Residential Placement & Treatment (Out-of-Home Care)

Pipeline 08

Transparency note: some programs serve few youth; to avoid volatility and disclosure risk, small-n cells are pooled across quarters and series breaks are annotated when admission criteria or program models change.

Overview

Residential placement is an out-of-home order used for a subset of adjudicated youth. Programs range from staff-secure group homes to treatment-focused residential facilities and state-run campuses. Core goals are stabilization, skill development, and preparation for a planned step-down to community supervision. This page documents measurable elements that support consistent comparison across jurisdictions and program types.

What We Track

Placement Reasons & Program Type

Offense & needs profile (risk/needs domains; prior placements)
Court order type (post-adjudication, modification, revocation)
Security level: staff-secure vs. hardware-secure
Treatment model (CBT-focused, family therapy, substance use, trauma-responsive)

Education & Health Coordination

School enrollment status & credit accrual tracking
IEP/504 services continuity and progress notes
Treatment plan & modality; medication management logs
BH appointments scheduled/attended; missed/late reasons

Family Contact & Youth Voice

Visitation frequency & modality (in-person / video / phone)
Family participation in treatment meetings (attendance & prep)
Documented youth goals & preference alignment

Length of Stay & Step-Down

Expected vs. actual LOS (mean/median; IQR)
Earned milestones (education credits, treatment phases)
Criteria for move to less-restrictive settings or aftercare

Safety & Incidents

Critical incidents: AWOL/runaway, restraints, arrests (rate per 100 bed-days)
Use-of-force reporting; de-escalation attempts recorded before force
Grievance logs & resolution timelines; substantiation rates

Typical Flow

Disposition to placement with matched program (needs, proximity, capacity)
- Select security level & treatment model; document least-restrictive rationale
Intake at facility (education/health intake, baseline assessments, family contact plan)
- Enroll in school; review IEP/504; start treatment plan & meds reconciliation
Treatment & education with monthly case reviews
- Track credits earned, treatment milestones, and family engagement
Step-down planning begins early (e.g., at 30–60 days)
- Coordinate community providers & probation; identify housing/school placement
Release & handoff to probation/aftercare
- Schedule appointments; transmit records; set 7/14/30-day follow-ups

