OASAS

Chemical Dependency for Youth (CDYs)

This program is designed to support youth (up to 18) who cannot comply with outpatient treatment and need to develop skills to cope with the circumstances that led to abuse and/or dependency. Support is provided as either a short term (3 month) or long term (9 month) group living arrangement. The program focuses on continuing the stability gained through inpatient efforts and works to build independent living skills to help a youth maintain stability and avoidance of chemical use or dependency in the community. NOTE: All services will be converted to Residential Rehabilitation for Youth Services (RRSY). At that time, the age range of youth services will expand to 21.

OASAS

Addiction Treatment Center ("Treatment Centers")

This program provides short-term 24-hour structured supports to help individuals begin to deal with the emotional, behavioral, mental and physical aspects of addition and dependency. The program supports individuals with multiple addiction/abuse issues, as well as co-existing mental health concerns. Treatment Centers may provide specialized supports for individuals such as supporting individuals who are deaf/hard of hearing, women with dependent youth, or other concerns. Treatment Centers provide after-care planning to individuals in the program to maintain treatment and support. Length of stay is typically up to 40 days. Treatment Center services are not recommended for youth. If a youth is exceptionally mature, an exception may be made by the Treatment Center Director.

OASAS

Intensive Residential Rehabilitation ("Intensive")

This service is designed to support individuals who are unable to participate in or comply with treatment outside of a 24-hour structured treatment setting and also have substantial deficits in functional skills. This service seeks to enhance the social and functional skills of individuals who may be isolated from conventional social relations, who engage in inappropriate social behaviors, and who have poor personal care skills and/or have difficulty with activities of daily living. Intensive services provide a length of stay longer than in Treatment Centers. Intensive services exist for youth and for adults. Intensive services designed for adults are not recommended for youth.

OASAS

Community Residential Services

This service is designed to provide a safe and alcohol/drug-free therapeutic domestic environment for persons who are homeless or whose home does not support treatment or recovery. The individuals continue to receive treatment, usually in an outpatient setting.

OASAS

Supportive Living

This service is designed to provide individual or congregate living apartments with minimal supervision for persons referred from other more intensive programs for participants at the end stage of treatment and early recovery. This program is for individuals who exhibit the strength necessary to maintain abstinence, and re-adapt to independent living in the community.

OCFS

Kinship Care

This service provides temporary or long-term care for a youth who cannot remain in the home of their family of origin by placing the youth in the home of an extended family member. This can be an informal placement facilitated by DSS. While there may be DSS supervisory oversight, the family may be able to maintain custody.

OCFS

Supervised Independent Living Program (SILP)

This service provides alternative residential support to youth who are able to utilize community services and can function without on-going staff supervision. The program provides apartment-style living arrangements with staff available to them 24 hours a day. This program is operated under the boarding home regulations of OCFS and provides service to less than 3 individuals in an apartment. The focus of the program is to utilize and further develop life skills in youth and to work towards identifying and maintaining a permanent resource after discharge. Youth must be at least 16 years of age for this program.

Only DSS or OCFS Can refer to SILPS

OCFS

Foster Home

This service provides temporary or long-term care for a youth who cannot remain in the home of his family of origin. Foster Care placement means the youth has been placed with a family who is not related to the youth, but is trained to provide appropriate care for the youth.

Only DSS or OCFS can refer to Foster Homes

OCFS

Therapeutic Foster Home

This service provides temporary or long-term care for a youth who cannot remain in the home of his family of origin. Therapeutic Foster Care placement means the youth has been placed with a family who is not related and has greater skill and supports than a regular Foster care family.

Only DSS or OCFS can refer to TFH

OCFS

Emergency Group Care

This service provides a highly structured, short-term placement for youth who must be removed from chaotic or disruptive situations. The function of this service is to provide a safe environment until a longer term placement can be secured. The service provides support in addressing challenging behaviors, education, recreation and activities of daily living. The majority of youth in this level of care have a mental health diagnosis. Emergency Group Care is licensed under the OCFS regulations for Group Homes, or under Residential Treatment Centers, dependent on the capacity of the unit the program operates in. Specific Emergency Group Care programs may also be specialized to provide diagnostic services. These sites are operated under the same regulations, but have a different reimbursement rate that addresses the additional costs of providing diagnostic services through skilled professionals. All aspects of this service strive to stabilize and identify appropriate placement as quickly as possible. The goal is to facilitate longer-term placement within 30 days.

Only DSS and OCFS can refer to a group home emergency placement. DSS, OCFS and CSE can refer to an emergency RTC.

Emergency can be licensed under group home (Alexander) or RTC (Horton)

OCFS

Group Home

This service is a non-family based, group living arrangement situated in the community. Youth placed here should have the skills necessary to live in the community but require greater supports than a foster family can provide. The group home setting provides skills-building opportunity and structured activities. Youth in a group home should be capable of functioning in a public school setting. Some group home programs are designed to provide emergency services.

Only DSS and OCFS can refer to a group home

Group home is up to 12 in a unit, RTC is 13 or more in a unit. OCFS Group Homes have DSS Referral only. Youth must be in County or state custody.

