441—151.30(232) Community-based interventions. “Community-based interventions” means individual or group instruction which includes, but is not limited to, supervised educational support, treatment and outreach services to an eligible child who is experiencing social, behavioral, or emotional problems that placed the child at risk of group care or state institutional placement. A program for a child may be funded from multiple sources, but the funding sources may not duplicate or overlap. The components and activities shall be described in the contract. Services offered may provide individualized and intensive interventions to assist a child in establishing positive behavior patterns and to help the child maintain accountability in a community-based setting.
	151.30(1) Service eligibility. Children shall be eligible for community-based intervention services without regard to individual or family income when they are adjudicated delinquent or are determined by a juvenile court officer to be at risk and to be in need of the service provided by a community-based intervention program. Juvenile court services shall maintain in the child’s case record or case file documentation of the child’s adjudication or at-risk status as well as the child’s need for services.
	a. 	The chief juvenile court officer shall establish written procedures for screening and approving referrals for community-based intervention services and make the procedures available to the district’s juvenile court officers.
	b. 	The juvenile court officer shall determine the child to be in need of services as evidenced by one or more of the following situations:
	(1)	Schools, parents or community organizations, due to complaints of delinquent activities, indicate the need for monitoring and guidance of the child.
	(2)	A petition has been filed alleging delinquent behavior.
	(3)	Juvenile court services action has been initiated including, but not limited to, diversion, informal adjustment agreements, adjudication and disposition proceedings.
	c. 	The chief juvenile court officer may approve community-based intervention services for up to six consecutive months at a time, except that service approval shall not extend beyond the current fiscal year unless a contract is in effect to assume the cost for the services provided in the next fiscal year. The officer shall reevaluate the child’s eligibility and need for these services in accordance with procedures established by the respective juvenile court services district.
	d. 	Referrals shall not be made or accepted when funds for the program are not available.
	e. 	The child shall not require more extensive treatment than is provided in the community-based intervention program.
	151.30(2) Service components.
	a. 	Community-based interventions provide treatment to an eligible child as well as an opportunity for the eligible child to participate in state-funded educational programming. Therapy or counseling and skill development services may be provided through this program to the child’s family; components include specific training to develop and enhance:
	(1)	Personal skills, including anger management, stress reduction, and self-esteem.
	(2)	Child and parent relationships.
	(3)	Problem solving.
	(4)	Accountability and acceptance of responsibility.
	(5)	Victim empathy and self-advocacy.
	(6)	Activities of daily living and time management.
	(7)	Job skills including job-seeking skills as well as training for specific jobs and on-the-job training experiences.
	(8)	Parenting skills.
	b. 	The contract must specify what is required of the provider.
	c. 	Services may be co-located with school programs. Although the costs of the state-funded educational programming shall not be funded through the graduated sanctions appropriation, programs shall be developed so that there is close coordination between the treatment and the state-funded educational components.
	d. 	Services shall include one or more of the following components:
	(1)	Skill-building services focusing on social skills, recreation activities, employment readiness, independent living, and other areas related to a child’s treatment needs.
	(2)	Individual, group and family therapy and counseling as determined appropriate by the program director and referral source. Staff that provide individual, group and family therapy shall meet applicable state licensing standards.
	(3)	Snacks and meals as necessary during the non-state-funded educational portion of the program day.
	(4)	Supervision and support services, such as transportation to the non-state-funded educational program, family outreach, telephone contact, and electronic monitoring of the eligible child.
	(5)	Transition service planning upon admission so that timely transition services are available upon discharge, if needed.
	(6)	Supervision and support services when necessary to help the eligible child transition out of the program.
	e. 	Community support services are directed toward the child’s maintaining accountability and may include multiple daily contacts with the child through direct face-to-face contact, telephone or technology.
	f. 	Outreach activities provide guidance and advocacy for the child and may include individualized interventions with the child’s family as well as assistance in accessing the following types of resources:
	(1)	Referral to community organizations.
	(2)	Health services (physical and mental).
	(3)	Education.
	(4)	Employment.
	(5)	Legal.
	(6)	Case conferences and services planning.
	(7)	Diagnostic assessment services.
