In Chapter IV the therapeutic pass guidelines note that the pass is approved by the treating physician.  It seems more in line to have a licensed person approve the pass as they are the people responsible for the weekly assessments of the youth and are likely interacting with the family more.  This person has a better sense of the family dynamics, pass implications for treatment, and specific goals for the passes.  Having the treating physician sign this as an approval could add a burden for facilities who contract out for psychiatry.