A family’s success with DSHS’ Intensive Habilitation Services

A woman wearing a pink blouse stands by a younger woman sitting on a bed while she puts on makeup on a younger woman.
A mother watches her daughter as she puts on makeup for her sibling.

In today’s world, families face many challenges in helping their children grow and develop, especially those with intellectual or developmental disabilities. However, a family, who we will refer to as the Garcias, of a child who recently received Intensive Habilitation Services, highlights the profound impact of the program and the possibilities that open through dedication, support, and collaboration.

The Garcias initially sought Intensive Habilitation Services, intending to transition their child to Out-of-Home Services afterward. However, during a recent home visit, this family witnessed remarkable progress in their child’s behavior and social engagement. The improvement was so significant that they rescinded their Out-of-Home Services request and continued supporting their child at home. They were overjoyed to see their child happily participating in community activities that once caused discomfort and dysregulation. Additionally, the child interacted positively with siblings, following redirection instead of escalating — a testament to the skills learned during IHS.

Intensive Habilitation Services vs. Out-of-Home services

Intensive Habilitation Services, often called IHS, is a program offered at a facility leased by DSHS in Pierce County and a licensed home in Spokane County that provides 24-hour support for up to three young people at a time. IHS provides short-term stabilization services for up to 90 days to children and youth between the ages of 8 and 17 or between 18 and 21 if enrolled in an education transition program.

Out-of-Home Services offer long-term residential habilitation support outside the family home, helping children and youth receive services in licensed or certified community places such as child foster or residential homes, or at a DSHS’ Children’s State-Operated Living Alternative, also known as Children’s SOLA. The service is voluntary, and families work closely with service providers to create a tailored plan incorporating educational, medical, and other essential services. Sometimes, a child may need to move from their family’s local community to receive Out-of-Home services; however, DSHS’ Developmental Disabilities Administration will work to keep children close to their families whenever possible.

A mother and daughter who are wearing pink clothing as they stand by a kitchen sink.
A mother and daughter stand by a kitchen sink while holding utensils.

IHS services empowered families to learn behavior support principles and de-escalation techniques

The IHS staff, trained extensively in positive behavior support principles and de-escalation techniques, play a pivotal role in such transformations. Their focus on teaching and training, combined with a commitment to community integration, empowers youth to gain personal power and access resources that foster independence. In Garcias’ case, the IHS provider quickly adjusted to the family’s new discharge goals by increasing in-home visits. This ensured the Garcias could implement the support strategies developed for their child at home.

The Garcias’ story is inspiring, showing that some children can successfully return home. The IHS team’s pride in each discharge reflects their effective interventions and family dedication. The Garcias feel hopeful about their child’s developed skills, highlighting that collaboration and resources lead to positive outcomes. Their journey encourages families in similar situations to consider programs such as the Intensive Habilitation Services program. While every family’s experience may differ, every positive change deserves celebration.

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WA State Department of Social and Health Services
WA State Department of Social and Health Services

Written by WA State Department of Social and Health Services

The WA State DSHS delivers a variety of social services, employment supports, safety programs, and court-ordered behavioral health care.

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