Navigating the application process, identifying facilities, and making sure your child gets the treatment they need and are entitled to is not something a parent should pursue on their own. Since this process is rarely needed or pursued, professionals and parents often have questions about how and what to do. The other major barrier parents and the professionals helping them may encounter is payment. Most parents do not have the ability to pay for this level of treatment Out of Pocket and require the assistance of insurance, this is where a placement specialist is going to really change the game for you.
Fortunately most people will never need the assistance of a Placement Specialist in trying to locate residential treatment for their child. Most people are able to have any psychiatric or mental health needs they have met by outpatient services. Placement in a Psychiatric Residential Treatment Facility (PRTF) is reserved for children and teens who cannot be safely maintained in the community settings. In addition, these kids cannot safely and/or effectively participate in intensive treatment outside of a secured facility where they are monitored 24/7.
Georgia has 7 of these facilities. The majority of children who need PRTF will be able to have their clinical needs met at one of our very own GA PRTF facilities. However, there are a rare few who have severe presentations of a diagnosis or may require a specialized form of treatment that one of our GA facilities does not offer. In these very rare situations, out of state placement is the next option.
I’ve experienced first-hand how grueling this process can be. Your child is entitled to the treatment they need, when they need it. I encourage parents to at least schedule 1-2 consulting sessions with me to review the basics. Correct information and understanding of procedure can be the difference between the processing being a few weeks or much longer. I’m also available for consistent involvement in identifying an securing placement. Extended involvement will be billed at a flat rate since the process can be so involved.
Meet via phone, Skype, or in person to begin the consulting process. We’ll review your insurance and out pocket fees so that you can make the most informed decisions about your consulting package.
If we decided to move forward with the consultation process, I’ll need previous records. The records are necessary for potential placement as well as for me to make an informed clinical decision.
If records don’t provide enough information, I may need to complete my own Assessment. This can be covered by insurance or absorbed in the consultation fee.
After the Assessment, Record Review, and initial consultation interview is completed, I’ll be able to give you my recommendations regarding what level of care and/or type of treatment seems most appropriate.
Depending on the recommendation, we can move forward with locating appropriate facilities or treatment providers.
Next, I’ll act as a liaison with the identified Placement to coordinate the clinical review process, placement timeline, and begin troubleshooting any potential funding issues. We need to make sure the Placement Facility agrees to accept your child. Then we move on ensuring your insurance provider is ready to do their part or locating other alternatives.
When we are coordinating Residential Treatment of any sort, this stage can be long and frustrating, even more so if Out of State Placement is needed. It looks different for every family. This is the stage where having your own clinical support from a consultant is the most beneficial.
Once placement has been approved by both your insurance provider and the facility, we’re in the green. Some facilities have wait list depending on how full they are. However, most facilities usually offer accurate wait times.
Examples of Clinical Records
Records needed for placement approval.
Intake Assessment/Biopsychosocial Assessments
IEPs or 504 Plans
Fees and Cost
Depending on your insurance provider, placement services may be billable, partially billable or may need to be covered completely out of pocket. The majority of consultations outside of assessments will need to be paid out pocket. However, one of goals of my practice is to make difficult to afford things affordable and flexible.
Depending on how much of involvement you need and what portions can be billed to insurance, the remaining amount will be Billed Per Hour for cases that require minimal involvement or I may recommend to Flat Rate Option that covers my entire involvement until the placement is completed. There are several payment arrangements available to help you out.
Send me an email at Patrick@matchpointcounseling.com or call me at 470-226-4345 to get this process started.