OCFS

Residential Treatment Center (RTC) - "regular rate"

This service is a group living arrangement based outside of family and community settings. The youth placed here do not currently exhibit the skills necessary to live in a community setting. The setting provides structured activity and skilled staff to assist youth to address emotional and behavioral concerns. Youth placed in an RTC will not require specialized or customized supports which “hard to place” RTC programs provide. Youth typically attend specialized school programs that are not a part of the public school system. Staffing ratios in “regular” RTCs is on average 5 or 6 residents to 1 staff member. Some RTC programs have beds designated to provide emergency services for youth who require emergency supports but cannot succeed in a group home setting.

Only DSS, OCFS and CSE can refer

OCFS

Critical Care: Residential Treatment Center - "hard to place rate"

“Hard to place” RTCs offer increased staffing and structure to address more specialized supports for youth. Staffing ratios in “hard to place” RTCs is on average 3 or 4 residents to 1 staff member. These programs operate like “regular” RTCs but address the specific issues of the residents through more specialized programming. Critical Care Programs serve youth who have been rejected from lower levels of care due to safety concerns or lack of engagement in the therapeutic process. Often youth will come to the program with behavioral struggles including aggression towards others, self-harming behaviors, running away, and/or fire-setting. The program assists clients in developing socially-appropriate levels of functioning, which include decision-making skills, anger management skills, and improved family and peer relationships.

Only DSS, OCFS and CSE can refer

OCFS

Developmental Abilities Service (DAS): Residential Treatment Center

“Hard to place” RTCs offer increased staffing and structure to address more specialized supports for youth. These programs operate like “regular” RTCs but address the specific issues of the residents through more specialized programming. This program offers increased staffing as well as behavior specialist and clinical staffing. The DAS program serves youth who are dually diagnosed with mental illness/emotional disturbance issues as well as a slightly lower IQ than is typically served in the RTC service. Youth in this program exhibit significant behavioral issues. The program assists clients in developing socially-appropriate levels of functioning, which include decision-making skills, anger management skills, and improved family and peer relationships. The staffing ratio in this program is higher than other hard to place RTC programs.

Only DSS, OCFS and CSE can refer

OCFS

Diagnostic: Residential Treatment Center - "hard to place rate"

“Hard to place” RTCs offer increased staffing and structure to address more specialized supports for youth. Staffing ratios in “hard to place” RTCs is on average 3 or 4 residents to 1 staff member. These programs operate like “regular” RTCs but address the specific issues of the residents through more specialized programming. Diagnostic Programs provide intensive assessment to develop specific recommendations of effective services to support the youth and provides assessment and evaluation to clarify the specific diagnoses. The program has a 45 to 90 day duration.

Only DSS, OCFS and CSE can refer

OCFS

Specialized: Residential Treatment Center - "hard to place rate"

“Hard to place” RTCs offer increased staffing and structure to address more specialized supports for youth. These programs operate like “regular” RTCs but address the specific issues of the residents through more specialized programming. Specialized Programs provide services that address youth with sexually harmful behavior and provides treatment and support around this issue.

Only DSS, OCFS and CSE can refer

OCFS/DJJOY

Voluntary Agency Non-secure Detention

The program provides treatment for youth who require removal from the community, but do not require the more restrictive setting of a limited secure facility. Trips and community activities are a part of this program.

OCFS/DJJOY

State-Operated Non-secure Detention

The program provides treatment for youth who require removal from the community, but do not require the more restrictive setting of a limited secure facility. Trips and community activities are a part of this program.

OCFS/DJJOY

State-Operated Limited Secure Detention

Limited secure facilities provide the most restrictive service setting for the Juvenile Delinquent population. First admissions to these facilities are adjudicated juvenile delinquents. Limited secure facilities are also used for certain youth previously placed in secure facilities as a first step in their transition back to the community. Limited Secure facilities are located in non-urban areas with virtually all program services provided on grounds.

OCFS/DJJOY

Secure Detention

Secure facilities provide the most controlled and restrictive of the residential programs operated by OCFS. Secure facilities provide intensive programming for youth requiring a highly controlled and restrictive environment. Secure facilities are located in non-urban areas with virtually all program services provided on grounds. Access to and from secure facilities is strictly controlled. The majority of youth admitted are sentenced as Juvenile Offenders or Youthful Offenders.

OCFS/DJJOY

Group Home

This program is a step-down from detention settings for youth who no longer require the detention setting level of care. Youth in group homes require out-of-home placement but can function in a group living setting within the community structure. This program makes extensive use of community resources to provide services to youth.

OMH

Family-Based Treatment (FBT)

Family Based Treatment targets children who meet criteria to be determined severely emotionally disturbed, can function in a family setting, and are at risk for restrictive settings. FBT provides a placement in a family home for children who are able to live in the community under supervision, and with the support of surrogate parents. These surrogate parents receive special training in behavior management and other related aspects of caring for youth. Additional supports, including clinical services, are arranged through community mental health programs and other community agencies.

