Ideal Continuum of Care

  We need a full continuum of care for our most needy service recipients, including:

1. Intensive Treatment and Highly Secure Programs

2. Behavioral Stabilization Programs and State Hospitals

3. Residential and Subacute Programs

4. Specialized Programs

5. Group Homes

6. Supervised Apartments and Supported Living Programs

7. Day Treatment, Outpatient, and Wrap-Around Programs

8. Crisis Services

Under each category are subcategories. Each is described first, followed by a list of facilities and programs to model new programs after.

While some of the programs listed as models for new programs are considered controversial and/or abusive (e.g., the Provo Canyon School, the Victory Forge Military Academy, etc.) by certain websites and organizations (e.g., Heal-Online, Spare the Rod, Breaking Code Silence, etc.), all programs have their unique problems, and none are perfect. Many of the criticized programs have helped service recipients. It also has to be remembered that many people will only post negative reviews, such that positive experiences go unnoticed. Many programs for children and adolescents have had deaths, lawsuits, and substantiated abuse allegations. It only takes one staff member to spoil a whole program or create an ideal program. Having a good administration is key since administrative influences “trickle down” to the direct care staff. The only way to prevent problems in programs is vigorous mandatory federal regulations, designed to protect service recipients' rights, including Positive Behavior Supports and Person-Centered Care and Treatment. Please be advised that I have never visited or seen most of the programs listed, and as such, most of the information I have is secondhand information I found through thoroughly researching (reading and/or watching videos) the Internet and/or through informal conversations with people about various programs.

Level 1A: Forensic Highly Secure Facility: for those with criminal charges. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Medical care and day treatment on site. Combined both medical care and psychiatric care under one roof. Designed similarly to a therapeutic correctional facility. Need security officers, nurses, staff, and a full treatment team. Run by a hospital network, provider agency, and/or the State. It may be located in a nursing home, community hospital, or freestanding facility. Need a uniform dress code. Need administrative lock-ins. Service recipients will be committed. Maybe military style. Service recipients will be transferred to the facility by police car or law enforcement vehicle. Some for those with substance abuse issues. Some for less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Units, not houses. It may be funded as an ICF/ID or an SNF, depending on the setting. Level 6 LOCUS.

• See: “Boot Camp Military Style Facility”

•  Bergen Regional Medical Center Forensic Unit (NJ)

•   Ann Klein Forensic Center (NJ)

• The former New Lisbon Developmental Center Moderate Security Unit (NJ)

• Bryant Hospital Forensic Division (SC)

• Capital Health Helene Fuld Regional Medical Center, 3rd Floor Forensic Unit (NJ)

• The former St. Francis Medical Center Prison Unit (NJ)

• The former Edna Mahan Correctional Facility C-Cottage Mental Health Special Needs Unit (NJ)

• Lemuel Shattuck Hospital (MA)

• Atlantic County Justice Facility (NJ)

• Trenton New Jersey State Prison Stabilization Unit, also known as “The S.U.” (NJ)

Level 1B: Intensive Care Highly Secure Facility: for those with highly dangerous out-of-control, frequent crisis behaviors, which pose a safety risk in lower levels of care. These service recipients have been kicked out of other programs. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Day treatment and medical care on the unit. Focus on rapid tranquilization using antipsychotic medications and behavior modification. Need security officers, nurses, staff, and a full treatment team. Run by the State, a hospital network, and/or a provider agency. It may be located in a community hospital or a freestanding facility. Maybe military style. Need a uniform dress code. Need administrative lock-ins. Service recipients will be committed. Service recipients will be transferred to the facility by ambulance. Some for less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Units, not houses. It may be funded as an ICF/ID. Level 6 LOCUS.

