Trauma Responsive Residential Interventions within a System of Care

Residential interventions are an essential component of a trauma responsive behavioral health system designed to meet the unique needs of youth engaged in the developmental/intellectual, child protection and juvenile justice systems. When systems transform to better meet the unique needs of young people and their families, it is essential that residential interventions are supported in the transformation process. Providing the right service, at the right time, for the right duration is foundational to systems of care and to providing healing residential interventions.  This workshop will focus on the structural changes that are fundamental to a system of care and the transformation of residential interventions.

Family driven and youth guided are residential best practices.   Shared decision making with all team members shifts the role of the residential intervention from the decision maker to one member of the team.  Shared decision making allows all members of the team to bring their expertise to the table and work as a team to develop an individualized plan that will address the unique needs of each youth.  The individualized plan takes into consideration the unique culture and identity of the young person and their family.   The movement away from “placement” orientation recognizes that a placement is the location where a youth rests their head; but does not recognize both intervention and structure within the residential intervention.  There is general agreement that residential interventions have both the potential to heal and the potential to harm and residential intervention address this challenge for teams by having a full understanding of the purpose of the residential intervention in the healing process for young people. Is there an alternative intervention or combination of interventions that would address the identified need of the youth and family is the first question that the team needs to address.

Residential interventions as part of an integrated continuum allows for services to be nimble as both formal and informal supports transition in and out of the teaming process.  The residential intervention shifts practice be inclusion of the community engagement strategies, in home partners and partners.

Residential partners are essential in systems transformation first by providing high quality trauma responsive care and then supporting shifts in practices that look to ensure that the right service, at the right time for the right duration is the guiding principle within the community that you serve.