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In-Home Therapy (IHT)

In-Home Therapy (IHT)

Service Description

This service provides therapy and case management when a child or young adult is at risk of out-of-home placement. It is a step-up from outpatient care due to case management needs. Monarch will go to the child 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 will work with the entire family at their home to provide therapy, in addition to case management when the child progresses and steps down to outpatient. The child can continue to see the same therapist from IHTS in an outpatient setting. 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 needs to ensure the child stays in their home environment.

Eligibility Criteria

A beneficiary (ages 3-21) is eligible for this service when all the following criteria are met:

  • There is a mental health or substance use disorder diagnosis (as defined by the DSM-5, or any subsequent editions of this reference material), other than a sole diagnosis of intellectual and developmental disability.
  • Based on the current comprehensive clinical assessment, this service was indicated and traditional office-based outpatient treatment services were considered or previously attempted, but were found to be inappropriate or not effective.
  • The clinical assessment identifies the need for linkage and/or coordination with other service systems or community resources to prevent family disruption or need for more intensive levels of care.
  • The beneficiary’s symptoms and behaviors at home, school, or in other community settings due to the beneficiary’s mental health or substance use disorder condition, are moderate to severe in nature and require intensive, coordinated clinical interventions.
  • Evidence of problems in at least 2 major life domains, which are significantly affecting the consumer’s behavioral health needs, as evidenced by at least two of the following:
    • Housing (problems with safety/stability)
    • Education/school
    • Physical health care linkage or access needs
    • Involvement with one or more of the following:
      • Department of Social services (involvement due to allegations of abuse, neglect, etc. or involvement for prevention based on identification of at risk factor for potential removal of children from the home; safety concerns identified; reports that were unsubstantiated, but some concerns still identified or consumers in custody working towards family reunification)
      • Department of Juvenile Justice or other legal system (individuals actively on probation, on diversion contracts, being discharged from jail or youth detention or identified as at risk for involvement due to criminal activities)
      • Exceptional Children’s Program (actively involved with IEP, 504 plan, or alternative school setting; individuals identified as in need of these school services that are not yet actively in place; individuals that may be able to be maintained in traditional settings with some additional support and coordination, such as behavior plans or early intervention)
  • The consumer does not present with an imminent risk of BOTH out of home placement based on MH/SA diagnosis AND does not have a history of multiple crisis events within the last 6 months.

Service Areas

Davidson County
Mecklenburg County
Stanly County


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

What sets Monarch IHT services apart?

Monarch is one of a select number of providers in the state that provides IHT. This 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