The Children’s Home of Jefferson County's (CHJC) Therapeutic Crisis Respite Program (TCRP) is a unique short-term (not to exceed 14 days) residential program for youth ages 10 through 17, experiencing a mental health crisis and requiring 24 hour supervision but do not meet admission criteria for hospitalization. The program serves Jefferson, Lewis, and St. Lawrence County youth. Services will include psychiatric examinations, medication evaluations, crisis intervention, individual, family, and group therapy, peer advocacy, and psychological testing. To ensure the family receives adequate community support to prevent future crises, and to reduce the intensity and duration of crises that do arise, prior to admission and after discharge, youth and families will receive services based on the care coordination model.
Through a Family-Centered, Trauma-Informed Approach, we will:
- Stabilize youth and families in crisis in the least restrictive manner;
- Minimize the likelihood of the youth and family experiencing further trauma, while promoting a safe, structured, and healing environment for all;
- Assist the youth and family in identifying the underlying purpose of the behavior which led to the intervention;
- Empower youth and families to identify their strengths and use them to develop strategies to cope with future events;
- Assist families in identifying their strengths and needs through administration of the Child and Adolescent Needs and Strengths (CANS) assessment tool;
- Decrease recidivism of emergency room and preventable hospital utilization; and
- Decrease symptoms and behaviors, family stress, and functional impairment from the time of admission through discharge as identified using the Child and Adult Integrated Reporting System (CAIRS).
Safety: The first principle of trauma-informed care, involving the establishment of physical, and emotional safety within the youth’s environment;
Trustworthiness: The youth and family’s ability to trust, feel, and experience safety with staff and the program based on clear, positive, and consistent guidelines, interactions and practices;
Choice: The youth and families are offered choices in key decisions;
Collaboration: Working together through planning and discussion, the youth, families, and staff members make daily treatment decisions; and
Empowerment: Allowing youth, families, and staff members the ability to generate and participate in ideas, processes, and experiences accenting their strengths and priorities.
PROGRAM TREATMENT TEAM
Project Manager: Oversight of daily operations;
Care Coordinators: Family engagement and service coordination;
Direct Care Staff: Provide a safe and structured environment for youth while helping youth develop appropriate coping skills for dealing with stressful situations;
Licensed Clinicians: Provide assessments and therapy (individual, group, and family) to assist both the youth and the family in identifying the events leading to intervention and strategies to promote a positive and healthy family unit;
Community Providers: Return youth home and provide the least restrictive environment for the family;
Registered Nurse: Ensure the medical and physical well-being of the youth;
Family Members and Youth: Active members of the treatment team while recognizing the collaborative role each family member has on the success of the youth requiring respite care; and
Youth: Make meaningful changes to improve his/her future.
Therapeutic Crisis Respite Program Process/Design
Therapeutic Crisis Respite Program participation is voluntary. The process/design of the program includes:
Referral: To become a member of the TCRP, a family member or a service provider/school personnel must submit a completed referral from to the TCRP Manager;
Admission: TCRP representative will meet with youth and family. The Child and Adolescent Strengths and Needs (CANS) assessment will be initiated to determine strengths and needs;
Respite: Youth will reside in the TCRP Cottage and be provided with 24/7 care and supervision;
After Care Phase: Care Coordinators will remain involved with the youth and family until all parties agree services are either transferred to other community based service providers or services are no longer needed; and
Post Discharge: Care Coordinators will continue to monitor the progress of the youth. Families will continue to have access to a 24-hour on-call system.