Tuesday, July 2, 2024

Section 5 WHAT ARE IN-HOME SERVICES? WHAT IS THEIR PURPOSE?


The main purpose of in-home services is to help you stay together as a family while providing services

to support your family. In-home services are different from traditional office-based services because

they take place in your own home, not in and around your community. In-home services help you

learn the skills you need to provide care and protection for your children, and prevent out of home

placement. If your child is already placed away from your home, in-home services can help you and your

child live together again.

In-home services have many goals to assist in supporting your family

1. Improve the safety & well-being of your child & family

2. Enhance family functioning

3. Increase competence in parenting skills

4. Foster a sense of self-reliance

5. Reduce risk factors

6. Increase protective factors

7. Stabilize your family

WHILE ENGAGING IN IN-HOME SERVICES, YOU CAN EXPECT THE FOLLOWING:

• Your family will be encouraged to take charge of your own lives

• Your family will be an active partner in all of the services referred by DCS

• Services will be in your own language and respectful of your culture

• Your family’s basic needs will be addressed, such as food, shelter, clothing, health care, childcare,

training for employment, etc.

• Services to meet your family’s individual needs, such as parenting skills, and counseling.

• In-home services vary in length (number of weeks or months) and intensity (number of hours per

week or month) depending on the individual needs of your family.

ARE THERE DIFFERENT TYPES OF INTERVENTION IN IN-HOME SERVICES?

Yes. There are different levels of intervention that can occur with in-home

services. They include:

Voluntary In-Home Services

Voluntary in-home services are services offered to you and your family in your

own home. During voluntary in-home services, there is no court involvement,

and your child remains in the home. You have an assigned Department of Child

Safety Specialist who will visit with you and the service providers working with

your family at least once a month.

In-Home Intervention

In-home interventions are offered to you and your family when court oversight

is recommended while your family participates in voluntary in-home services.

During an in-home intervention the court becomes involved, however only a

judge is assigned, there is no court case unless concerns about the safety of the

child develops. During an in-home intervention, the parent/guardian keeps both

physical and legal custody of their child while the parent/guardian participates in

voluntary in-home services. These services are outlined in the family’s case plan

and are short term (up to one year), designed to enhance caregiver protective

capacities present within the family’s system.

In-Home Dependency

During an in-home dependency, DCS has legal custody of the child; however, the child remains in the

home with their parent/guardian. During an in-home dependency, the court becomes involved, and a

dependency petition is filed. The court sets hearings to review the family’s progress, usually every six

months. During the in-home dependency, the parent/guardian engages in services, in their own home,

and outlined in the case plan. DCS will provide services or refer the family to services that address the

risk factors that prevent the family from ensuring the child’s health and safety without DCS involvement.

ARE THERE DIFFERENT TYPES OF PROGRAMS OFFERED DURING IN-HOME SERVICES?

Yes. There are several different types of in-home services offered to families who are involved with the

Department of Child Safety.

Family Preservation - The focus of Family Preservation is to improve the safety and well-being of

families, strengthen the family functioning, increase the protective factors, and enhance parental/

caregiver protective capacities through a set of family-centered services. These services are provided

by an In-Home Team consisting of a therapist and a family support worker. There are two levels

of service:

• Intensive Family Preservation is needed when a child is at immediate risk of being removed from

the home. These services are provided for four months.

• Moderate Family Preservation is provided when moderate conditions exist within the home and

there is no safety threat, but there is a risk of future abuse or neglect. These services are provided

for three months.

When a referral for Family Preservation Services is made, the family will be contacted within 24

hours, and an intake will be scheduled within 48 hours after the first contact. Once the family agrees

to services, and a comprehensive assessment has been completed, a family service plan will be

developed. The family preservation In-Home Teams will assist families to handle many issues that

may be causing stress within the family, such as conflict resolution and anger management, applying

problem solving skills and developing positive parenting techniques, counseling, budgeting, nutrition

and managing the household, in addition to many more services, including connecting families to

community resources for ongoing support. If concrete services are needed such as utility payments,

food, and household items, the In-Home Team can provide the family with flexible funds available

through the program.

Family Support – Building Resilient Families is a program designed for families

whose children are assessed as safe, but the families need assistance and

guidance to strengthen family protective factors: parental resilience, social

connections, concrete supports in times of need, knowledge of parenting and

child development, and social and emotional competence of children. The

Building Resilient Families services are available for cases that are closing after

an investigation; non-dependency cases that remain open for DCS oversight or

additional assessment; and young people with a goal of Extended Foster Care.

