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.		  
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  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.		  
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  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.		  
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  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.		  
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  MONITORING

An evaluation involving a periodic review of consumer services, organizational activities, or conduct. Specifically, monitoring is an activity of case coordination, whereas more broadly, monitoring is an evaluation technique used in overall quality assurance. 		 
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  SERVICE RECIPIENT

The individuals, groups, organizations, or communities that use, receive, or benefit from programs and services. Service recipients can include consumers, patients, family members, legal guardians, advocates, public/private organizations, employers, and purchasers. All are regarded as significant stakeholders served in a variety of agencies and practice settings.		  
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  CLINICAL

The study, assessment, and diagnosis of the client situation followed by direct treatment to help the client achieve prescribed goals.		  
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  CLIENT

See service recipient.		  
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  DISCHARGE

See CASE CLOSING 		 
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  AFTERCARE

Additional services provided beyond the period of primary care that offer continuity and supportive follow-up.		  
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  IMMIGRANT

An individual not born in the United States, Puerto Rico, or an outlying US territory, who migrates from his/her country of nationality or any country in which they last habitually resided and chooses to seek a better economic, social or religious life abroad. Immigrants, and children of immigrants, can be citizens, Legal Permanent Residents "a step toward naturalization as a US citizen" or non-citizens, either legal or undocumented without legal status. 		 
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  REFUGEE

Those who flee their home country because of persecution or a well-founded fear of persecution due to race, religion, nationality, membership in a particular social group, or political opinion and are unable or unwilling to return to, or avail themselves of, their home country. 		 
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  ETHNICITY

An orientation toward and identification with a population group that shares national origin, religion, race, or language.		  
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Residential Treatment Services
  
Private Org Public Agency  
Definition
  

Residential Treatment Services (RTX) provide a time limited, interdisciplinary, psycho-educational, and therapeutic 24-hour-a-day structured program with community linkages, provided through non-coercive, coordinated, individualized care, specialized services and interventions. Residential Treatment Centers provide highly customized care and services 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 Centers provide assessment and stabilization services for individuals in acute psychiatric crisis. Such individuals are offered services in a safe, structured environment in order to return to their previous level of functioning.

Interpretation: Service recipients in residential treatment settings may include, but are not limited to:

  • 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;
  • adolescents or adults involved with the justice system;
  • individuals needing highly structured, intensive treatment for substance use conditions;
  • individuals needing specialized and intensive settings for the purposes of clinical assessment; and
  • individuals needing psychiatric stabilization.

Given the range of need noted above, the provider must specify at a program level in the aggregate, on an annual basis: type(s) of client need; specific approach and resources applied to client needs; and logical desired discharge outcomes.

Note: Residential treatment programs with substance use as a primary focus will also complete Services for Substance Use Conditions. Agencies that provide adventure-based programming will also complete the Outdoor Activities Supplement. Agencies that serve youth and emphasize preparation of youth for community membership, transition from the service system and related, planned aftercare, will also complete Youth Independent Living Standards. Agencies that serve children of immigrant and refugee families, or youth who are separated and unaccompanied, will consult the Immigration and Refugee Resettlement Standards and make a determination in cooperation with COA about implementation of these standards.

Note: Please see Self-Paced_Training: Residential Treatment Services (RTX) in the Tools Index for additional assistance with this standard.

Research Note: A recent state-wide study of residential treatment child and youth outcomes has identified the wide range of residential services use along a continuum of care as a trend that confounds outcome studies. In light of poor outcomes associated with number of previous placements, from a system of care perspective consideration may be given to offering short term residential treatment, targeted for only those individuals likely to benefit, not just as a “last resort” intervention. At the same time, providers should note that residential treatment may be inappropriate as the sole intervention for highly disturbed individuals who present with problems associated with poor discharge outcomes. This study found poor discharge outcomes related to gender, race and ethnicity, repeated placement failures, stays of less than 90 days, and running away episodes.
 
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.
 
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