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HBCIHBCI

Home-based crisis intervention (HBCI)

HBCI support for children facing severe emotional distress

Immediate, compassionate care for the child in crisis

Children with learning or developmental disabilities can be especially vulnerable to emotional crises. Parents who have finally adapted to their child's needs can feel lost when their child suddenly refuses to go to school, exhibits violent behavior, or shows signs of depression. If you're a parent feeling overwhelmed by these unexpected changes, we can help avoid out-of-home placement and hospitalization.

Our Home-Based Crisis Intervention (HBCI) program provides immediate, compassionate care for children with learning or developmental disabilities who are experiencing a mental health crisis. Led by licensed clinical social workers (LCSWs or LMSWs) and experienced crisis interventionists, our team works directly with your family to stabilize escalating situations, develop treatment plans, and guide you toward solutions that prioritize safety, well-being, and growth.

Who is eligible?

Participants must meet these criteria to apply for this service

  • Live in Nassau County
  • Have a learning or developmental disability, even if not OPWDD-approved
  • Age 4 -20
You’ll be glad to know:

You’ll be glad to know:

  • You do not need an OPWDD approval to qualify for HBCI assistance. If you are experiencing an urgent mental health situation, we will respond to the issue you’re facing, offering immediate care and connecting you to further evaluations or services if needed.
  • Licensed mental health professionals oversee all treatment plans. The LCSW or LMSW will work closely with interventionists to ensure your family’s needs are addressed most effectively.
  • We take a comprehensive approach tailored to your unique situation, offering support like de-escalation training, school collaboration,  connection to resources, and referrals for psychiatric evaluations, medication management, and therapists.
  • There is no approval process! If you are eligible for HBCI and there is availability in the program, you’ll be notified within 48 hours.
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How HBCI provides a lifeline of support

When school becomes a battle

Marcus, an 11-year-old with ADHD, experienced three months of chronic school avoidance, often leaving home but not arriving at school. His mother, Sarah, frequently left work to search for him and felt constantly anxious when he wouldn’t pick up her calls. Her employer was frustrated as well.

Through HBCI services, a crisis interventionist identified underlying anxiety and compulsive behaviors contributing to the school avoidance. Working with school staff, they developed appropriate accommodations and supports. Following this intervention, Marcus's attendance improved from 40% to 85% over six weeks. Sarah was finally able to focus at work, and family stress levels decreased significantly.

Managing behavioral challenges

When 14-year-old Tyler threw a lamp across the living room, his younger siblings immediately ran to hide behind their mother. Tyler, who has autism, had been having intense meltdowns that left his parents feeling helpless as they tried desperately to predict what would trigger the next outburst. His 7-year-old sister started sleeping in her parents' room, and nobody invited friends over anymore.

The Smiths knew that Tyler needed professional intervention, but had no means to get quality help on short order. Luckily, they heard of HBCI. Within 24 hours of contacting HBCI, a crisis interventionist arranged for Tyler to receive a comprehensive psychiatric evaluation. The assessment revealed that changes in his routine and sensory sensitivities were major triggers. Tyler's medication was adjusted, and the interventionist also worked directly with the parents, teaching them de-escalation techniques and helping them create a family safety plan. They learned to recognize Tyler's early warning signs and how to redirect his energy before situations escalated.

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The hearts behind the service

Hamaspik Team

Joel Lefkowitz

Department Director
Director of OPWDD-HCBS Services

“A child in crisis is not a child who can wait in line for help. HBCI allows us to relieve their intense ordeal — fast.'

Hamaspik Team

Interested in HBCI?

If you qualify for this service, you can get immediate help. Reach out to us at Hamaspik, and we’ll help you get started.

Note: You can begin to benefit right away, while you wait for approval! Once you start the intake process, Hamaspik can start you off with specific support programs for temporary relief.

group 26502Interested in using our services as your Fiscal Intermediary?
Siblings are special too

Siblings of children with special needs have special needs, too!

Dr. Sora Yaraslowitz offers wise guidance on dealing with the emotional and practical challenges many sibs face. It’s advice you'll refer to time and again.

Download the full article
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