Services & Support

Applied Behavior Analysis

Applied Behavior Analysis is a program for children with autism. It is based on the science of learning and behavior. ABA therapy leads to better behaviors from the child. It reduces behaviors that may be harmful or interfere with learning.

EOCCO covers ABA therapy.

Members must have a referral from a qualified doctor for ABA services. The referral must say that ABA is needed to treat the Member’s autism symptoms.

To learn more, individuals can contact their local community mental health program.

Systems of Care/ Wraparound Initiative

What is Systems of Care?

Systems of Care is a set of services and supports for youth and families who have health or other challenges. It is also a program for youth and families that are at risk of having challenges. These services help families overcome barriers in the system and function better in life.

What is Wraparound?

Wraparound is a team planning process. It uses Systems of Care to help youth and their families reach a common goal.

10 principles of Wraparound

Family driven & youth guided
Strengths-based
Natural supports
Individualized
Cultural and linguistic responsiveness
Team-based
Community-based
Collaboration
Persistence
Outcome-based

System of Care core values

Family driven and youth guided
Community-based
Cultural and linguistic responsiveness

Who is eligible for Wraparound?

Medicaid eligible
Multi-system involved (mental health, child welfare, juvenile justice, developmental disabilities, medical, mental health needs affecting academic, social and emotional developmental progress) (IEP/504)
Youth ages 0-17
Identified family/guardian and youth are willing to engage in the Wraparound process
- Wraparound is a voluntary process and not a mandatory service
Care coordination needs cannot be met by other system partners

Automatic acceptance

Youth at the following levels of care are automatically accepted into Wraparound:

Secure Adolescent Inpatient Program (SAIP),
Secure Children’s Inpatient Program (SCIP),
Psychiatric Residential Treatment Services (PRTS), or
Commercially Sexually Exploited Children’s (CSEC) residential program

If terms are not agreed to after automatic acceptance, an agreement to decline Wraparound services must be signed.

How do I get accepted?

Each county has their own referral packet. However, any youth, family, provider or community member can fill out a referral packet (click on your county’s link below for a referral packet).

When your referral packet is completed and submitted to the county, someone from the program will contact you to orient you to the Wraparound Review Committee. If you make a referral, it is expected that you will present to the review committee.

The committee will review your referral and decide if it is approved based on program criteria and available space.

Baker county
Gilliam county
Grant county
Harney county
Lake county
Malheur county
Morrow county
Sherman county
Umatilla county
Union county
Wallowa county
Wasco county (Hood River/Sherman)
Wheeler county

Intensive In-Home Behavioral Health Treatment (IIBHT)

Intensive In-Home Behavioral Health Treatment (IIBHT) is an Oregon Health Plan (OHP) level of care for youth and families who have intensive behavioral health symptoms, multisystem needs, and/or are at risk of placement disruption that was implemented in 2021.

About IIBHT

Intensive In-Home Behavioral Health Treatment or IIBHT, is funded by Oregon Health Authority and implemented by community partners around the state to support Oregon Health Plan youth and families who have complex and intensive behavioral health symptoms, multisystem needs, and/or are at risk of placement disruption. In Eastern Oregon, Community Mental Health Programs in your county will be certified to provide this level of care for its members. This team-based service is available to youth and families who may benefit from mental health support services provided in the home and in the community, rather than at an in-patient hospital setting.

This short-term level of care is intended to:

Be an intensive 3 to 6 months array of services provided within the youth and family homes, or an identified community location chosen by the family and tailored to meet the individual needs of the young person and their family.
Help children, youth, and young adults through age 20, and their families, who require more frequent and intensive mental health treatment to help youth safely step back into the community from residential care or hospitalization.
Provide additional services to youth and families, which is different from the traditional “once a week” outpatient model.
Offered at times and locations that best meet the needs of the youth and family. Whenever possible services will be offered in person in the community and/or at the family’s home.

Who can access these services?

Medicaid-eligible children and youth through age 20 (under age 21) who display Intensive behavioral health needs, which shall include:

Multiple behavioral health diagnoses; and
Impact on multiple life domains (school, home, community) effected as identified on the mental health assessment; and
Significant safety risks or concerns; or
Are at risk of out-of-home treatment or placement; or
Are transitioning home from an out-of-home treatment or placement.

IIBHT Services

IIBHT offers treatment services outlined in the youth and family’s Service Plan, including proactive support and 24/7 crisis response, as outlined in the youth and family’s Crisis and Safety Plan. The youth and their family will work with the provider to collaboratively determine the frequency and types of services that will best meet the needs of the family. Providers are required to offer a minimum of 4 hours of planned services per week.

Delivered by a multidisciplinary team of professionals, treatment services include:

Psychiatric services, including assessment and medication management
Individual therapy and Family therapy
Peer-delivered services by a Family Support Specialist and Youth Support Specialist
Skills training
Care coordination

Proactive support and 24/7 crisis response services include in-home interventions, resources
and contact information to help youth and their families reach out for proactive support before a crisis happens, and provide support in the event of a crisis.

Referral Process

For IIBHT referral information for your county, visit https://www.gobhi.org/iibht

Once the referral has been submitted, IIBHT providers will schedule a meeting with the young person and their family within 3 days to complete a mental health assessment for the youth and collaboratively develop a Service Plan and Crisis and Safety Plan.

The provider will give the youth and family a copy of these plans.
The Service Plan outlines the treatment plan.
The Safety Plan clearly outlines contact information for proactive support and 24/7 crisis response offered by the provider.

IIBHT providers then meet monthly with the young person and family to review progress, update treatment goals and update the plans as needed.

What does In-Home Proactive Support mean?

Youth and their families should reach out for support proactively whenever possible, rather than waiting until there is an emergency. IIBHT providers will have a plan in place for how to support youth and their families which includes proactively responding in person to the home. The provider will work collaboratively with the youth and their family to establish a crisis and safety plan which will outline a comprehensive plan and includes proactive interventions.