	Residential Treatment Services

Introduction

Administration and Management

Service Delivery Administration Standards

Service Standards

RTX 7: Coordinated Customized Team Approach

Team members are aligned in implementing a structured, customized therapeutic program so each resident’s daily living experiences are well integrated and promote the development of positive skills and behaviors.

RTX 7.01

An interdisciplinary team coordinates, monitors and, when necessary, advocates for services tailored to the needs of individual residents and makes decisions regarding service planning and provision, including:

initial and additional needed assessments;
the appropriate level of care;
delivery of family services to resolve concerns that will otherwise extend the resident’s stay;
transition planning and case closing; and
follow up services.

Interpretation: Interdisciplinary program elements are discussed in RTX 8.01.

RTX 7.02

Interdisciplinary teamwork:

specifies the intended result of daily living experiences, activities, and interventions in the service plan;
engages residents in age and content appropriate activities and interactions designed to alter or improve behavior, provide support, and promote healthy development;
considers opportunities for participation by one or more consistent caring adults, taking into account the resident’s strengths and interests;
coordinates therapeutic and educational activities with individual service and skill development plans; and
maintains predictable routines and activities.

Research Note: Regarding element c.) a landmark longitudinal study following development of children from infancy to adulthood found that youth who made a successful transition tended in their formative years to seek out and rely on guidance and support of at least one consistent caring adult, usually a family, extended family or community member, or substitute caregiver.

Research Note: Regarding elements b.), c.), and d.) Participants in a qualitative study report that a lack of decision making, a lack of support system, and boredom, particularly during evening hours and on weekends and holidays, contribute to running away from care.

RTX 7.03

A coordinated team approach promotes establishing and maintaining stable, ongoing, goal-directed caseworker-resident relationships with residents who can be unfamiliar with how to seek, accept, and use support.

Research Note: Youth with long histories in care and frequent shifts in living arrangements participated in a follow up study of foster care outcomes and reported a desire for consistent involvement with caring adults. A recent qualitative study of barriers to positive outcomes for youth in care reports frequent change of caseworkers as contributing to lack of positive therapeutic relationships. A landmark longitudinal study examined healthy adjustment from infancy to adulthood and found young people vary widely in their ability to locate dependable sources of support and encouragement. Findings from a recent ten cohort service and longitudinal study highlight the benefit of a consistent caring relationship with a counselor/mentor.

RTX 7.04

The team demonstrates an understanding of how a chosen intervention will help a client remain engaged in the treatment process and reach their individual goals.

QUICK JUMP TO


	PURPOSE: Residential Treatment Services are delivered according to an articulated philosophy that ties individual needs to specific interventions and education, and to achievement of stated goals, such as gains in measurable skills, increased productivity and pro-social behavior, improved functioning, and a stable living arrangement in the community.

RELATED FILES


	SERVICE One or more organization-operated programs or activities that have a common general objective and deploy the organization's material and human resources in a planned and systematic manner. An organization that publicly promotes or identifies itself in writing as offering a service, is licensed to deliver a service, assigns personnel and/or space to a service, or allocates financial resources to a service is considered to offer that service.


	COMMUNITY A specific group of people living in the same locality and who may share a common culture, values, and norms. Communities can also be defined by race, religion, ethnicity, age, occupation, political status, tribal affiliation, interest in particular problems or outcomes, or other common bonds. The term "community" encompasses worksites, schools, tribes, residential neighborhoods, business districts, recreational areas, and health and human service sites.


	PROGRAM A system of services offered by an organization. For example, an organization providing a mental health service may offer several mental health programs to different populations, e.g., a mental health program for adolescent teens. The word "program" can be used interchangeably with the word "service" or to describe specific programs.


	INTERDISCIPLINARY TEAM A group of persons from different professions, disciplines, service areas, organizations, and/or personnel levels who collaborate to make decisions about and provide a range of services for the same consumer or consumer group. The service delivered would not be possible or as efficient if one organization or one professional alone provided the services.


	PLANNING The process of specifying objectives, evaluating the means for their achievement, and exercising deliberate decision making about appropriate courses of action.


	ASSESSMENT An evaluation, which utilizes professional expertise and skills in the collection and analysis of data to understand and describe the nature of service needs of an individual, family, or group. Assessment, as in needs assessment, is also used to determine priorities of program planning and service development for the organization as a whole. See also DIAGNOSIS.


	FAMILY Two or more people who consider themselves family and who assume obligations, functions, and responsibilities generally essential to healthy family life. Child care and child socialization, income support, long-term care, and other caregiving are among the functions of family life. The definition of "family" will rest with an individual's indication of who plays a family member role, including current or former foster family, adoptive family, extended family members, fictive kin, or significant others. Organizations that believe family is the central constellation in a child's life, and that family attachments are of primary importance for human development, will strive to work with professional staff to develop a common understanding of "family."


	CASE CLOSING A voluntary or involuntary process which occurs when an organization no longer assumes responsibility for providing services to a particular individual, group, or family. Also known as "termination" or "discharge."


	SERVICE PLAN A written plan of action based on the assessment of consumer needs and strengths that identifies problems, sets goals, and describes a strategy for achieving those goals and engaging in joint problem solving with the consumer. Also known as a "treatment plan".


	CAREGIVER The provider of physical, emotional, and social needs to another person, often dependent and unable to provide for his or her own needs. Caregiver is the generic term used for the direct service providers in Community Care and Support Services (CCS).


	CLIENT See service recipient.