N.H. Admin. Code § He-C 6350.15

Current through Register No. 50, December 12, 2024
Section He-C 6350.15 - Basic Standards for Residential Treatment Programs
(a) Except as identified elsewhere in He-C 6350, all residential treatment programs shall comply with this section.
(b) Residential treatment programs shall be licensed in accordance with RSA 170-E or RSA 151.
(c) Residential treatment programs shall be enrolled in NH Medicaid and shall comply with administrative rule He-C 6420 Medicaid Covered Services.
(d) Residential treatment programs shall comply with the following:
(e) Providers shall maintain general liability insurance pursuant to SSA 471 (a) (10) (C) and any subsequent amendments thereto.
(1) Any administrative rules specific to their category of service, including all applicable sections set forth in this rule;
(2) Juvenile Justice and Delinquency Prevention Act, 42 U.S.C. § 5601- 5681;
(3) RSA 170-A, Interstate Compact on Placement of Children (ICPC), and RSA 169-A, Interstate Compact of Juveniles (ICJ); and
(4) RSA 126-U.
(f) Residential treatment programs shall provide the following:
(1) Care in a structured, therapeutic environment to children who have pending petitions for, or have been adjudicated as, abused or neglected, in need of services, or delinquent;
(2) Support to children and families 365 days a year including nights, weekends, and during visits;
(3) Monitoring and assessment of the whereabouts and safety when a child is in the immediate care of the residential treatment program;
(4) Age and developmentally appropriate opportunities and activities consistent with the reasonable and prudent parent standard that positively support the education, physical, intellectual, and social needs of children within the residential treatment program and community;
(5) Positive youth development techniques that emphasize providing services and opportunities to support youth in developing a sense of competence, usefulness, belonging, and empowerment;
(6) Opportunities for children to maintain contact with family and identified connections;
(7) Daily programming to include:
a. Supervision;
b. Access to education per He-C 6350.27;
c. Social and family services;
d. Adult living preparation;
e. Recreation;
f. Rehabilitative services in accordance with He-C 6420; and
g. Behavioral health services in accordance with He-C 6420; and
(8) Coordination of services to transition the child from the residential treatment program to the identified permanency plan or concurrent plan.
(g) For each child, DCYF shall complete and provide to a residential treatment program one of the following completed forms:
(1) Form 2267 "Child's Information Sheet" (January 2015), signed and dated by the child's parent or guardian and the child's CPSW;
(2) Form 2281 "DCYF Youth Information Sheet" (January 2015), signed and dated by the child's parent or guardian and the child's CPSW;
(3) Form 2281(J) "Youth Information Sheet" (January 2015), signed and dated by the child's parent or guardian and the child's JPPO or juvenile parole and probation supervisor (JPPS);
(h) If a residential treatment program has been provided a completed Form 2267 "Child's Information Sheet" (January 2015), Form 2281 "DCYF Youth Information Sheet" (January 2015), or Form 2281(J) "Youth Information Sheet" (January 2015) from DCYF, the program shall, every 6 months, review the information on the form, update the form as necessary, sign and date the form, and provide to DCYF the updated form, indicating changes or no changes. Attachments to the forms may be used to supplement the information required.
(i) Residential treatment programs shall have relief staff to respond to emergency situations and additional staff available to contact for support and consultation.
(j) Residential treatment programs shall utilize effective behavior management techniques to support the stability of the program.
(k) Residential treatment programs shall ensure the child's health needs are met, and as follows:
(1) For any initial placement of a child due to petitions filed under RSA 169-C, a comprehensive physical exam shall be arranged by the residential treatment program in conjunction with the CPSW, to occur within the first 30 days of placement; and
(2) Shelter care programs shall comply with He-C 6350.18(d) .
(l) All residential treatment programs shall provide and coordinate services and treatment interventions to meet the goals identified in the treatment plan, as follows:
(1) The treatment plan shall be consistent with the case plan provided by DCYF;
(2) Treatment interventions shall meet the individual needs of the children and families in therapeutic and group-living experiences;
(3) Treatment programs shall include individual/group problem solving and decision-making;
(4) The clinical coordinator shall ensure therapeutic interventions and other services are implemented and integrated into the treatment programming for the individual child and family;
(5) Services required by the treatment plan including individual, group, and family counseling to children shall be available within the residential treatment program or shall be referred to community agencies depending on the need of the child and family, and the category of service; and
(6) Direct care staff that provides group counseling shall receive supervision from clinical staff.
(m) Treatment programs shall support family-centered practices and incorporate the family-centered focus in the program's milieu.
(n) Residential treatment programs shall make normal daily decisions in the life of the child and grant permission for participation in family, school, community, cultural, and social leisure time activities based on their age, ability, development, treatment plan case plan, or court order consistent with the reasonable and prudent parent standard.
(o) Consistent with RSA 169-B, 169-C, and 169-D, during the course of treatment, if there is a court order that limits or prohibits the child's contact with the parent or guardian, or if DCYF is in the process of securing such court order, the program shall not be required to engage the parent or guardian in the treatment planning process or provide them with documentation of progress reports or incident reports.

N.H. Admin. Code § He-C 6350.15

#6617, eff 10-25-97; ss by #8453, INTERIM, eff 10-25-05, EXPIRED: 4-23-06

New. #8693, eff 7-27-06

Amended byVolume XXXV Number 06, Filed February 12, 2015, Proposed by #10759, Effective 1/17/2015, Expires1/17/2025.
Amended by Volume XXXVIII Number 37, Filed September 13, 2018, Proposed by #12609, Effective 8/23/2018, Expires 8/23/2028.