THE PLAYBOOK
Intensive In-Home
Empowering Our Team with Clear Goals and Collaborative Success
ALEXANDER YOUTH NETWORK CHIEF EXECUTIVE OFFICER
On behalf of the Senior Management Team, I am delighted to welcome you to the Alexander Youth Network! We are honored you have chosen to join us on this transformative journey.
Our mission is clear and powerful: to provide quality treatment to children with serious emotional and behavioral challenges, enabling them and their families to achieve their potential and contribute positively to society. Every day, you have the incredible opportunity to change lives and create lasting impact.
What sets us apart is not just our expertise but the compassion and dedication we bring to our work. As you become part of our vibrant community, remember to lean on your colleagues, ask questions, and share your insights. Every interaction and challenge you overcome brings us closer to fulfilling our mission.
Together, we can make a profound difference in the lives of countless children and their families. Here’s to a future filled with hope, resilience, and positive transformation.
Best regards,
N. Craig Bass, ACSW Chief Executive Officer Alexander Youth Network
INTRODUCTION THE PLAYBOOK
Purpose of The Playbook
Welcome to The Playbook! This eBook is a central resource for all employees, providing a clear overview of our program expectations and guidelines. Our goal is to ensure everyone in your department has consistent, accurate information, helping us maintain high standards and achieve our goals
Why the Playbook?
Enhance Clarity: Ensure everyone understands their roles and aligns with department goals.
Improve Communication: Clearly communicate expectations, reducing misunderstandings.
Support Training: Serve as a resource for onboarding and ongoing training.
Facilitate Accountability: Establish clear benchmarks and performance indicators.
How the playbook can help you
Program Overviews: Detailed descriptions of each program and key performance indicators.
Expectations: Clear outlines of your role and tasks.
Resources: Access to templates, forms, and contact information.
Procedures: Step-by-step guides to our processes.
Improvement: Best practices and tips for better performance
Using The Playbook, you’ll have the tools to perform your job effectively and contribute to our department’s success This eBook will be an invaluable resource in your professional journey.
ORGANIZATION CHART INTENSIVE IN-HOME (IIH)
President & COO
Regional Executive Director
Regional Clinical Director Regional Manager of Community Base Services Outpatient Services Case Support & Floaters
Intensive In-Home Leads
Intensive In-Home Coordinators
TREATMENT & THERAPEUTIC INTERVENTIONS
PrimaryModels
Alexander’sIntensiveIn-HomeprogramusesCognitive-Behavior Therapy(CBT)andStrengtheningFamiliesevidence-basedpracticesas theprimaryclinicalmodelstomeettheclinicalneedsofyouthand familiesintheirhomesetting.
Cognitive-BehaviorTherapy(CBT):
Cognitive-BehavioralTherapyisbasedontheinterrelationshipof thoughts,actions,andfeelingsandiseffectivewithyouthdiagnosed withdepression,anxietyandoppositionaldefiantdisorders.
StrengtheningFamilies:
TheStrengtheningFamiliesmodelfocusesonparentingandfamily skillstrainingforhigh-riskandgeneralpopulationfamilies.Itisunique becausethewholefamilyattendsandpracticenewrelationshipskills togetherinfamilygroups.
SupplementaryModels:
MotivationalInterviewing
DialecticalBehavioralTherapy(DBT)
TREATMENT & THERAPEUTIC INTERVENTIONS - PHASE APPROACH
Phase Approach: Intensive In-Home Services utilizes a phase approach to provide structured support for families and help them progress towards less intensive interventions.
Phase I
Initial Assessment and Stabilization
The team begins working with the family to assess their strengths and needs.
Crisis planning and stabilization of the living environment are prioritized.
Initial skills training is introduced
This phase typically lasts at least four weeks and requires 4 in-person sessions per week
Phase II
Intensive Intervention
The team continues assessing needs and providing tools to strengthen family skills
Therapeutic counseling and interventions are implemented. The focus is on empowering the family through education and skill-building.
Treatment components may include individual and family counseling, crisis intervention, and life skills training.
Phase III Transitions and Step Down
The team encourages and supports the youth and family as they practice newly learned skills.
There is a focus on building social and community support
The family is assisted in transitioning to less intensive services and natural supports
The intensity and frequency of contacts typically decrease to 2 contacts per week
Throughout these phases, the Intensive In-Home Services team utilizes a multi-systemic approach, tailoring interventions to meet the individual needs of each youth and family.
Progression through the phases is not always linear and should be based upon clinical assessment of the family’s needs.
