Do you need to find treatment for a child in need and are wondering how to find youth residential treatment centers and facilities that would appropriate? Learn the types of treatment available for children and at-risk teens, how to find treatment facilities in your area, and what qualifies a child for different types of treatment.
Table Of Contents
- What is a Youth Residential Treatment Facility?
- What are the Reasons a Child is Placed in Residential Care?
- What Types of Treatment are Available for Children in Residential Care?
- Residential Treatment Facility (RTF)
- Residential Treatment Center (RTC)
- Group Homes
- Wilderness Programs
- Therapeutic Boarding Schools
- Specialized and Sexualized Behavior Treatment
- Drug and Alcohol Treatment
- Eating Disorder Treatment
- Intellectually Disabled (ID)
- Attachment Disorder Treatment
- Mental Health
- Autism /Pervasive Development Disorder
- Therapeutic Foster Care and Teaching Family Homes
- Crisis Residence
- How Do I Find Youth Residential Treatment Centers Near Me?
- What is In-Patient Care vs. Residential Care?
- What are the Best Child Residential Treatment Centers?
- What is Residential Treatment for Children Like?
- Does Residential Treatment Work for Children?
What is a Youth Residential Treatment Facility?
A youth or child residential treatment facility is one where a child or teen lives outside of the home and community, staying at the treatment center around the clock for care in a supervised situation.
According to the American Academy of Child and Adolescent Psychiatry,
Residential treatment programs provide intensive help for youth with serious emotional and behavior problems. While receiving residential treatment, children temporarily live outside of their homes and in a facility where they can be supervised and monitored by trained staff.American Academy of Child and Adolescent Psychiatry
What are the Reasons a Child is Placed in Residential Care?
No parent desires for their child to stay at a residential treatment center, but there are times it is necessary for approrpiate treatment or the safety of the child.
Here are some reasons a child or youth is placed in residential care:
What determines that a child needs a residential placement?The followingmaybe what is necessary for a child to receive a long-term residential placement:
- Danger to self (suicidal or extreme self-harm) or others
- Safety issues
- A crime is committed
- Short-term hospitalization is not enough to stabilize the child’s mental health
- Drug and alcohol abuse
- Severe mental health issues that pose a risk of harm to self or others
- Severe anxiety or Obsessive Compulsive Disorder (OCD) to the severity that the child cannot function at home or in society
- Behavioral issues such as rage, violence, and aggression, including Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD)
- Sexualized behavior
- Drug and alcohol abuse
- Eating disorders
- Suicidal threats or attempts
- Self-harming behaviors
- Attachment disorders and Reactive Attachment Disorder (RAD)
The exception to this would be a facility where you privately pay. Private residential treatment centers, wilderness programs, boot camps for youth, military schools, and boarding schools who specialize in behavior issues will often accommodate accepting a child if payment can be arranged.
What Types of Treatment are Available for Children in Residential Care?
There are many types of residential and group homes for kids. Here are some of the most widely available types of residential care for children. Keep in mind that names and types of treatment available will be different depending on where you live.
Residential Treatment Facility (RTF)
A residential treatment facility is a place where a child lives 24/7, outside of the home environment, while receiving mental health care. This care is part of the services offered by the Department of Mental Health for the state where you live. Funding is typically provided by insurance, Medicaid, and the foster care system. The focus of this type of treatment is to provide long-term mental health care.
Residential treatment differs from inpatient care in that residential care is meant to be for a longer amount of time. While some inpatient programs will keep children for 30 days or more, most offer short-term treatment of less than 30 days.
RTFs are considered a subclass of a sub-class of a psychiatric hospitalization. They are longer term and have all clinical services built in.
All residential treatment centers have the goal of the child staying in residential treatment for the shortest time as possible, typically no more than 9-12 months.
RTFs are licensed by OMH (Office of Mental Health).
Residential Treatment Center (RTC)
Residential Treatment Centers are typically funded by the court system and may be called Juvenile Detention (“Juvie”), JJ, Department of Juvenile Justice, or Family Court. When a child is placed through the juvenile justice program, a crime has been committed and a judge determines placement. These placements are typically more of a jail-type setting and less therapeutic, but this is not always true.