OMH

Community Residence (CR)

Community Residences provide a supervised, therapeutic environment for eight children or adolescents, between the ages of 5 and 17 years, that includes structured daily living activities, problem solving skills development, a behavior management system and caring consistent adult interactions. Most often, needed clinical supports for the child and family are provided by community-based services. Community residences provide a community-based, more normative residential option for seriously emotionally disturbed children and youth. Community residences are appropriate for youngsters who are diagnostically the same as youngsters placed in an inpatient or residential treatment facility yet are more independent and able to function in a community based, supervised living environment. These are children who, with supervision, are able to participate in community school, social and recreational activities.

OMH

Residential Treatment Facility (RTF)

Residential Treatment Facilities are designed to provide individualized, active mental health treatment to children and adolescents with a severe emotional disturbance within an intensively staffed residential setting. Residential Treatment Facilities are less restrictive and less intensively staffed than hospital-based programs, but more intensively staffed and provide a wider range of services than community residences. The objective of the program is to help a child improve his or her daily functioning, develop coping skills, support the family and to ensure appropriate community linkages and supports to ensure successful transition to the community. Residential Treatment Facilities range in size from 14-56 beds and serve an average of 760 children per year between the ages of five and 21 years.

OMH

RTF-Intensive Treatment Unit

The Intensive Treatment Unit operates like an RTF. Residential Treatment Facilities are designed to provide individualized, active mental health treatment to children and adolescents with a severe emotional disturbance within an intensively staffed residential setting. Residential Treatment Facilities are less restrictive and less intensively staffed than hospital-based programs, but more intensively staffed and provide a wider range of services than community residences. The objective of the program is to help a child improve his or her daily functioning, develop coping skills, support the family and to ensure appropriate community linkages and supports to ensure successful transition to the community. Admission to the ITU Typically requires prior RTF placement.

OMH

Hospital-Based Service - General Hospital

Inpatient services are hospital-based programs that offer a full range of treatment and support services, client education, and skill acquisition in an intensively supervised, structured setting. Programs exist in general hospitals (Article 28), freestanding psychiatric hospitals (Article 31) and State Children's Psychiatric Centers. Services offered in a Psychiatric Hospital setting support youth most severely challenged by chronic mental health concerns. The program provides assessment upon intake to the service and offers referral to outpatient or other appropriate services to assist with discharge.

OMH

Hospital-Based Service - Psychiatric Center

Inpatient services are hospital-based programs that offer a full range of treatment and support services, client education, and skill acquisition in an intensively supervised, structured setting. Services offered in a Psychiatric Hospital setting support youth severely challenged by chronic mental health concerns. The program provides assessment upon intake to the service and offers referral to outpatient or other appropriate services to assist with discharge. Some sites exclusively serve youth.

OMRDD

Community Residence (CR)

This program provides supports to individuals who require supports and assistance and require 24-hour staffing present to respond if a need arises. Additional services are accessed from community providers. CRs serve both youth and adults and usually serve 8 - 14 individuals in the residence.

All Youth must be found eligible for OMRDD Services. All youth must have a school placement to be eligible for an out-of-home placement.

All OMRDD-certified out-of-home placements should be considered a youth's home.

OMRDD

Individualized Residential Alternative

This program evaluates the individual needs of the youth and the youth's desires to develop a specialized plan for support while living in the residence. This plan is implemented by staff providing 24-hour support. Additional services are accessed from community providers. The facility is considered to be the individual's home. While "Children's" IRAs typically do not provide support to individuals over age 22, that agency operating the home may choose to transition the home from a children's IRA to an adult IRA as the residents age. If the program is to remain a program for youth, individuals will be supported in planning to move to an adult facility at or by age 22. IRAs usually serve 8 or less individuals.

All Youth must be found eligible for OMRDD Services. All youth must have a school placement to be eligible for an out-of-home placement.

All OMRDD-certified out-of-home placements should be considered a youth's home.

OMRDD

Intermediate Care Facility

This program provides support in a highly regulated and highly structured 24-hour setting for youth with behavioral and/or medical needs. The program is developed to meet the needs of these youth on an individualized basis. The facility is considered to be the individual's home. ICFs may serve both children and adults. If the program is to remain a program for youth, individuals will be supported in planning to move to an adult facility at or by age 22. Individual needs such as OT/PT, Dietician supports, etc. are often provided within the residential program.

All Youth must be found eligible for OMRDD Services. All youth must have a school placement to be eligible for an out-of-home placement.

All OMRDD-certified out-of-home placements should be considered a youth's home.

OMRDD

IRA/Intensive Support Unit

This is a voluntarily-operated highly structured and intensively staffed program to serve up to 8 multiply diagnosed individuals for up to 1 year. The program provides assessment, stabilization, and skills-building to help the individual become capable of living in less restrictive settings. The program is operated under IRA regulation and is slated to open in the fall of 2007.

All Youth must be found eligible for OMRDD Services. All youth must have a school placement to be eligible for an out-of-home placement.

All OMRDD-certified out-of-home placements should be considered a youth's home.