Intensive Residential and Supportive Residential for Treatment Centers

Texas Administrative Code, Title 25, Part 1, Chapter 448, RULE §448.9023 governs Residential treatment.

Residential treatment is not the same as inpatient treatment, although, many people interchange these terms. Residential treatment refers to a program treating a primary Substance Use Disorder diagnosis. Inpatient is a treatment which treats a primary mental health diagnosis. It is important to use the appropriate terms.

Some rules to be familiar with regarding residential treatment:

Intensive Residential treatment provides 24-hours per day, 7 days per week for clinical support;

Residential treatment is to provide a minimum of 30-hours of service each week and the service should contain:

  • 10-hours related to SUD counseling, 1-hour per week, of which should be individual counseling;
  • 10-hours related to life skills training or recovery planning;

10-hours of planned, structured activities monitored by staff.

In adult intensive residential, during daytime hours the staff to client ratio should be 1:16. During sleeping hours the ratio is 1:32.

Supportive Residential treatment, often referred to by insurance providers as PHP, provides many of the same ingredients as Intensive Residential but differs in the number of hours of services provided by offering a minimum of 6-hours of service.

  • 3-hours related to SUD counseling, 1 hour per month, of which should be individual counseling;
  • 3-hours related to life skills training or recovery planning.

In adult supportive residential, during daytime hours the staff to client ratio should be 1:20. During sleeping hours the ratio is 1:50.

Healing Springs Ranch offers an Integrated Addiction Model that provides is a complete lifestyle transformation for the most successful recoveries. Call Healing Springs Ranch at 844.443.2577 to overcome these issues in a safe way.