RTCs are licensed by the Office of Child and Family Services (OCFS).
This explains the difference between an RTF and an RTC.
A group home for youth is a facility where the children or teens live in a family-type setting. The facility typically has a kitchen, living area, and bedrooms. Children are expected to complete chores and interact with other youth. Group homes can be for behavior issues, mental health issues, transitional, or for children with developmental delays or autism.
Typically, children in group homes participate in outings and community activities with supervision.
Wilderness programs provide a treatment program for youth and teens in an outdoor environment. The goal of wilderness programs is to provide challenging experiences that bring about self-improvement and healing.
Most nature programs have therapists and trained staff. Wilderness programs are almost always self-pay and not covered by insurance. Click here for a listing of wilderness programs by state.
Bootcamps & Military Schools
Military schools offer structure and discipline in a controlled environment. Teens live at the school. While not meant to be a rehabilitation program per say, some children with behavior challenges thrive because of the structure.
While some mental health services may be provided, this is not the main focus of a military school. Military school is a private, parochial school and is self-pay.
Click here for a listing of military schools by state and click here for a listing of military schools that accept girls.
Therapeutic Boarding Schools
Therapeutic boarding schools provide highly structured live-in school situations for children and youth with behavior issues. The goal is providing a nurturing environment where teens and young adults can learn the skills to live up to their full potential.
While some programs accept insurance, most are private and self-pay. Click here for more information on therapeutic boarding schools for children and teens.
Specialized and Sexualized Behavior Treatment
Specialized programs are for children with sexually deviant behavior. The programs may be part of a large treatment facility or may be a stand-alone program. These programs provide highly structured supervision and treatment specifically geared toward stopping the sexualized behavior.
Drug and Alcohol Treatment
Drug and Alcohol Treatment programs offer live-in support for youth and teens with substance abuse issues. These programs may be in a hospital, group home, or treatment facility.
Eating Disorder Treatment
Eating Disorder Treatment programs offer live-in support for youth and teens with bulimia, anorexia and other eating disorders. These programs may be in a hospital, group home, or treatment facility.
Click here to learn more about eating disorder treatment for children.
Intellectually Disabled (ID)
Treatment programs for Intellectual Disability is for children with an IQ of less than 70 and meet the criteria of this diagnosis. Typically, in order to be diagnosed as ID, a child must show deficits in accomplishing activities of daily living (ADL).
Focus is on creating a safe environment with the appropriate level of supervision while giving children as much freedom as possible. Treatment may include focus on life skills and engaging with the community.
Attachment Disorder Treatment
Attachment Disorder Treatment is specifically for children with Reactive Attachment Disorder (RAD), Insecure and Avoidant Attachment Disorders. Most children with attachment issues come from the foster and adoptive system, but this isn’t always true.
If a child has committed a crime, the court system may place the child in a youth residential placement. Typically the type of treatment center will be one as mentioned above, especially RTF facilities.
A residential treatment placement for youth with mental health issues will be one as described above, with the focus on diagnosis, treatment management, and developing skills to copy with the mental health issue or disorder.
A transitional placement for youth, sometimes called a “half way house” or “step down” placement is one where the child is moving from a highly structured residential setting but is not yet ready to live at home or in the community.
Often transitional placements are in a group home. A student is given more freedom that the previous placement but still receives monitoring and supervision.
Autism /Pervasive Development Disorder
A placement for autism is a residential care setting for children with a diagnosis of Autism Spectrum Disorder or PDD. Click here for a listing of autism residential treatment by state.
A behavioral placement is one where the primary concern for the child is behavioral issues and not mental health or autism diagnosis. A youth who needs this setting is often violent or aggressive and may have committed a crime.
Therapeutic Foster Care and Teaching Family Homes
Therapeutic Foster Care is a foster care placement for a child who is unable to live at home. The goal of therapueutic foster care is to care for the child in a home setting with foster parents who are trained to manage the behavior.
Family Teaching Homes have the same goal and may be a foster care setting or may be through a private organization.
