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Inpatient, Residential Services

Residential Treatment
Abuse Reactive Treatment
Ninety Day Emergency Shelter
Acute Residential Treatment (ARTS)
Partial Day Program
In Patient Diagnostic Assessments
Discharge/Transitional Plan

St. Mary's Treatment Philosophy

Children who come to St. Mary's come from a variety of backgrounds. However, most have a history of trauma, such as abuse or neglect in common, and all have been placed at St. Mary's because their treatment needs cannot be met in a home or community setting. With this in mind, St. Mary's Home for Children has developed a treatment philosophy based on the belief that all children deserve to be safe, to grow up with a sense of belonging to family and community, and to know that they are worthwhile and competent, as they prepare to be productive members of the community.

Treatment planning begins with a thorough understanding of a child's abuse, or trauma history. Planning is a team process and involves parents or guardians as well as trained child care, clinical and medical professionals. Planning for treatment is always individualized to enhance and develop every child's unique strengths, skills, and potential. 

Family plays an important role in treatment beyond the planning stage as well. Family members are involved in school and other progress meetings, and also enjoy on and off campus activities to practice new skills that help children prepare for home.

The clinical team at St. Mary's includes specially trained child care workers, masters-level clinicians, nurses and consulting psychologists and psychiatrists. Together with children and parents, the team assesses needs and develops a culturally competent, family centered, strengths based, individual treatment plan.  Both clinical and nursing staff are available during non regular business hours for any emergency situation.

St. Mary's Home for Children provides a continuum of residential care from long term treatment to acute crisis stabilization. At every level of care children's safety and wellbeing is our main concern.

 

St. Mary's Continuum of Residential Programs

Residential Treatment

Residential care may last from 6 to 12 months, depending on the needs of the child and family. Boys ages 6 to 13 and girls ages 6 to 18 participate in a program that emphasizes positive relationships with staff and peers, and the development of skills that will enhance self control and healthy living habits. Daily and weekly schedules include school and homework, recreation, individual, group and family therapy, family visits, off grounds activities, and social and daily living skills development. The goal of residential treatment is to help children and families heal, and to help them develop healthy and satisfying relationships.

Abuse Reactive Treatment (Mauran Unit)

The Mauran Unit is designed to provide for the safety and rehabilitation of eight latency aged boys who have exhibited chronic and developmentally abnormal abuse reactive sexualized behavior. For most of the residents of this unit, sexualized behavior is a reaction to exposure to abuse and neglect in their own homes.

The Mauran Unit assures safety with a high staff to resident ratio and a unified treatment approach. Program components include daily groups, individual and family therapy, school recreation and other structured daily living activities.

The program is contracted through the Department of Children, Youth and Families (DCYF) and referrals are processed through the DCYF Residential Review team.

Ninety Day Emergency Shelter

St. Mary's Home for Children maintains an emergency shelter for 8 DCYF involved teenage girls ages 12 to 16. The shelter program provides stabilization, clinical support, and treatment planning for girls and their families. Residents of the shelter go to public school, participate in community activities and attend weekly group therapy. Every effort is made to provide a structured and normal lifestyle until a more permanent home can be found.

Acute Residential Treatment Services (ARTS)

In the fall of 2004, St. Mary's Home for Children added a new component to its continuum of services - Acute Residential Treatment Services (ARTS). Designed as a hospital step down for children no longer needing in-patient care, and for children diverted from hospitalization, the ARTS program provides intensive, short term stabilization, individual, family and group therapy, psychiatric evaluation and medication stabilization, and needs assessment and referral, in a structured, safe and nurturing environment.

Partial Day Program

St. Mary's Home for Children also offers a Partial Day Program for children who are ready to be at home, but may not be ready to meet the demands of a full daily schedule. Located on the same site as the ARTS program, the Partial Day Program affords children a structured daily routine as a step toward rejoining their regular community activities and commitments. While in the Partial Day Program, children follow the same program as the ARTS participants including individual, family, and group therapy, recreational activities, school, and study time.

The ARTS and Partial Day Programs accept admissions for boys ages 5 to 13, and girls ages 5 to 18, from hospitals, mental health facilities, DCYF, and participating insurance companies.

In Patient Diagnostic Assessments

St. Mary's Home for Children offers residential diagnostic assessments to assist professionals and families in treatment planning. Asessments include a comprehensive review of child and family history, psychiatric evaluation, educational/psychological testing (as needed), and intense observation during the assessment period. Clinical impressions and specific recommendations for treatment are included from each of the disciplines included in the assessment process.

Sexual abuse, speech and language, and substance abuse assessment components may be arranged by outside providers as requested and/or deemed necessary and appropriate.

Discharge/Transitional Plan

Discharge planning begins at admission when a permanency plan is identified by the treatment team. At each quarterly treatment plan review, the treatment team will review the resident's progress toward discharge.  Daily living skills, social and communication skills, and academic achievement will all be considered when assessing the appropriate time to move into the transition phase.

The transition phase is typically 3 months. During that time, the next placement (home, independent living or perhaps an interim step before home) is identified. Home visits (or visits to the identified next placement) are extended to give residents time to practice skills in the new setting.

 

420 Fruit Hill Avenue North Providence, Rhode Island 02911-2647  Tel: (401)353-3900 Fax: (401)354-7986  info@smhfc.org