Psychiatric Residential Treatment Facilities (PRTF)

PRTF is the voluntary placement of Medicaid eligible youth who are discharge ready from the state psychiatric hospital system to the community and are assessed to need intensive community-based residential treatment services prior to their transition to a less restrictive, home and community-based level of care. PRTF also services youth and adults from the community that can be diverted from state hospitalization by receiving intense residential treatment without hospitalization.

This program services those Individuals that have complex, challenging, high-risk needs, such as aggression, elopement histories, and trauma. Their clinical presentation includes a current diagnosis of serious mental illness, serious emotional disturbance, and may have co-occurring factors. The purpose of PRTF is to provide a short term, intense, focused mental health treatment program to promote the successful integration of youth into their community, allowing the youth to return to their family or another less restrictive community living situation as soon as clinically possible. PRTFs will function as a step-up (from community) and step-down (from state inpatient) treatment option in Michigan.

PRTF is a time-limited behavioral health service provided in a licensed residential setting. Individuals receiving PRTF services are assessed as in need of intensive behavioral health services and supports and are at risk of significant functional deterioration if they do not receive these services. PRTF is residential treatment, not residential placement and therefore, the individuals receiving PRTF are authorized for an initial 90 days up to 180 days. It should be noted that the IPOS is reviewed every 30 days and prior to the 90^th day to determine continued clinical necessity for treatment.

PRTF is designed to develop and enhance the following:

• Psychiatric stability.
• Personal and emotional stabilization.
• Self-sufficiency.
• Skills to live in a more independent setting (cooking, budgeting, etc.)
• The requisition and establishment of needed community-based behavioral health services.
• Addresses behavioral health, medical health, and educational needs, and for services intended to accomplish the individual’s goals identified in their IPOS.
• Family education (services to educate, inform, assist, and support family members in behavioral health diagnosis and treatment, coping mechanisms, medication, community resources).

Therefore, our PRTF Providers must be able to address the trauma of those being supported, with direct care and clinical staff having necessary training in a trauma informed care model. The following services must be available and offered as part of the PRTF array:

• Supervision and direction.
• Individualized assessment and treatment planning.
• Crisis assistance, development of health care directives and crisis prevention plans.

• Development of healthcare directives.
• Nursing services.
• Behavioral treatment plans.
• Applied Behavioral Analysis (ABA).
• Therapy services from licensed professionals which can include individual and group therapy, occurring up to three times a week.

• Provide an educational setting for youth within the community in coordination with the local school district.
• Interagency case coordination.