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The referral, screening and admission procedures for Home Based are as follows: Juvenile Court Counselors fill out a referral form and typically mail this to DSS. Wilhin 72 hours of receiving the referral, the supervisor will assign the case to a Home Based worker and that person will attempt to contact the family. If the Home Based counselor cannot reach the family by telephone after receiving a referral, an appointment letter will be mailed. (Occasionally all of the Home Based counselors have full caseloads and they may not be immediately available to see a family. If this occurs, the family is notified and other available treatment options are discussed.) As soon as the Home Based counselor is able to reach a family and schedule an appointment, an initial home visit is made for an assessment. All family members are interviewed and relevant history is collected. The Home Based Social Worker explains the program to families and lets them know that it is a voluntary service. The family must be committed to the goal of keeping the child in the family home in order to participate. If the family is receptive, the case is then staffed with the supervisor. Most cases are accepted for services unless the child has serious mental health problems and is in need of a different type of intervention or unless the child or family poses a safety risk for the worker. For cases that are not accepted for service, documentation of efforts to reach the family, and reasons wh services were not accepted are documented and maintained for review. (4) Describe imDlementation to include: a) The primary services that will be implemented involve meeting and counseling in the family's home at least once weekly. The Home Based counselor will be on call to offer support and guidance in helpinglteaching the family to effectively process crisis issues that arise. Parenting guidance and instruction will be enhanced through formal parenting classes, a forum in which parents can identify with other parents of adolescents who are struggling with the same issues. HB counselors also provide parenting instruction in the home for those parents who are unable to attend the formal classes. b) The means of working with youth and families: Home Based intervention prOVides the ability to observe behavior and interact with everyone in the home. Risk factors can be identified and families can be linked with preventive programs when needed. Home Based counselors are skilled at removing barriers to participation. Since we are housed within the Department of Social Services, we are well aware of programs that provide funding for treatment, transportation, child care, crisis assistance, etc. Home Based counselors use a variety of techniques when working with families. Often the work must begin with crisis intervention and stabilization. The choice of counseling techniques is based on the problems encountered and the client's level of comprehension and abilities. Techniques may include confrontation, modeling, clarification, exploratory questions, role play, reframing, reality therapy, use of analogies, negotiation, universalization, and mirroring. Often it is necessary to allow clients to vent anger and frustration briefly but then they must be re-directed into a problem-solving focus. The Home Based Counselor must possess knowledge of racial, ethnic, and cuttural factors and understand how these factors may impact the case dynamics. In essence, Home Based Services are very family-centered, utilizing a strengths based approach in helping families resolve conflicts and issues. Since the success of the intervention depends on the family's willingness to change, the intervention goals are family driven. c) The daily activities: The Home Based daily program activities revolve around seeing parents and children and helping to guide the family through their treatment plan. In addition to home visits, the worker may also make school visits to participate in team planning, or follow up on a particular school issue. The worker will make collateral contacts as needed with other professionals who may be involved in the case such as mental health, DJJ, or other community resources. Part of the daily routine involves making contacts with pending referrals or attempting to verify or arrange appointments with existing clients. Traveling to and from home visits is an obvious part of the daily routine. The Home Based counselor is also on call 24/7 to address crisis situations as they arise. In addition to this, the Home Based workers must keep detailed case notes and other required documentation. Staffing of all Home Based cases are conducted at least once weekly with the supervisor. The worker must \="'- I?