Child-Specific Planning. Describe how this process will adapt the RBS program’s general services interventions, treatment and support options to address each child’s specific unmet needs and those of his or her family. As noted above, the Open Doors care-planning process is specifically designed to start with the identification of strengths and needs and goals from the perspective of the child and family. This process is the foundation for identification of the initial conditions and unmet needs that are the hidden drivers behind the patterns of harmful and self- defeating behaviors that led to the Open Doors intervention in the first place. Important aspects of transformed service delivery include: identification of key staff who will bridge facility treatment with community treatment, removal of any point systems, accommodation of a non-linear treatment trajectory, and a focus on initial conditions and unmet needs rather than focusing on creating a compliant client. Key service components include, but are not limited to portable therapy, outpatient psychiatry to address underlying diagnoses, healthcare support, as well as customized behavioral interventions tested/practiced in community settings and developed around the culture and strengths of the family.
Child-Specific Planning. Describe how this process will adapt the RBS program’s general services interventions, treatment and support options to address each child or youth’s specific unmet needs and those of his or her family. As noted above, the RBS care-planning process is specifically designed to start with the identification of strengths and needs and goals from the perspective of the youth and family as a foundation for services, interventions and support. We use a dynamic interactive process to ferret out the key unmet needs that are the hidden drivers behind the patterns of harmful and self-defeating behaviors that have led to the RBS intervention in the first place. Trauma-informed care will be the interview and treatment approach used by county and provider staff involved in the CCT and by the residential milieu staff. Trauma-informed care is predicated on the assumption that many of the problematic behaviors displayed by the target population are a result of unmet needs; if the need can be uncovered and more adaptive ways to get it met are learned, the problem behaviors are replaced with more adaptive ones. Additional intensive treatment will be planned out based on a diagnostic assessment.
