RESIDENTIAL PROGRAMS
Residential fall into three categories:
• Short-term crisis residential treatment programs are of two types and, under no
circumstances may the length of stay exceed three (3) months:
• Short-Term-Crisis Residential Service (Less than 14 days), which means a licensed residential community care facility, and staffed to provide crisis treatment as an alternative to hospitalization. Admissions are generally limited to a stay of less than 14 days for voluntary patients without medical complications requiring nursing care. Twenty-four hour capability for prescribing and supervising medication must be available for patients requiring this level of care. The prescribing capability shall be provided by written agreement.
• Short-Term Crisis Residential Service (Less than 30 days), have the same requirements as the shorter term facility but are staffed to provide MH treatment services, rather than crisis treatment, to individuals who generally require an average stay of 14-30 days for crisis resolution or stabilization. Respite care, up to a maximum of 30 days, may be provided within this definition.
• Transitional residential treatment programs provide a therapeutic environment in which clients are supported in their efforts to acquire and apply interpersonal and independent living skills. The program also assists the client in developing a personal community support system to substitute for the program's supportive environment and to minimize the risk of hospitalization and enhance the capability for independent living upon discharge from the program. The planned length of stay in the program is designed to be 3-12 months but should be in accordance with the client's assessed need, not to exceed one (1) year; however, a length of stay not exceeding a maximum total of 18 months is permitted to ensure successful completion of the treatment plan and appropriate referral.
These programs fall into two categories:
• Transitional Residential On-Site Service, which is designed to provide a comprehensive program of care consisting of a therapeutic residential community plus an all-inclusive structured treatment and rehabilitation program for individuals recovering from an acute stage of illness who are expected to move towards a more independent living situation, or higher level of functioning.
• Transitional Residential Off-Site Service, which are designed to provide a therapeutic residential community including a range of social rehabilitation activities for individuals who are in remission from an acute stage of illness, and interim support to facilitate movement towards the highest possible level of functioning. Individuals may receive day, outpatient, and other treatment services outside the transitional residence.
• Long-term residential treatment programs provide services in a therapeutic residential setting with a full range of social rehabilitation services, including day programming for individuals who require intensive support in order to avoid long-term hospitalization or institutionalization. The planned length of stay is in accordance with the client's assessed needs but under no circumstances may that length of stay be extended beyond eighteen (18) months. Consistent with individual level of care needs, services must be provided in skilled nursing facilities, intermediate care facilities, residential community care facilities, or other similar facilities.
Substance Use Disorder (SUD):
• Residential Alcoholism or Drug Abuse Recovery or Treatment Facilities, which are any
facility, building, or group of buildings which is maintained and operated to provide 24- hour, residential, nonmedical, SUD recovery or treatment services.
• Detoxification, Recovery or Treatment Services for Individuals with a SUD, which consist of evaluation, withdrawal management, recovery or treatment services, referrals for further care, or social and rehabilitation services for individuals abusing alcohol or illicit substances.
• Incidental Medical Services (IMS), which means optional services provided at a residential facility by a health care practitioner, or staff under the supervision of a health care practitioner, to address medical issues associated with detoxification, treatment, or recovery services. IMS does not include general primary medical care or medical services required to be performed in a licensed health facility. Upon DHCS approval, the following IMS must be provided: (1) Obtaining medical histories; (2) Monitoring health status; (3) Testing associated with detoxification from alcohol or drugs; (4) Providing SUD recovery or treatment services; (5) Overseeing patient self-administered medications; (6) Treating SUD, including detoxification.
Unregulated Facilities: It is possible that there are non-SRFs/SRPs providing adult MH
residential treatment that would be unregulated.