ABOUT USOUR APPROACHREFERRAL & ADMISSION GUIDANCE

New Directions Program | Nexus Children's Hospital

Specialized Inpatient Care for Children and Adolescents with Autism and Neurodevelopmental Conditions

Evidence-based neurodevelopmental treatment in a highly structured inpatient setting.


Hospital-based, interdisciplinary care for young patients ages 6-21 with autism, intellectual and developmental disabilities (IDD), and specialty neurodevelopmental needs. Accepting referrals nationwide.

Submit a Referral Inquiry

Complete the form, and a member of our admissions team will respond promptly.

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New Directions Program | Nexus Children's Hospital

Specialized Inpatient Care for Children and Adolescents with Autism and Neurodevelopmental Conditions.


Evidence-based neurodevelopmental treatment in a highly structured inpatient setting.

Hospital-based, interdisciplinary care for young patients ages 6-21 with autism, intellectual and developmental disabilities (IDD), and complex neurodevelopmental conditions. Accepting referrals nationwide.

Complete the form, and a member of our admissions team will respond promptly.

Submit a Referral Inquiry

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  • Afghanistan(+93)
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  • Anguilla(+1 264)
  • Albania(+355)
  • Armenia(+374)
  • Angola(+244)
  • Antarctica(+8)
  • Argentina(+54)
  • Samoa (American)(+1 684)
  • Austria(+43)
  • Australia(+61)
  • Aruba(+297)
  • Åland Islands(+358 18)
  • Azerbaijan(+994)
  • Bosnia & Herzegovina(+387)
  • Barbados(+1 246)
  • Bangladesh(+880)
  • Belgium(+32)
  • Burkina Faso(+226)
  • Bulgaria(+359)
  • Bahrain(+973)
  • Burundi(+257)
  • Benin(+229)
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  • Chile(+56)
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  • Colombia(+57)
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  • Cuba(+53)
  • Cape Verde(+238)
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  • Cyprus(+357)
  • Czech Republic(+420)
  • Germany(+49)
  • Djibouti(+253)
  • Denmark(+45)
  • Dominica(+1 767)
  • Dominican Republic(+1 809)
  • Algeria(+213)
  • Ecuador(+593)
  • Estonia(+372)
  • Egypt(+20)
  • Western Sahara(+212)
  • Eritrea(+291)
  • Spain(+34)
  • Ethiopia(+251)
  • Finland(+358)
  • Fiji(+679)
  • Falkland Islands(+500)
  • Micronesia(+691)
  • Faroe Islands(+298)
  • France(+33)
  • Gabon(+241)
  • Britain (UK)(+44)
  • Grenada(+1 473)
  • Georgia(+995)
  • French Guiana(+594)
  • Guernsey(+44 1481)
  • Ghana(+233)
  • Gibraltar(+350)
  • Greenland(+299)
  • Gambia(+220)
  • Guinea(+224)
  • Guadeloupe(+590)
  • Equatorial Guinea(+240)
  • Greece(+30)
  • South Georgia & the South Sandwich Islands(+99)
  • Guatemala(+502)
  • Guam(+1 671)
  • Guinea-Bissau(+245)
  • Guyana(+592)
  • Hong Kong(+852)
  • Honduras(+504)
  • Croatia(+385)
  • Haiti(+509)
  • Hungary(+36)
  • Indonesia(+62)
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  • Morocco(+212)
  • Monaco(+377)
  • Moldova(+373)
  • Montenegro(+382)
  • St Martin (French)(+590)
  • Madagascar(+261)
  • Marshall Islands(+692)
  • North Macedonia(+389)
  • Mali(+223)
  • Myanmar (Burma)(+95)
  • Mongolia(+976)
  • Macau(+853)
  • Northern Mariana Islands(+ 1 670)
  • Martinique(+596)
  • Mauritania(+222)
  • Montserrat(+1 664)
  • Malta(+356)
  • Mauritius(+230)
  • Maldives(+960)
  • Malawi(+265)
  • Mexico(+52)
  • Malaysia(+60)
  • Mozambique(+258)
  • Namibia(+264)
  • New Caledonia(+687)
  • Niger(+227)
  • Norfolk Island(+672)
  • Nigeria(+234)
  • Nicaragua(+505)
  • Netherlands(+31)
  • Norway(+47)
  • Nepal(+977)
  • Nauru(+674)
  • Niue(+683)
  • New Zealand(+64)
  • Oman(+968)
  • Panama(+507)
  • Peru(+51)
  • French Polynesia(+689)
  • Papua New Guinea(+675)
  • Philippines(+63)
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  • Poland(+48)
  • St Pierre & Miquelon(+508)
  • Pitcairn(+870)
  • Puerto Rico(+1 787)
  • Palestine(+970)
  • Portugal(+351)
  • Palau(+680)
  • Paraguay(+595)
  • Qatar(+974)
  • Réunion(+262)
  • Romania(+40)
  • Serbia(+381)
  • Russia(+7)
  • Rwanda(+250)
  • Saudi Arabia(+966)
  • Solomon Islands(+677)
  • Seychelles(+248)
  • Sudan(+249)
  • Sweden(+46)
  • Singapore(+65)
  • St Helena(+290)
  • Slovenia(+386)
  • Svalbard & Jan Mayen(+47)
  • Slovakia(+421)
  • Sierra Leone(+232)
  • San Marino(+378)
  • Senegal(+221)
  • Somalia(+252)
  • Suriname(+597)
  • South Sudan(+211)
  • Sao Tome & Principe(+239)
  • El Salvador(+503)
  • St Maarten (Dutch)(+599)
  • Syria(+963)
  • Eswatini (Swaziland)(+268)
  • Turks & Caicos Is(+1 649)
  • Chad(+235)
  • French Southern Territories(+99)
  • Togo(+228)
  • Thailand(+66)
  • Tajikistan(+992)
  • Tokelau(+690)
  • East Timor(+670)
  • Turkmenistan(+993)
  • Tunisia(+216)
  • Tonga(+676)
  • Turkey(+90)
  • Trinidad & Tobago(+1 868)
  • Tuvalu(+688)
  • Taiwan(+886)
  • Tanzania(+255)
  • Ukraine(+380)
  • Uganda(+256)
  • US minor outlying islands(+1)
  • United States(+1)
  • Uruguay(+598)
  • Uzbekistan(+998)
  • Vatican City(+379)
  • St Vincent(+1 784)
  • Venezuela(+58)
  • Virgin Islands (UK)(+1 284)
  • Virgin Islands (US)(+1 340)
  • Vietnam(+84)
  • Vanuatu(+678)
  • Wallis & Futuna(+681)
  • Samoa (western)(+685)
  • Yemen(+967)
  • Mayotte(+262)
  • South Africa(+27)
  • Zambia(+260)
  • Zimbabwe(+263)
Would you like to book a facility tour?*
Please fill all the required fields!
Please accept terms and conditions to proceed