• See: Forensic Highly Secure Facility

• See: Boot Camp Military Style Facility

• See: Private Psychiatric Hospital Long-Term Unit

• See: Community Hospital Long-Term Unit

• Provo Canyon School (UT)

• Trinitas Hospital 3 North Children’s Intermediate Unit (NJ)

 

 

Level 1C: Boot Camp Military Style Facility: military style and focused on behavioral correction through exercise, structure, work, and “drill”. Must include a highly psychotherapeutic program, as research supports only boot camps with a psychiatric treatment program that involves both counseling/psychotherapy and medications. For those who need a highly structured setting and fail in other programs. For those who have been kicked out of other programs. Not for veterans or those with trauma-related symptoms, as this may be re-traumatizing. Meals are served cafeteria style, and the full repertoire of restraints and seclusion is available. Day treatment and medical care are on-site. A large building with locked units or a vacant former correctional facility, both with an indoor and outdoor exercise area and running track, and a secure perimeter. It may be a highly secure or a locked facility. Need a full treatment team, drill instructors (direct care staff), and nurses. Need a uniform dress code. May have administrative lock-ins. Service recipients may be committed. Service recipients may be transferred to the facility by ambulance or trained staff. Units, not houses. Some should be less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Some for those with substance abuse issues. It may be located in a community hospital or a freestanding facility. It may be funded as an ICF/ID. Level 5 or 6 LOCUS.

• The former Vision Quest Residential Treatment Center (NJ)

• The former Victory Forge Military Academy, also known as the former Southeastern Military Academy, also known as the Treasure Coast Academy (FL)

• St. John’s Northwestern Military Academy (WI)

• Trinitas Hospital New Point Adolescent Residential Treatment Center (NJ) 

• Salvation Army Adult Rehabilitation Center (MA)

Level 1D: Dialectical Behavior Therapy Specialized Facility: for those who struggle with managing their emotions, thoughts, and behaviors. It may be highly secure and/or military style. Focus on the use of DBT skills training and individual therapy to treat various psychiatric disorders, including Borderline Personality Disorder. Meals are served cafeteria style or on the unit, and the full repertoire of restraints and seclusion is available. Day treatment and medical care are on-site. An alternative to a State Psychiatric Hospital. Need staff, security officers, nurses, and a full treatment team. May have a uniform dress code. Some should be highly secure and have administrative lock-ins. Some should be military-style. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance or trained staff. Some should be for less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Some for those with substance abuse issues. It may be located in a nursing home, community hospital, or freestanding facility. Units and houses. It may be funded as an ICF/ID or an SNF, depending on the setting. Level 5 or 6 LOCUS.

• See: Forensic Highly Secure Facility

• See: Boot Camp Military Style Facility

• McLean Hospital (MA)

• Spring Hill Hospital (CT)

• The former Cape Counseling Service Rainbow of Hope Psychiatric Community Home, also known as Acenda Integrated Health (NJ)

• The former Trenton Psychiatric Hospital Lazarus DBT Unit (NJ)

• The former Heartland Treatment Center (MO)

• Princeton House Behavioral Health DBT Program (NJ)

Level 2A: State Psychiatric Hospital: for those who need long-term psychiatric care, yet do not need a specialized or intensive care facility. Uses psychosocial rehabilitation models, including the Treatment Mall Model for programming. Meals are served on the unit and cafeteria style, and the full repertoire of restraints and seclusion is available. Day treatment and medical care are on-site. Need security officers, nurses, staff, and a full treatment team. May have a uniform dress code. Service recipients will be committed. Service recipients will be transferred to the facility by ambulance. Level 6 LOCUS.

• Ancora Psychiatric Hospital Cedar Hall D Positive Behavior Support Unit (NJ)

• Oregon State Hospitals (OR)

• New Lisbon Developmental Center (NJ)

• Worcester Recovery Center and Hospital (MA)

• Central Regional Hospital (NC)

• The former Arthur Brisbane Child Treatment Center (NJ)

 

Level 2B: Behavioral Stabilization Unit: for service recipients with developmental disabilities and severe challenging behaviors. The full repertoire of restraints and seclusion is available, and meals are served on the unit. Medical care and day treatment on the unit. Focus on the use of Applied Behavior Analysis techniques to modify and/or extinguish highly challenging behaviors, such as self-injurious behaviors, aggression, property destruction, elopement, and PICA. Run by a hospital network. Need security officers, staff, nurses, multiple behavior analysts, and psychologists. May have a uniform dress code. 3 to 6 months of length of stay. May have step-down units for an indefinite length of stay. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance or family. It may be funded as an ICF/ID.

