|Respite Care, Child/Adolescent: Residential Care|
Behavioral Health (BH)
|BCBST last reviewed June 25, 2020*|
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Clinical Indications for Admission to Residential Care
- Admission to Respite Care for Children and Adolescents[A](1)(2) is judged appropriate as indicated by ALL of the following:
- Individual is between the ages of 5-18, however special consideration will be given for children under age 5.
- Patient must meet ALL of the following:
- Child/youth demonstrates an incapacitating or debilitating disturbance in mood, thought and/or behavior that interferes with functioning in any domain to the extent that immediate stabilization is required
- Child/youth demonstrates significant risk of danger to self or others (but is not imminently dangerous)
- Child/youth has no available supports to provide continuous monitoring
- Symptoms can be expected to respond to intensive, short-term structured intervention such that all safety issues will be resolved
- Absence of ALL the following exclusions:
- Manifests behavioral and/or psychiatric symptoms that require a more intensive level of care
- Child/youth can be safely maintained and effectively treated at a less intensive level of care
- The symptoms are a result of a medical condition that warrants a medical setting for treatment
- Child/youth and /or parent/guardian/custodian do not voluntarily consent to treatment and there is no court order requiring such treatment
- Child/youth has a sole presenting diagnosis of Substance Abuse
- Edgar, M.Uhl, M. National Respite Guidelines: Guiding principles for respite models and services. ARCH National Resource Center 2011.
- Dougherty, S. Respite for caregivers of children with serious emotional disturbance. The Technical Assistance Center for Life Respite June 2012; fact sheet number 34:1-16. ARCH National Respite Network and Resource Center. retrieved from http://archrespite.org/productspublications/arch-fact-sheets#SEDChildren
[A] Program Definition: This level of care is a short-term crisis stabilization response that provides stabilization and safety in a licensed facility or licensed home for children/youth for a three day initial authorization and up to five days total. Respite Care provides the child/youth with an opportunity to stabilize problematic and escalating behaviors. The respite enables the child/youth and family to work intensely with the community providers so that the child/youth and family will be unified within three to five calendar days. The parent/guardian/custodian must agree to take the child/youth back when the crisis behavior is stabilized. If the child/youth is unable to return home within five days, the child/youth will be referred to a clinically-determined level of care or to an alternative living situation. This intervention provides a safe, controlled environment with a high degree of supervision and structure in which the child/youth receives therapeutic intervention and specialized programming. The purpose is to stabilize the child/youth within the five-day period and prepare him/her for reintegration back into the living environment from which he/she came.