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Psychiatric Residential Treatment Facilities (PRTF)

Psychiatric Residential Treatment Facilities (PRTF) provide active treatment to children and youth under age 21 with complex mental health conditions. This is an inpatient level of care provided in a residential facility rather than a hospital. PRTFs deliver services under the direction of a physician, seven days per week, to residents and their families, which may include individual, family and group therapy. A resident’s plan of care may also include arranged services or specialty services, such as occupational, physical, and speech therapies.

PRTF discharge planning begins at the time of admission and requires coordination with the individuals, their families and community-based service providers. Comprehensive discharge planning is essential for individuals to successfully transition to home, school and community as soon as possible. 

Psychiatric Residential Treatment Facilities (PRTF) are not considered foster care placements. Children or youth are admitted to a PRTF only after medical necessity is determined. If you are a county or agency with placement authority, please refer to the Adoption and Foster Care Analysis and Reporting System Social Service Information System Placement Guide (AFCARS) for more information.

Psychiatric Residential Treatment Facility (PRTF) (Provider Manual)
Psychiatric Residential Treatment Facility: An overview (PDF)
Medical Necessity Distinction: Children’s Residential Facilities (CRF) and Psychiatric Residential Treatment Facilities (PRTF) (PDF)

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