In-Depth Residential Treatment Center Questions
Once you have selected a potential RTC, these are questions to help you understand the programs strengths.
Date of Visit:
Program Name:
Website:
Address:
Date Established:
Owner of Facility:
Monthly Tuition: $
Portion Pd by School District: $
State Funding: $
Extra: $
Intake Director:
Phone:
Executive Director:
Phone:
Capacity:
Licensed for:
Current Census:
Wilderness Required:
Male/Female:
Avg. Length of Stay:
Age Range:
Average Age:
% Escorted:
Common Dx: Adoption/RAD ADD/HD
Chemical Dependency Eating Disorder
LD NVLD
PTSD Self Harm
Other:
JCAHO:
CARF:
NATSAP:
FULL:
ASSOCIATE:
NO:
Licensing Credentials:
Insurance:
Insurance Type Accepted:
Exculsionary Dx:
Criteria for Dismissal:
Legal Actions:
Outcome Studies:
Similar/competitive Programs:
Referring Consultants:
Communication with Consultants:
With Parents:
Unique Features of this program:
CLINICAL
Clinical Director:
Theoretical approach/model:
Inservice/continuing education:
Typical student profile:
Case Load:
Testing Onsight:
MEDICATIONS
Use and Dispersal:
Nurse Practioner:
Closest Hospital:
Psychiatrist:
STUDENT
Therapist ratio:
# Weekly individual sessions:
# group sessions:
ISP: Special issue groups: Adoption Anger
Body Image
Chemical Dependency:
Gender Identity:
Trauma:
Other:
THERAPIES
Animal Assisted Biofeedback
CBT DBT
Equine/ EMDR/ OT/PT/ST Sand Tray Sensory Integration/ Social Skills
Speech
Other:
Drug Recovery Curriculum: 12 STEPS Other:
Frequency:
BEHAVIORAL STRUCTURE
Level System:
Privileges earned:
Other:
Consequences for infractions:
Staff Secure Lock Down Seclusion
Method of Restraint when/if needed
FAMILY
Parent Involvement:
Parent workshops:
Family therapy:
Phone:
On line check In:
Parent visits Schedule:
In person frequency:
Group Frequency:
Sibling Involvement:
Contact restrictions:
HomeVisits:
Comments:
LIVING ENVIRONMENT
Type: Dorm House
Other:
# per room:
# per bath:
Chores:
Garden:
Laundry:
Staff:
Student:
Wake Staff:
Shift Hours:
Training/ Support:
Teach Life Skills:
Exercise Room:
Off Campus: Trips:
Meals: Cafeteria Family Style
Other:
Students cook: Dietician Organic Healthy
Kosher Vegetarian
Diabetic:
Dress Code: Formal Informal Combination
Religious Affiliation:
Community Service:
Comments:
ACADEMIC
Education Director:
School accreditation:
Internet Usage:
Method: Packets Self Directed
Teacher Text Book Online Service
Learning Disability Support Individual Group
Types: Semester Quarter Tri
Testing Available:
Average IQ:
% Special Ed certified teachers:
IEP Diploma
Testing site 504
Summer program
Competitive Athletics:
Athletics Required:
Music: Formal Instruction Club
Arts: Dance Drama Drawing
Painting Pottery
Other:
Adventure learning:
Recreational therapist:
Ropes Course:
AR3 therapist:
Method of reporting:
TRANSITION PLAN
What is process for Transition Plan?
Does the plan include emergency respite?
Does the plan include scheduled respite?
Is there a community reintegration program?
Do they have an outside mentor program?
Is there in-home family support and/or counseling?
Is there a school reintegration program?
