In crisis right now? Call or text 988 for the Suicide & Crisis Lifeline, or dial 911 if someone is in immediate danger.

Straight answers to the questions we get most.

If your question isn’t here, call us. We’d rather answer it properly than have you guess.

Getting started

Not for outpatient counseling, case management or the adult residential program — you can contact us directly. Youth QRTP placement does require a referral from a county agency, court or guardian, along with documentation showing that a lower level of care has been considered.

Intake calls back within one business day. Outpatient first appointments are typically available within 7–10 days. Residential admission depends on current openings and funding authorisation; our intake director can usually tell you about availability on the first call.

Medicaid fee-for-service and all major Ohio Medicaid managed care plans, Medicare, and most commercial insurance. We also hold county and juvenile court contracts and offer a sliding-scale private-pay rate. We verify your benefits and confirm any out-of-pocket cost in writing before your first appointment.

Tell us. We will help you apply for Medicaid, check whether you qualify for county-funded services, and apply our sliding scale. Nobody is turned away from an intake conversation because of ability to pay.

Residential programs

A Qualified Residential Treatment Program is a category of residential care defined by the federal Family First Prevention Services Act. To qualify, a program must use a trauma-informed treatment model, have nursing and clinical staff available, actively involve family in treatment, and provide at least six months of documented aftercare following discharge. It is a higher standard than general residential licensure.

In the youth program, typically five to eight months. In the adult program, four to nine months. Length of stay is driven by treatment progress and discharge readiness, reviewed formally every thirty days with the family and referring party present — not by a fixed program length.

Yes. Scheduled phone contact is available daily and in-person visits are encouraged weekly. Contact is only limited when a documented clinical safety plan requires it, and any such limit is reviewed with the family and the referring agency.

Education continues without a gap. We coordinate directly with the home district, provide on-site academic programming where transport isn't practical, participate in IEP meetings, and build a school re-entry plan before discharge.

No. Adult residential services are entirely voluntary. Residents come and go according to the program schedule and may request discharge at any time. We will ask to talk it through first and make sure anyone leaving has medication, a follow-up appointment and somewhere safe to go.

Physical intervention is a last resort used only to prevent imminent harm, by staff certified in trauma-informed crisis prevention. Every instance is documented, reviewed by our clinical director within 24 hours, reported to the guardian and referring agency, and included in our quarterly quality reporting. We do not use seclusion.

Privacy & records

“We protect your privacy and handle all clinical records with strict HIPAA compliance, confidentiality, and utmost integrity.”

Your treatment team, and anyone you authorise in writing through a release of information. We share information without authorisation only where law requires it — such as a mandated report of abuse or neglect, a court order, or a situation involving imminent risk of serious harm. Full detail is in our privacy policy.

Yes. Submit a written request to our records office and we will provide them within thirty days. There is no charge for the first copy.

We use a HIPAA-compliant video platform with encryption in transit. Sessions are not recorded. We'll help you think through a private space on your end, and if you don't have one, we'll see you in the office instead.

Working here

Yes — free clinical supervision hours toward independent licensure for LSW and LPC staff, provided by board-approved supervisors employed by the agency. It's scheduled into your week rather than squeezed around it.

Outpatient therapists carry a maximum of 26 active clients. Case managers carry a maximum of 22. Direct-care staffing in residential settings is 1:4 during awake hours.

Please do. Use the general application option on the careers page. We keep applications for six months and contact people on file before posting publicly.

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