• The former Children’s Hospital of Philadelphia Bio-Behavioral Unit (PA)

• Kennedy Krieger Institute Neurobehavioral Unit (MD)

• Morristown and Overlook Medical Centers Developmental Disabilities Centers (NJ)

• Trinitas Hospital 2D Developmental Mental Health Unit also known as the Trinitas Hospital Healthcare Foundation of NJ Center for Autism and Developmental Disabilities Unit (NJ)

• Children’s Specialized Hospital Rutgers Severe Behavior Full Day and Half Day Program (NJ)

• Woods Services Short Term Autism Residential Treatment (START) Program 

• Bancroft Lindens Neurobehavioral Stabilization Program (NJ)

Level 3A: Dormitory Style Locked Sub-Acute Residential Treatment Facility: Lots of service recipients live in a large building with locked units, for an indefinite length of stay. Meals are served cafeteria style, and the full repertoire of restraints and seclusion is available. Day treatment and routine medical care on-site, and specialty medical care off-site. Need nurses, staff, and a full treatment team, and some facilities should have security officers. Some facilities should have a uniform dress code. Run by a hospital network and/or provider agency. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance or trained staff. Some should be for less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Some for those with substance abuse issues. Freestanding facility. Units, not houses. Some should be funded as an ICF/ID. Level 5 or 6 LOCUS.

• Carrier Clinic Adolescent Unit (NJ)

• Center for Family Guidance, Camden Insight, and Excel Intensive Residential Treatment Services (NJ)

• Youth Consultation Services YCS Holley Center (NJ)

• Youth Consultation Services YCS Kilbarchan Intensive Residential Treatment Service (NJ)

• Carrier Clinic East Mountain Youth Lodge, Butterfly Lodge, Residential Treatment Center, and Swan Lodge Intensive Residential Treatment Service (NJ)

• The former Good Shepherd Services Center (MD)

• Broad Step Academy, also known as Willow Glen Academy (NJ)

• Eastern Christian Children’s Retreat, also known as Hope Christian Services (NJ)

•  Boston Higashi School (MA)

• T.C. Harris School (IN)

• Genesee Lake School (WI)

• The former Heartland Treatment Center (MO)

• Capital Academy (NJ)

• Grafton Integrated Health Grafton School Berryville (VA)

• Cumberland Hospital for Children and Adolescents (VA)

Level 3B: Private Psychiatric Hospital Sub-Acute Long Term Unit: Service recipients live in a unit in a private psychiatric hospital for an indefinite length of stay. Meals are served cafeteria style and/or on the unit, and the full repertoire of restraints and seclusion is available. Day treatment and routine medical care on-site, and specialty medical care off-site. Service recipients may be committed. Need security officers, staff, nurses, and a full treatment team. May have a uniform dress code. Service recipients will be transferred to the facility by ambulance. Level 6 LOCUS.

• Foundations Behavioral Health Autism Specialty Unit (PA)

•  Sheppard Enoch Pratt Hospital 1H Child and Adolescent Neuropsychiatry Unit (MD)

• Northbrook Behavioral Hospital (NJ)

• Hampstead Hospital Developmental Disorders Program (NH)

• Carrier Clinic Adolescent Unit (NJ)

• Princeton House Behavioral Health DBT Program (NJ)

Level 3C: Campus Facility: Lots of service recipients live in cottages and dormitories on a large piece of land. Meals are served in the cottage or dormitory and are cooked by staff/or are served cafeteria style. The full repertoire of restraints and seclusion is available. Day treatment and medical care are on-site. It may be a locked facility or may have buzzers on doors to alert staff that a service recipient is trying to leave. Need nurses, staff, and a full treatment team, and some facilities should have security officers. Some facilities should have a uniform dress code. Run by a provider agency. Service recipients may be committed. Service recipients will be transferred to the facility by trained staff or family. Some for those with substance abuse issues. Some should be funded as an ICF/ID. Level 5 or 6 LOCUS.