A Crisis Residence is for children who need a short-term placement outside of the family home. Typically these placements are less than 30 days and the goal is to either move the child back home or into a residential placement.
How Do I Find Youth Residential Treatment Centers Near Me?
Are you looking for residential treatment centers near you? Here are helpful resources.
- SAMSA Treatment Locator – U. S. Substances Abuse and Mental Health Services Administration (SAMSA) has a helpful behavior treatment center locator you can access here. Type in your zip code and you will find a list of all the treatment centers in your area.
- Department of Mental Health – Every county in the United States has a Department of Mental Health. Call the department from the county where you live and ask for help receiving services for a child in need.
- Insurance – Whether it’s Medicaid or private insurance, a call to your insurance company will provide a list of treatment centers in your area that are covered with your plan.
- Referral – Ask for a referral to location treatment centers from your therapist, doctor, pediatrician, psychiatrist, or fellow parents who have children with similar behaviors.
- Hire an expert. Click here to learn more about hiring an attorney, advocate, or educational consultant for residential or boarding school placement and get a list of experts recommended by fellow parents.
What is In-Patient Care vs. Residential Care?
In-Patient services are 24/7 support and monitoring of a child in a hospital setting. While there are some exceptions (such as eating disorder treatment and drug and alcohol withdrawal management), most hospitals are not equipped for a child to stay for more than a few weeks.
The goal of an in-patient setting is to stabilize the child’s behavior and medication and then move the youth into a more appropriate setting, whether that is home or residential care.
Click here to learn more about if your child need inpatient treatment.
What are the Best Child Residential Treatment Centers?
There is no one ranking system for the best residential treatment facilities for youth and children. You can call the National Institute of Mental Health or access their services here and SAMSA has a free 1-800 number you can call to ask further questions.
In my experience, referrals from fellow parents, doctors and therapists are the most helpful.
What is Residential Treatment for Children Like?
In residential treatment, children are in a controlled environment with high levels of supervision.
Here’s what that might look like:
- Most residential facilities are locked, meaning the child cannot leave without supervision by staff, although this isn’t always the case especially with group homes or transitional placements.
- Many centers have a small school within the program. The school legally must follow the guidelines of any other school and the Individual Education Plan (IEP) must be followed, if there is one.
- Often children in residential treatment go on outings in the community in order to work on socialization.
- Children may live in units or cottages.
- Most programs include a behavior system with positive reinforcement, rewards, and consequences.
- Most facilities have the legal right to restrain children physically if the child is dangerous to himself or others.
- Unless circumstances dictate otherwise, most programs encourage family interaction and have standard visiting times. Therapists and program directions stay in communication with parents. There are regular meetings to discuss the child’s progress.
Does Residential Treatment Work for Children?
Although treatment can help some individuals, the truth is that residential treatment has overall poor success rates. Children do best in families and within the community. Because of this, all systems (government, insurance) are designed to keep a child at home whenever possible.
Residential treatment is also incredibly expensive and so is seen as a last resort and is reserved for those children most in need.
Mental health treatment tends to have higher success rates than juvenile justice system placements.
Still, there are times when residential treatment is necessary, especially when the child is in crisis or a danger to himself or others. We provide these resources to help you find an appropriate placement for the child in your care.
Do you have a child who needs residential care? Share about it in the comments below.
Click here for a free PDF printable checklist of the 7 steps to take when your child needs residential treatment.
Which of the following are treatments offered by residential rehabilitation Centres? ›
Rehabilitation centers offer occupational therapy, physical therapy, speech therapy, and other therapies including counseling focused on restoring independence.How many youth residential treatment centers are there in the US? ›
The Juvenile Residential Facility Census, a biennial survey conducted by the Office of Juvenile Justice and Delinquency Prevention (OJJDP), found that more than 900 facilities identified themselves as residential treatment centers.Which of these treatments has been found to be most effective in treating addiction? ›
According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.How do you solve drugs? ›
- avoiding places where you know drugs and alcohol will be available.
- surrounding yourself with friends who don't use drugs.
- knowing how to resist temptation.
- learning how to cope with stress and relax without drugs.
- distracting yourself with activities like exercise or listening to music.
