Text Size
Increase text size
Increase text size

Residential Programs for Youth

 

Colorado’s Residential Program for Youth Needing Mental Health Services

 

 

There are 3 levels of residential care for children and youth in Colorado. These include:

 

 


Residential Child Care Facility (RCCF)

 

  • The lowest level of residential care in Colorado
  • Provides 24-hour residential group care and treatment for 5 or more children between the ages of 3 up to 18. Some facilities can take youth up to the age of 21 who are placed by a court order prior to their 18th birthday
  • Provides individualized care to youth who are in need of 24 hour care in a staffed facility and who are unable to be maintained in other, less restrictive types of care such as group homes, foster homes, or their own home
  • Full time awake staff on site 24/7
  • Can function as a step down from higher levels of care
  • Referrals can come from private citizens, insurance companies, social services, youth corrections, community mental health centers (CMHC) and behavioral health organizations (BHO)
  • Length of stay depends on the child’s needs
  • Youth are not required to have a mental health diagnosis to be placed
  • Licensed and monitored by the Colorado Department of Human Services, Division of Child Care
  • Administered by the Colorado Department of Human Services, Division of Child Welfare
  • Some RCCFs are Shelter Care facilities
  • Required to follow all rules and regulations for RCCF facilities

 

 

Program requirements for facilities licensed as RCCFs and criteria for placement can be located at:

 

  • The Colorado Department of Human Services Rules and Regulations (12 CCR 2509-8)  Staff Manual Volume 7.   Click here 

 


Therapeutic Residential Child Care Facility

 

  • The second highest level of residential care in Colorado
  • Provides 24-hour residential care for those youth who cannot be maintained in a less restrictive setting such as an RCCF, group home, foster care or their own home and who require mental health services for both the youth and the family.
  • Provides individualized mental health services on a fee for service basis for Medicaid recipients or contractually with the health care provider (BHO or insurance)
  • Youth must have a mental health need and diagnosis to be placed in this level of care.
  • Can function as a step-down from higher levels of care including hospitalization if necessary
  • Referrals can come from private citizens, insurance companies, social services, youth corrections, behavioral health organizations (BHO), and community mental health centers (CMHC)
  • Length of stay depends on the needs of the child but averages between 3 to 9 months.
  • Full time awake staff on site 24/7
  • Licensed mental health professionals treating and monitoring youth and family’s progress in treatment.
  • Licensed as an RCCF and a TRCCF
  • Licensed and monitored by the Colorado Department of Human Services, Division of Child Care
  • Administered by the Colorado Department of Human Services, Division of Child Welfare
  • Required to follow all rules and regulations for RCCF’s and TRCCF’s

 


Program requirements for facilities licensed as TRCCFs and criteria for placement can be located at:

 

 

Psychiatric Residential Treatment Facility (PRTF)

 

  • The highest level of residential care in Colorado
  • Provides 24-hour residential care for those youth who cannot be maintained in less restrictive settings such as TRCCFs, RCCFs, group homes, foster care, or their own home
  • Provides individualized, intensive mental health treatment for both the youth in placement and the family that is directed by a licensed physician
  • Medicaid funded
  • Youth placed in the facility must have a current mental health diagnosis and be in need of significant mental health services
  • Can function as a step down from hospitalization if necessary
  • Referrals can be made by private citizens, insurance companies, social services, youth corrections, community mental health centers (CMHC), and behavioral health organizations (BHO)
  • Length of stay is approximately 90 days or less but can be longer if needed
  • Staffed with licensed mental health professionals treating and monitoring youth and family’s progress, directed by a medical doctor
  • Has 24-hour nursing care on site
  • Full time awake staff on site
  • Licensed as an RCCF and a PRTF. Can be also licensed as a TRCCF 
  • Licensed and monitored by the Colorado Department of Human Services, Division of Child Care
  • Administered by the Colorado Department of Human Services, Division of Child Welfare
  • Required to follow all rules and regulations for RCCFs and PRTFs
  • Must follow all rules promulgated by the Colorado Department of Health Care Policy and Financing for mental health services for clients of Psychiatric Residential Treatment Facilities

 

 

Program requirements for facilities licensed as TRCCFs and criteria for placement can be located at:

 

 

 

Residential Facilities that also designated to provide services under “The Care and Treatment of Persons with Mental Illness” (27-65)

 

  • Some residential facilities also have the capability of implementing emergency procedures and providing care and treatment for youth who are a danger to themselves or others and need to be provided services under 27-65
  • Emergency procedure may be invoked when any person appears to have a mental illness and, as a result of such mental illness, appears to be an imminent danger to others or to himself or herself or appears to be gravely disabled. 
  • 27-65 provides for the care and treatment of persons with mental illness.
    • This includes 72-hour treatment and evaluation
    • Short term treatment
    • Long term treatment
  • These facilities have the capability to:
    • put a youth on 72-hour mental health hold, provide the   needed services to resolve that hold;
    • provide mental health services for youth who are on short term and long term certifications under 27-65
    • provide mental health services for youth who are placed voluntarily under 27-65
    • Treat youth who have been put on a 72-hour hold from other professional persons and peace officers.

 

 

Colorado Residential Facilities designated 27-65 (please refer to the residential list for contact information)

 

  • Adolescent and Family Institute of Colorado
  • Cedar Springs Hospital
  • Devereux Cleo Wallace
  • Colorado Boys’ Ranch
  • Jefferson Hills
  • Mountain Crest Hospital
  • Mountain Star Hospital
  • Savio

  

 

Rules and Regulations for 27-65 designated facilites