Treatment FAQ

what is a residential treatment facility for kids

by Giovani King Published 2 years ago Updated 2 years ago
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Residential Treatment Facilities (RTF) provides intensive behavioral health treatment services to children and adolescents under the age of 18 (or in some circumstances, up to the age of 21) in a residential, group setting.

A residential treatment center provides therapeutic, residential care for children to address needs such as mental illness, substance use or other behavioral health problems. Children live in an RTC for a short period of time as they work to meet their treatment goals.

Full Answer

How to get residential treatment for your child?

Oct 31, 2017 · What is residential treatment? Residential treatment is when a child lives outside of the home situation 24/7 and lives in a controlled facility environment. Typically a child who needs this level of support has extreme behavior issues such as rage, aggression, acting out sexually, violence, crime, or very serious mental health issues.

How to find the top adolescent residential treatment centers?

Oct 27, 2021 · Residential treatment for children describes a process in which a person, typically a child or teenager, is temporarily removed from their home to live in a residential facility for the purposes of therapy, medical care, or other services.

What are residential homes for children?

The Children’s Residential Program has regulatory oversight of licensed facilities caring for minors, age 0 through 17 and non-minor dependents age 18 through 21 in out-of-home care. The core mission of the Children's Residential Program is to protect and improve the lives of all youth who reside in a community care facility through the ...

What is residential treatment for children?

A residential treatment center provides therapeutic, residential care for children to address needs such as mental illness, substance use or other behavioral health problems. Children live in an RTC for a short period of time as they work to meet their treatment goals.

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What is the meaning of residential treatment?

A residential treatment center (RTC), sometimes called a rehab, is a live-in health care facility providing therapy for substance use disorders, mental illness, or other behavioral problems. Residential treatment may be considered the "last-ditch" approach to treating abnormal psychology or psychopathology.

What is the difference between RTF and RTC?

Residential Treatment Facility (RTF): An RTF is similar to an RTC, but it provides more intense treatment and more services. RTFs are also generally smaller placements with more staff and mental health professionals on-site.

What are Residential Treatment Facilities for Children and Teens?

Residential treatment for children describes a process in which a person, typically a child or teenager, is temporarily removed from their home to live in a residential facility for the purposes of therapy, medical care, or other services.

What is the Residential Treatment Process?

The residential treatment process is a therapeutic intervention involving a child living away from home and family for a set amount of time in order to receive supported mental health care or addiction treatment while in a safe setting.

When Should Parents Consider Residential Treatment?

The main objective of residential treatment is to provide intensive intervention in a safe, nurturing environment.

How Can Families Afford Residential Treatment?

The high cost of residential treatment can make it difficult for families to afford, but there are some steps you can take to make this more achievable.

How to Find the Right Program for Your Child

In the last decade, more programs have been created for children and teens with mental health conditions. These programs offer therapeutic boarding schools, therapeutic day schools, and group homes that provide emotional, behavioral and academic support.

What are the Risks of Residential Treatment for Kids?

While residential treatment programs are often the last resort for youth who need intense rehabilitation, there are some risks to consider.

Common Symptoms that Require Residential Treatment

The following is a list of symptoms that may warrant residential psychiatric treatment.

What is residential treatment?

Residential treatment is when a child lives outside of the home situation 24/7 and lives in a controlled facility environment. Typically a child who needs this level of support has extreme behavior issues such as rage, aggression, acting out sexually, violence, crime, or very serious mental health issues.

What does it mean when a child is placed in residential treatment?

When a child is placed in residential treatment through the state office of mental health, this means a diagnosis of a psychiatric disorder is in place and it’s been determined that the child needs the highest level of care.

What is the highest level of care for children?

Residential treatment is the highest level of care and so reserved for children who are most in need. Mental health placements typically have a higher success rate while placements through the juvenile justice system typically have poor success rates and high recidivism rates.

How is residential treatment funded?

