Long Term Structured Residence

Click here for a downloadable version of our Long Term Structured Residence (LTSR) Brochure

Salisbury Behavioral Health’s Long Term Structured Residences (LTSRs) seek to provide a structured, recovery, trauma informed environment for adults dealing with the challenges of persistent and serious mental illness. Each individual is treated with respect, dignity, courtesy, and equality regardless of ability.

Structure is offered through group psychotherapy, psychiatric rehabilitative services, individual psychotherapy, crisis support, medication management, peer support, training and support as identified by the resident’s individual recovery treatment plan and Overall Rehabilitative Goals.

The LTSRs strive to:

  • empower people to make choices,
  • attain life goals,
  • build relationships, and,
  • participate in community life to the best of their abilities and in the most integrated and independent manner that is safe for the individual.

Each resident is encouraged to participate with recovery staff in developing a recovery plan that includes Overall Rehabilitative Goals. These goals should be based on the resident’s unique hopes, dreams, and desires. Diversity is viewed as a strength in our community. Psychiatric symptoms and medication management are also incorporated into the recovery plan.

The LTSRs provide mental health services that are resident-centered, culturally competent, individualized, flexible, coordinated, accountable, and strength-based. The goal is to provide the opportunity for people to recover with the recognition that the recovery process is unique for each individual.

The staff at each of the LTSRs:

  • Offer individual activities to support and encourage one to explore her or his personal wishes, goals, and dreams. Activities are based on the individual’s wishes and goals.  Individual activities can be set up with a social worker or therapist on an ongoing basis.  Individuals can complete an Overall Rehabilitation Goal with the Mental Health Therapist to help determine the steps they choose to accomplish and what individual activities they wish to set up.
  • Offer individuals the opportunity to access education, training, and support that focus on educating individuals about the role and effects of medication in treating symptoms of mental illness.
  • Offer spiritual activities to all individuals on a regular basis. Various spiritual affiliations are posted for all individuals to participate. Transportation is for any individual that wishes to attend a spiritual meeting.
  • Offer individuals the opportunity by working in partnership to learn skills training and support, regarding the management of co-occurring disorders, such as substance abuse, eating disorders, gambling addiction and nicotine addiction.
  • Offer individuals the opportunity by working in partnership to learn psychosocial skill development related to activities of daily living to assist individuals to regain and utilize skills related to personal hygiene, household tasks, transportation utilization and money management.
  • Offer individuals the opportunity by working in partnership to learn the skills and knowledge to successfully transition to a greater level of independence, including independent living.
  • Offer individuals the opportunity by working in partnership to improve communication skills, manage symptoms, manage finances and facilitate appropriate interpersonal behavior.
  • Provide some medical services to all individuals by the nursing department. Nurses will encourage all individuals to have a yearly physical examination, eye examination, and psychiatric evaluation. Doctor appointments will be made on an as needed basis with the individual and nurse. Individuals can participate in a medication education group on a daily basis and have discussions concerning the types of medications they are taking and side effects with the nurse.
  • Work with the individual in coordinating other services, such as psychiatric and medical, or entitlements and benefits, as needed.
  • Work with the individual in coordinating access to services addressing co-occurring disorders, such as substance abuse, eating disorders, gambling addiction or nicotine addiction.


Eligibility Requirements

The individuals being served at LTSRs must be adults 18 years or older.  Admission to the LTSR is based on a referral process as established by the County and Southeast Regional Mental Health Services Coordination Office following a criterion for the admission of an individual to receive services with the following characteristics as identified in Pennsylvania Code, Title 55, Chapter 5320.

a) Adults must exhibit evidence of a severe psychosocial disability as a result of serious mental illness that indicates a less restrictive level of care would be inappropriate.

b) Adults who have had a physical examination and psychiatric evaluation not more than six months prior to application

c) Adults must qualify for voluntary treatment under Section 201 or involuntary treatment under Sections 304, 305, or 306.

d) Adults who have a physician’s certification that the applicant does not require hospitalization, nursing facility care, or a level of care more restrictive than the LTSR program and facility.


Measuring Outcomes

LTSRs use tools for measured outcomes and operate under the philosophy that measuring recovery is difficult, if not impossible, since each individual’s recovery process is a unique and personal experience. What is possible is measuring the opportunity for recovery in a program.  Our philosophy is to encourage each individual to determine her or his own path through recovery within the confines of safety, and engaging each person where they are in her or his recovery journey.



The Recovery Support Practitioners, Individual Recovery Coaches, and therapists encourage positive life choices, and create a safe encouraging environment for people to succeed or make mistakes. If the recovery process were linear, then progress could easily be tracked through quality management tools; but as recovery is not a linear process, these tools are more useful in measuring program opportunities and best practices.

Staff requirements at the LTSRs always meet and often exceed the minimums set forth by the Pennsylvania Code Title 55, Chapter 5320.

  • Each 8 AM to 4 PM shift has at a minimum of two Recovery Support Practitioners and a nurse.
  • The 4 PM to 12 AM shift has at a minimum of two Recovery Support Practitioners and a nurse.
  • The 12 AM to 8 PM shift has at a minimum of two Recovery Support Practitioners and a nurse.

A Board Certified Psychiatrist provides psychiatric evaluations and medication management. The Psychiatrist will meet with each resident for half an hour a week at minimum. The Psychiatrist will complete initial psychiatric evaluations upon a resident’s admission.

Day shift staffing also includes a Program Director (a master’s level mental health professional), an Assistant Program Director, a Social Worker (a master’s level mental health professional), two, a Therapist (either Mental Health Therapist with a master’s degree, or a Psychiatric Rehabilitation Therapist), two Peer Specialists, a weekend mental health professional, an Assistant Office Manager and a cook.


Long Term Structured Residence is offered in: Bucks County and Chester County

All referrals for each LTSR are to be made through the County Office in which each LTSR resides.

In 2010 Salisbury Behavioral Health received a “Recovery Star” award for the Provider Agency Category for the LTSR program in Chester County at the Recovery Stars Luncheon.