If you are in crisis or considering harming yourself or someone else, call 911 or 988. This form is not monitored for emergencies.

DNV Accredited

ABA-Informed Interdisciplinary Teams

24/7 Medical & Behavioral Oversight

Referrals Accepted Nationwide

TEA-Accredited Education

Medicaid & Most Insurance Accepted

A B O U T  T H E  P R O G R A M

A path forward for challenging neurodevelopmental cases.


Children and adolescents with autism and other neurodevelopmental disorders often face overlapping challenges: difficulty communicating basic needs, co-occurring medical conditions, sensory sensitivities, and trouble with everyday tasks. For many families and caregivers, these challenges are compounded by repeated care disruptions, behavioral crises, and a lack of appropriate resources.

The New Directions Program at Nexus Health Systems offers a path forward. Designed for young patients whose needs exceed what outpatient programs can safely provide, the New Directions Program delivers structured, hospital-based care rooted in evidence and compassion. Our interdisciplinary team equips patients and families with the tools needed to promote adaptive growth, social development, and a safe return to home, school, and community,  because we're committed to mending minds.

The New Directions Program serves children and adolescents who require intensive, inpatient intervention due to the challenges of their diagnosis and care needs, including:

Autism spectrum disorder (ASD)

Intellectual and developmental disabilities (IDD)

Autism with co-occurring psychiatric conditions, including anxiety, OCD, and depression

Significant maladaptive behaviors, including self-injury, aggression, and elopement

Other neurodevelopmental disorders requiring intensive behavioral intervention

Our goal is to reduce maladaptive behaviors, strengthen functional skills, and support lasting independence.

A physician’s order or referral is required for all admissions to the New Directions Program.

Patients served by the New Directions Program

ABA-informed programming monitored by certified behavior analysts

Dallas · Houston · The Woodlands, TX

30+ years of specialty care at Nexus

Clinical Approach

Compassionate, individualized treatment.


The New Directions Program's interdisciplinary team develops personalized care plans that address the full spectrum of each patient's behavioral, medical, and developmental needs, making it one of the most comprehensive inpatient programs available for this population.