Fields

Field	Type	Required	Codeset	Description
pipeline_place_id	uuid	✅	—	Unique identifier for this placement record.
pipeline_stage_id	enum	✅	stages.yml#stage_key(8) intake detention adjudication disposition supervision commitment_and_placement reentry closure	One of the eight canonical stages.
pipeline_place_key	enum	✅	pipeline_places.yml#place_key(45) intake pre_petition_diversion_and_deflection diversion youth_assessment_tools prosecutorial_screening status_offenses adjudication case_planning family_engagement case_timeliness language_access restorative_justice detention_screening community_atds electronic_monitoring court_appearance_and_fta initial_hearing pretrial_supervision probation intensive_supervision …and 25 more	Canonical key for this place (maps to route/slug).
youth_id	string	✅	—	Salted/hashed or state UID. No plaintext PII.
staff_id	string		—	Referring or supervising probation officer.
occurred_datetime	datetime	✅	—	Timestamp when placement was ordered or initiated.
jurisdiction_code	string	✅	—	County/parish/circuit or standardized local code.
legal_case_id	string		—	Case/docket identifier linked to the placement order.
source_system	string	✅	—	Origin system name.
source_file	string		—	Source batch/file id if flatfile.
extract_run_id	string		—	ETL run id for lineage.
series_break_flag	boolean		—	Comparability break applies to this row.
series_break_reason	enum		series_breaks.yml#reason(4) definition_change vendor_change coverage_change policy_change	Reason for break (policy or tool change).
placement_reason_codes	array<string>	✅	placement_reasons.yml#reason(7) offense_type treatment_need risk_level prior_failure revocation_order family_crisis other	Reasons for placement (offense_type, treatment_need, risk_level, prior_failure, etc.); semicolon-delimited.
court_order_type_code	enum	✅	court_order_types.yml#type(3) post_adjudication modification revocation	Post_adjudication, modification, or revocation.
security_level_code	enum	✅	security_levels.yml#level(3) staff_secure hardware_secure community_residential	staff_secure, hardware_secure, or community_residential.
treatment_model_code	enum		treatment_models.yml#model(6) cbt family_therapy substance_use trauma_responsive educational_focus other	Primary model (cbt, family_therapy, substance_use, trauma_responsive, etc.).
least_restrictive_rationale_note	string		—	Documented rationale for least-restrictive choice.
school_enrollment_flag	boolean		—	Youth enrolled in on-site or local school.
iep_504_status_code	enum		iep_504_statuses.yml#status(4) none iep_active 504_active pending_evaluation	none, iep_active, 504_active, pending_evaluation.
education_credit_earned_count	number		—	Number of academic credits earned during stay.
bh_treatment_plan_date	date		—	Date individualized treatment plan created.
bh_modality_code	enum		bh_modalities.yml#modality(5) cognitive_behavioral family_systemic substance_use trauma other	cognitive_behavioral, family_systemic, substance_use, trauma, other.
medication_management_flag	boolean		—	Medication management provided.
bh_appointments_scheduled_count	integer		—	Scheduled BH appointments during episode.
bh_appointments_attended_count	integer		—	Attended BH appointments.
bh_appointments_missed_count	integer		—	Missed appointments during episode.
visitation_frequency_code	enum		meeting_frequencies.yml#frequency⚠️ using meeting_frequencies.yml#freq(5) weekly biweekly monthly quarterly ad_hoc	Planned visitation cadence.
visitation_modality_codes	array<string>		communication_modalities.yml#modality(9) in_person phone video sms email mail portal text home_visit	In_person, video, phone; semicolon-delimited.
family_meeting_participation_flag	boolean		—	Family participated in treatment meetings.
youth_goal_documented_flag	boolean		—	Youth goals/preferences documented in plan.
expected_los_days	integer		—	Expected length of stay in days.
actual_los_days	integer		—	Actual length of stay in days.
milestone_earned_codes	array<string>		placement_milestones.yml#milestone(5) education_credit treatment_phase skill_certificate behavior_tier other	Earned milestones (credits, treatment_phases, other); semicolon-delimited.
step_down_criteria_met_flag	boolean		—	Youth met criteria for move to less-restrictive setting.
step_down_destination_code	enum		step_down_destinations.yml#destination(5) aftercare community_program probation home other	aftercare, community_program, probation, home, other.
awol_events_count	integer		—	Number of AWOL/runaway incidents.
restraint_events_count	integer		—	Number of restraint events during episode.
arrest_events_count	integer		—	Number of new arrests while in placement.
deescalation_attempted_flag	boolean		—	True if de-escalation attempted before restraint.
grievance_filed_count	integer		—	Number of grievances filed.
grievance_substantiated_count	integer		—	Grievances substantiated after review.
discharge_datetime	datetime		—	Date/time of discharge or release.
discharge_reason_code	enum		discharge_reasons.yml#reason(6) completed stepped_down transferred revoked absconded other	completed, stepped_down, transferred, revoked, absconded, other.
Download CSVwhat_we_track.csv

Data & Methods

Placement metrics use admission-based denominators and episode-level measures. Length of stay is summarized with medians and interquartile ranges due to skew. Education progress is measured by credits earned and enrollment continuity; treatment engagement uses session completion against planned dosage. Safety events are rate-standardized by 100 youth-days to account for differing exposure. When programs or admission thresholds change, we mark series breaks. For cross-county comparisons, see Aggregation & Scale Effects and Cross-Jurisdiction Comparability. Exposure adjustments follow Denominators & Exposure Time.

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