• Chaddock Reactive Attachment Disorder Residential Treatment Program (IL)

• Bancroft Mount Laurel Campus (including the Lindens Neurobehavioral Stabilization Program) (NJ)

• Meridell Achievement Center Neurobehavioral Program (TX)

• Woods Services (PA)

• Annandale Village (GA)

• Devereux Viera Campus (FL)

• Oaks Integrated Care Oasis Program at Ancora (NJ)

• The former Star Commonwealth Montcalm School (MI)

• Maryville Drug Rehabilitation Center (NJ)

• F.L. Chamberlain International School (MA)

• Yellowstone Girls and Boys Ranch (MT)

• Anderson Center for Autism (NY)

• Bonnie Brae Residential Treatment Center (NJ)

• Ranch Hope Alloway (NJ)

• Devereux Glenholme School (CT)

• The former Bellwether Behavioral Health Campus (FL) and (DE)

• Austen Riggs Center (MA)

• Melmark School (PA)

• Camp Hill Special School (PA)

• Heartspring School (KS)

• The former Greenbrier Academy for Girls (WV)

• Treasure Coast Academy (FL)

Level 3D: Community Hospital Sub-Acute Long Term Unit: Service recipients live on a floor in a community hospital for an indefinite length of stay. Service Recipients may have supported employment within the hospital or attend groups on the unit during the day. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Day treatment and medical care on the unit. Need security officers, nurses, staff, and a full treatment team. May have a uniform dress code. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance. Level 6 LOCUS

• Inspira Bridgeton Adolescent Intermediate Behavioral Care Unit (IBCU) (NJ)

• Matheny Medical and Educational Center (NJ)

• Trinitas Hospital 2D Developmental Mental Health Unit, also known as the Trinitas Hospital Healthcare Foundation of NJ Center for Autism and Developmental Disabilities Unit (NJ)

• Trinitas Hospital 3 North Children’s Intermediate Unit (NJ)

• Princeton House Behavioral Health DBT Program (NJ)

Level 3E: Nursing Home Locked Unit: Service recipients live in a special mental health unit in a nursing home; some are specialized to those with dual diagnosis across the lifespan, of all ages, and with and without medical and/or self-care problems. Restraints include physical holds, mechanical and chemical restraints, but no seclusion. Meals are served in the unit or cafeteria style. Day treatment and medical care are on-site. Need nurses, staff, and a full treatment team, and some facilities should have security officers. Some facilities should have a uniform dress code. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance. It may be funded by Medicaid LTSS Funds. Level 5 LOCUS

• The former Woodland Behavioral Nursing Center (NJ)

• The former Farren Care Center Therapeutic Behavior Program (MA)

• Christian Health Care Center Southgate Program (NJ)

 

 Level 4A: Exposure Response Prevention Specialized Facility: Focus on treating severe OCD with Exposure Response Prevention and Cognitive Behavior Therapy. Meals are served on the unit, and restraints are limited to physical holds only. Some should be locked facilities, and others should be unlocked facilities. Day treatment and medical care are on-site. Run by a provider agency and/or hospital network, specializing in OCD treatment. Less than 1 year length of stay. Nurses, staff, therapists, and some facilities should have security officers. No uniform dress code. Service recipients may be committed. Units and houses. Service recipients will be transferred to the facility by ambulance, trained staff, or family. Level 5 LOCUS.

• Rogers Memorial Hospital, Oconomowoc Child OCD Center (WI)

Level 4B: Farmstead Program: Service recipients live and work on a “real” farm. Restraints are limited to physical holds and chemical restraints. Meals are served cafeteria style. Day treatment and routine medical care on-site, and specialty medical care off-site. Run by a provider agency. It will be an unlocked facility. Need nurses and staff. May have a uniform dress code. Services recipients will not be committed. Service recipients will be transferred to the facility by trained staff or family. Units and houses. It may be funded as an ICF/ID.

