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Green Chimneys offers a 14-bed psychiatric Residential Treatment Facility (RTF) at the Brewster Campus. The New York State Office of Mental Health licensed program serves seriously emotionally disturbed adolescent males between the ages of 13 to 17 on admission, who require supervised, comprehensive, residential mental health services on a 24-hour basis. An anticipated length of stay for each of these young people is expected typically to exceed six months. Our RTF is one of 18 statewide, and it gives priority admission to boys from the Hudson Valley region.
Almost all services for these youth are provided on premises by a multidisciplinary treatment team, and the services are dictated by and integrated into a treatment plan for each young man. The program fills a service gap between psychiatric hospitalization, which is too restrictive for these boys, and less-structured group settings, which are not self contained enough.
Residents are housed in David Hall and receive their education in the Green Chimneys School program, with varying degrees of classroom and program integration. The program has access, as clinically appropriate, to all of the Green Chimneys program resources on the campus.
Application for admission to David Hall must be made to a regional Pre-Admission Certification Committees (PACC), which Many counties require referrals be made first through a Single Point of Accountability (SPOA) which decides whether to initiate the PACC process. RTFs may admit children only with the written approval of a psychiatrist. determines eligibility for each boy referred.
Admissions Information
Inclusionary Criteria:
- Ages 13-17 on admission. IQ minimum of 60+.
- Hudson River Region youth from New York State who have been certified mentally ill by the Pre-Admission Certification Committee (PACC) of the Office of Mental Health. Out-of-region youth will also have access to RTF beds available upon approval of the Hudson River region PACC.
- Serious and persistent psychopathology as evidenced by:
xxx Severe thought disorder
xxx Severe affective disorder
xxx Moderate thought disorder in conjunction with an impulse control disorder or deficit in life skills activities
xxx Moderate affective disorder in conjunction with an impulse control disorder or deficit in life skill activity
- Applicant evidences continuing need for intensive psychiatric treatment, for which community or other resources have been insufficient, and for which 24- hour care is required.
- Treatment within the RTF can reasonably be expected to improve the youth's condition, to prevent further regression, or to effect change in his prognosis. Poor prognosis alone does not constitute grounds for denial.
- Chronic physical illness acceptable if stable and under good control.
- Trained staff will administer medication as needed.
- Applicant does not present a likelihood of serious harm to self or others.
Exclusionary Criteria:
- Not OMH - PACC approved for RTF
- Current likelihood of serious harm to self or others.
- Antisocial personality disorders and severe aggressive conduct disorders.
- Individuals with histories of significant or a persistent delinquent and/or criminal activity, including but not limited to arson, assault, breaking and entering, robbery, sex offense, vandalism, etc.
- Fire setters or high risk for fire setting.
- Substance abuse disorders - i.e. alcohol and/or drug abusers whose primary treatment need is for detoxification and rehabilitation.
- Severe physical disorders which would make it difficult to manage terrain or participate in activity programming.
To contact the Intake Coordinator, call (845) 279-2995 Ext. 232.
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