- The Recovery Stage. The first stage of physical rehabilitation is the Recovery Stage. ...
- The Repair Stage. After the healing process has begun, the next step is to start recovering movement and mobility. ...
- The Strength Stage. ...
- The Function Stage.
According to their findings, the effective types of treatment are individual counseling, interpersonal skills training, behavioral programmes, multiple services, restitution, employment/academic programmes, advocacy/casework and family counseling.What is the difference between RTF and RTC? ›
Residential Treatment Facility (RTF): An RTF is similar to an RTC, but it provides more intense treatment and more services. RTFs are also generally smaller placements with more staff and mental health professionals on-site.What is a residential treatment facility children? ›
A residential treatment program is a 24 hour-a-day, year round program that provides intensive help for children or youth with serious emotional, behavioral, or mental health needs.What is a children's residential? ›
Residential care for children/children's homes, are there to ensure that the needs of children are met when they cannot live with their own family. They are a place for children to develop and grow, as well as providing food, shelter, space for play and leisure in a caring environment.What are 5 ways to prevent addiction? ›
- Understand how substance abuse develops. ...
- Avoid Temptation and Peer Pressure. ...
- Seek help for mental illness. ...
- Examine the risk factors. ...
- Keep a well-balanced life.
What kinds of programs have been successful in treating addiction? ›
Some of the most common forms of modern addiction treatment include behavioral therapies delivered as individual therapy, group therapy, and family therapy.How can we prevent drug abuse among youth? ›
- Know your teen's activities. Pay attention to your teen's whereabouts. ...
- Establish rules and consequences. ...
- Know your teen's friends. ...
- Keep track of prescription drugs. ...
- Provide support. ...
- Set a good example.
Impulsive and Risk-Taking
Personality traits such as impulsive behavior, a desire to seek sensation, and difficulty delaying gratification can contribute to an addiction.
Peer pressure is a strong factor in starting to use and misuse drugs, particularly for young people. Lack of family involvement. Difficult family situations or lack of a bond with your parents or siblings may increase the risk of addiction, as can a lack of parental supervision.What are 3 ways to say no to drugs? ›
Say something like: - "No, I'm sorry, but I don't use...." - "No, I'm really trying to stay clean." - "No, I'm trying to cut back." Give a reason why you don't want to drink or use drugs.What are the 3 pillars of recovery? ›
This article claims that disruption brought on by trauma is best treated by what can be called the cycle of love, manifesting as the three pillars of recovery: awareness, acceptance, and integration.What are the 5 pillars of recovery? ›
- Maintain rigorous honesty. In addiction, our lives were built upon lies and false narratives we told ourselves and others. ...
- Expose your secrets. ...
- Let go. ...
- Remember you aren't alone. ...
- Know you matter.
- Education Rehabilitation for Inmates. ...
- Employment Rehabilitation for Inmates. ...
- Counseling Rehabilitation for Inmates. ...
- Wellness Rehabilitation for Inmates. ...
- Community Rehabilitation for Inmates.
The expanded intervention combines three components i) a monthly community based support group with individualized support from a Community Adolescent Treatment Supporter (CATS); ii) a caregiver intervention; iii) a group cognitive behavioural therapy intervention to support adherence.What are the 7 strategies for community change? ›
- CADCA's National Coalition Institute.
- Seven Strategies for Creating Effective Community Change.
- Enhancing Skills.
- Providing Support for Prevention Activities.
- Enhancing Access/Reducing Barriers.
- Changing Consequences (Incentives/Disincentives)
- Changing Physical Design/Making Environmental Changes.
