REACH CTHs are being included in the RCSU DMAS requirements for 24/7 on-site nursing.  RCSUs cover 16 bed facilities that serve individuals primarily with MH/SA diagnoses; these facilities are TDO accepting and provide residential medical detox (both of which REACH CTHs do not provide).  REACH Crisis Homes are short term stays and currently utilize a mix of on-site (daytime) and on-call nursing (nighttime) to ensure 24/7 access to nursing support if needed.  This model meets the needs of individuals supported.

Requiring 24/7 on-site nursing for REACH CTHs increases the operating costs of the program tremendously without increasing revenue opportunities.