Special Needs Resource Directory

Search the Special Needs Resource Directory

Residential Placement

Explanation | Residential Options | Residential Supports | Questions to Ask

Explanation

Not all children with chronic debilitating illnesses can be managed at home and therefore require care in some type of long-term, or extended care, facility. These facilities are often necessary for multiple reasons, including:

The severity or complexity of the illness and / or the inability to set up and maintain adequate home care or other needed services within the community
Community resources such as school, day care and respite may be absent or inadequate
Some caregivers are dysfunctional, short handed or disabled themselves
As children with severe disabilities are now living longer and their parents aging, some families are unable to provide the necessary quality and quantity of care

Residential Options

Mental Health

Cincinnati Children's College Hill Campus Residential Treatment Program provides a place where children who need psychiatric care over extended periods of time can receive treatment. The program is for children ages 9 to 17 whose stay is between one to 12 months.
AdvoServe operates programs in Delaware, New Jersey and Florida serving children, adolescents and adults with autism, developmental disabilities, severe emotional disturbances, dual diagnosis, conduct disorders and related diagnoses. Specialized services are offered to individuals with extremely challenging problems and significant developmental delays that interfere with full community inclusion.
Ardent Health Services operates 20 behavioral hospitals throughout the United States for children and adults. The continuum of services includes acute inpatient hospitalization, residential treatment, partial hospitalization, intensive outpatient, alternative school and outpatient services. Some facilities include:

Belmont Pines, Youngstown, OH
Columbus Hospital, Columbus, IN
Cumberland Hospital, New Kent, VA
Fox Run Hospital, St. Clairesville, OH
Windsor Hospital, Chagrin Falls, OH

Bellefaire Jewish Children's Bureau, Shaker Heights, OH, offers four levels of residential care for 12- to 18-year-olds: Intensive Treatment, Intermediate Treatment, Transitional Living, and Independent Living.
Caritas Health Services, Louisville, KY, specializes in issues related to mental retardation, developmental disabilities and autism. They serve patients ages 3 years through older adulthood.
Children's Campus, located in Mishawaka, Indiana, is a residential treatment provider for children ages 6 to 21 with behavioral, emotional and mental health needs.
Chileda, LaCrosse, Wisconsin is a residential care and treatment center for children and young adults with developmental disabilities and challenging behaviors.
Florida Institute for Neurologic Rehabilitation, Inc., Wauchula, Florida, teaches self-control and positive behaviors to people with brain and head injuries in a structured, therapeutic environment. The goal is community integration.
Hillside, Inc., Atlanta, Georgia, offers intensive residential psychiatric treatment, therapeutic foster care and community-based family preservation services for 7- to 18-year-olds.
Holly Hill Children's Services, located in Northern Kentucky, provides residential treatment for girls ages 11-18 who have emotional and behavioral issues.
Judge Rotenberg Educational Center, Canton, Massachusetts is a special needs school serving both higher functioning students with conduct, behavior and emotional and/or psychiatric issues and lower-functioning students with autistic-like behaviors.
KidsPeace National Centers in Georgia, New England, and Pennsylvania offer a variety of residential programs for children and adolescents including diagnostic assessment, dual diagnosis, residential, transitional and theraputic treatment.
Maryhurst, Louisville, KY, offers a highly structured, intensive residential treatment program with an on-campus school. Serves 12- to 18-year-olds.
Midwest Center for Youth and Families, Kouts, Indiana, is short-term residential facility, offering behavioral health services for youth ages 6-20.
NeuroRestorative Specialty Centers operates treatment centers in Arkansas, Florida, Louisiana, Tennessee, and Texas that serve individuals who have suffered a neurologic impairment due to traumatic brain injury, tumor, stroke, anoxia or congenital, degenerative, or neurogenic infectious disorder.
Peninsula Village, Louisville, TN, is a long-term residential treatment center specializing in treating adolescents (13- to 18-year-olds) who have not been successful in other treatment settings.
Rainbow Rehabilitation, Ypsilanti, MI, provides a residential environment for those with brain injuries. They assist in developing appropriate socialization skills, family and community reintegration and increased independence. Serves pediatric and adult patients.
Ten Broeck Hospital, Louisville, KY, offers a full continuum of inpatient, partial, outpatient and residential services for children, adolescents, families, adults and seniors.
Three Springs, Huntsville, AL, provides therapy and education to adolescents experiencing emotional, behavioral and learning problems.
Youth and Family Centered Services offers a continuum of specialized services for the mentally retarded / developmentally delayed, as well as deaf patients throughout the United States:
Oak Ridge Treatment Center, Pedro, OH. Serves children ages 11 - 18 years. Offers two programs: Dual diagnosis (for MR/DD and mental illness) and the Typical Needs Program.
Options Treatment Center, Indianapolis, IN. Serves children ages 8 - 18 years. Offers Dual Diagnosis program for MR/DD and Mental Illness.
Resource Treatment Center, Indianapolis, IN. Serves children ages 8 - 20 years with conduct and oppositional defiance, mood disorders, impulsivity, and attention deficit.
Southwood Psychiatric Hospital, Pittsburgh, PA. Offers acute inpatient for child and adolescent care (boys and girls age 4 - 18); Residential Treatment (boys ages 4 - 18); and MR/DD (boys 12 - 21).