•  Bittersweet Farm (OH)

• Gould’s Farm (MA) 

Level 4C: Medically Enhanced Psychiatric Unit: for those who require medical care during their psychiatric treatment. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Day treatment and medical care on the unit. Need both a medical and psychiatric team and staff, nurses, and security officers. May have a uniform dress code. Service recipients will be committed. Service recipients will be transferred to the facility by ambulance. Level 6 LOCUS

• St. Elizabeth’s Medical Center Seton 5 West Unit (MA)

• The former Farren Care Center (MA)

Level 5A: Traditional Group Home: Less than 12 service recipients live together in a house with 24/7 staff on rotating shifts. Restraints include physical holds, mechanical and chemical restraints, but no seclusion. Meals are served family style and may be cooked by staff and/or service recipients. Day treatment and medical care off-site. Run by a provider agency. Need nurses and staff. No uniform dress code. Service recipients may be committed. Buzzers on doors to alert staff that a service recipient is trying to leave. Service recipients will be transferred to the home by trained staff or family. Some for those with substance abuse issues. Houses, not units. Level 5 LOCUS.

• New England Center for Children (MA)

• Legacy Treatment Services Horton House Psychiatric Community Home, also known as The Children’s Home Horton House and Jacobs House Psychiatric Community Home (NJ)

• Legacy Treatment Services Cheryl House Intensive Residential Treatment Service (NJ)

• Youth Consultation Services YCS Estell Manor Psychiatric Community Home (NJ)

• Youth Consultation Services YCS Haddon Heights Psychiatric Community Home (NJ)

• Youth Consultation Services YCS Sawtelle Home Psychiatric Community Home for I/DD Sewell (NJ)

• Carrier Clinic East Mountain Youth Lodge, Sunflower Lodge, and Lotus Lodge Psychiatric Community Homes (NJ)

•  Melmark (PA)

•  Allies Inc. Feather Lane Intensive Residential Treatment Service (NJ)

• Bancroft (NJ)

• Oaks Integrated Care (NJ)

• Capitol Care (NJ)

• Keystone Community Resources (PA)

• Eden Autism Services (NJ)

Level 5B: Large Group Home: More than 12 service recipients live together in a house with 24/7 staff on rotating shifts. Restraints are limited to physical holds and chemical restraints. Meals are served family style and may be cooked by staff and/or service recipients, or are served cafeteria style. Day treatment and routine medical care on-site, and specialty medical care off-site. Run by a provider agency. Need nurses and staff. No uniform dress code. Service recipients will not be committed. Service recipients will be transferred to the home by trained staff or family. Houses, not units. Level 5 LOCUS.

• Joan Valentine House (NJ)

• Helping Hands Behavioral Health Residential Health Care Facilities (Onyx Behavioral Health, Wedgewood, Oceanview I & II) (NJ)

• Hammonton Manor (NJ)

• New York City Adult Homes (NY)

• Assisted Living Facilities (ALF) (FL)

Level 5C: Family Care Host Home, also known as adult therapeutic foster care. Up to 4 service recipients live with a trained family and receive therapeutic services in a home-like setting. Restraints are limited to physical holds only. Meals are served family style and are cooked by the family and the service recipients. Medical care and day treatment off-site. The provider agency has oversight of the family. No uniform dress code. Service recipients will not be committed. Houses, not units. Service recipients will be transferred to the home by their own family, the host family, and/or the case manager. Level 5 LOCUS.

• Keystone Community Resources (PA)

• Community Treatment Solutions (NJ)

Level 6A: Assisted Living Facility: Service recipients live in a disability-only apartment complex. No restraints and/or seclusion. Meals are served cafeteria style and/or cooked and served by a service recipient in their apartment. Day treatment and routine medical care on-site, and specialty medical care off-site. Need a full treatment team, nurses, and staff. Run by a provider agency. No uniform dress code. Service recipients will not be committed. Service recipients will be transferred to the apartment by trained staff or family. Level 5 LOCUS.

