Psychiatric Residential Treatment Facility
Program Overview
The Psychiatric Residential Treatment Facility is a 20 bed facility designed to treat children and adolescents, ages 6 to 18, which have been diagnosed with psychiatric disorders. The PRTF provides specialized medical psychiatric, psychosocial and behavioral treatment services to assist youth and their families in gaining the skills necessary to demonstrate mental health and positive community adjustment.
The Psychiatric Residential Treatment Facilities serves youth that have a history of serious problem behavior with symptoms which are persistent,unpredictable and which may jeopardize the health and safety of others. These symptoms may include severe impulsivity, mood swings, explosive episodes, self-harm behaviors or assaultive behavior. In addition, these children and adolescents have a history of failure in less intensive treatment settings. While they do not need the level of care an acute psychiatric hospital offers, they nevertheless have a need for a supervised, safe environment, as well as specialized therapies. The goal is to enable each youth to progress quickly to a less restrictive level of care. Admission requirements include a psychiatric diagnosis, and a referral from a psychiatrist, physician or licensed psychologist.
The Psychiatric Residential Treatment Facilities is part of an array of services provided by CHI Health, which offers many advantages: As the youth move from one level of care to the next, the therapeutic multidisciplinary approach is consistent.
The Psychiatric Residential Treatment Facilities is located in a safe, secure environment, structured to serve intensely disturbed youth. Just as important, is the fact that the environment promotes positive self-esteem and age-appropriate behavior through the use of the therapeutic milieu. The youth, family, guardian and the referring or anticipated service agency are actively involved in the on-going multi-disciplinary treatment process.
The Psychiatric Residential Treatment Facilities is prepared to deal with any psychiatric/medical emergency in a timely manner because of our close relationship with the acute care programs.
A multi-disciplinary team under the direction of the Medical Director provides individualized treatment. The therapeutic milieu is developed under the direction of the PRTF Medical Director and Operations Director, and is implemented by all members of the treatment team. The multi-disciplinary team consists of psychiatric registered nurses, licensed practical nurses, social workers/therapists, recreational therapist, educational therapists and behavioral service technicians. Other professionals support the treatment team in areas of Pastoral Care, Pharmacy and Dietary Services.
All youth will be engaged in active treatment incorporating individual therapy, group therapy, family therapy, community meeting, medication management, psycho-educational therapy, and therapeutic outings and passes. The program also utilizes a privilege level economy system which is intended to be used as a skill building process through which youth are supervised and guided by staff. As youth demonstrate acceptable behaviors in the social and interpersonal skill areas, adult supervision and needed therapeutic interactions will diminish in intensity and frequency. In order to motivate the residents, they will earn positive and negative consequences for their behaviors. The privilege level economy system is consistently modified as needed, to address various developmental needs and intellectual functioning, and is monitored by the treatment team on an on-going basis.
The involvement of the family/legal guardian is critical in the treatment of the youth. Families are expected to be involved in family therapy throughout the treatment process. We believe that treatment of a youth should be provided within the context of his/her family, whenever possible, and that the family and youth need to be actively involved in the multi-disciplinary treatment planning process.
Program Services
The services that compose the program include:
individual, group, and family psychotherapy, educational services, social skills building, life skills teaching, goal setting, recreational/leisure activities, therapeutic teaching interactions, and therapeutic outings and passes. Staff on the PRTF engages the youth in teaching interactions throughout each day. These interactions focus primarily on the use of social skills appropriately, as well as when problematic behaviors are demonstrated. Youth on the PRTF progress through a series of levels as defined by the motivation system. Advancement from one level to the next occurs as youth demonstrate treatment progress and achieve specific criteria.
- Goal Setting
- Community Meeting
- Individual Therapy
- Group Psychotherapy
- Family Work
- Discharge Planning/Transition
- Educational Services
- Social Skills Building
- Therapeutic Passes
- PRTF Outings
- Limit Setting
- Physical and Spiritual Health
A Team Approach
Our Team, under the direction of the psychiatrist, provides kids with individualized treatment and coping skills to help them become successful and happy in their lives. Youth will actively engage in individual therapy, group therapy, family therapy, community meetings, medication managements as prescribed by the Psychiatrist, psycho-educational therapy, and therapeutic outings and passes. All of the therapists are Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Certified.
Members of the treatment team include:
- Medical Director
- Supervisors
- Social Worker/Therapists
- Nurses
- Recreational Therapists
- Educational Therapists
- Medical Students
- Behavioral Service Technicians
Other Services Available upon Request:
- Pastoral Care
- Nutritionist
Family Support
When family members are involved in treat treatment with the child, the rate of improvement in health care
increases significantly.
The goals of family therapy are:
- Help the family members/significant others better understand the child’s problem.
- Develop a better understanding of the stages of treatment.
- Recognize the family dynamics and how they affect the child’s diagnosis.
Family therapy may include married couples, parent-child, extended family relationships and sibling relationships. Care conferences with program staff may initiate this therapy.
Daily Schedule
7:30 - 8:00 Morning Hygiene
8:00 - 8:30 Breakfast
8:30 - 9:00 Card Conference
9:00 - 11:30 School
11:30 - 12:00 Lunch
12:00 - 12:30 Room Time/Privilege Time
12:30 - 1:30 Group Therapy
1:30 - 2:30 Recreational Therapy
2:30 - 3:30 School/Snack
3:30 - 4:00 Room Time
4:00 - 5:30 Exercise Group
5:30 - 6:00 Dinner
6:00 - 6:30 Showers/Journals
6:30 - 7:30 Education Time/Phone
7:30 - 8:30 Group Session
8:30 - 9:00 Evening Hygiene
9:00 - 9:30 Free Time
9:30 Bed
Education
Residents attend school Monday through Friday to study the core subjects. A certified teacher is present to assist the students through the self-paced curriculum. Residents are able to earn credits during their stay and courses are able to be transferred back to their home schools upon discharge.
About the Facility
The CHI Health Psychiatric Residential Treatment Facility:
- Treats children between the ages of six and 18 with a psychiatric disorder as their primary diagnosis.
- Provides specialized medical, psychiatric, psychosocial, and behavioral treatment services to youth and their families.
- Focuses on person centered care.
- Is a locked and secured Facility.
- Utilizes a privilege level economy system in which patients earn their way through three levels and ultimately to natural/ logical consequences.
- Arranges treatment team meetings every 28 days to discuss care with providers and families and to coordinate services as needed.
Financial
CHI Health Residential Treatment Facility, a Joint Commission accredited program, is approved by the state Medicaid program. Some private insurance policies may include the Psychiatric Residential Treatment Facility as a covered benefit. Private pay is also accepted. CHI Health works closely with insurance policy plans or parents to negotiate appropriate reimbursement.
Resources
Information and Referral Line
(402) 717-HOPE
(800) 930-0031 (Kearney area)
988 Suicide & Crisis Lifeline
Call or text 988
Chat online with a crisis counselor
Nebraska Family Helpline
1 (888) 866-8660
Safe Harbor Warm Line
(402) 715-4226