Therapeutic Relationship

This service is designed to address medically necessary goals for achieving relational support with caretakers and other support systems in the community and is intended to assist the resident in developing more appropriate relationship skills.

Therapeutic Relationship

This service provides all Family-Type Residential Treatment Level 1 elements plus provision of a more intensive corrective relationship in which therapeutic interactions are dominant. Focus is broadened to include assisting the resident in improving relationships at school, work and/or other community settings.

Therapeutic Relationship

This service provides all Family/Program Residential Treatment Level II elements plus the relationship which is structured to remain therapeutically positive in response to grossly inappropriate and provocative interpersonal resident behaviors including verbal and some physical aggression.

Therapeutic Relationship

This service provides all Residential Treatment-High Level III elements plus the ability to manage intensive levels of aggressiveness.

Structure of Daily Living

Daily living is structured to provide a therapeutically critically structure and supervision necessary to enable the resident to achieve and sustain an improved level of functioning in order to successfully engage in treatment activities designed to achieve the highest level of independent functioning, or return the resident to his/her family setting/permanent placement.    

Structure of Daily Living

Daily living is structured to provide all elements of Family-Type Residential Treatment Level I with a higher level of structure and supervision.

Structure of Daily Living

Daily living is structured to provide all elements of Family/Program Residential Treatment Level II plus intensified structure, supervision, and containment of frequent and highly inappropriate behavior. This setting is typically defined as being "staff secure."

Structure of Daily Living

Daily Living is structured to provide all elements of Residential Treatment-High Level III in a physically secure, locked setting including (typically but not always) locked time-out rooms (used only for the safe management of out-of-control behaviors).

Cognitive/Behavioral Skill Acquisition

Treatment intervention are provided to ensure that the resident acquires skills necessary to compensate for or remediate functional problems. Interventions are targeted to functional problems and based on service plan requirements and specific strategies developed during supervision.

Cognitive/Behavioral Skill Acquisition

Treatment provides all Family/Program Residential Treatment Level I elements with a complete emphasis on individualized interventions for specific skill acquisition that enable the resident to achieve or maintain the highest level of independent functioning.

Cognitive/Behavioral Skill Acquisition

Treatment provides all Residential Treatment Level II elements plus active "unlearning" of grossly inappropriate behaviors with intensive skill acquisition. Includes specialized, on-site interventions from qualified professionals.

Cognitive/Behavioral Skill Acquisition

Treatment provides all Residential Treatment-High Level III elements plus intensive focus on assisting residents acquiring disability management skills and significantly increased on-site interventions from qualified professionals including psychologists and physicians.

General Characteristics

This service provides a structured and supervised environment and acquisition of skills necessary to enable the resident to improve the level of functioning to improve the level of functioning to achieve or to maintain the most realistic level of independent functioning where earlier treatment gains are somewhat fragile and the resident is subject to regression. This level of care responds to residents' needs for more active treatment and interventions. This service is offered in a family system.

General Characteristics

This level of service is responsive to the need for intensive, interactive, therapeutic interventions, which still fall below the level of staff secure/24-hour supervision or secure treatment settings. 
The staffing structure may include family and Program-Type settings.

General Characteristics 

Residential Treatment-High service is responsive to the need for intensive, active therapeutic intervention, which requires a staff secure treatment setting in order to be successfully implemented. This setting has a higher level of consultative and direct service from psychologists, psychiatrists, medical professionals, etc.

General Characteristics

Most other service needs are met in the context of the Residential Treatment-Secure Level IV setting including school, psychological and psychiatric consultation, nurse practitioner services, vocational training, recreational activity, etc. Typically, the treatment needs of residents at this level are so extreme that these activities can only be undertaken in conducted in a manner that is fully integrated into ongoing treatment.

Program-Type

The staff is awake during sleep time, and must be constantly available to respond to a resident's needs, while residents' are involved in educational, vocational, and social and/or other activities, except for periods of planned respite.

Program-Type

Staff is awake during sleep hours and supervision is continuous.

Program-Type

Staff is awake during sleep hours and supervision is continuous.

Family-Type

The provider is not necessarily awake during sleep time and may not be available while residents are involved in educational, vocational, and social activities, but are present during times when the resident's needs are most significant or not involved in another structured activity. This service in a family setting includes the following activities.

Family-Type

The provider is not necessarily awake during sleep time but must be constantly available to respond to a resident's needs while residents are involved in educational, vocational, and social activities, or other activities, except for periods of planned respite. 

This service in the family or program settings includes Family-Type Residential Treatment Level I elements and the following activities:

This Service includes all Family/Program Residential Treatment Level II elements and the following activities:

This service includes all Residential Treatment-High Level III elements plus the following activities: