are well trained, qualified, and supervised to consistently apply the therapeutic approach the agency has identified as most effective for meeting the needs of residents and their families.
Residential counselors, youth workers, adult care, and child care workers have:
- a bachelorís degree and/or are actively, continuously obtaining the degree;
- the personal characteristics and experience to provide appropriate care to residents, gain their respect, guide their development, manage a home effectively, and participate in the overall treatment program;
- the ability to support constructive resident-family visitation and resident involvement in community activities;
- the temperament to work with and care for children, youth, or adults with special needs, as appropriate; and
- the ability to work effectively with the treatment team and other internal and external stakeholders.
The elements of the standard will be considered together to assess implementation. Recruitment of staff with demonstrated competence in elements b.), c.), and d.), and with appropriate supervision
and specialized training
, sometimes available through national certification
programs, can compensate for a lack of a bachelorís degree.
Supervisors of direct service personnel include:
- licensed social workers with advanced degrees from an accredited program of social work with a specialty in clinical practice;
- individuals with supervised post-graduate clinical experience consistent with state legal requirements for clinical practice;
- individuals with experience in the field and knowledge to compensate for lack of an advanced degree or post- graduate experience; and/or
- comparable mental health and human service professionals with advanced degrees from accredited institutions, clinical training, and experience, who meet the requirements of their respective disciplines and applicable legal requirements.
A licensed psychiatrist with experience appropriate to the level and intensity of service and the population served assumes responsibility for the psychiatric elements of the program, develops guidelines for participation, and provides full-time coverage on an on-call basis.
Interpretation: A psychiatrist with the required qualifications assumes psychiatric responsibility for residents and provides service on a full-time basis as an employee, contractor, or through another formal arrangement, such as an on-call arrangement which ensures coverage 24-hours a day, seven days a week. There may be more than one psychiatrist fulfilling the duties outlined.
Residential treatment programs whose primary service is residential substance use treatment are not required to have full-time psychiatric coverage but may provide psychiatric services though a formal referral arrangement on an as-needed basis. Certification in child psychiatry is not applicable to programs serving adults only.
with appropriate credentials and experience is available to provide testing and psychological services, as necessary.
Depending on the residentsí needs, qualified professionals and specialists provide services and support related to the following:
- medicine and dentistry;
- physical and developmental disabilities;
- speech, occupational and physical therapy;
- recreation and expressive therapy;
- nutrition; and
- religion and spirituality.
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