• Mount Bethel Village (NJ) 

• Florida Passageways (FL)

 

Level 6B: Supervised Apartment and Duplex Program: Up to 3 service recipients live in an apartment or duplex with 24/7 staff on rotating shifts in a nearby apartment or adjoining duplex. Meals are cooked and served by the service recipient in their apartment. No restraints and/or seclusion. Need staff and nurses. Medical care and day treatment off-site. Run by a provider agency. No uniform dress code. Service recipients will not be committed. Service recipients will be transferred to the apartment or duplex by trained staff or family. Level 5 LOCUS.

• Eden Autism Services (NJ)

• Capitol Care (NJ)

• Bancroft (NJ)

• Oaks Integrated Care (NJ)

Level 7A: Family Services: Service recipients who still live with their family or who live in a Family Care Host Home may receive up to around-the-clock in-home support staff, intensive behavior support, nursing, and case managers. Restraints are limited to physical holds and chemical restraints. Need nurses, staff, behavior analysts, and case managers. Run by a provider agency. Service recipients may be outpatient committed.

• The former Eden Autism Services Children’s Placement Enhancement Pilot (CPEP) (NJ)

 

Level 7B: Wrap-Around Team: Service recipients are assigned to a full treatment team that provides various services on a time-unlimited basis in their natural setting, including supervised medication administration. Run by a provider agency. Also known as Program of Assertive Community Treatment (PACT) teams and Coordinated Specialty Care. Service recipients may be outpatient committed. Level 4 LOCUS.

• Bridgeway Rehabilitation Services PACT (NJ)

• Oaks Integrated Care Camden County PACT (NJ)

• Oaks Integrated Care Coordinated Specialty Care for First Episode Psychosis 

• Catholic Charities Burlington County PACT (NJ)

• Florida Assertive Community Treatment Teams (FACT Teams) (FL)

Level 7C: Case Management: Service recipients are assigned to a case manager who links them with needed services and/or resources. Run by a provider agency. Service recipients will not be committed. Level 3 LOCUS

• Oaks Integrated Care Integrated Case Management Services (ICMS) (NJ)

• Values Into Action Support Coordination (NJ)

Level 7D: Day Treatment Program: Service recipients attend a day program typically from 8 a.m. to 3 p.m. and receive treatment services from a full treatment team, including individual, family, and group psychotherapy and counseling, and follow-up medication management. Run by a provider agency or hospital network. Lunch will be served cafeteria style or brought in by individual service recipients. Need staff, nurses, and a full treatment team. It may be part of a residential facility to allow on-site treatment. Also known as Partial Care. Service recipients may be outpatient committed. Service recipients will be transported to and from the program through program transportation. Some for those with substance abuse issues. Level 3 LOCUS.

• Christian Health Care Center DDMI Partial Care Program (NJ)

• FedCap Rehabilitation Services Aspirations Partial Care Program (NJ)

• Eden Autism Services Day Program (NJ)

• Capitol Care Day Program (NJ)

• Princeton House Behavioral Health DBT Partial Care Program (NJ)

• Oaks Integrated Care Young Adult Treatment Program (YATP) (NJ)

• Children’s Specialized Hospital, Rutgers Full Day and Half Day Severe Behavior Program (NJ)

Level 7E: Traditional Outpatient Care: Service recipients receive services in an office setting for psychotherapy and medication management. Service recipients will not be committed. Sessions may vary between 30 minutes and 2 hours. 

• Morristown and Overlook Medical Center Developmental Disabilities Center (NJ)

• The former Rowan University Mental Health Intellectual Disability Center of Excellence is also known as Rowan University Regional Integrated Special Needs (RISN) Center. 

Level 7F: Involuntary Outpatient Commitment: service recipients are civilly committed to care and supervision outside of the hospital. Also known as Assisted Outpatient Treatment. May also include residential and day treatment services. Package of services. 

