TX HHS Form 2816. Residential Treatment Center Project Referral Checklist

The Residential Treatment Center Project Referral Checklist (Form 2816) is a crucial tool for Local Mental Health Authorities (LMHAs) or Local Behavioral Health Authorities (LBHAs) to ensure a smooth referral process for youth in need of residential treatment. This checklist helps LMHAs/LBHAs determine eligibility, schedule assessments, and initiate services while waiting for placement.

The form requires key information such as the youth's name, date of birth, and legally authorized representative (LAR) contact details. It also outlines specific procedures, including scheduling an intake assessment within 48 hours, submitting the Child and Adolescent Needs and Strengths (CANS) Assessment, and initiating outpatient services within 10 business days. The form emphasizes the importance of referring youths to other services while waiting for placement and encourages participation in community mental health services.

The Residential Treatment Center Project Referral Checklist is used to facilitate a comprehensive referral process, ensuring that eligible youths receive necessary services. Key points to note include:

• Eligibility determination through intake assessment
• Scheduling CANS Assessment within one business day
• Initiating outpatient services within 10 business days
• Referring youths to other services while waiting for placement