PROGRAM EXPECTATIONS
ProgramOverview
Population:Childrenandyouthages5-20
Goals:Provideindividualizedservicestobuildon strengthsandaddressidentifiedfunctionalproblems
Accreditation:AccreditedbyTheJointCommission.
ServiceFocus:Youthunabletoremainstablein thecommunitywithoutintensiveinterventionsand at-riskofout-of-homeplacement
Availability:24hoursperday,7daysperweek,365daysperyear
Person-CenteredPlan(PCP):Drivesindividualobjectivesandclinical outcomes,includesCrisisPlan&TransitionPlan
ChildandFamilyTeam:DevelopsPCP,includesrelevantindividuals (familymembers,mentors,schoolpersonnel,communitymembers)
ServiceTypeandSetting
Directandindirect,periodicservice
24/7/365crisisresponseasindicatedinPCPCrisisPlan
Minimum2-hourbillableunitperday
Atleast60%in-personcontactswithyouth/family 60%stafftimeoutsideoffice
Decreasingfrequencyovertime:12in-personcontactsinfirstmonth,6 insecondandthirdmonths
Typicalduration:Typically5months
Servicesvaryinintensitytomeetchangingneedsasanalternativeto higherlevelofcare
Services(basedonmedicalnecessity)
IndividualandFamilyTherapy:ByLicensedTeamLead,atleastweekly
IndividualandFamilyCounseling:byIIHQPs,frequencydeterminedin weeklymeetingbasedonseverityofneedsandclinicalmodel
Home-basedBehavioralSupportPlan:developedatadmission,updatedas needed
CrisisManagement:in-personwithin20-30minutesifrequested,otherwise viaphone/video
IntensiveCaseManagement:includescomprehensiveneedsassessment, PCPdevelopment,servicecoordination,outcomemonitoring,linkingto services,collaboratingwithproviders
Psychoeducation:forfamilymembers/caregivers
ProgramObjectives
Decreaseincrisisepisodes
Reducedsymptomsinterferingwithdailyliving Improvedfamilyengagementinrecoveryprocess
Sustainedimprovementinhome,school,andcommunityfunctioning
Enhancedabilitytomanagetriggers,cues,andsymptoms
Increaseduseofcopingandsocialskills
Decreaseindelinquentbehaviors(whenpresent)
Increaseduseofnaturalandsocialsupports
ClinicalOutcomes
ACORN:measurement-informedcaretool(monthly,reviewedateachCFT meetingandrecordedinPCP)
CGAS:bylicensedtherapist(admissionanddischarge)
DischargeOutcomes:remaininginhomeandschool/workduring treatment
ProgramStaff
Teamcomposition(1:12team-to-familyratio): 1FTELicensedTeamLead(licensedprofessional) 1FTEQualifiedProfessional(QP) 1FTEQPorAssociateProfessional(AP)
Allteammembersmusthaveknowledge,skills,andabilitiesrequiredbythe populationandagetobeserved
Minimum1yearexperiencewithchild/adolescentmentalhealthpopulation
Weeklymeetingstoreviewcases-LicensedTeamLeadsupervision SpecificdutiesoutlinedinNCMedicaidClinicalCoveragePolicy8A
Documentation:
ProgressNotes:within24hours,separatenoteforeachservice intervention
DirectService:Clinicalinterventionsusedandclient'sresponse CaseManagement:Activitiescompleted(excludingsupervision, weeklystaffings,researchorplanningforinterventions)
No-Show&Cancellations:documentedattimeofcancellation, includingreasonandeffortstoreschedule)
WeeklySummary:completedduringweeklymeeting
ChildandFamilyTeamMeetings:monthlyPCPreview,documentedin PCPscreen
AllDocumentation:tobecompletedwithinrequiredtimeframesand proofreadbeforesigning
Continuation/TransitionPlanning
RegularChildandFamilyTeammeetings
PersonCenteredPlan(PCP)developmentandreview
CrisisPlanandBehaviorSupportPlaninclusion
Dischargeplanning(beginsatadmission)
Coordinationwithlocalsystemsupportsandcommunityproviders
Discharge/AftercarePlancompletedbyIIHStaffandprovidedtofamilyat discharge
Referrals:
Acceptedfromvariouscommunitysources(schools,agencies, physicians,mentalhealthproviders,socialservices,juvenilejustice, families)
ProcessedbyAccessDepartment
Notappropriateforprimarydiagnosisofsubstanceabuseordependence IIHStafftomaintainaccurateenrollmentsofcurrentclientsforefficient processing
Training
RequiredtrainingsasperClinicalCoveragePolicy8A(eg,PersonCenteredThinkingandPlanDevelopment,SystemofCare,Motivational Interviewing,ClinicalModel)
RegularsupervisionfromLicensedTeamLeadasindicatedinindividual supervisionplansregardlessofstaffcredentials.