• Legacy Treatment Services (NJ)

Level 7G: Electro-Convulsive Therapy (ECT) service recipients receive ECT to ameliorate psychiatric symptoms. 

• Laurel Ridge Treatment Center ECT (TX)

• Carrier Clinic ECT (NJ)

Level 8A Crisis Unit: Psychiatric crisis unit. The goal is to keep those with developmental disabilities separate from other populations. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Medical care on the unit. Need nurses, staff, crisis counselors, and security officers. Run by a provider agency in or adjacent to the hospital Emergency Room. To determine if commitment is needed and the level of care needed. Service recipients will be transported to the facility by ambulance or police car.

• New Point Behavioral Health @ Inspira Woodbury (NJ)

Level 8B: Short-Term Inpatient Unit: Several service recipients live in a unit in a private psychiatric hospital or community hospital for up to 30 days. The goal is to create separate units for those with developmental disabilities, rather than just “beds” in a regular unit. Meals are served on the unit, and the full repertoire of restraints and seclusion is available. Medical care and day treatment on the unit. Need security officers, nurses, and a full treatment team. May have a uniform dress code. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance. Level 6 LOCUS.

• Foundations Behavioral Health Autism Specialty Unit (PA)

• Hampstead Hospital Developmental Disorders Program (NH)

• Sheppard Enoch Pratt Hospital 1H Child and Adolescent Neuropsychiatry Unit (MD)

• Trinitas Hospital 2D Developmental Mental Health Unit also known as the Trinitas Hospital Healthcare Foundation of NJ Center for Autism and Developmental Disabilities Unit (NJ)

• Carrier Clinic Adolescent Unit (NJ)

Level 8C: Dormitory Style Locked Stabilization Facility: Lots of service recipients live in a large building with locked units for a 3-6 month length of stay. Meals are served cafeteria style, and the full repertoire of restraints and seclusion is available. Should be part of a dormitory-style locked residential treatment facility to allow for a seamless transition to longer-term residential treatment when needed. Day treatment and medical care are on-site. Need staff, nurses, and a full treatment team, and some facilities should have security officers. Some facilities should have a uniform dress code. Run by a hospital network or a provider agency. Service recipients may be committed. Service recipients will be transferred to the facility by ambulance or trained staff. Some should be for less than 16 beds each to be eligible for Medicaid funding and to circumvent the IMD Exclusion. Some for those with substance abuse issues. Freestanding facility. Units, not houses. Some should be funded as an ICF/ID. Level 6 LOCUS.

• See: Dormitory Style Locked Residential Treatment Facility

Level 8D: Crisis Stabilization Group Home: short-term group home for up to 6 months of length of stay for up to 12 service recipients. Medical care and day treatment off-site. Restraints include physical holds, mechanical and chemical restraints, but no seclusion. Meals are served family style and may be cooked by staff and/or service recipients. Need nurses and staff. Run by a provider agency. Services recipients will not be committed. Service recipients will be transferred to the home by trained staff or family. Houses, not units. Level 5 LOCUS.

• See: Traditional Group Home

• Legacy Treatment Services Kairos House, also known as Drenk Behavioral Health Services Crisis House (NJ)

• Legacy Treatment Services Galen I/DD Crisis Stabilization Home (NJ)

Level 8E: Mobile Response Crisis Team: service recipients who still live with their family can receive therapeutic intervention in a crisis for up to 6 months after the crisis, without needing to go to the hospital. Mobile therapists provide intervention in their natural setting, when and where the crisis behaviors are likely to occur. Designed to maintain placement at home. This should allow for a seamless transition to longer-term Family Services or Residential Treatment. Restraints are limited to physical holds and chemical restraints. Need nurses, staff, therapists, and case managers. Run by a provider agency. Service recipients will not be committed. Level 4 LOCUS.

• Trinitas Hospital Crisis Assessment Response and Enhanced Services (Trinitas CARES) (NJ)

• Perform Care Mobile Response Stabilization Services (MRSS) (NJ)