Standards for public agencies

2020 Edition

Residential Treatment Services (PA-RTX) 3: Access to Service

The agency provides access to services for individuals who require and will benefit from a total milieu environment, active psychotherapeutic and psycho-educational interventions, and around-the-clock care for a specified period of time.
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
  • Admission procedures
  • Eligibility criteria
  • Materials outlining permitted and prohibited items
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Residents and their families
  • Review case records

 

PA-RTX 3.01

The agency defines in writing:
  1. eligibility criteria, including age, developmental stage, and populations served;
  2. scope of services and supports, special areas of expertise, and range of client issues addressed; and
  3. how the facility promotes living-unit compatibility based on age, interests, and group composition.

Interpretation

In regards to element (c), COA recognizes that agencies, particularly those that receive clients by referral only, may have limited control of group composition. In these instances, agencies should identify the population(s) served, state how residents’ diverse service needs will be met, and include strategies for promoting living unit compatibility.

 

PA-RTX 3.02

The resident and his or her family and/or legal guardian are engaged in the admission and placement process to prepare for admission, and are given the opportunity for a pre-admission visit, whenever possible.

 

PA-RTX 3.03

The agency describes:
  1. personal items residents may bring with them, consistent with a safe, therapeutic setting;
  2. items that are discouraged or prohibited; and
  3. any safety procedures the program follows, or consequences that can result, when prohibited items are brought to the program site.

Interpretation

Given the rise in information and communication technologies, agencies must specify in their admission materials what electronic devices are permitted and prohibited.
Examples: Personal items residents may bring with them may include, for example, photos, books, cellphones, computers, or other electronics.