Morrison - Child & Family Services

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Hand In Hand Day Treatment

Hand In Hand Psychiatric Day Treatment serves up to 44 children between the ages of three up to, and including, fifth grade who have been severely abused and neglected. Many maltreated children develop emotional and behavioral problems and the effects of these traumatic experiences are varied and unique to each child. An individually tailored service plan is implemented for each family and child after a thorough evaluation is conducted to assess the type and severity of the maltreatment. Factors that are assessed include the type and severity of maltreatment, age of onset, pattern of the maltreatment, environmental risks, child’s temperament, environmental resources available to the child and the strength of interpersonal relationships.

Day treatment services are provided year round, four hours per day for each child. The day treatment milieu is staffed by an interdisciplinary team, that provides therapeutic activities integrated with Portland Public School DARTS Program educational services. Other ancillary services such as community based skill development, speech and language and occupational therapy services may be made available based on each child’s particular needs.

Language Capability

Referral Process

Eligibility

Staffing

Language Capability
English is spoken in the milieu. Family therapy is available in Spanish for
Spanish speaking families.

Referral Process
Children are referred by their local Mental Health Organization for a level of need determination. Based on that level of need, services may be authorized for day treatment. Through a similar process, authorizations may also occur for therapeutic foster care. Many children in the day treatment program are also served in the therapeutic foster care program provided by the Hand in Hand Division Therapeutic Foster Care program. The combination of these two services provides the highest level of service – day treatment plus therapeutic foster care.

Eligibility
Children must meet an assessed level of need through a standardized screening instrument. This screening is provided by the child’s Mental Health Organization and is largely based on the child’s residence when they are referred for care.

Staffing
Psychiatric Day Treatment Programs are staffed to the acuity and severity of admitted children but no less than a clinical staffing ratio of at least one qualified mental health associate for three children.