An inpatient program offering psychiatric care to medically complex adolescents.
Helping teens with high-acuity needs reach new heights through specialty, integrated care.
Young people with psychiatric conditions, particularly those who also have medical needs, often face significant barriers to integrated care. Most mental health facilities aren’t equipped to provide medical treatment, while many general hospitals lack the resources to manage psychiatric complexities.
Within a highly structured hospital-level care setting, the True North Program at Nexus Children’s Hospital provides 24/7 medical management, evidence-based psychiatric care, and structured therapeutic programming. Our interdisciplinary team develops individualized treatment plans focused on stabilization, functional improvement, and safe transition to a lower level of care — whether that’s home, foster placement, or another supportive setting.
We are committed to equipping teens with the tools they need for long-term success, because we’re compassionately mending minds.
How does a med-psych program differ from a standalone psychiatric facility or residential treatment center?
Unlike standalone psychiatric facilities or traditional residential treatment centers, the True North Program at Nexus Children’s Hospital offers a specialized med-psych program that integrates medical and psychiatric care under one roof. This approach is designed for patients whose behavioral health needs cannot be managed in less restrictive settings, or are complicated by medical conditions, ensuring that all aspects of their health are addressed simultaneously. With an interdisciplinary team of physicians, psychiatrists, and therapists, the program delivers coordinated treatment in a hospital setting — providing the safety, oversight, and expertise needed to stabilize complex cases and prepare patients for the next phase of their recovery journey.
it’s time to find your true north.
Our program coordinators will help you find the right setting based on individual needs.
Let's dive into the program details.
At Nexus Children’s Hospital, care begins with the individual. Our team designs each treatment plan around the unique needs, strengths, and goals of every adolescent. Within a safe, structured, and therapeutic environment, we help patients take meaningful steps toward stability and growth.
What conditions are treated in the True North Hospital Program?
Some of the acute psychiatric diagnoses and medical conditions we treat include (but are not limited to):
- Acute infection
- Anxiety disorders
- Attention-deficit/hyperactivity disorder (ADHD)
- Autoimmune or inflammatory diseases
- Bipolar disorder
- Cardiovascular conditions
- Disruptive, impulse-control, and conduct disorders
- Eating disorders
- Gastrointestinal conditions
- Genitourinary conditions
- Major depressive disorder
- Musculoskeletal conditions
- Neurodevelopmental disorders
- Neurological conditions
- Post-transplant care
- Pulmonary conditions
- Schizophrenia
- Trauma and PTSD
- Wound care and skin conditions
Who is eligible for the True North Hospital Program?
Patients in our inpatient program must meet the following criteria:
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Ages 11 up to 18
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Medical diagnosis that requires daily physician oversight and 24-hour nursing care, or a medical diagnosis that presents a barrier to admission at an inpatient psychiatric facility
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Significant maladaptive behaviors that are unable to be safely addressed in a less restrictive environment
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Behavioral challenges interfere with significant life domains, such as school, community, and recreational/vocational activities
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Ability to respond to clinical services within a structured setting, engage in therapeutic programming, and participate in individual and group psychotherapy
What does treatment look like in the True North Hospital Program?
This interdisciplinary program features a range of services tailored to the patient’s needs, including:
- Daily medical evaluations by physicians and nurse practitioners to assess and manage acute or chronic physical health conditions
- Regular psychiatric evaluations to assess status, monitor treatment response, manage medications, and evaluate safety
- Continuous onsite, around-the-clock nursing care
- 24/7 on-call psychiatric and medical provider coverage
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Evidence-based individual, family, and group psychotherapies tailored to patient needs and functioning
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Skilled therapies, including physical, occupational, and speech therapy
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Support for activities of daily living (ADLs), such as hygiene, feeding, dressing, and mobility, with a focus on improving functional independence
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Trauma-informed behavioral health interventions provided by licensed clinicians and trained direct care staff
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Structured behavioral programming based on a positive reinforcement model, including a token economy used to reinforce healthy behaviors and encourage participation
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Discharge and transition planning, coordinated with guardians and community providers, that begins upon admission
- Concurrent, TEA-accredited education
Why is it so difficult to find inpatient psychiatric, behavioral, and medical healthcare?
Accessing inpatient care for complex medical, behavioral, and mental health needs can feel overwhelming. The challenge lies in the fragmented nature of care systems. Many facilities specialize in only one area — medical, behavioral, or psychiatric care — leaving patients with co-occurring conditions struggling to find comprehensive treatment. Limited bed availability, strict admission criteria, and a national shortage of specialized providers further complicate the process. For families and caregivers, navigating this maze is exhausting, especially when time-sensitive care is critical. Bridging these gaps requires integrated programs that offer comprehensive, interdisciplinary support in a single, seamless environment.
Learn more about the importance of integrated care for medically complex patients.
True North Hospital Care services
