Regulation .08 TGH Program Model.
Regulation .08 TGH Program Model.LinkCopy Citation
A.
A TGH provides therapeutic living services:
(1)
For at least four but not more than eight children;
(2)
By providing access to a combination of developmental, diagnostic, and therapeutic mental health services;
(3)
When possible, in the child's community of origin; and
(4)
In a home-like environment.
B.
The chief executive officer of a TGH shall assure that a TGH:
(1)
Provides to each child in the TGH mental health care and treatment:
(a)
That can reasonably be expected to benefit the child; and
(b)
By an adequate staff or, under agreement, by a provider of mental health services;
(2)
Has sufficient staff to provide adequate supervision to the children in the TGH, including 24-hour supervision for each resident not participating in a program outside the TGH; and
(3)
Coordinates treatment in the TGH with the appropriate public or nonpublic educational program.
C.
The chief executive officer of the TGH shall assure that services are:
(1)
Appropriate to the cultural and psychosocial developmental needs of the child;
(2)
Provided by staff who:
(a)
As determined by the program, are appropriately credentialed and privileged; and
(b)
Organize and manage the therapeutic milieu to:
(i)
Foster clinically appropriate social, cognitive, emotional, and physical growth;
(ii)
Handle aggression in a nonpunitive manner that promotes growth and learning;
(iii)
Reinforce the child's ability to function with peers in a social environment;
(iv)
Model and provide opportunities for children to behave in age-appropriate ways, such as assuming responsibility for carrying out routine activities, exhibiting independence and initiative in planning their own activities, getting along with others, and demonstrating age-appropriate social skills;
(v)
Facilitate the child's awareness of appropriate behavior in a predictable, constructive, and timely manner; and
(vi)
Help children to make choices and to negotiate disagreements among themselves, rather than resolving conflicts for them;
(3)
Provided in an environment that is:
(a)
Consistent with existing standards of program design; and
(b)
Organized consistent with the learning styles and developmental needs of the child; and
(4)
Designed to foster positive relationships between the child and the child's parents or guardians and, if other than a parent, the child's primary caretaker, and the anticipated post-placement caretaker.