Because private insurance will eventually run out, children who are privately insured will need to apply for Medicaid. With a mental health diagnosis, a child can be placed in a residential setting if he meets certain strict criteria. Court systems.

What happens if no foster home is found?

If no suitable foster home is found, a child may be placed in a group home or residential setting. The goal is reunification after the child has received proper care. The child may also age out of the foster care system. Relinquishment of Parental Rights or Termination of Parental Rights (TPR).

Why do children live in cottages?

Sometimes this is determined by appropriate behavior. Children often live within cottages or smaller units in order to promote a family-type environment. Most facilities include a strict behavior system with positive reinforcement, rewards, and consequences for negative behaviors.

Can a child leave a residential treatment center without permission?

Residential facilities are often locked, meaning the child cannot leave without permission, but this is not always true. Children attend school on or near the campus. Most residential treatment centers for children have a small, fully functioning school that operates within the treatment program.

What is residential treatment?

Residential treatment is the most intensive form of treatment for children and youth. Some children and youth can receive mental health support and treatment while still living at home. But others who have serious behaviour problems, or live in homes that are unsafe, will need a residential setting to live in.

Who places young people in residential settings?

Young people may be placed in residential settings by parents or guardians. A judge may also order a residential placement through the courts for youth involved in the justice system.

What is an institutional residence?

Institutional or semi-institutional residences. Institutional residences, instead of existing in a house in a residential community, tend to be in low-rise buildings. They have higher levels of supervision for young people with more serious mental health problems.

How long is the wait list for residential programs?

Wait list. Many residential programs have a wait list. The wait can be anywhere from a week to several months, depending on the needs of the child or youth, and the mix of kids in the program. For youth in crisis, emergency admissions can be made through hospital emergency departments.

How many beds are there in a group home?

Staff in group homes. Community-based group homes generally have four to ten beds. At least one staff member is always present, and (depending on the needs of the group members) there may be two or three: a residential supervisor; often, a family worker; and a cook and/or housekeeper.

Why are children in latency programs removed from the home?

Children in latency programs have often been removed from the home because of issues around safety, or because they have behavioural problems or a fetal alcohol spectrum disorder (FASD).

How old do you have to be to be in a group home in Ontario?

These group homes are for young people up to the age of 18.

How does RTC help families?

The RTC Project helps to prevent families from relinquishing their parental rights to DFPS by: Connecting families to mental health services available in their community through their local mental health authority or local behavioral health authority.

Why do children live in RTC?

Children and adolescents live in an RTC for a short period of time as they work to meet their treatment goals. Children and adolescents who receive services through an RTC have typically tried other outpatient services and are unable to be supported at home or in their community due to their mental health needs.

What is the RTC program?

At the RTC, children and adolescents participate in intensive mental health services such as individual, family and group therapy.

How to contact DFPS for RTC?

All families interested in receiving support through the RTC Project must contact the DFPS Statewide Intake Hotline at 800-252-5400 to begin the process. Families should mention that they are trying to access residential treatment services through DFPS.

What age do you have to be to be in Texas?

Child or adolescent must be a resident of the state of Texas. Child or adolescent must be ages 5–17. Child or adolescent must have a qualifying mental health diagnosis. Child or adolescent must meet the clinical criteria necessary to be in an RTC.

Does HHSC pay for room and board?

HHSC pays for room and board at the RTC facility. Other medical and mental health services — such as therapy, dental care and routine or emergency care — are billed to the child or adolescent’s insurance.

Can a child be in conservatorship with DFPS?

Child or adolescent must not be in the custody of DFPS through joint, temporary or permanent managing conservatorship. There are no current concerns of abuse or neglect in the household. Family is at risk of surrendering their parental rights due to the severity of their child or adolescent’s mental health needs.

What are the services of a therapist?

