Lancaster Intensive Residential Treatment Facility
525 Prospect Street
Lancaster, NH 03584
Easter Seals Lancaster offers an alternative program designed for serving individuals in need of a wide range of intensive level services inside and outside of the family’s home. The program is designed to provide intensive level care to children and adolescents that are emotionally handicapped, learning disabled, developmentally delayed or physically handicapped. Abused/neglected, CHINS and delinquent youth are also accepted. Common characteristics of the current residents are broken into three categories. The first are males/females 10 to 16 who have exhibited significant behavioral issues and have average to borderline functioning levels. The second grouping tends to be clients with neurobehavioral disorders, developmental disabilities and/or mental retardation. The last group of referrals is males/females that have serious health issues such as seizure disorders or diabetes.
Licensed Capacity: 24 (residence), 20 (school)
Length of Stay: Based on Treatment
Resident’s ages: 8 – 21 (residence), 5th-12th grade (school)
Admission Sources: NH DJJS/DCYF, school districts and other New England and New York Agencies
Each child has an Individualized Treatment Plan which provides specific interventions to meet the needs of each child within the three categories. The children have an individual schedule to meet their needs and are grouped with other children with similar treatment recommendations. The structure of the program includes a daily schedule with staff assigned to different activities according to the staff’s ability and training. The unit supervisor conducts a shift briefing at the beginning of the shift and a debriefing at the end of the shift. The unit supervisor also facilitates a community meeting at the beginning of the shift to go over the schedule with the children and staff. At this meeting the children, the staff and the location of the activity are identified.
Easter Seals Lancaster is also an individualized treatment program that is integrated with the Individual Service Option Program (ISO), and Residential Program. Each resident has a treatment plan developed by a multi-disciplinary treatment team within 30 days of admission. The plan is then reviewed monthly for the first three months to monitor progress towards the stated goals and objectives. Depending on the progress of the child, the treatment team plan review process converts to a three-month cycle. The team members from the Easter Seals program include a Director, Medical Liaison, Treatment Coordinator, two Case Managers, School/Residential Staff, Clinician, and three unit Supervisors. Depending on which professional has the expertise needed to deliver the services needed for each case, they would provide the interventions to the child and family (a Generalist approach). The team works closely with the residential and educational staff to insure that the treatment goals are addressed.
The residential program functions with an average staff/child ratio of 1:4. During sleeping hours there is three awake night staff members scheduled to provide supervision. The educational program supports the residential program by starting the school day in the residence, assisting children with daily living skills and preparing for the transition to school. At the end of the school day, the educational staff transitions the children to the residence and provides support to the residential staff. The educational and residential staff has the same Employee Training Plan to document training in programming and treatment. Staff meetings are held bi-weekly, on Wednesdays, with a combination of Residential and Educational staff to promote teamwork and consistency of programming. Based on the treatment plan, residents are provided with a number of clinical and rehabilitative services. Individual therapy is provided to each resident, usually a minimum of once a week. There are specialized groups addressing such issues as peer relations, social skills, and boundary issues.
The Treatment Team provides family work. When family therapy is identified as a needed intervention, a clinician is assigned to provide this service. If the family needs non-clinical supportive services, a case manager works with the family. At times there may be more than one professional providing service to the family in an effort to meet their needs.
Easter Seals, through their integrated service delivery system is able to provide a continuum of individualized services to residents as they progress through the residential program. The ISO program provides children with a less restrictive opportunity to live in a community setting with the support of wraparound services from the treatment team. The ISO program offers a full range of individualized services that include some of the following community living options:
Foster care Homes
Parent’s homes have been staffed in an effort to support reunification
The ISO foster homes also have access to the residential program for respite/crisis care
Easter Seals has an on-call 24-hour emergency support system. It is a two-tier system that starts with the Case Manager and/or Clinician who responds to emergencies either directly or by involving on-call administrative staff to ensure that the proper support is provided. A nurse is on-call for emergencies that are medical in nature.
The Independent Living component is coordinated by the Family Outreach Workers that have the overall responsibility for age appropriate residents are addressing the Certification requirements in this area. Family Outreach Workers individualized the resident’s acquisition of adult living skills.
The children are involved in local community recreational activities coordinated by the Director and Unit Supervisors. The children volunteer at local community centers depending on the child’s individual plan. Vocational activities are part of each child’s plan depending on their individual abilities. These activities range from hand over hand assistance in washing tables to maintaining outside employment. The children have weekly allowances and earn additional money for completion of chores. The program teaches the children money management skills.
Depending on the needs of the residents, educational services may be provided on-site by attending the Easter Seals-Lancaster School. The facility is approved by the NH Department of Education as a Special Education School. Easter Seals is also flexible in transitioning and/or maintaining residents in local public schools.
The Lancaster Residential Program has combined services with their Educational Program to create teams which consist of a Treatment Coordinator, Clinicians, Case Managers, Residential Instructors, Teachers, Teacher Assistants and specialists (Occupational Therapy, Speech Therapy, Physical Therapy, Vision Therapy, etc) to facilitate treatment.
Upon receipt of the referral packet, the Lancaster Director will call the referring source to arrange an interview. The parents/guardian and other interested parties are invited to attend. The Interview Team may include any or all of the following: the Program Director, Program Manager, Clinician, Case Manager, Nurse, Teacher, Psychiatrists and TCI Trainers. A multidisciplinary team from the program attends the interview to thoroughly assess the child’s needs and begin education and treatment planning for all aspects of programming. This team will develop the Pre-Placement Transition Plan which will ensure the students seamless transition into Easter Seals.
If accepted, all collaterals are informed and an admission date is set. If not accepted, the Director of Admissions will notify the referring agency to explain why and offer suggestions for other placements if possible.
Office of Program Support, Bureau of Child Care Licensing
Senior Vice President
Vice President of Clinical Services