Family First

​​​​​​​​​Becoming a Qualified Residential Treatment Program (QRTP) Provider

The Family First Prevention Services Act creates a new type of care called Qualified Residential Treatment Program (QRTP). 

In Oregon, SB 171 requires residential placements occur in QRTP settings with certain exceptions and introduces other placement stay restrictions. The following is a list of approved congregate care settings in which Oregon DHS Child Welfare can place a child, effective July 1, 2020:

  • Qualified Residential Treatment Program;
  • A program that provides prenatal, postpartum or parenting supports to the child;
  • Independent Residence Facility for young adults 18+;
  • A program that serves child who are at risk of becoming a victim of sex trafficking;
  • Psychiatric treatment program;
  • A&D program;
  • Specialized group homes for children with a developmental disability;
  • A specialized residential, family style setting.
​Two additional approved congregate care settings not described above are residential facilities or runaway and homeless facilities that provide short term assessment and stabilization services. The maximum continuous length of stay in such a program is 60 days or 90 days cumulative in a 12-month period. Additionally, if the residential facility serves youth served by the county juvenile department or committed to Oregon Youth Authority (OYA), children in the care and custody of DHS cannot be placed in such a program.​​​

​A QRTP must:

  • Be designed to be treatment-focused and temporary.
  • Engage the family in treatment planning and intervention.
  • Provide access to 24-hour nursing in accordance with the treatment model.
  • Provide six months of services for the child or teen and their family after they have transitioned out of the program.
  • Be accredited by a national accrediting entity and licensed by the State of Oregon.​
​Provider FAQs

  • Family First workgroups are meeting on a regular basis to consider and eventually recommend what services should be part of Oregon's service array. 

  • Workgroup recommendations are just the beginning of an extensive process, workgroup recommendations will be submitting to the Child Welfare Director for a final determination. 

  • Updates on the progress and considerations of the workgroups will be posted to the Oregon Family First website. 

  • Implementation of Family First funding requires a robust quality improvement process. This infrastructure does not yet exist in ODHS and will require significant administrative resources. Because of this, we are taking a gradual implementation approach that will start modestly and scale up as lessons are learned and administrative resources come online. 

  • Any services selected by Oregon for funding through Family First will be on the Title IV-E Prevention Services Clearinghouse

  • The Prevention Services Clearinghouse rates programs and services as well-supported, supported, promising, or does not currently meet criteria. 

  • The rating on the Clearinghouse is a federal determination and Oregon does not have influence over it. 

  • Oregon must commit 50% of Family First funding to services that are well-supported before other levels of service may be funded.  

  • Budget, scope, Clearinghouse rating, and evaluation needs will be part of the considerations for what services are initially chosen for Family First funding. ​