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Intensive In-Home Behavioral Health Treatment

Overview

​The 2019 Oregon Legislature approved $6.6M in general funds to expand the existing continuum of care for children. This expansion includes an intensive community-based alternative to residential treatment and inpatient hospitalization. 

The IIBHT benefit will be available to Oregon Health Plan members not enrolled with a coordinated care organization (CCO) starting July 2020. CCOs will cover the IIBHT benefit starting Jan. 1, 2021. ​

The Oregon Administrative Rules for IIBHT were updated in March 2025 and moved into Division 21 Community Based Services for youth and young adults 


OHA added IIBHT as a level of care for children through age 20. This level of care addresses several gaps in the children's mental health service array. For children and families who need more support and services than traditional outpatient services provide, IIBHT care:

  • Frequency of services are flexible and determined in collaboration with the youth and their families​.

  • Offers an array of services. Services include psychiatric services, mental health therapy, care coordination, skills training and peer support services. ​

  • Includes access to a multi-disciplinary team of professionals and the following services: psychiatry, medication management, mental health therapy, care coordination, skills training and peer support services. 

  • Reduces in out-of-home placements for children including residential treatment and inpatient hospitalizations.

  • Is available to children living in a variety of settings in the community. Children can access IIBHT while living in foster care, group homes, shelter care and behavior rehabilitation services while preserving their existing placement in the community​.

  • Is also available to children with intellectual and developmental disabilities. ​

IIBHT is available to Oregon Health Plan members who are age 20 and under who are experiencing complex mental health needs and meet one or more of the following critieria: 

  • ​Intensive mental health needs which lead to increased conflict and crisis in the home, school and or community; or
  • Have had traumatic experiences that are impacting their ability to function in multiple domains; or
  • At risk of psychiatric hospitalization or residential treatment due to intense behavioral health challenge
  • Losing their current living situation due to intense behavioral health challenges; or
  • Is transferring back to their home or community from an out of home placement and increased services to support of their mental health are needed for successful transition; o
  • Is at high risk of harm to themselves or others; or
  • Requires an increased frequency and intensity of services and is exceeding what can be offered in the Outpatient level of care setting; or
  • Other risk factors impacting the safety in the home or community

Referrals can be made directly to the IIBHT Certified Providers in your community. If you are needing assistance please contact your Coordinated Care Organization or for Open Card youth call 1-800-272-0557 or email Ask.OHP@odhsoha.oregon.gov​


Oregon Health & Science University will:

  • Work with IIBHT providers to collect outcome data for children enrolled in services, and
  • Analyze the data to demonstrate program effectiveness and inform quality performance activities. 

The Ohio Scale and Hope Scale will both be used to gather information directly from the child and family. Data will be collected at both the start and end of the program. ​


View the IIBHT 2024 Annual Report Data Brief

View the IIBHT 2024 Annual Report

View the IIBHT 2023 Annual Report​​

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Trainings

OHA offers the following trainings to IIBHT Certified Program Staff.  These trainings are not required but are highly recommended to ensure that staff understand the basic requirements of IIBHT and national best practices. 

  • IIBHT Foundations: This is a 4 hour introductory training on IIBHT for new hires  or those needing a refresher. The training includes: a brief history of IIBHT and goals of the program, overview of the  Oregon Administrative Rules (OAR) and Uof WA Program and Practice Standards from intake and entry criteria through discharge planning. 

  • Peer Delivered Services Training: This a 4 hour introduction to peer devlievered services in IIBHT.  The training discusses the Youth Support Specialist and Family Support Specialists role on the multi-displinary team when working in a clinical setting.   

Trainings are offered once a quarter and IIBHT staff can register for upcoming trainings at:  OregonIIBHT.eventbrite.com​

IIBHT Learning Collaboratives 

All direct care staff, leadership and CCOs are welcome to attend these these discussions. Attendees are encouraged to use this time to ask questions and discuss challenges and brainstorm solutions with other IIBHT providers. It is also a space to celebrate successes and share announcements. 

Attendance is optional. 

All State Learning Collaborative
 9-10am PST on the 3rd Friday of the month​
Click here to join the meeting

Rural Provider Learning Collaborative
 9-10am PST on the 4th Friday of the month
 Click here to join the meeting

Required IIBHT documentation

OHIO SCALES
HOPE
SUD
IIBHT Enrollment Form
Cheat Sheet for 2025 IIBHT Form Updates
IIBHT Closure Form
Letter to Parents​

Becoming an IIBHT Provider

If you are interested in becoming a provider for this new program, please contact OHA's Licensing and Certification Unit for behavioral health programs.




Documents

Keep Informed

If you would like regular updates on IIBHT and future partner engagement events, please sign up to get OHA Behavioral Health Updates.

Questions?

Page Info

Beth Holliman
Intensive Community-Based Services Coordinator​
503-820-1197 
she/her/hers​​
Contact for questions or concerns about IIBHT. For assistance with IIBHT referrals, contact the CCO or provider directly


Summer Hunker
Children’s Behavioral Health Systems Coordinator​
503-756-8540

she/her/hers