The following services are available and will be provided based upon the Individualized treatment plan: 1 Psychological assessment services 2 Psychiatric services and psycho-pharmacological management 3 Medication administration 4 Individual therapy, group therapy, and family therapy 5 Comprehensive diagnostic services 6 Case management 7 Therapeutic recreation, individual and group, with a focus on community integration 8 Art/Activities therapy 9 Social skills development/Skills Streaming 10 Crisis Intervention, including one to one, when indicated 11 Twenty-four (24) hour a day emergency and back-up services by clinical and administrative personnel

What is visitation in the community?

Visitation is encouraged and creates an opportunity to work on family goals. Visitation can range from visiting at the agency, in the community, to weekends in the home depending on where the child is in his/her treatment. Sarah Reed offers hotel accommodations for families to allow for visitation of those traveling from a distance.

What is Sarah Reed Children's Center?

Sarah Reed Children’s Center provides toys, games, and recreation equipment for residents. Bicycles, sports equipment, arts and crafts, board games, and musical instruments may also be provided. Very large items such as bicycles, televisions, and stereos are not permitted. Also, toy guns, knives, swords, or anything viewed as a weapon is forbidden.

What is a residential treatment facility for a child?

A youth or child residential treatment facility is one where a child or teen lives outside of the home and community, staying at the treatment center around the clock for care in a supervised situation. According to the American Academy of Child and Adolescent Psychiatry,

What is residential treatment?

Residential treatment programs provide intensive help for youth with serious emotional and behavior problems. While receiving residential treatment, children temporarily live outside of their homes and in a facility where they can be supervised and monitored by trained staff.

What is residential treatment for mental health?

Mental Health. A residential treatment placement for youth with mental health issues will be one as described above, with the focus on diagnosis, treatment management, and developing skills to copy with the mental health issue or disorder.

What is attachment disorder treatment?

Attachment Disorder Treatment is specifically for children with Reactive Attachment Disorder (RAD), Insecure and Avoidant Attachment Disorders. Most children with attachment issues come from the foster and adoptive system, but this isn’t always true.

What is a juvenile treatment facility?

Residential Treatment Facilities are typically funded by the court system and may be called Juvenile Detention (“Juvie”), JJ, Department of Juvenile Justice, or Family Court. When a child is placed through the juvenile justice program, a crime has been committed and a judge determines placement. These placements are typically more of a jail-type setting and less therapeutic, but this is not always true.

What is wilderness program?

Wilderness programs provide a treatment program for youth and teens in an outdoor environment. The goal of wilderness programs is to provide challenging experiences that bring about self-improvement and healing. Most programs have therapists and trained staff. Wilderness programs are almost always self-pay and not covered by insurance.

What is crisis residence?

A Crisis Residence is for children who need a short-term placement outside of the family home. Typically these placements are less than 30 days and the goal is to either move the child back home or into a residential placement.

What is residential program?

Residential programs may be operated by public or private agencies and often provide an array of services, including therapeutic services for children and families and educational and medical services for children or youth.

When should placement in a group or residential care facility be considered?

Placement in a group or residential care facility should only be considered once community-based services have proven ineffective. The Federal Family First Prevention Services Act of 2018 places an emphasis on family foster homes and limits the use of group homes.

What are some examples of community based placements?

Examples include community-based group homes for adolescents who are pregnant and parenting or residential campus facilities for children and youth with mental health or behavioral problems.

How long does a residential facility last?

A facility licensed to provide short-term, 24-hour non-medical residential care and supervision for children under six years of age, who are placed by a parent or legal guardian due to a family crisis or a stressful situation, for no more than 30 days.

What is a resource family approved home?

Resource Family Approved Home (RFA): After January 1, 2017, individuals applying to provide care for a foster child will apply though the resource family approval (RFA) process. By January 2019, all certified family homes must be converted to Resource Families. The RFA process will streamline and eliminate the duplication of existing processes, unify approval standards for all caregivers regardless of the child’s case plan, include a comprehensive psychosocial assessment, home environment check and training for all families (including relatives), prepare families to better meet the needs of vulnerable children in the foster care system and allow a seamless transition to permanency.

