TX HHS Form 3301. Residential Treatment Center Project Family Agreement

The TX HHS Form 3301, Residential Treatment Center Project Family Agreement, is a crucial document that helps solve the problem of initiating a child's enrollment in a Residential Treatment Center (RTC) project. This form is typically used by the legally authorized representative (LAR) to sign and acknowledge their responsibility for their child while enrolled in the RTC project.

This agreement outlines key features such as required information, conditions, and responsibilities. The LAR must provide their child's name, date of birth, email, phone number, and local mental health authority (LMHA) or local behavioral health agency (LBHA) name. The form also highlights the purpose of the RTC project, which is to help prepare the child to return home after an average stay of six to nine months or longer.

The agreement emphasizes the importance of active participation in LMHA/LBHA services and weekly case management or family partner services. It also requires the LAR to report any concerns of abuse, neglect, or exploitation to the Department of Family and Protective Services (DFPS). By signing this form, the LAR confirms that they have received written and oral explanations of the RTC project and its contents.

• This form is used by legally authorized representatives (LARs) to initiate their child's enrollment in a Residential Treatment Center (RTC) project.
• The form requires LARs to provide required information, including their child's name, date of birth, email, phone number, and local mental health authority (LMHA) or local behavioral health agency (LBHA) name.
• The agreement outlines the purpose and conditions of the RTC project, including the average stay duration and the importance of active participation in LMHA/LBHA services.