ABOUT USLEVELS OF CAREREFERRAL & ADMISSION GUIDANCE

True North Program | Nexus Health Systems

Specialized Psychiatric Care for Adolescents Who Need More


Hospital-level inpatient psychiatric and residential treatment for teens with complex behavioral health needs, delivered through a fully coordinated clinical team. Accepting referrals nationwide.

Submit a Referral Inquiry

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

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True North Program | Nexus Health Systems

Specialized Psychiatric Care for Adolescents Who Need More


Hospital-level inpatient psychiatric and residential treatment for teens with complex behavioral health needs, integrating medical, psychiatric, and therapeutic care under one roof. Accepting referrals nationwide.

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

Contact Our Admissions Team

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  • Samoa (American)(+1 684)
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  • Bosnia & Herzegovina(+387)
  • Barbados(+1 246)
  • Bangladesh(+880)
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  • Burkina Faso(+226)
  • Bulgaria(+359)
  • Bahrain(+973)
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  • Gabon(+241)
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  • 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)
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  • Guatemala(+502)
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  • Mali(+223)
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  • Malta(+356)
  • Mauritius(+230)
  • Maldives(+960)
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  • Malaysia(+60)
  • Mozambique(+258)
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  • Niger(+227)
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  • Nauru(+674)
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  • Chad(+235)
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  • 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)
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  • Vatican City(+379)
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  • Venezuela(+58)
  • Virgin Islands (UK)(+1 284)
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  • 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 & Joint Commission Accredited

Interdisciplinary Care Teams

24/7 Psychiatric & Medical Coverage

Referrals Accepted Nationwide

Medicaid & Most Insurance Accepted

Established in 1992 - 30+ Years

A B O U T  T H E 
P R O G R A M

When standard placements aren't enough.


For adolescents facing serious behavioral and psychiatric challenges, finding the right care environment isn't always simple. When acute behavioral needs or co-occurring medical conditions are involved, traditional residential treatment centers and psychiatric settings often aren't equipped to provide the level of support required. That's why Nexus Health Systems developed the True North Program.

Combining 24/7 psychiatric and medical care, trauma-informed therapy, and concurrent, accredited education, we provide a structured environment in which adolescents can stabilize, process trauma, and build healthy coping skills. Referring providers and families nationwide trust our hospital and residential treatment programs as paths toward lasting, whole-person healing.

The True North Program is ideal for teens needing specialized intervention after:

Failed residential behavioral program placements

Repeated crisis admissions without sustained improvement

Family or system breakdowns requiring intensive out-of-home care

Discharges from other inpatient settings with complex remaining needs

Our goal is to equip teens with improved emotional regulation, behavioral stability, and self-awareness, reducing the likelihood of future placements.

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

Hospital Program (all genders)

Residential Program (female adolescents)

Length of Stay - True North Hospital

Levels of Care

Matching patients to the right level of care.


We offer two distinct treatment environments within the True North Program, each designed to serve adolescents at different levels of acuity.

HOSPITAL INPATIENT

True North Hospital Program

NEXUS CHILDREN'S HOSPITAL – SHENANDOAH, TEXAS | AGES 11–17

For adolescents with more acute psychiatric and/or medical needs, the True North Hospital Program provides a hospital-based, med-psych environment. Designed for youth who require intensive specialty support with 24/7 medical management, structured therapeutic programming, and TEA-accredited education.

  • Integrates family medicine physicians, pediatricians, pediatric neurologists, psychiatrists, psychotherapists, and skilled therapists
  • 24/7 medical and psychiatric care
  • Daily medical evaluations to assess and manage acute or chronic conditions
  • Evidence-based psychotherapies including DBT, CBT, and EMDR
  • Physical, occupational, and speech therapy as indicated
  • Concurrent, TEA-accredited education (University of Texas University Charter School)
  • Structured behavioral programming with positive reinforcement model

RESIDENTIAL TREATMENT

True North Residential Treatment Program

NEXUS NEURORECOVERY CENTER – SAN ANTONIO, TEXAS | FEMALE ADOLESCENTS AGES 13–17

For female adolescents who need structured, longer-term behavioral care in a supportive residential setting. Residents build coping skills, receive ongoing therapy, and continue their education through our TEA-accredited school, with access to medical care as needed.

