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37.37.101    THERAPEUTIC YOUTH GROUP HOMES, DEFINITIONS

(1) "Basic level" means the supervision and intensity of treatment classified under ARM 37.50.315 as supervision matrix level VI.

(2) "Campus based" means the supervision and intensity of treatment required in a therapeutic youth group home as specified in ARM 37.37.111 to manage and treat children who present severe emotional and/or behavioral disorders as determined by the department. Treatment, therapeutic interventions and supervision are tailored to the age and diagnosis of the children served. Therapeutic interventions are individualized and are provided several times per day. Campus based level care is provided on a campus where treatment is provided throughout the facility. In addition to treatment, the children are provided with 24-hour awake staff supervision.

(3) "Direct care worker" means a Medicaid provider or an employee who is assigned to work directly with the youth or in youth-specific activities for no less than 75% of their hours of employment. A direct care worker is primarily responsible for the implementation of the treatment goals of the youth.

(4) "Intensive level" means the supervision and intensity of treatment required in a therapeutic youth group home as specified in ARM 37.37.115 to manage and treat children who present severe emotional and/or behavioral disorders as determined by the department. Treatment, therapeutic interventions and supervision are tailored to the age and diagnosis of the children served. Therapeutic group and individual interventions are provided several times per day. In addition, specialized behavior management techniques are incorporated into the treatment and supervision of children requiring intensive level services. The children are provided with 24-hour awake supervision.

(5) "Lead clinical staff (LCS) " means an employee of, or under contract with, the moderate, campus based or intensive level therapeutic youth group home provider who is responsible for the supervision and overall provision of treatment services to children in the group home. The LCS must be a clinical psychologist, master level social worker (MSW) , licensed professional counselor (LPC) , or have a masters degree in a human services field with a minimum of one year of clinical experience.

(6) "Moderate level" means the supervision and intensity of treatment required in a therapeutic youth group home as specified in ARM 37.37.108 to manage and treat children who present emotional and/or behavioral disorders as determined by the department. Therapeutic interventions such as individual and group therapy are provided several times per week. In addition to the treatment, the children are provided with 24-hour awake staff supervision.

(7) "Program manager" means an employee of the moderate, campus based or intensive level therapeutic youth group home provider who trains and supervises child care staff, and provides treatment under the clinical supervision of the LCS. Program managers must have a bachelor's degree in a human services field, or the experience or a combination of experience and education equivalent to a bachelor's degree. Human services experience equivalent to a bachelor's degree for a non-degree program manager is six years. Each year of post-secondary education in human services for a non-degree program manager equals one year of experience.

(8) "Therapeutic youth group home" means a youth care facility licensed by and under contract with the department as a therapeutic youth group home, in which staff who are trained to provide services to emotionally disturbed youth in a therapeutic environment, perform assessments, develop and implement planned treatment interventions designed to address a youth's therapeutic needs in accordance with an individualized written treatment plan, and provide group, individual, and family therapy. Providers of moderate, campus based and intensive therapeutic youth group home services must directly employ or contract for services of clinicians, program managers, child care staff, relief staff, and administrative staff.

History: 41-3-1103, 41-3-1142, 52-2-111, 52-2-622, MCA; IMP, 41-3-1102, 41-3-1142, 52-2-111, 52-2-622, MCA; NEW, 1995 MAR p. 472, Eff. 3/31/95; AMD, 1995 MAR p. 1119, Eff. 6/30/95; AMD, 1997 MAR p. 548, Eff. 3/25/97; TRANS, from DFS, 1998 MAR p. 2037; AMD, 2006 MAR p. 1635, Eff. 6/23/06.

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