What is a GH in the US?

A GH provides 24-hour non-medical care and supervision to children and nonminor dependents up to age 19, in a structured environment, with services provided by persons employed by the licensee. Children in a GH are in treatment programs under court jurisdiction or as dependent children removed from their homes because of abuse, neglect, or abandonment.

What is a STRTP facility?

A residential facility licensed by CCLD and operated by a public agency or private organization that provides short-term, specialized, and intensive therapeutic and 24-hour care and supervision to children. The care and supervision provided by an STRTP shall be non-medical, except as otherwise permitted by law.

What is a minor parent in GH?

Minor-Parent Program: A GH program that serves pregnant minors and minor parents with children younger than six years of age, who are dependents of the court, nondependent, voluntary and/or regional center placements , and reside in the GH with the minor-parent, who is the primary caregiver of the young child.

How old is a child in STRTP?

There are two subcategories of STRTP: Care for Children Under the Age of Six: An STRTP which provides care for children under the age of six years who are dependent of the court, regional center placements or voluntary placements who are not accompanied by the minor parent.

What is a CCLD?

The Community Care Licensing Division (CCLD), Children’s Residential Program licenses several categories of children’s community care facilities. CCLD is responsible for all aspects of licensing and the enforcement of Title 22 licensing regulations and interim licensing standards. Some of the licensing functions include: conducting orientations, application review and processing, providing oversight of the homes/facilities, consultation, technical assistance, conducting complaint investigations, participating in legal consultations, processing administrative actions, and caregiver background checks. A brief description of each licensed children’s residential category and program are as follows:

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What Is Residential Treatment?

  • Residential treatment is the most intensive form of treatment for children and youth. Some children and youth can receive mental health support and treatment while still living at home. But others who have serious behaviour problems, or live in homes that are unsafe, will need a residential setting to live in. Residential treatment is only consider...
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Family Support

  • Making a decision about whether to place a child or youth in a residential facility can be very stressful. Support available for the family varies by region, but may include: 1. parent/guardian training groups 2. family counselling or therapy 3. in-home support to help family and youth practice new strategies during mediated family visits 4. support groups run by and for parents a…
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Types of Residences

  • Some programs are designed specifically for young people who have been diagnosed with a mental health problem. Other residences may accept children or youth who simply can’t live in the family home: Many of these young people will have mental health problems, but the kinds of problems they have will vary. Like many health and social services, there are more residential tre…
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Types of Services

  • Almost all residential treatment programs have private bedrooms, although occasionally residents may need to share a room with one other youth. Services may include any of the following: 1. individual therapy 2. family therapy or counselling 3. group therapy 4. “milieu treatment,” with routines, rules, activities and group meetings in the residence to help residents build self-confide…
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Types of Problems

  • Residents may: 1. have been diagnosed with one or more mental health problem (for example, depression, anxiety) 2. have experienced parental divorce, death of a friend or family member, neglect, sexual abuse or other forms of violence, trauma or family conflict 3. be coping with genetic or other inherent conditions (for example, FASD) 4. behave in ways that can be dangerou…
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Length of Time in Residence

  • How long someone lives in a residence really varies. On average, young people will stay 3 to 15 months in a community-based residence. Some youth with very serious mental health problems may be in a residence for many years. Wards of children’s aid societies for whom a family setting cannot be found will spend their entire childhood and adolescence in group homes, until they tur…
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How to Get Treatment

  • Referrals
    Young people may be placed in residential settings by parents or guardians. A judge may also order a residential placement through the courts for youth involved in the justice system. Youth of 16 years and older can refer themselves. However, referrals are usually made by a social service…
  • Wait list
    Many residential programs have a wait list. The wait can be anywhere from a week to several months, depending on the needs of the child or youth, and the mix of kids in the program. For youth in crisis, emergency admissions can be made through hospital emergency departments.
See more on ontario.cmha.ca

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