OKDHS.org - OAC 340:75-11-233. Placement of children into more restrictive community-based residential care placements

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340:75-11-233. Placement of children into more restrictive community-based residential care placements

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Revised 5-26-05

(a) Section 7004-1.1 of Title 10 of the Oklahoma Statutes requires children in Oklahoma Department of Human Services (OKDHS) custody be served in the least restrictive setting that meets the treatment needs of each child in the closest geographic proximity to the child's home, per OAC 340:75-6-85. • 1

(b) Community-based residential care (CBRC) placements are more restrictive placement settings than the child's own home, relative's home, or foster family care. The request and referral for the placement of a child in OKDHS custody in a CBRC placement is made through Children and Family Services Division (CFSD) Placement Section. • 2 & 3

(c) Children younger than ten years of age in OKDHS custody are not placed in CBRC placements, except when maintaining sibling groups together in non-funded and funded Level B and non-funded Level C CBRC placements.

(d) A child in OKDHS custody residing in a CBRC placement on his or her 18th birthday may receive voluntary care in his or her CBRC placement after age 18 per OAC 340:75-6-115.9. • 3

(e) The child's primary case assignment remains in the county of jurisdiction. • 4

(f) CBRC placements must:

(1) be licensed by OKDHS, or another approved licensing body, and are either operated by, or under formal contract with OKDHS; and
(2) provide appropriate treatment interventions for children that improve the level of functioning of children, resulting in a successful discharge to a less restrictive placement, such as own home, relative home, foster family home, adoptive home, or independent living. • 4 & 5

(g) Sufficient CBRC placements are subject to the availability of funds in the OKDHS budget. CFSD Placement Section maintains the waiting list for children requiring CBRC placements. • 2

INSTRUCTIONS TO STAFF 340:75-11-233

1. Assessing a child for placement. The Child Welfare (CW) county of jurisdiction worker and supervisor assess each child's treatment needs per OAC 340:75-6-40.3. When the child's treatment needs can no longer be met in the child's own home, relative home, or foster home and the child does not meet the medical necessity criteria for psychiatric treatment, the CW county of jurisdiction:

(1) worker seeks treatment for the child in a community-based residential care (CBRC) placement;

(2) worker makes the placement request on KIDS Placement Recommendation screen; and

(3) supervisor approves the placement request, within five working days of the decision for CBRC placement.

2. Authorization of a placement request. Children and Family Services Division Placement Section:

(1) makes the referral for placement of and authorizes the placement of a child in Oklahoma Department of Human Services custody in a more restrictive CBRC placement.

(A) Exceptions to referral and authorization by the Placement Section are:

(i) residential diagnostic and evaluation services (D & E), 20-day time limited assessment services;

(ii) residential intensive treatment services (ITS), 72-hour short-term crisis stabilization services;

(iii) non-funded Level B placements with faith-based providers, such as Oklahoma Baptist Homes for Children, United Methodist Children's Home, and Sand Springs Children's Home; and

(iv) funded and non-funded residential maternity services that serve pregnant youth.

(B) Authorization and referral are made by the respective contract liaison; and

(2) maintains the waiting list of children for placement into CBRC placements when the need for placement of children exceeds the availability of sufficient CBRC placements.

3. Voluntary care. The CW county of jurisdiction worker and supervisor determine whether the youth in CBRC placement is eligible for voluntary care after age 18, and if the eligible youth requests voluntary care, the CW county of jurisdiction worker completes requirements per OAC 340:75-6-115.9.

4. Case assignment and responsibility. The CW county of jurisdiction worker:

(1) retains primary case assignment of the child's case record. The CW county of jurisdiction worker's supervisor makes a secondary case assignment to the county of placement, per OAC 340:75-1-26; and

(2) is responsible for the child's permanency plan, per OAC 340:75-6-31 and 340:75-6-85.

5. Assessing the child prior to adjudication.

(1) The CW county of jurisdiction worker and supervisor assess the child's treatment needs.

(2) When the child's treatment needs cannot be met in a family setting and the child does not meet the medical necessity criteria for psychiatric treatment, the CW worker may request approval of the court to place the child in a residential facility prior to the child's adjudication as deprived.

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