Intensive Community Outreach and Recovery service or another agency provider wherever the person is moving. The team must maintain contact with the person until this service transfer is implemented. 4. Decline or refuse services and request discharge, despite the team’s best efforts to develop an acceptable Individual Service Plan with the child/youth.