What information do I need to be able to make a referral?
A universal application is used to process all referrals.
The application provides DBGR with information that will assist us in evaluating your child’s individual treatment needs. We have two types of programming: Psychiatric Residential Treatment and Residential Child Care. The more complete the application is, the faster the admissions process can go. We also will request additional information to help us make the best-informed decision possible.
Documents we generally request include:
· school documents, such as an IEP, 504, and/or grades and current classes
previous placements such as hospitalizations; treatment facilities;
inpatient and outpatient services; progress notes from previous providers;
psychological testing; and court orders
Some of these
documents do not apply to all referrals. Contact Amanda Reuschlein, director of admissions, at 701-221-5304 or email@example.com.
How do I know if my child qualifies for services?
As a parent, you are considered a private referral. Each application is reviewed and based on the child’s needs recommendations are made to the appropriate program, either Psychiatric Residential or Residential Child Care.
For Psychiatric Residential the child must have:
- a mental health diagnosis on AXIS I
- be a threat to themselves or others
- have a GAF that is a 50 or below
- have had a psychiatric evaluation or seen their psychiatrist within the last 30 days
- have been attempting to use community based services prior to being referred
Residential Child Care is not as restrictive as Psychiatric Residential. Youth that enter these programs generally are under the care and custody of County Social Services, Division of Juvenile Services, Tribal Social Service, or meet criteria for Voluntary Placement through Partnerships. This has much to do with the fact that much of this program is not covered by insurances, whereas with prior authorization and approvals, Psychiatric Residential is.
How much does it cost?
Admissions and business office personnel work with families to determine appropriate funding. Sources include major medical health insurances and North Dakota Medicaid. There are times when parents may be responsible for a portion of treatment expenses. This is determined on an individual basis, based on type of insurance and other sources of income such as SSI and child support.
Cost of care changes each year based on a state rate and varies based on the type of program in which your child was accepted. This can be discussed in more depth with Amanda Reuschlein, director of admissions, at 701-221-5304 or firstname.lastname@example.org; or Shondell Gantzer, financial counselor, at 701.857.4232 or email@example.com.
What services does Dakota Boys and Girls Ranch offer?
After admission, you and your family will meet with a case manager to help your family through the treatment process. A therapist—identified upon admission, will help guide your family in identifying treatment goals, family expectations and frequency of visits. You will be asked to participate in monthly treatment conferences.
Therapeutic services are based on individual needs of your child. You can see what types of therapeutic tools and services are offered at each program by checking out Residential.
What does a typical day look like?
DBGR offers 24 hour therapeutic programming. Daily routine include; morning routine and hygiene, on site school, therapy (individual and group), recreation/wellness activities; homework/leisure time and bedtime routine. Dakota Boys and Girls Ranch finds that a structured routine helps with maintaining a therapeutic environment.
Do you offer emergency placement?
Dakota Boys and Girls Ranch does not offer emergency psychiatric placement. Dakota Boys and Girls Ranch does offer Shelter Care options; however, these are strictly used for a specific period of time and at this time are not able to be utilized by those that are NOT under the care and custody of County Social Services, Division of Social Service, and/or Tribal Social Services unless a contract has been agreed upon with Dakota Boys and Girls Ranch prior to placement.
Shelter Care at this time is specifically on our Minot Campus. It has a limited amount of beds and can only be utilized for 96 hours.
What ages can DBGR serve?
Dakota Boys and Girls Ranch can serve youth ages 10 through 18 depending on the program. See program descriptions.
Residents from 10-17 are applicable to treatment at Dakota Boys and Girls Ranch Psychiatric Residential Treatment Facility. The length of stay depends upon:
- Type of services needed
- Severity of the problems
- Goals to be accomplished at the time of intake
- The commitment of the child and family members to initiate and promote change
The average length of stay can be from 6 - 12 months.
When does DBGR staff new referrals?
Applications for placement are reviewed as they are received and sent out for team review within one or two days. However, if the application is incomplete or more information is required, the process is slowed as it requires Admissions personnel to gather more information about the youth before any decisions can be made.
How long does the whole admissions process take?
Depending on how complete the application is and what supplemental information is provided helps to determine how quickly the process will go.
If an application is well filled out (meaning all areas are filled in and as much information is shared with Admissions personnel as is available) and supplemental information is provided immediately a decision about acceptance can be made within a few days.
The biggest barrier is getting information
from previous providers to help supplement the application, which can take a
couple of days to a few weeks.
To assist in overcoming this barrier, you will be asked to please complete a Multi Agency Release form and send it to your providers. They can begin gathering records to share with Dakota Boys and Girls Ranch while you are making an application.