What are the three methods of community action? ›
Rothman has developed three models of community organizing which are locality development, social planning, and social action.When should I use RTF? ›
Rich Text Format (RTF) is a file format that lets you exchange text files between different word processors in different operating systems (OSes). For example, you can create a file in Microsoft Word and then open it in another word processor, such as Apple Pages or Google Docs.What is the difference between RTC and TBS? ›
As educational institutions that also have a residential program, students at TBS are allowed the time to heal while keeping up with studies. In comparison, a residential treatment center (RTC) has the same goal as a TBS but emphasizes the therapeutic part of care more than the academic aspect of care.What is RTF good for? ›
RTF (Rhizomatous Tall Fescue) is the only Tall Fescue with true rhizomes. Rhizomes help RTF quickly fill in damaged and bare spots in your turf with new shoots of grass. This results in less over-seeding, fewer weed problems and no wide-leafed ugly clumps of grass like other tall fescues can form.Why are children in residential care vulnerable? ›
They may have experienced abuse, neglect and trauma. This can lead to significant emotional, behavioural and mental health needs, putting them at increased risk of being groomed or exploited by people offering them the attention, affection or support that they have struggled to find elsewhere.What is youth residential placement? ›
Residential treatment centers are intensive inpatient programs designed to support the individual needs of teens with emotional, behavioral, and educational difficulties or whose health is at risk in their current environment.How do you tell your child they are going to residential treatment? ›
When having the conversation, don't accuse your teen or place blame. Instead of using language such as “look what you've done,” emphasize your desire to keep your child safe and say, “we are now in a place that requires us to get help and that looks like residential treatment.”Why might children be placed in residential settings? ›
Residential treatment is when a child lives outside of the home situation 24/7 and lives in a controlled facility environment. Typically a child who needs this level of support has extreme behavior issues such as rage, aggression, acting out sexually, violence, crime, or very serious mental health issues.What are the 9 quality standards for children's homes? ›
- The quality and purpose of care standard (see regulation 6)
- The children's views, wishes and feelings standard (see regulation 7)
- The education standard (see regulation 8)
- The enjoyment and achievement standard (see regulation 9)
- The health and well-being standard (see regulation 10)
- For younger children, adult facilitated play with peers.
- Opportunities to practise friendship skills through role play with an adult.
- Adult led turn-taking activities eg board games.
- Peer support.
- Encourage involvement in extra-curricular activities.
What are the 6 steps of addiction? ›
- Stage 2: Experimentation. If someone moves along to Experimentation, they typically do so in specific social situations: ...
- Stage 3: Regular Usage. ...
- Stage 4: Problem Use. ...
- Stage 5: Drug Dependence. ...
- Stage 6: Active Dependency.
- behavioral counseling.
- medical devices and applications used to treat withdrawal symptoms or deliver skills training.
- evaluation and treatment for co-occurring mental health issues such as depression and anxiety.
- long-term follow-up to prevent relapse.
- Admit There Is A Problem. The hardest part to recovery is admitting you have an addiction. ...
- Reflect On Your Addiction. ...
- Seek Professional Support. ...
- Appreciate The Benefits of Sobriety. ...
- Identify Your Triggers. ...
- Change Your Environment. ...
- Exercise. ...
- Accept The Past.
Research shows that alcohol and opioids have the highest rates of relapse, with some studies indicating a relapse rate for alcohol as high as 80 percent during the first year after treatment. Similarly, some studies suggest a relapse rate for opioids as high as 80 to 95 percent during the first year after treatment.What are the four models of addiction? ›
The four C's of addiction are a helpful tool in distinguishing between addiction as a mental health disorder demanding treatment and other types of addictive behaviors. The four C's are compulsion, cravings, consequences, and control.What are the three main models of addiction? ›
- Moral Model. ...
- Disease Model. ...
- Socio-Cultural Model. ...
- Psycho-Dynamic Model.
- Make an excuse.
- Use a little humor.
- Change the subject.
- Offer to be the designated driver.
- Act like you're too busy.
- Explain the dangers of drugs and alcohol.
- Be honest.
- Keep saying no.
- Peer Pressure. One of the main causes of teen drug use is the pressure they feel from friends and even family members.
- Social Media. Many friends and family members show pictures of using substances on social media. ...
- The Influence of Culture and Society. ...
- Curiosity. ...
- The Desire to be Themselves.
Substance-abusing youth are at higher risk than nonusers for mental health problems, including depression, conduct problems, personality disorders, suicidal thoughts, attempted suicide, and suicide.What are 5 signs that indicate a person has an addiction? ›
- Enlarged or small pupils.
- Sudden weight loss or gain.
- Bloodshot eyes.
