Ans a provider of IIH services, Case Management services are integral to the treatment process of IIH. The need for a client to recieve IIH services is precluded by a client having significant concerns regarding behaviors at home and in the community to such as extent that multiple interventions are needed and they are at risk for out of home placement. With these compounding concerns for an individual, these client's generally have numerous contacts of intervention (i.e., probation officers, judges, psychiatrists, school counselors, day treatment counselors, physicians, psychologists, etc.) that require solidfied and continues colalboration. It is unrealistic to think that this amount of collaboration can occur effectively with one hour of case management provided by a CSB. In addition, the most effective provider of this case managment need would be the professional with the most contact with the client and the family. This professional, in this case IIH, at 10 hours per week, would have the most accurate information regarding the client's behaviors and needs, the most rapport with the family, and the most opportunities to provide feedback regarding needs. When a child is involved in IIH services, the IIH provider is the most effective professional to provide this service. Removing this job function from IIH services, would do a great disservice to the clients whose intensive needs surpass what is manageable for a CSB to provide alone.