The other barrier may be whether a bed is available or not. If a bed is available and we have all the documentation we need we can generally place a youth within a few days this is especially true for Residential Child Care. Unfortunately, Psychiatric Residential requires more information and preauthorization’s from insurance so these placements can take much longer (few days to a week or two depending on what information was sent initially).
If you have additional questions or need clarification regarding documentation and the process for admissions, Contact Amanda Reuschlein, director of admissions, at 701-221-5304 or firstname.lastname@example.org.
10. How do I know if DBGR has beds available?
Contact Amanda Iverson, director of admissions, at 701.221.5304 or email@example.com, to discuss availability for Fargo, Bismarck and Minot programs.
Bed availability can change on a daily basis; therefore, it is important that when making an application, you send in as much information as possible.
Placement is not made on a first-come first-serve basis, as Dakota Boys and Girls Ranch places youth who have applications and supplemental information in first.
For example: If an application for admittance was received on a Wednesday and it was lacking in information needed, and an application was received on Friday with all supplemental documentation needed for placement, the Friday application would go to the top of the list for next placement.
Where do the youth come from?
Dakota Boys and Girls Ranch serve residents from all over the state of North Dakota.
How many youth can be at the Psychiatric Residential Treatment Facility (PRTF)?Within the Dakota Boys and Girls Ranch Psychiatric Residential Treatment Facilities, there are beds for 16 residents at each facility in Fargo, Bismarck and Minot. At this time, they are split between 8 boys and 8 girls.
What services do the youth receive at Dakota Boys and Girls Ranch's treatment facilities?
- Individual Therapy
- Family Therapy
- Therapy Groups
- Spiritual Life Groups
- Medication management
- Recreation Groups
- Social Skills Groups
- Occupational Therapy
- Education at our Dakota Memorial School
Also, on the Minot campus, youth can participate either in Therapeutic Riding or Equine Facilitated Psychotherapy in the Horse Program.
How often will I be receiving updates about my child?One can expect to consistently get weekly updates. The case manager will be in communication with you about how your child is doing on their path through treatment.
How often will my child see the psychiatrist and will their meds be evaluated?Each resident will be seen within their first week of intake and then once a week every week until they have been in treatment for a month. At that time, a resident will only be seen once a month unless needed otherwise. Medication will be monitored by nurses and the psychiatrist. All med changes will need the approval of the parent/referral/guardian/legal custodian before being administered.
What happens if my child doesn’t follow the program?
Every resident has the right to refuse part or all of their treatment. If an alternative plan cannot be agreed upon or if the residents stay is not beneficial, then discharge of the resident may be recommended.
What personal items can my child bring?
Note: Please do not purchase any of the above items. DBGR will provide these items for your child if you don’t already have them.
||7 total, any combination
|T-shirts for recreation
|Long sleeve shirts
|Shower shoes/rec shoes
||1 pair each
|Everyday shoes||2 pair
Is there a dress code?
“Normal” teenage attire is expected. Clothing that is offensive in any way will be returned home (gang affiliation, beer slogans, sexually explicit, etc.). In addition, clothing that does not provide adequate coverage cannot be worn (“sagging," baring cleavage or mid-drift, etc.).
Hygiene bin items DBGR provides:
||2 total, any combination
What possessions are allowed in resident rooms?
– 5 total, any combination
(library books and Bibles are not included in this number)
items – Supervisors will determine the amount allowed
(ex. extra pillow, blanket, stuffed animal, model car, etc.)
· Pictures – each resident is allowed to fill up their white board with pictures, drawings, etc.
· Jewelry – 5 pieces total, any combination (a set of earrings counts as 1 item)
Additional information about daily living:
resident will be provided one pillow and blankets.
No limit will be placed on blankets that we provide since some residents like to sleep with more blankets than others. We want our residents to sleep well, so this is a comfort that we can easily provide for.
Items belonging to the living area that residents can use:
· Nail polish/remover
/Cologne: One hygiene bin with one perfume/cologne bottle for each child
(labeled with their name) under lock and key
Since youth are at the Ranch to focus on their treatment, items that can draw attention away from that goal or that may entice other residents, are supervised by staff.
Residents may have the opportunity to earn the privilege of having extra items in their room once they have reached Phase 3 and/or have shown significant progress and effort in their treatment goals. These items will be discussed and approved by staff on an individual basis.
Where do the residents go from here?Upon intake, it will be discussed with the parent/referral/guardian/legal custodian what the discharge plan will be. This can range from going back to parents home, a step down in care, foster home, or possibly adoption. Our ultimate goal would be for all residents to return to their parent’s home.
You may also email your question to firstname.lastname@example.org or call 1.800.344.0957,
and we will direct your question to the appropriate staff.