	(8)	Family competency-building services.
	g. 	Outreach activities may also include recreation and transportation when guidance and advocacy are a part of the service component.
	h. 	Providers of community-based interventions shall submit progress reports on each child receiving services to the assigned juvenile court officer at intervals specified in the contract. The contractor shall complete progress reports not more than one month after services are initiated and within 30 days of the termination of service. Progress reports shall describe the child’s school attendance and progress toward desired goals identified by the provider and referral source. Progress reports shall also describe the specific instruction provided to the child and the child’s response to the instruction.
	i. 	The juvenile court officer shall file the provider progress report in the child’s case file. Providers of community-based intervention services shall prepare an initial treatment plan in consultation with the referral source within 30 days of the child’s admission and shall prepare a minimum of quarterly progress reports on each child receiving services.
	(1)	Additional reports may be prepared when requested by the juvenile judge or the child’s juvenile court officer.
	(2)	All reports shall be submitted to the juvenile court officer responsible for monitoring the child’s progress. All reports shall, at a minimum, describe the child’s attendance, adjustment, and progress in achieving the desired goals and objectives established in the treatment plan.
	151.30(3) Service referral and follow-up. The juvenile court officer shall:
	a. 	Determine which service provider can best meet the child’s needs.
	b. 	Refer the child to the provider.
	c. 	Assist in the child’s transition to receive the service.
	d. 	Follow up after the service has been provided.
	151.30(4) Monitoring of service delivery. The juvenile court officer shall monitor the delivery of community-based intervention services to children for whom the officer is responsible.
	a. 	The juvenile court officer shall review provider progress reports and maintain contact with the child, the child’s family, the provider, and other community agencies to adequately assess the child’s progress and need for service.
	b. 	The juvenile court officer shall report problems in service delivery to the chief juvenile court officer.
	c. 	The provider, the child, or the child’s representatives may report problems in service delivery to the chief juvenile court officer.
	151.30(5) Billable unit and rate setting. Rates for community-based intervention services shall be established through an agreement between the provider and the chief juvenile court officer based on the provider’s proposed budget. Rates may vary among providers for various types of community-based intervention services. The billable unit and unit costs shall be specified in the contract.
	a. 	Community-based intervention service shall be billed on the basis of units of instruction provided to eligible children during specified time frames.
	b. 	The community-based intervention instruction may be provided on an individual or group basis. See paragraph 151.35(2)“c” for rate-setting requirements when more than one child is served at a time.
	c. 	The provider may incorporate the expenses for instructional materials into the service unit cost or may identify the expenses for instructional materials in an attachment to the contract to be billed separately from the unit cost.
	d. 	Rescinded IAB 11/9/05, effective 1/1/06.
	151.30(6) Provider standards. Providers shall have a contract with juvenile court services and the department for community-based intervention services and agree to abide by all required instructional, reporting, rate-setting, and billing and payment procedures for community-based intervention services. The chief juvenile court officer shall review provider staff qualifications and training activities. Providers of community-based intervention services shall meet all of the following conditions. Providers shall:
	a. 	Be selected and approved by the chief juvenile court officer or designee within each judicial district to provide community-based intervention services.
	b. 	Use staff who, in the opinion of the chief juvenile court officer, have the necessary training and qualifications to provide quality services on the topic about which they will be delivering instruction.
	c. 	Use a curriculum approved by the chief juvenile court officer for community-based interventions.
	d. 	Have the educational and instructional ability, as determined by the chief juvenile court officer, to deliver community-based intervention services to eligible children in the settings most suited to each child’s needs.
	151.30(7) Outcome measures. Each contract for purchase of community-based intervention services shall contain a section to inform the provider that juvenile court services and the department shall track the outcome of the service provision following each child’s discharge from the service received through the contract.
	a. 	Juvenile court services and the department shall collaborate to determine the criteria and data needed to track and record the outcomes.
	b. 	The provider shall report data as requested by juvenile court services.
	c. 	Juvenile court services shall determine whether the child has reoffended within the six-month period following the date of discharge from community-based interventions. Service to a child shall be considered successful if the child has not been referred to juvenile court services for a law violation during the six-month period following discharge from community-based interventions.
	d. 	The data shall be used to develop information to make decisions regarding service provision and contracting.
[ARC 2435C, IAB 3/16/16, effective 5/1/16]