Intensive In-Home Services

Gateway is the state's most experienced as well as most effective provider of Intensive In-Home Services.  Since 2008, Gateway has guided 1,555 families to permanency, with 96% remaining safely together two years after discharge. Last year alone, 94% of our 234 referred households were successfully preserved.  We are excited to be selected by state DHR to expand our IIHS services to Central, Northwest, Northeast, East Central and Central Alabama.

Each family is different with its own needs for success.  That’s why Gateway Intensive In-Home Services provide a wide range of solutions to uniquely fit the needs of each referral.  In collaboration with DHR, Gateway accommodates individual families with services tailored to its needs:

  • Basic Living Skills
  • Mental Health Consultation and Coordination
  • Healthy Parenting Skills
  • School Readiness/Success Skills
  • Job Preparation
  • Money Management
  • Substance Abuse Prevention/Intervention
  • Emergency Housing, Food and Transportation
  • Medical Service Assistance
  • Recreational Services
  • Sexual Abuse Prevention/Intervention
  • Healthy Relationship Skills
  • Community Resource Networking

Gateway’s staff is Alabama’s first and only IIHS team trained in the nation’s leading trauma-informed program model.  Thus we heal at-risk families by simultaneously treating trauma and teaching parents the necessary skills to raise children in safe, loving homes.

Characteristics of IIHS

  • Intensity:
    Services are designed to resolve the immediate crisis and teach skills necessary for the family to remain safely together (preservation) or to reunite families (reunification). There will be a minimum of two visits per week with each client family. Each intervention length will vary depending upon attainment of the ISP goals. It is expected that each intervention will last up to three months or four months in special circumstances. State DHR may provide an additional length of service beyond the four month cut-off.
  • Low Caseloads:
    IIHS Specialists carry only four to six cases at a time. This enables them to be accessible and provide intensive services at a time when families are experiencing the most pain and have the most motivation for change.
  • Flexibility:
    IIHS Specialists are trained to provide a wide range of services from helping families meet basic needs of shelter, food, and clothing to providing more sophisticated therapeutic techniques.
  • Service Area:
    Services are provided to Jefferson County DHR and Shelby County DHR at no cost to the counties. There is no 1878 to complete.
  • Service Schedule:
    Services are initiated by DHR workers at the time of the ISP scheduled with the IIHS program.  Services are provided to the family in their natural environment at no cost to them or to DHR.  Services focus on family education through teaching, modeling, role-playing, observing, and hands on skill building with the families served. Specialists will have weekly contact with DHR by phone or through email. Specialists will provide DHR with their cell phone number to maintain contact.  Specialists will provide DHR a written monthly summary of services provided to the family and progress or lack thereof made during the month.  Prior to termination, the Specialist will invite the DHR worker to meet with the family for the purpose of reviewing the progress made. Upon termination, the Specialist will request DHR to conduct an ISP in order to update the team on the family’s progress towards meeting their goals, as well as, recommendations.

Our Beliefs and Values

  • Safety is our highest priority. 
  • Children are usually better off at home.
  • A child’s relationship with his/her family is always important.
  • Most families, if properly assisted, can care for their children.
  • We can’t tell with absolute certainty which families are amenable to change.
  • Almost all people can change.
  • We believe in the importance of mutual respect in the relationship between the family and the IIHS Specialist.
  • It is our job to give hope to families, not the family’s job to be motivated.
  • A crisis is an opportunity for change.
  • Empowerment means enabling people to make their own agendas for change—not imposing our agendas on them.
  • The environment is both a source of and solution to the problems of children and their families.
  • Inappropriate intervention can do harm.
  • We value and respect diversity and are accepting of family styles, lifestyles, and child rearing methods, so long as they promote a child’s health and safety.

Make a referral today: 205-510-2755 or

Gateway IIHS Referral Form.pdf

1401 20th Street South
Birmingham, AL 35205
Gateway Family Resource Center
Fax: 205-510-2621
Gateway Residential / Day Treatment Center
5201 Messer Airport Highway
Birmingham, AL 35212