Standards for public agencies

2020 Edition

Residential Treatment Services (PA-RTX) 14: Services for Pregnant and Parenting Residents

The agency utilizes a family-driven treatment model to empower pregnant and parenting residents and supports and promotes the well-being of their children and other family members.

Interpretation

“Parenting residents” refers to residents that bring their children with them to the treatment program. Agencies will be responsible for determining whether a child should be admitted to the treatment program.
NA The agency does not serve pregnant and/or parenting residents.
2020 Edition

Currently viewing: RESIDENTIAL TREATMENT SERVICES (PA-RTX)

VIEW THE STANDARDS

Purpose

Residential Treatment Services provide individualized therapeutic interventions and a range of services, including education for residents to increase productive and pro-social behavior, improve functioning and well-being, and return to a stable living arrangement in the community.
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Procedures for referring individuals to services
  • Procedures for evaluating educational needs and collaborating with schools
  • Table of contents of parenting education curricula
  • Community resource and referral list
  • Informational materials provided to residents
  • Parenting education curricula
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Residents, and their children if appropriate
  • Review case records

PA-RTX 14.01

The agency supports residents’ efforts to care for and nurture their children, and provides or arranges for children to receive services that address, as appropriate:
  1. health and medical needs;
  2. mental health needs;
  3. trauma history;
  4. educational needs;
  5. social and recreational needs;
  6. developmental needs, including any developmental delays;
  7. attachment to parents and extended family; and
  8. behavioral issues.
NA The agency does not allow residents to bring their children to the treatment program.
Examples: Examples of services for younger children can include play groups, counseling, therapeutic services, therapeutic day care, Head Start, and other early childhood programs. Examples of programs for older youth may include peer support groups, afterschool programs and tutoring, recreational activities, employment assistance, and substance use education or treatment services, such as tobacco cessation.

PA-RTX 14.02

Agencies evaluate the educational status and needs of school-age children and youth and:
  1. inform residents of their children’s educational rights;
  2. help residents coordinate educational services with relevant school districts; and
  3. assist children and youth to stay current with the curricula.
NA The agency does not allow residents to bring their children to the treatment program.

PA-RTX 14.03

The agency provides or arranges child care while the resident is receiving treatment services.
NA The agency does not allow residents to bring their children to the treatment program.

Fundamental Practice

PA-RTX 14.04

Pregnant residents are provided or linked with specialized services that include, as appropriate:
  1. pregnancy counseling;
  2. prenatal health care;
  3. genetic risk identification and counseling services;
  4. fetal alcohol syndrome screening;
  5. labor and delivery services;
  6. postpartum care;
  7. mental health care, including information, screening, and treatment for prenatal and postpartum depression;
  8. pediatric health care, including well-baby visits and immunizations;
  9. peer counseling services; and
  10. children’s health insurance programs.
NA The agency does not serve pregnant residents.

PA-RTX 14.05

Pregnant residents are educated about the following prenatal health topics:
  1. fetal growth and development;
  2. the importance of prenatal care;
  3. nutrition and proper weight gain;
  4. appropriate exercise;
  5. medication use during pregnancy;
  6. effects of tobacco and substance use on fetal development;
  7. what to expect during labor and delivery; and
  8. benefits of breastfeeding.

Interpretation

These topics may be addressed by qualified medical personnel in the context of prenatal health care.
NA The agency does not serve pregnant residents.

PA-RTX 14.06

The agency provides or refers pregnant and parenting residents to parent education classes or workshops that address:
  1. basic caregiving routines;
  2. child growth and development;
  3. meeting children’s social, emotional, and physical health needs;
  4. environmental safety and injury prevention;
  5. parent-child interactions and bonding;
  6. age-appropriate behavioral expectations and appropriate discipline, including alternatives to corporal punishment;
  7. family planning; and
  8. establishing a functioning support network of family members or caring adults.
Examples: Agencies can tailor how topics are addressed based on service recipients’ needs. For example, when serving expectant parents or parents of young children, education on environmental safety and injury prevention will typically address topics such as safe practices for sleeping and bathing.