Specifications include, but are not limited to: Mental Health Criteria for Residential Treatment Centers(RTC) — Residential Treatment Services offer 24-hour structure and supervision and provide safety and a context for intense individual, family, and milieu treatment services. The primary considerations for referral to RTC level of care include: I. Mental health problems (one required): The client exhibits clearly identifiable mental health problems or symptoms such as mood disorders, significant anxiety disorders (e.g. PTSD), and/or self-injurious behavior/ideation which: A) Result in serious impairment in the client’s functioning across settings including school, family, and community;or B) Make it impossible for the client to self-regulate their behavior without 24-hour support and management by mental health professionals; or, C) Create a high level of risk of direct injury to self or others without 24-hour supervision and therapeutic intervention by mental health staff. II. Least restrictive: Twenty-four hour inpatient hospitalization is not necessary, and the client has received outpatient treatment (including office-based or home-based services, crisis intervention, and day treatment or partial hospitalization) and has not made progress, cannot reasonably be expected to make progress, or is regressing, or there is evidence that the client could not be safely treated in any less restrictive level of care. III. Family participation: Family members and/or significant others in the client’s support network (relatives, case managers, or mentors) will commit to regular participation in the treatment process and to the client’s return to the community. However, clients affected by these conditions may have mental health concerns that should be treated at the appropriate level of care. Inter-Divisional and/or interdepartmental planning and intervention will frequently be necessary to address other conditions. Following these guidelines, based on criteria and complicating conditions, each case is reviewed individually in order to establish the most appropriate course of intervention and treatment. Day Treatment Services: Clients authorized by DPBHS to receive residential treatment at either SLTC or TCC must meet the published criteria for service level admission as indicated in the current DPBHS Provider Manual.
