Intensive residential teams (IRT)

Intensive residential teams (IRT) work with people during discharge from state hospitals. IRT help individuals who have struggled to remain in community settings such as adult family homes (AFH) or assisted living facilities.

IRT provide intensive behavioral health care to the individual in their facility to help them transition to a lower level of care.

The teams

IRT teams provide services 16 hours a day five days a week. They work with individuals who live in adult family homes or assisted living facilities after discharge from a state hospital. Services are delivered where the client lives or other appropriate community setting.

Each team has:

  • A dedicated prescriber (availability and hours to be determined) or (prescriber will be available part-time)
  • Two full-time registered nurses (RN)
  • Two full-time mental health providers (MHP)
  • Two full-time peer counselors

The teams provide recovery based treatment designed to promote stability, safety, and help the individual transition to a lower level of care. The teams provide medication management to the clients and primary mental health services based on individual need. The entire team is trained in some form of cognitive behavioral therapy for psychosis (CBT-p) based on their qualifications.

Team startup

The legislature has funded an initial pilot program that will consist of four teams who will be sent across the state based on need. These teams will start delivering services starting January 1, 2020.

The Health Care Authority (HCA) will pilot  a new type of discharge wraparound service for individuals discharging or diverting from a state hospital to an Aging and Long Term Supports Administration (ALTSA), licensed facility.

The pilot is called Intensive Residential Treatment Teams (IRT Teams).