AYNConnect
DiscoverAYNConnect,yourcomprehensiveemployeeresourcehub designedtostreamlinecollaborationandinformationaccessacross ourorganization
KeyFeatures:
IntelligentDocumentSearch:Navigateourvastinformation landscapewithease.Ourrobustsearchfunctionallowsyouto quicklylocatedocumentsusingkeywordsorspecifictitles.
CentralizedResourceFolder:Accessourcollaborativedocument library,whereinterdepartmentalfilesharingbecomeseffortless.
PoliciesandProcedures:Neverwonderwheretofindcritical informationagain.Accessallagencypoliciesandproceduresin onecentralized,easy-to-navigatelocation.
DedicatedTeamSites:Eachdepartmentenjoysatailoreddigital spaceforfilestorageandteamwork,enhancingproductivityand organization. ClickHere:IntensiveIn-HomeSharePointSite
AYNStream:UnlockthefullpotentialofAYNConnectwithlive streamsandvideotutorials,ensuringyou'realwaysup-to-speed withourlatestfeatures.
VivaEngage:YourCommunicationPowerhouseStayconnected withcolleaguesthroughthisdynamicplatformforannouncements, discussions,andtimelyupdates.
AYNConnectisn'tjustatool;it'syourgatewaytoamoreefficient, collaborative,andinformedworkexperience.Embracethefutureof workplaceconnectivitywithAYNConnect–whereinformationmeets innovation.
POLICIES & PROCEDURES
AGENCY WIDE
AGENCY POLICIES
At Alexander Youth Network, we provide top-quality care through comprehensive policies ensuring safety and consistency Visit our Policies & Procedures page on AYN Connect for more information
Access Our Policies Instantly!
Get to know our agency policies in no time Simply click the folder to your left and find all the important guidelines at your fingertips.
Agency Policies
Click Here
Employee Handbook Behavior Healthcare Policies IT Policy
AGENCY PROCEDURES
Need to find our Agency Procedures?
Click the folder to your left and access all our Agency Procedures instantly!
CCA and Reassessment Procedure
Emergency and Inpatient Notifications
Agency Procedures
Click Here
IHAP Procedure
Handle with Care Physical Intervention
Emergency and Inpatient Notifications
PROGRAM PROCEDURES
INTENSIVE IN-HOME
PROGRAM PROCEDURES
Program Procedures is designed to assist our staff in efficiently accessing and implementing essential protocols within your IIH program. By following these procedures, we collectively contribute to delivering the best possible care and services to the youth under our care.
DISCOVER IIH PROGRAM PROCEDURES STREAMLINED!
Simply click the folder to your right to access the streamlined IIH Procedures!
Here are some of the most frequently used procedures:
IIHNewHireOnboarding Streamlined
DischargeDocumentation Streamlined
IntesiveInHome Procedures Click Here
Procedures Streamlined Click Here
IntensiveIn-HomeProgramExpectations Streamlined
IIH On-Call Streamlined
RolesResponsibilitiesIIH Streamlined
AYN Connect
Resource Folder
Welcome to AYN Connect's Resource Folder, designed to support all staff with comprehensive departmental information, standardized templates, checklists, forms, best practices, and training materials This centralized hub ensures you have the tools and resources needed for success. Our goal is to equip you for excellence and enhance our mission
Resource Folder
Intensive In-Home
Welcome to the IIH Resource Folder!
Here, you'll find essential tools, guidelines, templates, checklists, forms, and training materials tailored for the IIH program Access and contribute valuable resources to empower your team and support our mission effectively.
Explore the Top Intensive In-Home Resources Available Inside!
CBT Worksheets
Mood Charts
Body Safety
Telehealth Resources
Run Away Prevention Workbook
Anxiety Workbook
PTSD CBT
Enviroment of Care EOC
The EOC is a comprehensive approach to safety and well-being within our organization
KEYPOINTSINCLUDE
SafetyPhilosophy
Highestsafetystandardsinall operations
Safetyiseveryone'sresponsibility Preventionofinjuryandillnessisa primarygoal
EOCCommittee
Assistsinimplementingcampus safetyplans,policies,and procedures
Develops,implements,and evaluatesthesafetyprogram
Aimstocreateandmaintaina safety-consciousenvironment Principles:
Allinjuriesandaccidentsare preventable
Safetyisthefirstconsiderationinall workplaceactions
Writtensafetyplansareessential
Off-jobsafetyawarenessis encouraged
EmployeeExpectations
Followallsafetyprogramaspects
Contributetoasafe,organized,and efficientworkplace
Knowandfollowwrittensafety plans
Suggestimprovementstothesafety program
Enviroment of Care Resources
Discharge Resources Safety Plan
Field Trip Permission Form
At Alexander Youth Network, we use EchoVantage to streamline our operations and ensure we provide the best care possible. EchoVantage is an advanced electronic health record (EHR) system designed specifically for behavioral health organizations, and it's a key tool in our daily work.