- Unusual body odors.
- Poor physical coordination.
- Looking unkempt.
- Slurred speech.
What are the 4 causes of addiction? ›
Things that lead to addiction
- Past trauma and underlying mental health needs.
- Social and environmental factors.
- Physical reliance.
Key aspects of addiction were measured for each reported behavior, including negative outcomes, emotional triggers (positive and negative emotional contexts), search for stimulation or pleasure, loss of control, and cognitive salience.What are the top 3 causes of addiction? ›
- Genetics. Traits passed on by family members through genes play a significant role in the potential for future substance abuse. ...
- Environment. Environmental factors include lack of parental supervision in your childhood and teenage years and peer pressure. ...
- Mental Health.
- Family history of addiction.
- Sleep problems.
- Chronic pain.
- Financial difficulties.
- Divorce or the loss of a loved one.
- Long-term tobacco habit.
- Tense home environment.
- Lack of parental attachment in childhood.
Factors such as peer pressure, physical and sexual abuse, early exposure to drugs, stress, and parental guidance can greatly affect a person's likelihood of drug use and addiction. Development. Genetic and environmental factors interact with critical developmental stages in a person's life to affect addiction risk.What are the three steps to say no? ›
- Rehearse saying no. When we are stressed and tired, we tend to act habitually. ...
- Be clear about your priorities and truthful in your refusal. Saying no is easier when we're clear about our priorities; it's even harder to decline a request when our reasons for doing so seem unimportant. ...
- Make your decision final.
Anti-Drug Slogans for the Workplace
Cope Safely, Don't Do Drugs. Don't Let Drugs Control You When You're In Control of Your Future. Coffee Can Keep You Awake Too. Weed-out Drugs, You're Successful.
A residential treatment center (RTC), sometimes called a rehab, is a live-in health care facility providing therapy for substance use disorders, mental illness, or other behavioral problems. Residential treatment may be considered the "last-ditch" approach to treating abnormal psychology or psychopathology.What is the most common type of substance use disorder? ›
Alcohol use disorder is still the most common form of substance use disorder in America, fueled by widespread legal access and social approval of moderate drinking.
What is the rehabilitation process? ›
A rehabilitation process brings about improvements to function and environment for the disabled person. The installation of a ramp, lift or handrail in a disabled person's environment is an example of such an improvement. Pain management, physical, and occupational therapy are also part of the rehabilitation process.What drugs are used in rehabilitation? ›
Heroin And Opiate Addiction Medications
- Methadone. Methadone is an Opiate used for moderate to severe Opiate addictions. ...
- Buprenorphine (Suboxone) ...
Indications for Residential Treatment
Generally speaking, patients enter residential treatment in acute or subacute crisis situations during which their needs are too intense to be managed with outpatient treatment but which do not rise to the level of severity requiring inpatient treatment.
The definition of residential is something related to a dwelling or location where people live. A college that offers dorm rooms is an example of a place that offers residential accommodations. A neighborhood made up of single-family homes where people live is an example of a residential neighborhood.What is the full meaning of residential? ›
Definition of residential
1a : used as a residence or by residents. b : providing living accommodations for students a residential prep school. 2 : restricted to or occupied by residences a residential neighborhood. 3 : of or relating to residence or residences.
Marijuana, alcohol, cocaine, meth, heroin — the damage from abusing drugs of any kind can be significant. Learn more about the possible risks of these substances.What is the most common mental illness associated with substance use disorder? ›
The mental health problems that most commonly co-occur with substance abuse are depression, bipolar disorder, and anxiety disorders.What are the 4 main mental health disorders that lead to substance abuse? ›
- Anxiety Disorders.
- Personality Disorders.
- Promote Adaptation.
- Emphasise Abilities.
- Treat the Whole Person.
- People Centred Care.
- Phase 1 - Control Pain and Swelling.
- Phase 2 - Improve Range of Motion and/or Flexibility.
- Phase 3 - Improve Strength & Begin Proprioception/Balance Training.
- Phase 4 - Proprioception/Balance Training & Sport-Specific Training.
- Phase 5 - Gradual Return to Full Activity.