Mental Health Residential Rehabilitation Treatment Programs
Mental Health Residential Rehabilitation Treatment Programs (MH RRTPs) (including Domiciliary and RRTPs) provide residential rehabilitative and clinical care to Veterans who have a wide range of problems, illnesses, or rehabilitative care needs which may include mental health and substance use disorders, co-occurring medical conditions and psychosocial needs such as homelessness and unemployment. All of these programs provide a 24/7 therapeutic setting utilizing both professional and peer supports. Treatment focuses on the Veteran's needs, abilities, strengths, and preferences.
There are several types of programs which include the following:
- Domiciliary Residential Rehabilitation Treatment Programs (DRRTP). A DRRTP provides a residential level of care for Veterans with issues related to medical, mental health, substance use disorders, Post-Traumatic Stress Disorders, and homelessness. These programs are larger residential programs with multiple units serving various Veteran populations based on need.
- Domiciliary Care for Homeless Veterans (DCHV). A DCHV provides a residential level of care for a homeless Veteran population. A DCHV may be a standalone program or a unit within a larger DRRTP.
- Health Maintenance Domiciliary. Health Maintenance Domiciliary beds provide a residential level of care for Veterans. Health Maintenance Domiciliary programs focus on symptom reduction and stabilization as part of the rehabilitative approach to facilitating community integration. A Health Maintenance Domiciliary may be a standalone unit or part of a larger DRRTP.
- General Domiciliary (General Dom) or Psychosocial Residential Rehabilitation Treatment Programs (PRRTP). These programs provide a residential treatment level of care for a general Veteran population with a variety of needs. General Dom beds are a part of a larger DRRTP while PRRTPs are standalone units.
- Domiciliary PTSD (Dom PTSD) or Post-Traumatic Stress Disorder Residential Rehabilitation Treatment Program (PTSD-RRTP). These programs provide residential level of care to Veterans with Post Traumatic Stress Disorder including provision of services for Veterans who have experienced Military Sexual Trauma. Dom PTSD may be part of a larger DRRTP while a PTSD-RRTP is a standalone unit .
- Domiciliary SA (Dom SA) or Substance Abuse Residential Rehabilitation Treatment Program (SARRTP). These programs provide a residential level of care to Veterans with Substance Use Disorders. Dom SA beds may be part of a larger DRRTP while a SARRTP is a standalone program.
- Compensated Work Therapy (CWT)-Transitional Residence (TR). General CWT-TR offers therapeutic work-based residential rehabilitation services designed to facilitate successful community reintegration for Veterans. The program does not target any particular mental health diagnosis. The program requires concurrent enrollment in the Compensated Work Therapy program.
Mental Health Residential Rehabilitation Treatment Programs is administered by Veterans Health Administration (VHA).
You must be enrolled in the U.S. Department of Veterans Affairs (VA) health care system (or qualify based on one of the exceptions in the law). Go to "Basic Medical Benefits for Veterans" to see the program requirements.
Generally, in order to receive VA benefits and services the Veteran/Servicemember's character of discharge or service must be under other than dishonorable conditions (e.g., honorable, under honorable conditions, general). However, individuals receiving undesirable, bad conduct, and other types of dishonorable discharges may qualify for VA benefits depending on a determination made by VA.
In addition to basic eligibility criteria for care in the VA healthcare system, the Veteran must:
- Be assessed as not meeting criteria for acute psychiatric or medical admission.
- Have tried a less restrictive treatment alternative, or one was unavailable.
- Be assessed as requiring the structure and support of a residential treatment environment.
- Be assessed as not a significant risk of harm to self or others.
- Be lacking a stable lifestyle or living arrangement that is conducive to recovery.
- Be capable of self-preservation and basic self-care.
- Have identified treatment and rehabilitation needs, which can be met by the program.
If the Veteran's circumstance cannot be accommodated by the program, alternative services must be considered within the medical centers, Veterans Integrated Service Networks (VISNs), or Veterans Health Administration's (VHA's) mental health continuum of care and appropriate alternate treatment arrangements made.
A single screening determines whether a Veteran is appropriate for admission to any of the facility's MH RRTPs. To facilitate access, screenings are conducted on all normal business days. Given the co-morbid disorders typical of a Veteran being screened for residential services, consideration needs to be given to which MH RRTP provides the "best" fit, rather than the ideal match.
Domiciliary Care has some eligibility rules of its own. You must meet one of these criteria:
Your annual income must not exceed the maximum annual Improved Disability VA Pension Rate
VA must determine that you have no adequate means of support
You can find the special eligibility rules for Domiciliary Residential Rehabilitation and Treatment (Domiciliary Care) in the Code of Federal Regulations (CFR). Here are the references: Title 38, CFR 17.46, 17.47, and 17.48. They're available online at either of these websites:
To get help now, please visit VA's Mental Health homepage.
For general information about residential services for homeless Veterans, visit VA's Homeless Veterans page.
For information about Substance Use Disorder programs, including residential program locations, use VA's Substance Use Disorder Program Locator tool.