WhatisEchoVantage?
Click Here EchoVantage’s Knowledge Base
EchoVantage is a comprehensive EHR system that integrates various aspects of client management, documentation, billing, and reporting. It helps us maintain accurate and up-to-date client records, manage appointments, and ensure compliance with industry standards and regulations.
KeyUses
ClientManagement:Maintaindetailedclientprofilesandtreatmentplans.
Scheduling:Manageandcoordinateappointments
Documentation:RecordSessions,ProgressNotes,andIncidentReport.
Billing:Automatebillingandclaimssubmission
Reporting:Generatereportsforperformancetrackingandcompliance.
AYN Stream - EchoVantage
EchoVantage Videos Tutorials
Visit our playlist on AYN Stream, you'll find a collection of recordings that offer: Guidance and Support: Step-by-step video guides on logging in, troubleshooting, and using new updates.
New Feature Explanations: Detailed breakdowns of the latest EchoVantage features. Assessment and Note Guides: Comprehensive tutorials on conducting assessments and managing notes effectively
Need Support? Ask AlexAI
Click"OpenaNewTicket"
5 SelectSupportTeam:Clicktherightteam 6.EnterRequest:Providelotsofdetails. 7 SubmitTicket&Attachfilesifneeded Create a Ticket
Restart & Quit Commands
StartingaConversation:Type"restart"toclearpreviouschatsandstart fresh.
EndingaConversation:Type"quit"toproperlyendtheconversation
SwitchingTopics:Type"quit"toendthecurrenttopic,then"restart"to beginanewone Thiskeepsthechatbotontrack
Paycom is a comprehensive and user-friendly
HRIS solution where we complete HR processes (submitting timesheets / time off requests, viewing benefits, etc.)
Learn more: AYN Connect: Paycom
Click Here: Employee Self-Service Login
Need Help? Visit Paycom’s Help Center
Paycom offers a comprehensive Knowledge Base with 125 articles and guides on features and troubleshooting Additionally, there are 123 step-bystep instructional videos and FAQs addressing common questions on various topics.
Examples of tutorials in Paycom’s Help Center:
Benefits: Show Me How: to Enroll in Benefits
Paycom Basics: Payroll: Show Me How: to Approve My Check (Mobile)
Payroll: Show Me How: to Set Up My Direct Deposit
Time Management: Show Me How: to Approve My Timecard
Time Management: Show Me How: to Submit a Punch Change Request
Time-Off Requests: Show Me How: to Request Time Off (Video)
Scheduling: Show Me How: to Review My Schedule
Scheduling: Show Me How: to Offer and Pick Up Shifts
Click Here: Show Me How to Download the iOS App
Click Here: Show Me How to Download the Android App
The Playbook
Next Steps
Thank you for taking the time to read through our Intensive In-Home Program Playbook We hope this resource has provided you with clear expectations, useful guidelines, and valuable insights to help you thrive in your role If you have any questions please contact your manager, search the Intensive In-Home SharePoint site, or ask AlexAI for assistance.
Recap of Key Points
Program Expectations: Understand the standards and responsibilities for Intensive In-Home staff.
Streamlined Procedures: Follow the outlined processes for efficient and effective operations. Resources and Tools: Access the tools and information you need to succeed.
Your Role in Our Mission
Each member of our team plays a vital role in achieving our mission to provide exceptional care and support to those we serve. Your dedication, professionalism, and compassion make a significant impact
Stay Connected
For ongoing support and updates, stay connected through: Microsoft Teams: Join discussions, ask questions, and share insights SharePoint: Access the latest documents, updates, and resources.
Stream Videos: Watch quick demos and tutorials for visual guidance.
Looking Forward
We are excited to have you as part of our team and look forward to your contributions. Together, we can achieve excellence and make a difference in the lives of those we serve.
Thank you, Alexander Youth Network
THE PLAYBOOK Empowering Our Team with Clear Goals and Collaborative Success