Order on Placement in Short-Term Residential Therapeutic Program or Community Treatment Facility

Judicial Council of California · Juvenile

Verified current as of August 1, 2026

This form is used to document a court order placing a minor in a short-term residential treatment program or community facility for therapeutic care and services. Judges, social workers, and child welfare agencies use it to officially authorize and record mental health or behavioral treatment placements for youth involved in the juvenile justice or dependency system.