Standards for private organizations

2020 Edition

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

The organization 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.


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




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.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
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

RTX 14.01

The organization 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 organization 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.

RTX 14.02

Organizations 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 organization does not allow residents to bring their children to the treatment program.

RTX 14.03

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

Fundamental Practice

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 organization does not serve pregnant residents.

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.


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

RTX 14.06

The organization 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: Organizations 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.