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Intensive In-Home Service (IIH)

Intensive In-Home Service (IIH)

When a family feels they have come to a point of crisis with a child experiencing mental health problems, Monarch will go to them to create an environment for success. We help manage a child’s behavior and assist and empower families in developing problem-solving skills and accessing community resources. Our staff are available around the clock to work with the entire family at their home. We will do whatever it takes to prevent out-of-home placement for a child with a mental health diagnosis. This is designed as a six-month program to work on case management and therapy needs to ensure the child stays in their home environment.

Eligibility Criteria

A beneficiary (ages 3-20) is eligible for this service when all the following criteria are met:

  • There is an Axis I or II MH/SA diagnosis (as defined by the DSM-IV-TR or its successors), other than a sole diagnosis of intellectual and developmental disability.
  • Based on the current comprehensive clinical assessment, this service was indicated and outpatient treatment services were considered or previously attempted, but were found to be inappropriate or not effective.
  • The youth has current or past history of symptoms or behaviors indicating the need for a crisis intervention as evidenced by suicidal/homicidal ideation, physical aggression toward others, self-injurious behavior, serious risk-taking behavior (running away, sexual aggression, sexually reactive behavior, or substance use).
  • The youth’s symptoms and behaviors are unmanageable at home, school, or in other community settings due to the deterioration of his or her mental health or substance abuse condition, requiring intensive, coordinated clinical interventions.
  • The youth is at imminent risk of out-of-home placement based on the child or adolescent’s current mental health or substance abuse clinical symptomatology, or is currently in an out of-home placement and a return home is imminent.
  • There is no evidence to support that alternative interventions would be equally or more effective, based on North Carolina community practice standards (Best Practice Guidelines of the American Academy of Child and Adolescent Psychiatry, American Psychiatric Association, American Society of Addiction Medicine).

Service Areas

Cabarrus County
Cleveland County
Davidson County
Forsyth County
Lincoln County
Mecklenburg County
Stanly County
Union County


Direct: (704) 986-1535, Fax: (866) 786-3759

What sets Monarch IIH services apart?

Monarch’s IIH service seeks to empower and create sustainable changes within the mental healthcare system and to ensure independence. The focus is on what the individual wants to achieve and to help them live as independently as possible within their community. Our teams are highly trained, supportive and responsive.

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    Administrative Office: 350 Pee Dee Avenue, Suite 101, Albemarle, NC 28001
    Phone: (866) 272-7826 | Fax: (704) 982-5279