Ohio Administrative Code › Title 5101:2 - Division of Social Services › Chapter 5101:2-9 - Children's Residential Centers, Group Homes, and Residential Parenting Facilities › Section 5101:2-9-42 - Qualified residential treatment program (QRTP)

Current through all regulations passed and filed through July 1, 2024
(A) A residential facility that is certified
			 by the Ohio department of job and family services (ODJFS) and accepts children
			 for placement is to comply with the requirements in this rule. Agencies whose
			 initial certification date is on or after October 1, 2020 are to be compliant
			 with this rule in order to become certified. Agencies certified prior to
			 October 1, 2020 have until October 1, 2024 to become compliant with the
			 requirements related to meeting QRTP standards. In order to maintain title IV-E
			 reimbursability, residential agencies are to meet the standards in this rule by
			 October 1, 2021.
(B) A QRTP is
			 defined as a facility that:
(1) Is not a
			 private, nonprofit therapeutic wilderness camp.
(2)
									Is not a scholars
			 residential facility.
(3) Has a residential
			 program that is accredited by at least one of the following national
			 accrediting bodies and provides ongoing proof of such accreditation status to
			 ODJFS:
(a) Commission on accreditation of
			 rehabilitation facilities.
(b)
			 Joint commission on accreditation of healthcare organizations.
(c) Council on accreditation.
(4) Implements a
			 trauma-informed approach in which all employees, volunteers, interns and
			 independent contractors within the facility are trained in that trauma-informed
			 approach. Trauma-informed training is to occur within the first thirty days of
			 hire and annually thereafter in accordance with rule
			 5101:2-9-03 of the
			 Administrative Code. The required trauma training competencies are located at
https://jfs.ohio.gov/ocf/Family-First.stm
.
(5)
			 Utilizes a trauma-informed treatment model that is approved by ODJFS for the
			 population the facility serves. A trauma-informed treatment model is a program,
			 organization or system that:
(a) Ensures all
			 clinical staff are trained on the trauma model approved by ODJFS. If the
			 program adds that staff other than those with clinical responsibilities are to
			 be trained on the trauma model, the program is to document this through policy
			 and training records;
(b) Realizes
			 the widespread impact of trauma and understands potential paths for
			 recovery;
(c) Recognizes the signs
			 and symptoms of trauma in clients, families, staff and others involved with the
			 system;
(d) Responds by fully
			 integrating information about trauma into policies, procedures and
			 practices;
(e) Seeks to actively
			 resist re-traumatization;
(f)
			 Includes service of clinical needs and that:
(i) Is an approved trauma informed treatment
			 model applicable to the population of youth served, located at
https://jfs.ohio.gov/ocf/Family-First.stm
,
			 or
(ii) Meets the substance abuse
			 and mental health services administration (SAMHSA) implementation domains and
			 follows the six key principles of the SAMHSA trauma informed approach which are
			 located at
https://jfs.ohio.gov/ocf/Family-First.stm
;
			 and
(iii) Receives approval by the
			 department or designee.
(6) Has registered or
			 licensed nursing and clinical staff who operate in accordance with the
			 following:
(a) Provide care within the scope
			 of their practice as defined by state law.
(b) Are accessible on-site or face-to-face
			 via interactive videoconferencing based on the youth's clinical and/or medical
			 needs. Interactive videoconferencing may not be appropriate for a youth in
			 crisis at the facility.
(c) Are
			 available twenty-four hours a day and seven days a week.
(7)
			 Cooperates with the qualified individual and the family and permanency team to
			 complete the assessment within thirty days of placement of a child in a QRTP in
			 accordance with rule
			 5101:2-42-12 of the
			 Administrative Code.
(8) Provides
			 consideration for the youth's safety and developmental needs, the treatment
			 should be family-driven with both the youth and the family included in all
			 aspects of care, if in the best interest of the youth. The key components of
			 family-centered residential treatment are to be documented in the child's
			 record and include the following:
(a)
			 Facilitation of regular contact between the youth and other members of the
			 family including siblings;
(b)
			 Actively involving and supporting families who have a youth placed in the
			 residential facility;
(c) Providing
			 outreach, ongoing support and aftercare for the youth and the family.
(9) Completes discharge
			 planning that is to:
(a) Include planning for
			 all youth discharged from the QRTP.
(b) Begin in partnership with the legal
			 custodian and/or custodial agency no later than the next business day after a
			 youth is admitted to the QRTP.
(c)
			 Be reviewed by the QRTP no less than every thirty days and during every service
			 plan review.
(10) Provides aftercare
			 support for all youth placed more than fourteen days who are exiting the QRTP
			 to family-based settings including:
(a)
			 Reunification with family.
(b)
			 Pre-finalized adoptive family.
(c)
			 Kinship care.
(d) Foster
			 care.
(e) Independent
			 living.
(11) Includes at least
			 a six-month period of family-based aftercare support for all youth after
			 discharge, even if the youth reaches the age of majority. The aftercare support
			 is to:
(a) Be provided within the youth or
			 family's community as appropriate to promote the continuity of care for
			 children.
(b) Be individualized and
			 driven by the youth, the caregivers and the family as appropriate, and include
			 the following:
(i) Monthly contact with the
			 youth and caregivers to promote and maintain engagement, and to regularly
			 evaluate the family's needs. Monthly contact may be in-person, through
			 interactive videoconferencing, or via phone or other electronic
			 means.
(ii) Referring and
			 coordinating engagement with any applicable community providers serving the
			 youth or family. The QRTP will ensure they make themselves available to the
			 community providers for ongoing consultation and document the consultation in
			 writing. Documentation should include all resources and services needed and
			 detail how the resources and services will be provided.
(iii) Written documentation provided to all
			 participants of the discharge plan prior to discharge with information on how
			 to access additional supports from the QRTP and community providers including
			 contact information and steps required to access each provider.
(12) May provide six
			 months of aftercare services as defined in rule
			 5101:2-1-01 and pursuant to
			 rule 5101:2-47-23.1 of the
			 Administrative Code, if the child was placed by a Title IV-E agency.
(13)
			 Ensures all QRTP requirements able to be recorded in the residential treatment
			 information system (RTIS) are documented within RTIS.