Revised 5-15-09
1. Placement priority for a child in OKDHS custody.
(1) The child's treatment needs, placement history, current location, and readiness for placement determine placement referral priority.
(2) A child:
(A) ready for discharge from an inpatient psychiatric treatment facility;
(B) in a community-based residential care (CBRC) facility who needs a more or less restrictive level of CBRC care; or
(C) in an Oklahoma Department of Human Services (OKDHS) operated emergency shelter over licensed capacity is given priority on the waiting list.
(3) Children and Family Services Division Placement Section establishes the waiting list according to the:
(A) level of care the child requires;
(B) child's current location;
(C) date of the placement request; and
(D) child's permanency plan.
(4) The CW county of jurisdiction worker's supervisor facilitates assignment of the placement request to Placement Section by approving the KIDS Placement Recommendation screen that indicates his or her review of Form 04KI010E, Placement Worksheet, for completion and accuracy. Refer to OAC 340:75-11-233 Instructions to Staff.
(5) The CW county of jurisdiction worker is responsible for:
(A) faxing to Placement Section initial and updated collateral case information needed to justify CBRC placement, including, but not limited to, residential diagnostic and evaluation assessments, documentation of previous placement episodes, psychological evaluations, hospital letters, facility progress reports, critical incident reports, and discharge summaries. Placement Section maintains all information in the working placement case record; and
(B) maintaining regular and ongoing contact with Placement Section to inform of any changes in the child's location or need for CBRC placement.
2. Report of vacancies. The contract facility liaison or the provider reports CBRC vacant beds to Placement Section either by fax or e-mail immediately when a bed becomes vacant or in advance when a planned discharge results in a vacant bed.
3. Placement procedures. When the CW county of jurisdiction worker receives the referral, the worker:
(1) immediately contacts the CBRC facility and assigned contract liaison where the child is referred;
(2) makes arrangements for transportation and ensures the child is placed, per OAC 340:75‑11‑238, within no more than two working days of the referral; and
(3) documents the placement in the child's KIDS Placement screens. Authorization of the placement episode by Placement Section unlocks the KIDS Enter-Exit screen.
4. Placement prior to adjudication. When a child in emergency OKDHS custody has needs that are best met in a CBRC facility, the CW county of jurisdiction worker:
(1) requests court approval stating all parties agree to a CBRC placement; and
(2) if the court approves, faxes the court approval to Placement Section.
5. Mental health gatekeeping process. The process of placing a child in an acute psychiatric facility or a psychiatric residential treatment center (RTC) is begun by contacting APS Healthcare at 1-800-762-1560 to complete the gatekeeping referral process. Necessary paperwork is faxed to APS Healthcare at 1‑800‑762-1639.
6. Placement request for a child in inpatient treatment.
(1) The CW county of jurisdiction worker immediately initiates a placement request on KIDS Placement Recommendation screen, for any child in OKDHS custody who is placed in inpatient psychiatric care for treatment and whose discharge plan recommends placement in a CBRC facility.
(2) The CW county of jurisdiction worker and supervisor ensure Form 04KI010E is updated to reflect inpatient treatment history and discharge recommendations.
(3) The CW county of jurisdiction worker provides information to Placement Section on the child's projected length of stay as authorized by the APS Healthcare inpatient of reviewer or as determined by discharge planning by the treating facility.
7. Admission to a psychiatric facility. If a child is admitted to a psychiatric facility from a CBRC placement, the CW county of jurisdiction worker initiates a new placement request on KIDS Placement Recommendation screen to reflect inpatient admission. Placement Section authorizes a child's return to the same CBRC facility or refers the child to another CBRC setting upon discharge from inpatient care.