In Home Therapy Services (IHTS) is a combination of evidence based therapy services and coordination of care interventions provided in the home setting for individuals with complex clinical needs that traditional outpatient cannot adequately address in a time limited fashion. For some individuals in high-risk situations, such as families involved in domestic violence or child protective services, traditional outpatient services alone are not sufficient to address the needs and prevent future incidents. This service provides focused family systems work and coordination to address the issues that are placing the child/adolescent at risk of out of home placement.