Laserfiche WebLink
121 <br />0 <br />e <br />~";~'~;~DURN:I P1 <br />Durham SOC Care Review <br />LEVELS OF RESIDENTUL CARE <br />Appendix 3 <br />LEVEL 2- Program Type: <br />The staffing structure may include family and program type settings. <br />Children who are appropriate for this service may have the following behaviors: <br />Same as for Level II - Family Type <br />The child has displayed difficulty in a family setting such that placement with a family <br />would not be indicated. Many of these children have suffered abuse/neglect within their <br />own families and as a result have a great deal of trouble adjusting to a family setting. This <br />level of service is responsive to the need for intensive, interactive, therapeutic interventions, <br />which still fall below the level of a staff secure/24 hour supervision or secure treatment <br />facility. <br />Child is fairly accepting of treatment process <br />LEVEL III <br />• <br />0 <br />Children who are appropriate for this service may have the following behaviors: <br />1. Inability to follow directions and conform to structure of school, home or community <br />2. Constant, sometimes violent arguments with caretakers, peers, siblings and/or teachers <br />3. Moderate level of self-injurious behavior, risk taking, sexual promiscuity <br />4. Suicidal actions/history of serious suicidal actions <br />5. Almost daily physical altercations in school, home or community <br />6. Constant verbally aggressive and provocative language <br />7. Frequent and severe property damage <br />8. Probable legal system involvement <br />9. Frequent school suspensions <br />IO.Moderate to high risk for sexually victimizing others <br />Child is in need of: <br />- A higher level of supervision and structure than can be provided in a level 2 facility. <br />- Supervision by awake staff during times when the child is sleeping in order to maintain <br />the child. <br />- A facility that is "staff secure". There are no locks, but the child needs a high level of <br />constant supervision to be maintained in the community <br />Child is only minimally accepting of treatment <br />This service is responsive to the need for intensive, active, therapeutic intervention, which <br />requires a staff secure treatment setting in order to be successfully implemented. This <br />setting has a higher level of consultative and direct service from psychiatrists, psychologists, <br />therapists, medical professionals, etc. <br />Page 2 <br />