<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 07.02.01.06" title_num="07" subtitle_num="02" chapter_num="01" heading="Intensive Family Services (IFS).">
  <paragraph num="A.">
    <text>Description. IFS is a short-term, highly intensive, non-entitlement in-home service for families whose children:</text>
    <paragraph num="(1)">
      <text>Are at imminent or high risk of out-of-home placement; or</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Have been emergently placed outside of the home within 7 days of service, with the intent of reunification when service is initiated.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>IFS uses a social worker, or social worker and parent aide team approach that is most effective when a caseload of six families is maintained per worker or team to provide assistance after a mutually agreed upon service agreement has been developed between the family and the local department team.</text>
  </paragraph>
  <paragraph num="C.">
    <text>Eligibility for Services.</text>
    <paragraph num="(1)">
      <text>Families are served without regard to income.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Families are eligible for services when they:</text>
      <paragraph num="(a)">
        <text>Are facing crises or problems that will affect the well-being of their children and the stability of the family without assistance;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Have children:</text>
        <paragraph num="(i)">
          <text>In the home that may or may not have been determined to be at significant risk of maltreatment; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>In voluntary out-of-home placements needing assistance returning home;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>Are likely to benefit from a short-term, highly intensive in-home service to avert an out-of-home placement;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Are likely to benefit by achieving reunification before the adjudication hearing;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Are actively willing to accept assistance to reduce the identified risk or safety factors, or have at least one caretaker who is willing to actively work toward mutually agreed upon goals in an effort to reduce the identified risk factors;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Have been assessed by a previous unit or agency to be eligible for the service, with an appropriate safety plan in place for all children determined to be at risk of maltreatment; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Have not been served for the same presenting problems within the past 18 months by the local department or a vendor associated with the local department.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Application Procedures.</text>
    <paragraph num="(1)">
      <text>Families are eligible for IFS only after an initial assessment has been completed and the eligibility criteria are met.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Within 24 hours of the referral for service:</text>
      <paragraph num="(a)">
        <text>The case shall be reviewed by a locally sanctioned, formal review system to determine eligibility and appropriateness of the family for IFS, another In-Home Family Service Program, or service either within the local department or another outside agency resource; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A screener shall assign or transfer the referral for service.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Within 24 hours of a family's assignment to a worker or team, and not longer than 48 hours from the initial referral:</text>
      <paragraph num="(a)">
        <text>One or more members of the team shall:</text>
        <paragraph num="(i)">
          <text>Review the referral information, including the previous service provision and plan;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Visit the family's home;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Interview the family members;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Reevaluate all children for risk and safety within their environment;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Identify with the family the length of service being provided;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Mutually assess the most immediate service needs; and</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Initiate a preliminary written and signed service agreement; or</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>If the family is not available at the time of the home visit, a team member shall fully document the attempt to make the home visit or the reason why this effort was not made.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>At the first meeting, the family shall sign a preliminary service agreement to acknowledge acceptance of service and a willingness to actively participate in working towards safety, stability, and health.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Within 7 working days of case assignment, the team and the family members shall negotiate and execute a short term, individualized service plan/agreement to include obtainable goals, tasks, and expected dates of accomplishment within the 90 day service duration.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Scope of Services.</text>
    <paragraph num="(1)">
      <text>IFS is most effective when the team maintains a small caseload of a maximum of 6 families.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Depending upon the family's individual needs and progress in the treatment process, there shall be up to 20 hours per week of face-to-face contact with a family.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any of the services listed in Regulation .02 of this chapter may be provided.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Services provided directly by the IFS team shall be:</text>
      <paragraph num="(a)">
        <text>Safety focused;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Support based;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Accessible 24 hours a day, 7 days a week by either direct service staff or a local departmentally sanctioned after-hours caseworker;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Available to all family members;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Designed to include the family as team members in planning, developing, implementing, and monitoring the service agreement;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Intensive;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Goal-oriented;</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Developed to build on family and community strengths;</text>
      </paragraph>
      <paragraph num="(i)">
        <text>Culturally sensitive; and</text>
      </paragraph>
      <paragraph num="(j)">
        <text>Provided directly through a vendor-supported provider or purchased with flex funds.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="F.">
    <text>Duration of Services.</text>
    <paragraph num="(1)">
      <text>IFS may be provided for up to 90 calendar days from the date of the family's acceptance for service.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Services may be extended a maximum of 90 additional days only upon:</text>
      <paragraph num="(a)">
        <text>Written request by the team, which shall include the:</text>
        <paragraph num="(i)">
          <text>Reason for the extension;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Specific goals and tasks to be identified for both the team and the family members; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Estimated length of time needed to address each additional goal;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Formal review of the request by an endorsed panel within the local department or the director or director's designee; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Written approval of the extension and length of time approved for continued service from the director of the local department or director's designee.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="G.">
    <text>Case Closure.</text>
    <paragraph num="(1)">
      <text>Services shall be discontinued and the case closed before the time limits specified in §F of this regulation when:</text>
      <paragraph num="(a)">
        <text>The safety of the children is assured;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The service objectives have been achieved;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The family no longer wants this voluntary service;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The family cannot be located;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>The family moves to another jurisdiction; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A change in the family's circumstances requires a referral to another service program such as Continuing Protective Service or Out-of-Home Placement.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>When the plan is to close the case, the worker shall offer the family a face-to-face contact to discuss:</text>
      <paragraph num="(a)">
        <text>The reason for the closing;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A review of the family's progress;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Continuing or further needs or concerns;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Referrals made or to be made to other programs or resources; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Other resources and options available to the family if, in the future, the family has a need.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>