"kiz@home" was established in 2018 with the financial support of the Robert Vogel Foundation. Initially, this range of treatments focussed on improving the medical and social care of children and young people with Trisomy 21. However, it was recognised that there was a gap in care for other patient groups too, and so the project was opened up to others and is now available for all sociopaediatric patients with a relevant indication. The project has been supported scientifically by the University Department of Social Paediatrics and positive effects of the therapy both on the children's behaviour and on the stress on the parents have been proven.

• Integrated, home-based, intensive sociopaediatric treatment and guidance of patients with intellectual impairment incorporating the social environment and other treatment providers (outpatient or inpatient sociopaediatric team, early intervention centres, educators, therapists)
• Avoidance or shortening of inpatient hospital visits through intensive therapies in a home environment.

• Children with global developmental disorders/mental impairment and behavioural/interaction disorders
• Children with global developmental disorders/mental impairment and feeding/eating disorders

A medical psychological team at the kbo-Kinderzentrum or another sociopaediatric centre will determine the indication and carry out registration for kiz@home. A referral for home treatment is not necessary.

Patient care is provided by an interdisciplinary team (therapists with an additional qualification in therapeutic education and/or special needs education and/or psychotherapy/behavioural therapy with case supervision by a doctor and psychologist). Around 2 intensive therapy units of 2-4 hours each are planned per week, which are provided in person, but also as a video/telephone session as required/possible.

Therapy content:

• Functional behaviour analysis (using behavioural observation, parent observation, video analysis)
• Psycho-education
• Provision of information and advice (e.g. adapting possible activities and games to the child's individual developmental stage, expanding the repertoire of alternative behaviours, structuring the day, division of care responsibilities)
• Video analyses (resource-promoting behavioural feedback to promote parent-child interaction, strengthening the parents' sense of self-worth, finding and developing resources already existing in the family/highlighting and strengthening supportive parent-child interactions, promoting parental skills)
• Guidance in person and by video
• Positive behavioural support with proactive planning and systematic structuring of specific everyday situations
• Use of individually tailored structuring and visualisation aids
• Systematic exercising of practical everyday skills with educational and behaviour therapy techniques
• Specifically targeted use of remedies and other services available under SGB V (German Social Code 5) and further medical and sociopaediatric treatment
• Interdisciplinary exchange with additional bodies providing care/therapy (sociopaediatric centres/early intervention centres/registered therapists/nursery schools)
• If necessary, initiation of further measures (e.g. consultation with child/youth psychologist, integration of social services, etc.)
• Provision of advice/guidance in the wider social environment (nursery/crèche, grandparents/therapists) as far as necessary