  • Interdisciplinary team, including family medicine physicians, psychiatrists, and psychotherapists
  • 24/7 nursing; psychiatrists and nurse practitioners on-site 5 days/week
  • Ongoing medication management
  • Trauma-informed evidence-based individual, family, and group psychotherapy
  • EMDR-trained therapists
  • Concurrent, TEA-accredited education (Lighthouse Charter School)
  • Evaluations for school and community re-entry 

We're here to help with difficult placement decisions.

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

We're here to help with difficult placement decisions.

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

Clinical Approach

Compassionate, individualized treatment – fully integrated.


The True North Program's interdisciplinary team develops personalized care plans that simultaneously address the full spectrum of patient challenges. This integrated approach makes the True North Program an exceptionally effective for adolescents with specialty care requirements.

Program Features

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Interdisciplinary team integrating family medicine physicians, psychiatrists, and psychotherapists (Hospital level-care also includes pediatrics, physical medicine, rehabilitation, and skilled therapies.)

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24/7 onsite nursing care and on-call psychiatric and medical provider coverage

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Regular psychiatric and medical evaluations

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Behavioral programming based on a positive reinforcement model

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Trauma-informed, evidence-based individual, family, and group psychotherapy

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Dialectical Behavior Therapy (DBT)

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Cognitive Behavioral Therapy (CBT)

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EMDR-trained therapists

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Ongoing medication management

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Structured, safe environment for residents vulnerable to harming self or others

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Concurrent, TEA-accredited education

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Evaluations for school and community re-entry

What Sets the True North Program Apart

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One of the few programs in the country treating co-occurring psychiatric and medical conditions through a fully coordinated clinical team

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Integrated psychiatric and medical care for adolescents with specialty behavioral health needs

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Interdisciplinary, not siloed: psychiatrists, physicians, BCBAs, therapists, educators, and case managers working from a unified treatment plan

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Continuity of care: step-down options within the NHS system reduce disruption for patients and families

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30+ years of specialized experience: founded in 1992, with deep institutional expertise in specialty adolescent care

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Discharge planning begins at admission: every care plan includes transition coordination and community re-entry preparation

Common diagnoses treated


The True North Program accepts adolescents presenting with a wide range of psychiatric, behavioral, and co-occurring medical diagnoses. The following represent conditions frequently encountered in our patient population.

  • Behavior dysregulation
  • Major depressive disorder
  • Anxiety disorders
  • Trauma and PTSD
  • Bipolar disorder
  • Borderline personality disorder
  • Disruptive mood dysregulation disorder (DMDD)
  • Reactive attachment disorder
  • Schizophrenia
  • Self-harm
  • Substance use disorder (co-occurring)
  • Somatization disorder
  • Seizure disorders
  • Uncontrolled diabetes
  • Spina bifida
  • Acute infection
  • ADHD (with comorbid psychiatric diagnoses)
  • Physical deconditioning
  • Autoimmune or inflammatory diseases
  • Neurological conditions

Referral Guidance

Admission criteria & referral process.


Clinical Admission Criteria

Requires intensive out-of-home therapeutic intervention

Symptoms interfering with ability to function in significant life domains and/or activities

Requires 24-hour supervision due to emotional and/or behavioral challenges that have caused safety concerns

Exhibits significant maladaptive behaviors

Has been unsuccessful in less restrictive environments

Responds to clinical services and skill development within a structured setting

Has the cognitive functioning to benefit from clinical services

Referral Sources We Work With

Residential treatment programs (step-up referrals)

Child and adolescent psychiatrists

Pediatricians and ER physicians

Hospital discharge planners and inpatient social workers

CPS / DFPS / DCS and child welfare caseworkers

Community mental health center clinicians

Juvenile justice placement coordinators

State behavioral health agency staff

A physician's order or referral is required for all admissions to the True North 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.

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

True North Hospital Program, Nexus Children's Hospital – Shenandoah

True North Residential Treatment Program,  Nexus Neurorecovery Center – San Antonio

Concurrent, TEA-accredited education provided through UT University Charter School (Shenandoah) and Lighthouse Charter School (San Antonio) during treatment

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 an 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.

Shenandoah, Texas

San Antonio, Texas (female adolescents, ages 13–17)

Submit a Referral Inquiry

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

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

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  • Angola(+244)
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  • Argentina(+54)
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  • Austria(+43)
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  • Azerbaijan(+994)
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  • Barbados(+1 246)
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  • Ghana(+233)
  • Gibraltar(+350)
  • Greenland(+299)
  • Gambia(+220)
  • Guinea(+224)
  • Guadeloupe(+590)
  • Equatorial Guinea(+240)
  • Greece(+30)
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