Standards for private organizations

2020 Edition

Residential Treatment Services Definition

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.

Definition

Residential Treatment Services (RTX) provide a time-limited, interdisciplinary, psycho-educational, trauma-informed, and therapeutic 24-hour-a-day structured program. Specialized services and interventions are delivered in a respectful, non-coercive, coordinated manner by an interdisciplinary team. Community linkages are established to ensure that all of residents’ individual needs are met. The level of restrictiveness for residential treatment programs is greater than other group care settings given the treatment needs of residents. Residential treatment services provide highly individualized care to individuals – following either a community-based placement or more intensive intervention – with the aim of moving individuals toward a stable, less intensive level of care or independence.
 
Short-Term Diagnostic Centers provide comprehensive assessments, observation, and monitoring in a highly structured setting and make recommendations for additional services that will address identified needs.

Crisis Stabilization Units provide assessment and stabilization services for individuals in acute psychiatric crisis. Residents are offered services in a safe, structured environment under trained professional care in order to return to their previous level of functioning.

Detoxification programs provide medication management and monitoring, clinical counseling, and other necessary support and referral services to help individuals safely withdraw from the substance(s) on which they are dependent. Services include, but are not limited to: individual assessment and service planning, withdrawal management (medical and non-medical), counseling and education, and referrals for ongoing substance use treatment. Programs are available 24 hours a day, seven days per week and are staffed by an interdisciplinary team of qualified professionals.
2020 Edition

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Examples: Service recipients of residential treatment services may include, but are not limited to:
  1. children, adolescents or adults with behavioral health disorders severe enough to prevent them from functioning well in their community, but not so severe as to warrant hospitalization or incarceration;
  2. adolescents or adults involved with the justice system;
  3. individuals who are pregnant or parenting;
  4. children or adolescents who have been victims of human trafficking;
  5. individuals needing highly structured, intensive treatment for substance use conditions;
  6. individuals needing specialized and intensive settings for the purposes of clinical assessment; and
  7. individuals needing psychiatric stabilization.

Examples: A trauma-informed program may be described as one that:
  1. routinely screens for trauma exposure and related symptoms;
  2. uses culturally and linguistically appropriate evidence-based assessment and treatment for traumatic stress and associated mental health symptoms;
  3. makes resources available to children, families, and providers on trauma exposure, its impact, and treatment;
  4. engages in efforts to strengthen the resilience and protective factors of children and families impacted by and vulnerable to trauma;
  5. addresses parent and caregiver trauma and its impact on the family system;
  6. emphasizes continuity of care and collaboration across child-serving systems; and
  7. maintains an environment of care and provides access to needed services for staff to address, minimize, and treat secondary traumatic stress, and increase staff resilience.
Note: Organizations that only operate a Crisis Stabilization Unit will complete RTX 1, RTX 2, RTX 3, RTX 4, RTX 5, RTX 6, RTX 8, RTX 9, RTX 10, RTX 13, RTX 16, RTX 17, RTX 18, RTX 20 and have the option to take NAs on practice standards where noted. Organizations will also complete RTX 14 and RTX 15 if applicable.

Organizations that only operate a Short-Term Diagnostic Center will complete RTX 1, RTX 2, RTX 3, RTX 4, RTX 5, RTX 6, RTX 8, RTX 9, RTX 10, RTX 11, RTX 16, RTX 17, RTX 18, RTX 20 and have the option to take NAs on practice standards where noted. Organizations will also complete RTX 14 and RTX 15 if applicable.

Organizations that only operate a Detoxification program will complete RTX 1, RTX 2, RTX 3, RTX 4, RTX 5, RTX 6, RTX 8, RTX 9, RTX 10, RTX 15, RTX 16, RTX 17, RTX 18, RTX 20 and have the option to take NAs on practice standards where noted. Organizations will also complete RTX 14 if applicable.


Note: Residential Treatment Services are distinct from Group Living Services (GLS), which provide community-based care and are less restrictive. When residents are ready to leave residential treatment, they may be stepped down to a group living program or a less restrictive setting.

Organizations that provide adventure-based programming will also complete the Experiential Education Supplement (EES).


Note: Though the term trafficking is used throughout this section, there are additional terms that may be utilized, including sex trafficking, commercial sexual exploitation of children (CSEC), domestic minor sex trafficking, and minor prostitution. The term victim is commonly used when referring to individuals who have been trafficked to emphasize that they have been coerced and exploited, though the term survivor may also be used.

Note: Please see RTX Reference List for the research that informed the development of these standards.