Program Features

  • Interdisciplinary team including psychiatrists, pediatricians, pediatric neurologists, behavior analysts, nurses, case managers, psychotherapists, and licensed rehabilitation specialists
  • ABA-informed programming tailored to each patient's developmental level and functional ability
  • Individualized behavior support plans monitored by board-certified behavior analysts (BCBAs) and registered behavior technicians (RBTs)
  • Occupational, physical, and speech-language therapy
  • Augmentative communication support, including PECS and speech-generating devices
  • Ongoing medication management
  • Structured family training so caregivers are active partners in the patient's progress
  • Concurrent, TEA-accredited education through The University of Texas - University Charter School
  • Discharge and transition planning beginning at admission

What Sets the New Directions Program Apart

  • Hospital-level acuity accepted: Integrated psychiatric and medical care for adolescents with specialty behavioral health needs
  • Truly integrated care model: medical, behavioral, psychiatric, and rehabilitative services delivered by one coordinated team
  • ABA-informed, not just behaviorally focused: evidence-based programming guided by BCBAs tailored to each patient's developmental level
  • Communication support built in: augmentative and alternative communication (AAC) including PECS and speech-generating devices
  • Education continues during treatment: TEA-accredited school ensures no academic disruption
  • Family training from day one: caregivers are active partners; discharge planning begins at admission

We’re here to help with difficult placement decisions.

We collaborate with discharge teams, case managers, physicians, school districts, and residential transfer coordinators to ensure children are placed in a safe environment that meets their behavioral, developmental, and medical needs. Reach out to our admissions team to discuss placement options and next steps.

Common diagnoses treated


The New Directions Program accepts children and adolescents presenting with a wide range of neurodevelopmental, behavioral, and co-occurring conditions. The following represent diagnoses frequently encountered in our patient population.

  • Autism spectrum disorder (ASD)
  • Intellectual and developmental disabilities (IDD)
  • Attention-deficit/hyperactivity disorder (ADHD)
  • Anxiety disorders
  • Obsessive-compulsive disorder (OCD)
  • Behavioral dysregulation
  • Communication disorders
  • Sensory processing disorders
  • Other neurodevelopmental disorders

Referral Guidance

Admission criteria & referral process


Admission Criteria

Ages 6 up to 21

Presentation consistent with a DSM-5-TR diagnosis of neurodevelopmental disorder requiring intensive out-of-home therapeutic intervention

Significant maladaptive behaviors that cannot be safely addressed in a less restrictive environment

Symptoms interfering with family, school, community, and recreational/vocational activities

Co-occurring medical needs that can be appropriately managed by the pediatric team and facility

Referral Sources We Work With

Physicians and pediatric specialists

Child and adolescent psychiatrists

Hospital social workers and discharge planners

School districts and special education coordinators

CPS / DFPS / DCS and child welfare caseworkers

Community providers and behavioral health agencies

A physician's order or referral is required for all admissions to the New Directions Program. See referral sources above. Our admissions team is available to assist referring providers with documentation requirements, insurance verification, and placement logistics. Call 713.351.6633 to speak with an admissions coordinator.

MEET A New Directions PROGRAM SUCCESS STORY.

“Maddie now lives in her own space — dubbed “Maddie’s House.” A rotating, 24/7 care staff uses the routine she enjoyed at Nexus, allowing her to achieve the highest level of independence possible.”
– Tabitha, Maddie’s Mother

MEET A New Directions PROGRAM SUCCESS STORY.

“Maddie now lives in her own space — dubbed “Maddie’s House.” A rotating, 24/7 care staff uses the routine she enjoyed at Nexus, allowing her to achieve the highest level of independence possible.”
– Tabitha, Maddie’s Mother

Wonder what makes severe autism different from milder forms of autism? Learn here.

Wonder what makes severe autism different from milder forms of autism? Learn here.

Coverage & Accreditation

Medicaid and most major insurance accepted


Nexus Health Systems works with Medicaid and a wide range of commercial insurance plans. For out-of-network referrals, our admissions team explores all available coverage pathways, including single case agreements, gap exceptions, and alternate funding sources. Insurance verification is completed as part of every referral.

We accept referrals from across the country. Our admissions team coordinates insurance verification, travel support, and discharge planning for out-of-state placements.

MEDICAID

MOST PRIVATE INSURANCE

OUT-OF-STATE REFERRALS

New Directions Program |
Nexus Children's Hospital

Concurrent education through The University of Texas - University Charter School

 Behavior support plans monitored by BCBAs and RBTs

Nexus Health Systems has provided specialty care for medically and behaviorally challenging patients since 1992

Let’s Talk Placement

Contact Our Admissions Team


Whether you’re a referring provider or seeking placement for a child or adolescent in your care, our admissions team is available to answer questions, verify insurance, and guide you through the process.

