The medical staff for Bar-O Boys Ranch consists of a Registered Nurse conducting sick call once a week and a Physician's Assistant Reviewing records and conducting sick call once a month. Any injuries or illnesses that can not be managed at the Ranch are referred to the local Urgent Care Clinic or Emergency Department. Mental Health issues are screened by the Nurse and triaged to either scheduled appointments with an outside provider or to the local Emergency Department. Referrals with pre-existing psychiatric medications are evaluated on a case by case basis. Extreme psychiatric disorders, such as active delusions, active suicidal thoughts or gestures, are not accepted at Bar-O due to the inability to properly tend to these medical needs. Juveniles requiring medication for depression, ADD/ADHD and other less severe psychiatric needs may be considered for placement at Bar-O.