CLIP - Children's Long-term Inpatient Programs

1970's | 1980's | 1990's | CLIP Today

1970s - The Beginning of CLIP
Prior to the development of the CLIP Programs, Washington State children with severe psychiatric disturbances were frequently placed in residential settings that were not prepared to deal with their level of disturbance, or they were sent to facilities out of state. In 1977, the Department of Social and Health Services (DSHS) approached the private sector for assistance in developing a program model to provide extended psychiatric residential care.

Supporting the model developed in this public/private partnership, in 1980 the Washington State legislature authorized funds to establish Residential Treatment Beds for Psychiatrically Impaired Children and Youth (RTFs). These state-funded beds were to be located at and administered by private, non-profit agencies under contract to the Division of Mental Health (DSHS/MHD). Rules and regulations for licensing standards were set forth in Chapter 246-323 of the Washington Administrative Code and codified under authority of Chapter 71.12 RCW, February 1980.

1980s - CLIP RTFs Open & New Law Enacted
In the early 1980s, four Residential Treatment Facilities (RTFs) began serving psychiatrically impaired children and youth. McGraw Center at Seattle Children's Home, Seattle, opened in March 1981 as the first facility licensed under the new regulations. Martin Center opened in February 1982 in Bellingham, operated by Catholic Community Services Northwest. Tamarack Center opened in September 1984 in Spokane County. Pearl Street Center opened in January 1985 in Tacoma, operated by the Tacoma Comprehensive Mental Health Center.

The RTFs were defined as statewide resources. Any child in the state had equal access to these services if the need was demonstrated. Locating the RTFs in different regions of the state meant services could be provided as close to home as possible.

Between 1981 and 1986 all children who were admitted to the RTFs met the same admission criteria, whether they were voluntary applicants or committed for involuntary mental health care. In January 1986, the new juvenile Mental Health Services Act (RCW 71.34) came into effect. Under that law, adolescents who were involuntarily committed on a 180-day Restrictive Order for inpatient care were now automatically eligible for admission to the RTFs and to Child Study & Treatment Center (CSTC), the state-operated psychiatric hospital for children located in Tacoma.

The law gave new oversight responsibilities to the CLIP Administration. The CLIP Administration became a participant in the annual Medicaid Inspection of Care audits conducted by the Mental Health Division.

1990s - CLIP consolidates, RSNs manage public mental health resources
While involuntarily committed adolescents were automatically eligible for admission to any of the five CLIP Programs, there were two separate voluntary admissions procedures for CSTC and the RTFs. To meet Medicaid requirements, the MHD directed the CLIP Administration to assume all admissions decisions for the inpatient beds at CSTC beginning in March 1991. This established a centralized access point to extended inpatient care for all children.

In 1992, at the direction of the MHD, intersystem agreements were established between the CLIP Administration, the five CLIP Programs and the Regional Support Networks (RSNs). These agreements require identification of a local intersystem collaborative team to assess the strengths and needs of an individual child and family, and plan individualized services and supports to meet those needs. If admission to a CLIP program is felt to be part of this overall plan of care, the local community makes application to the CLIP Administration.

CLIP Today
Since the mid-1990s, the CLIP Administration's role and responsibilities have changed little. CLIP Program services remain a statewide resource and any child in the state of Washington has equal access to these services if the need is demonstrated.

The CLIP agreements with the Regional Support Networks (RSNs) are modified in accord with current best practice standards, building upon gains made since they were originally drafted.

In June 2004 Martin Center, the Residential Treatment Facility operated by Catholic Community Services Northwest, closed. A portion of the publicly funded bed capacity was redistributed to the three other Residential Treatment Facilities (RTFs). As a result there are currently 91 MHD-funded beds available to serve children and adolescents with severe psychiatric disturbance. Forty-four total beds are available in the three RTFs: McGraw Center, Pearl Street Center and Tamarack Center. The remaining forty-seven beds are available in three cottages at Child Study & Treatment Center.