Referral sources include, but are not limited to, physicians,
social workers, case managers, discharge planners, and CPS/DCS agencies.

 

Submit a Referral Inquiry

Our admissions team will respond promptly, typically within one business day.

  • Andorra(+376)
  • United Arab Emirates(+971)
  • Afghanistan(+93)
  • Antigua & Barbuda(+1 268)
  • Anguilla(+1 264)
  • Albania(+355)
  • Armenia(+374)
  • Angola(+244)
  • Antarctica(+8)
  • Argentina(+54)
  • Samoa (American)(+1 684)
  • Austria(+43)
  • Australia(+61)
  • Aruba(+297)
  • Åland Islands(+358 18)
  • Azerbaijan(+994)
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  • Barbados(+1 246)
  • Bangladesh(+880)
  • Belgium(+32)
  • Burkina Faso(+226)
  • Bulgaria(+359)
  • Bahrain(+973)
  • Burundi(+257)
  • Benin(+229)
  • St Barthelemy(+590)
  • Bermuda(+1 441)
  • Brunei(+673)
  • Bolivia(+591)
  • Caribbean NL(+599)
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  • Bhutan(+975)
  • Botswana(+267)
  • Belarus(+375)
  • Belize(+501)
  • Canada(+1)
  • Cocos (Keeling) Islands(+61)
  • Congo (Dem. Rep.)(+243)
  • Central African Rep.(+236)
  • Congo (Rep.)(+242)
  • Switzerland(+41)
  • Côte d'Ivoire(+225)
  • Cook Islands(+682)
  • Chile(+56)
  • Cameroon(+237)
  • China(+86)
  • Colombia(+57)
  • Costa Rica(+506)
  • Cuba(+53)
  • Cape Verde(+238)
  • Curaçao(+599)
  • Christmas Island(+61)
  • Cyprus(+357)
  • Czech Republic(+420)
  • Germany(+49)
  • Djibouti(+253)
  • Denmark(+45)
  • Dominica(+1 767)
  • Dominican Republic(+1 809)
  • Algeria(+213)
  • Ecuador(+593)
  • Estonia(+372)
  • Egypt(+20)
  • Western Sahara(+212)
  • Eritrea(+291)
  • Spain(+34)
  • Ethiopia(+251)
  • Finland(+358)
  • Fiji(+679)
  • Falkland Islands(+500)
  • Micronesia(+691)
  • Faroe Islands(+298)
  • France(+33)
  • Gabon(+241)
  • Britain (UK)(+44)
  • Grenada(+1 473)
  • Georgia(+995)
  • French Guiana(+594)
  • Guernsey(+44 1481)
  • Ghana(+233)
  • Gibraltar(+350)
  • Greenland(+299)
  • Gambia(+220)
  • Guinea(+224)
  • Guadeloupe(+590)
  • Equatorial Guinea(+240)
  • Greece(+30)
  • South Georgia & the South Sandwich Islands(+99)
  • Guatemala(+502)
  • Guam(+1 671)
  • Guinea-Bissau(+245)
  • Guyana(+592)
  • Hong Kong(+852)
  • Honduras(+504)
  • Croatia(+385)
  • Haiti(+509)
  • Hungary(+36)
  • Indonesia(+62)
  • Ireland(+353)
  • Israel(+972)
  • Isle of Man(+44 1624)
  • India(+91)
  • British Indian Ocean Territory(+246)
  • Iraq(+964)
  • Iran(+98)
  • Iceland(+354)
  • Italy(+39)
  • Jersey(+44 1534)
  • Jamaica(+1 876)
  • Jordan(+962)
  • Japan(+81)
  • Kenya(+254)
  • Kyrgyzstan(+996)
  • Cambodia(+855)
  • Kiribati(+686)
  • Comoros(+269)
  • St Kitts & Nevis(+1 869)
  • Korea (North)(+850)
  • Korea (South)(+82)
  • Kuwait(+965)
  • Cayman Islands(+1 345)
  • Kazakhstan(+7)
  • Laos(+856)
  • Lebanon(+961)
  • St Lucia(+1 758)
  • Liechtenstein(+423)
  • Sri Lanka(+94)
  • Liberia(+231)
  • Lesotho(+266)
  • Lithuania(+370)
  • Luxembourg(+352)
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