Children’s Intensive Services

Who does CIS/CHRP serve?

Historically, services under the CHRP waiver were typically provided to children and teenagers in the foster care system.  As of July 2019, the CHRP waiver allows children and teenagers with complex medical and/or behavioral support needs, ages 0 through 20 years old, to access services both in and out of the family home. This includes the possibility of out of home placements that no longer need to involve the foster care system.   Additional services have been added to the waiver, with the goal of supporting families to meet the needs of their children in the family home, including wrap-around supports.

Current services provided:

• Residential Habilitative Services under the CHRP waiver for youth through the age of 20 years old.  All CHRP homes must be licensed Foster Homes in the State of Colorado.  PPCH has CHRP approved homes available for placement, often with an option of transitioning to Adult Services/DD waiver while having the option of remaining in the same home. We provide skilled, caring substitute families for children and youth. PPCH Foster Families provide children in the CHRP waiver with a safe, structured and nurturing home in which they work with PPCH to address each youth’s individual needs.  

• Supported Community Connections provides individuals with a wide variety of opportunities to access their local community.  This program is designed to provide individuals with the opportunity to develop socially appropriate behaviors, build relationships and naturals supports while accessing their community.  Individuals access community resources such as museums, libraries, government buildings and may participate in volunteer opportunities.

• Intensive Support Services – High Fidelity Wraparound 

High Fidelity Wraparound (HFW) is a family-driven process in which wraparound staff assist youth and families to exercise their voice and choice.  The HFW plan is developed in a team-based approach, with the team being made up of typically 4-8 people that know the individual and know the family and typically consisting of no more than 50% professionals.   This evidence-based model supports families in developing a vision and setting goals to help improve their lives. HFW uses strengths and culture, creates and implements a plan driven by the family, engages natural supports and guides families to manage their own needs in a sustainable way. (1) 

Along with HFW facilitated services, in-home support services may be utilized in the home or community and includes implementation of therapeutic and/or behavioral support plans, building life skills, providing guidance to the child/youth with self-care, learning self-advocacy, and protective oversight. (2)
 

• Transition Support Services
  Transition Support Services align strategies, interventions, and supports for the child/youth and family when a child/youth transitions to the family home from out of home placement, from RCCF to a group home, RCCF to a Foster Care Home, or group home to a Foster Care Home. Transition Support Services will typically use a wraparound approach that includes action steps to implement strategies to address identified transition risk factors.   Transition Support Services also utilizes in-home supports that may be utilized in the home or community and includes implementation of therapeutic and/or behavioral support plans, building life skills, providing guidance to the child/youth with self-care, learning self-advocacy, and protective oversight. (2)

1. (LaBounty, S., Brock-Baca, A., & Hahn, A. (2018) Principles Meet Practice: An Introduction to High Fidelity Wraparound. Aurora, CO: Office of Behavioral Health)

2. Children Habilitation Residential Full Text