MRDD

The Ohio Department of MRDD provides residential supports and services that allow individuals with mental retardation and developmental disabilities to live in the most appropriate home environment. This goal is achieved with the independence and choice of the individual and/or the family in mind. Individuals may choose to live in their own homes or with family, using supports provided through Ohio’s MRDD supported living system Residential options also include care in Ohio’s state-run Developmental Centers and in Intermediate Care Facilities for the Mentally Retarded (ICFMR). Services and supports in a community setting are arranged locally by each County Board of MRDD.

Frequently Asked Questions about residential options in Ohio.
Residential Options in Ohio for individuals with mental retardation, including supported living, ICFMR's and Developmental Centers.
Guide to Residential Facilities in Ohio.

Drug and Alcohol Rehabilitation

Cornell Abraxas of Ohio, Shelby, OH, serves males ages 12 - 18 years.
Valle Vista Hospital, Greenwood, IN, offers a continuum of services for children and adults.
Day Top, located in New Jersey, is a treatment program designed specifically for adolescents.
4drugrehab.com provides an alphabetical listing of rehabilitation programs by state.

Residential Supports

When a child resides in an institution for more than 30 days, the income and resources ot the child's parents are not longer counted in determining the Medicaid eligibility of the child. Therefore, children who are institutionalized for more than a month will generally qualify for Medicaid.

FamiliesUSA has information on how children qualify for Medicaid and institutionalized care.
Ask the Right Questions is a guide to making decisions about residential supports for family members with disabilities.
Nursing Home Compare is a tool that provides detailed information about the past performance of every Medicare and Medicaid certified nursing home in the country.

Questions to Ask

Does My Child Need Inpatient Treatment | Interviewing A Residential Facility

Does My Child Need Inpatient Treatment?

Here are some questions to consider and discuss with your child's primary care provider and / or psychiatrist:

How are the child's behavior affecting the family?
Does the child have a diagnosis or behaviors that seriously affects his ability to remain stable in the family environment?
Has the family exhausted all available resources, including counseling/therapy and respite?
Is the child verbally or physically abusive?
Is the child a threat to himself or others?
Is the child self-abusive or suicidial?
Is the child out of control?
Is the child at risk to runaway?
Does the child accept responsibility for his actions?
Does the child show remorse?
Is the child cruel to animals?
Does the child isolate himself from the family?
Is the child secretive or non-communicative?
Is the child in trouble with the law?
Is the child using drugs and/or alcohol?
Does the child have difficulty in the school setting?
Does the child exhibit excessive behaviors in the area of lying or stealing?

Interviewing A Residential Facility

Choosing the right residential, or extended care, facility for a child can be difficult for families. Here are some important questions to ask when interviewing / researching a particular facility:

What is your philosophy of treatment?
Currently, or generally, what types of issues do you deal with the most at your facility?

Based on your understanding of my child's needs:

a.	Do you have a program that will benefit my child?
b.	What are your initial thoughts about a treatment plan?
c.	Have you worked with similar cases? What were the outcome in these situations?
d.	How would my child fit in with other residents?
e.	Do you have any concerns about my child's participation in your program?
f.	What would be a realistic successful outcome for my child?

What is the average patient age?
Are patients ever separated by gender? (sleeping, recreation, meals, groups)
What type of plan for communication is there between the treatment team and parents? How does this communication plan work (e.g., phone, email, visits)? What type of access do we as parents / caregivers have to the attending physician?
What type of expectations would the facility have for family participation during my child's stay? Is there a recommend visitation program?
How is length of stay determined?
How are on-site visits usually handled? Do you recommend that our child attend the initial on-site visit?