Welcome To Our Services

Intensive Residential Treatment (IRT) is a planned specialty service designed to support adults with serious mental illness and co-occurring substance use disorders who require a higher level of coordinated, ongoing clinical care to remain safely housed in the community. The IRT model is intended to serve individuals whose psychiatric needs place them at elevated risk of hospitalization, institutionalization, or loss of placement without consistent, structured clinical support. 



IRT is designed as a high-acuity, wrap-around outpatient service delivered in collaboration with licensed residential care settings. Rather than operating as a residential treatment facility itself, the IRT model brings coordinated clinical services directly to individuals where they live, allowing care to be integrated into daily routines and long-term housing environments. Planned services are structured to support stabilization, continuity of care, and sustained community placement through a combination of psychiatric treatment, therapeutic support, and care coordination.


 
The IRT model is designed for adults experiencing complex mental health conditions, which may include (but are not limited to):

• Schizophrenia and schizoaffective disorders

• Bipolar disorder with psychotic features

• Severe major depressive disorder

• Co-occurring substance use disorders

• Other serious and persistent mental illnesses requiring intensive clinical intervention

Individuals typically require a level of support that exceeds traditional outpatient services but does not meet criteria for inpatient hospitalization when appropriate residential placement and clinical coordination are in place.

Care Model & Clinical Approach

The IRT framework emphasizes multidisciplinary, individualized care planning. Services are designed to be delivered by a coordinated team that may include psychiatric providers, licensed therapists, substance use disorder professionals, care coordinators, and peer-informed supports, depending on individual needs and program development. Key elements of the planned model include:

• Ongoing psychiatric oversight and medication management

• Individualized therapeutic and recovery-oriented interventions

• Coordination with residential providers, care managers, and external systems

• Focus on relapse prevention, functional stability, and long-term housing success

• Integration of telehealth services when clinically appropriate

All services are intended to align with applicable Washington State regulatory standards and Medicaid requirements once fully licensed and operational.

Referral & Coordination (Planned Process)

The IRT program is intended to operate in close coordination with managed care organizations, residential providers, hospitals, courts, and community partners. Referral pathways are designed to support individuals transitioning from higher levels of care or those at risk of destabilization within existing placements. Referral processes, eligibility criteria, and required documentation will be finalized in coordination with regulatory agencies and payer partners prior to program launch.

Value to Residential Providers & Systems

The IRT model is designed to support residential care settings by adding structured clinical capacity without disrupting existing operations. By embedding coordinated treatment within residential environments, the program aims to:

• Reduce avoidable hospitalizations and emergency interventions

• Improve placement stability and continuity of care

• Support staff and systems managing high-acuity residents

• Strengthen communication across clinical, residential, and legal stakeholders
   

Program Status 

IRT services are in development and will be implemented upon completion of required licensing, staffing, and regulatory approvals. Program scope, service delivery methods, and referral processes are subject to change based on final clinical leadership decisions and state requirements.