October 14, 2025

Summary:

In this episode of Center Stage, Ethan - National director of BD, Rose Hill Center shares how to move clients to the right level of care faster by combining trust-based relationships, a living referral network, and clear BD tactics. He explains why residential remains a critical rung between inpatient and outpatient, how warm handoffs prevent drop-off, and how to tailor outreach to hospitals vs schools while staying clinically honest and HIPAA-safe.

Key Takeaways:

1. Residential is a vital step – In many markets the ladder is ER/inpatient → residential → PHP/IOP → outpatient. Skipping residential leads to relapse, ER boarding, and failed step-downs.

   
   

2. Warm handoffs, not cold lists – Don’t hand families five numbers. Do a named contact, pass context with ROI, and stay on the thread until received. When you can’t admit, still place: 9 out of 10 inbound cases may be referrals out.

   
   

3. Build a living referral network – Maintain a ranked spreadsheet by diagnosis, acuity, age, geography, insurance, exclusions. Verify contacts quarterly; people move and programs change scope.

   
   

4. Customize outreach by audience - For hospital social workers, keep it tight - what you accept, how to refer, and your response time. For school social workers, emphasize keeping students in class; suggest virtual IOP/PHP and commit to clear, regular family updates. For psychiatrists/clinicians, lead with clinical fit - diagnoses served, modalities used, medication capabilities, and any exclusions.

   
   

5. Trust beats brochures – Tour programs, meet teams, and collect post-placement feedback. Only refer to places you’d send a loved one.

   
   

6. Be clinically honest – If you don’t know, say so and get the clinical director’s answer. Don’t claim “we do everything”; specialize and name exclusions (aggression, elopement, etc.).

   
   

7. Insurance realities drive access – Medicaid often in-state only; out-of-network surprise costs kill placements. Have go-to options for Medicare, Medicaid, and commercial in each region.

   
   

Playbook for Operators:

1. Standardize intake - 10 questions: presenting issues, risks, co-occurring dx, meds, prior LOCs (what helped/hurt), functional needs, payer path, geography, family role, setting prefs, urgency/legal.

   
   

2. Make warm handoffs the default - Add ROI language for cross-program sharing. Use a one-page brief and route to 3–5 best-fit programs; stay on the email until acknowledged.

   
   

3. Build and maintain your directory - program, LOCs, primary dx served, exclusions, ages, payers, region, contacts, last-verified. Add “trusted notes” from tours and family feedback.

   
   

4. Segment outreach - Create three micro-decks: Hospital, School, Clinician. Same core info, different framing and CTA.

   
   

5. Track what matters -

• Time from first contact to decision and to admit.

• First appointment kept after discharge.

• ER days avoided in 90 days.

• Decline-with-direction rate and partner response time.

• Directory freshness (% re-verified this quarter).

6. Protect the window - High-acuity cases have short motivation windows. Set a 24-hour SLA for triage responses and call-backs.