The main goal is to help families stay together, and avoid further involvement

with DCS.

Family Reunification/Placement Stabilization - The focus of this service is to

support and enhance the family unit during the process of reunifying children

with their parent/caregivers or while stabilizing children in out-of-placement

living arrangements. There are two service levels:

Family Reunification: Services for families with complex needs or intensive

behavioral health challenges requiring therapeutic intervention to safely reunify

a child with their family once the Conditions for Return are met. Services are

provided for 90 days, by a Team Lead/Therapist and a Family Support Worker.

They will each visit the family once a week. Aftercare services may be provided

for an additional three months.

Placement Stabilization: Services for a child or youth and/or the out-of-home

caregiver when either is in need of support to maintain and strengthen the relationship between the

child or youth and the out-of-home caregiver to prevent placement disruption. These services may also

be provided to transition a child or youth from a more restrictive placement, such as from a behavioral

health treatment facility to a foster or family home. Services are provided for 90 days, by a Team Lead/

Therapist and Family Support Worker. During the first 60 – 90 days the Therapist will visit twice a week,

and in the maintenance phase, from the 91 – 120 day the therapist will visit once a week and the Family

Support Worker will visit once a week.

Substance Exposed Newborn Safe Environment (SENSE) The SENSE program provides services

for families referred to the Department of Child Safety after the birth of a substance exposed infant.

The program develops and implements a coordinated Family Service Plan with the family and staff

from an In-Home Family Preservation Team, Arizona Families FIRST, Healthy Families Arizona, and

the Department of Child Safety. A nurse may visit the home to perform their own assessment and

evaluations concerning development and overall health of the infant. This program aims to keep infants

with their parent while the family works with service providers to achieve or maintain sobriety.

Arizona Families First - This program helps parents address substance abuse issues affecting their

ability to care for their children. It provides the opportunity for families to overcome the barrier of

substance abuse in order to provide a safe environment for their children. The goal of the program is

to provide services and supports to the parent that addresses the reasons for their substance abuse,

to reduce or eliminate abuse of and dependence on alcohol and other drugs, and to address other

adverse conditions related to substance abuse.

Healthy Families Arizona - Healthy Families is designed to help expectant and new parents get their

children off to a healthy start. Families are screened according to specific criteria and participate

voluntarily in the program. Families that choose to participate receive home visits and referrals from

trained staff. Program services are designed to strengthen families during the critical first years of

a child’s life. Intensity is based on each family’s needs, beginning weekly and moving gradually to

quarterly home visits as families become more self-sufficient. This service may continue long-term if

needed until the child turns five years old.

You or your child may also receive mental health services from your health care plan. These services will

be coordinated with any service DCS provides to the family.

HOW CAN I GET IN-HOME SERVICES?

In Arizona, families are referred to in-home services after a report of child abuse or neglect. If your

family needs help to stay together and keep your children safe, you should be eligible to receive inhome support services. In addition, if your child is returning from out of home care, services to help you

remain together will be available to your family.

Referrals for services may be made by your assigned Department of Child Safety Specialist. There are

three ways you can receive in-home services. Your DCS Specialist can refer you, you can be ordered by

the court to participate in in-home services, or you can ask for the services yourself.

WHAT HAPPENS IF I REFUSE IN-HOME SERVICES?

If the in-home services are not ordered by the juvenile court, you can refuse to participate, or you can

stop participating. If there is a concern for your child’s safety, the court can order you to participate and

failure to do so could result in your child being removed from your care by the court or DCS Specialist

ARE THERE ANY CIRCUMSTANCES IN WHICH IN-HOME SERVICES WOULD NOT BE PROVIDED?

Yes. If your child would not be safe at home while your family is involved in services, they would be

placed out of the home before services are provided to the family.

PRACTICAL TIPS FOR FAMILIES

• Request that your family and friends be involved in your support system

• Request the appointments for in-home services take place at times that work for your family, for

example, after the regular workday or weekends

• Speak to your assigned DCS Specialist about in-home services, and which services you feel might

be the best fit for your family based on your unique needs

• If you think you need help, ask for it

• Ask for services in your own language

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