Process of coming here:

Kids are admitted for trauma reactivity following life events that make it difficult for them to cope with daily stressors or typical activities that kids find trauma triggering. Most kids come from the Northwest, however referrals may be received from schools, hospitals, clergy, families and any state departments of social services within the United States.

The admission criteria to be here: 

The placement into residential treatment at NCH is based on the client’s clinical needs. Children who need intensive treatment and whose behavior can be managed by the staff in-group interventions are considered for residential treatment. Children are accepted for admission to the residential treatment program who meet the following criteria:

    1. Boys and girls ages 11-17 for Lewiston campus, 16-21 for Clarkston, WA Triumph Program
    2. A child’s behavior is disruptive to the degree that treatment in a less restrictive setting would not be effective in the foreseeable future. There must be major impairment in several areas of functioning. Children may manifest a wide range of problems, including:

Behavioral - Withdrawn, depressed, anxious, fearful, inhibited, hostile, angry, assaultive, wide mood swings, confused thinking, self -destructive behaviors, impulsively, lack of internal control, poor boundaries, sexual acting out and sensory motor impairment.

Social - Unable to make friends, fearful of adults, unskilled in interpersonal play, unwillingness to cooperate in activities with peers, not responsive to adult authority, inability to give or take affection, distant, inability to participate in activities with others and poor personal hygiene.

Emotional - Enuresis, encopresis, sleep disturbances, inability to connect thoughts and feelings, on-going sense of internal distress including suicidal feelings.

Psychological - Inability to understand cause and effect, anxiety, difficulty in controlling internal impulses.

Community - School phobia, school management problems, stealing, property destruction.

Family - Abuse or neglect, inability of parents to set limits, inability of child to accept limits, sibling problems, marital conflicts affecting parenting and pervasive family dysfunction.

  • The clinical picture indicates the child has sufficient strengths to attain goals in residential treatment which are crucial to his/her on-going growth and development. Medical problems of each child are considered on an individual basis.
  • Therapeutic services needed are unique to 24-hour residential treatment and cannot be obtained in community settings providing a lesser level of care.
  • The client is in need of a specialized education program.
  • The children ordinarily served by NCH are not overtly psychotic, actively suicidal, have restricted mobility which the facilities are unable to accommodate, or medical problems that require intensive treatment that cannot be provided in this setting.
  • The child has a family or family resource able to be actively involved in the treatment plan, including family counseling which can be done via speaker on our telephone system. However, children will be considered when family involvement is not possible.


What a Case Manager does:

  1. Ensure the smooth, cooperative functioning of the treatment program by serving as a member of the Program Treatment Team (comprised of the Program Manager, Program Therapist, and Case Manager) with the collaborative goal of integrating clinical, milieu, and direct-care efforts and issues.
  2. Foster a Family-Centered approach in working with the family members of a resident.
  3. Obtain and compile information from various sources and maintain a comprehensive record on each resident.
  4. Serve as an advocate for the resident during the resident's placement including the assurance of health, safety and residents' rights.
  5. Coordinate care by serving as a liaison between members of the multidisciplinary treatment team, including therapists, nursing staff, psychiatrist, consulting providers, recreation staff, program staff, management, referral source, family and the resident.

To make a referral, please contact Christy Lunceford, Children’s Services Administrator at 208-746-1601 ext. 226 or at [email protected].

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