RCHR may be appropriate when:
Mental health needs require more than outpatient level of care
Youth has a forma mental health diagnosis
Family involvement is possible and family system can be engaged
Youth can participate safely in group residential milieu
Educational needs compatible with on-site charter school model
RCHR may not be the appropriate setting when:
RCHR is a long-term treatment program, not an acute stabilization unit. Youth in active psychiatric crisis may need hospitalization first, with RCHR as a potential step-down option after stabilization.
Cognitive impairment: IQ of 70 or lower, unless medical documentation supports the lower score is due to an emotional disorder
Level of risk of harm to self or others necessitates hospitalization
Medical necessity and/or admission criteria for this level of care are not met
History of adjudication of sexual offenses or predatory behavior
Primary or standalone diagnosis of substance use disorder, conduct disorder, eating disorder, or sensory processing disorder
No reasonable expectation that needs, symptoms, and/or environmental factors can be addressed in this setting
History of violence resulting in multiple assault charges and/or significant injuries
Medical (non-psychiatric) diagnosis requiring significant medical management beyond on-site capacity
Facility will not be used for detention pending court adjudication, disposition, or after commitment period
Psychotic disorder not well managed with medication, as indicated by clinical records
History of significant harm to animals
Any additional requirements and/or accommodations for care that cannot be reasonably met
If RCHR is not the appropriate fit, we communicate the rationale to the referring provider and, when possible, suggest alternative placements or levels of care. Our goal is to help the young person reach the right setting, even when that setting is not ours.
Youth is at least 11 years of age with maximum age of 17 1/2
Youth must be between grades 6th through 12th.
Youth must have a psychiatric diagnosis that was given by a clinical / medical professional.
Youth referral to residential level of care is from a Primary Care Provider (PCP), specialist, or other provider which identifies failed treatment attempts in the outpatient setting.
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