Community Services Programs

RESIDENTIAL PROGRAMS

Residential –Alcohol & Drug,
Mental Health

These dually licensed programs (mental health and substance abuse) are characterized by providing a wide range of services to include diagnostic, educational, counseling and support services 24 hours per day to clients with coexisting psychiatric and substance abuse disorders.

Residential-Extended Care
Rehab-A&D

Extended care provides a long-term supportive and structured environment for clients with extensive alcohol and drug and psychiatric debilitation. This level of care requires sustained abstinence and provides specialized treatment in a supervised living experience. Program services are varied in character, each designed to be appropriate to thee program’s target population. The term of residency is usually in excess of 180 days.

Residential-Extended
Shelter-A&D

This component provides treatment and a supportive environment for clients who are on a waiting list for treatment, or who have completed a detox program and need support to enable them to remain chemically free for a period of time before returning to the community. The term of residency shall not exceed 45 days without a documented assessment of the client’s need.

Residential-Halfway
House A&D

A transitional residential component that provides continuing care and supportive services necessary for clients to reenter the community. Halfway houses are required to address the cultural, social, and vocational needs of the clients they serve.

Residential-Detox, Medical
Model-A&D

This component provides persons having acute problems related to withdrawal from alcohol or other drugs with immediate assessment, diagnosis and medically assisted for other acute illness. Programs shall provide appropriate referrals and transportation for continuing treatment and provide services 24 hours per day.

Residential-Detox, Social
Setting-A&D

Detoxification-Social Setting provides persons having sub acute problems related to alcohol/drug abuse with immediate medical evaluation, diagnosis and care recognizing that the emphasis is more on counseling s a treatment agent rather than professional intervention and medical detoxification. Services shall be provided 24 hours per day.

Residential-Shelter-A&D

Shelter services shall provide food, lodging and clothing for abusers of alcohol and drugs, with the purpose of protecting and maintaining life and motivating residents to seek alcohol and drug treatment. Shelter shall be a pretreatment service usually operated in connection with a Detoxification component and shall be provided 12 hours per day.

Residential-Alcohol & Drug

This component provides alcohol and drug treatment in a full 24 hour residential is a full 24-hour residential setting. This component shall provide a scheduled treatment program, which consists of diagnostic, educational and counseling services; and shall refer clients to support services as needed. Clients are routinely discharged to various levels of nonresidential continuing care services.

Residential-Methadone
Assisted Detoxification and
Treatment

Clients presenting symptoms of serve opiate withdrawal in a residential setting may require the assistance of methadone to facilitate a successful detoxification. The process involves the reduction of dosages from the stabilization dose to a zero dosage upon discharge. Detoxification may last for a period of more than 30 days, but not in excess of 180 days. The administration of methadone to facilitate detoxification shall require compliance with a variety of Federal and State Laws, and involve the oversight of Federal and State agencies to monitor ongoing compliance with these laws.

All Exits Clear (No Barriers Preventing Exit)  

Combustible Materials Away from Heat Sources  

Electrical Systems Safe (only surge protected extension cords, outlets properly covered, no exposed lights bulbs, no frayed wires)  

Space Conductive to Mission (private counseling spaces, waiting areas if appropriate, etc.)  

Confidentiality Preserved (soundproof counseling spaces)  

Client Files, Personnel Records in Locked Space
Computer Security for Info Stored on Computers  

Clean Environment  

Appropriate Furniture

Medicines, Hazardous Materials Locked

Internal or External Repair Issues (peeling paint, broken windows, no screens, etc.)

RESIDENTIAL: Homelike, Bedroom Space/House Clean, Counseling Space

Grounds Safe From Obvious Hazards

OTHER OBVIOUS ISSUES NOTED

AGENCY:                                               PROGRAM:                             DATE:
CLIENT#:                                               ADM date:                                                            

IDENTIFYING DATA (name, age, DOB, address, phone, etc)
  METH – Must be 18 Y.O. or approved by OSA

RIGHTS NOTIFICATION (Statement from Rules)
   Exception/Denial of Rights Documented
        Client Receipt of Handbook (Rights, Fees, Programs, P & P’s)
            METH – Signed Consent to TX with Approved Narcotic Drug  

NOTIFICATION OF FEE SCHEDULE (Clients signature)

REPORTS FROM REFERRING SOURCES
   reports/Material from relevant others

HEALTH STATUS
   On Admission
   At Discharge

CLINICAL ASSESSMENT
  All required elements____   DSM IV Diagnosis_____ If approp., Family assess__________
  Annual Assessment Update_____
  METH-Other Addiction Treatment Attempts Not Successful_______

Treatment Plan (pg. 24)
   Timely_____  Problem_____
   Measurable long-term goals_____  Measurable short-term goals_____
                                 S/t goals Time frames_____ Indicators to assess prog.____
   Type & frequency of service/activities_____  Ref for svcs. Not directly provided_____
   Doc of client participation or reason participation did not occur_____
   Signatures 1st plan:  Client_____  Counselor_____  Medical Director_____  

TREATMENT PLAN UPDATES (PG. 25)
   Timely_____                                                             Signatures:   Client_____           Counselor_____  
    

PROGRESS NOTES
   Reference progress of plan goals_____     Ref. All treatment rendered_____
   Describe changes in client condition_____     Ref. Client response to treatment_____
Ref. Significant other resp. to TX if appl._____   Date_____  Signature_____  

AFTERCARE PLAN
   Doc. Of provisions for aftercare_____   Based on reassessed needs at time_____
   Dev. With participation of client, family, guard, others as approp_____  

RELEASES OF INFORMATION
   All required elements_____    Dated_____    Signed_____   Accurately Completed_____  

DISCHARGED SUMMARY (pg. 27)
   Course of treatment_____   Program completion status______
   Clients condition _____   Progress with respect to TX. Plan goals_____  

METHADONE CLIENTS
   Aids education (all clients)_____
   Random drug testing & doc. _____

SECTION 4.14      OUTPATIENT CARE 

IND

                         COMMENTS

A.    Definition

 --

B.    Requirements: Description of Program

PP        

     1. Admission criteria

PP

     2. Statement of typical services

PP

C.    Provision of services

PP

     1.  Services according to client need scheduled or emergency basis

PP

     2.  Ind., group and family counseling

PP

     3.  Procedures for eval. Of med. needs

PP

     4.  Medical assessment in case record

PP

     5.  Psycho-social assessment

PP

     6.  Procedures to make educational, vocational, legal and financial services available to the client

PP

     7.  Planning and referral for further treatment

PP

     8.  Aftercare services

PP

     9.  Education about chemical abuse

PP

D.    Staff – Clinical Supervision

PP

E.    Orientation

PP

     1.  Sufficient information for client to make decision about admission

PP

     2.  Written description of client orientation procedure

PP

F.    Program Completion Criteria

PP

      1.  Description of indicators for completion of treatment

PP

      2.  Describe conditions for discharge before completion

PP

     3.  Referrals to other programs when appropriate

PP

G.    *Client Fee Policy

PP

      b.  Written agreement and duties (Regs)

OD

4.  a.  Code of Ethics

PP

     b.  Affirmative action plan

PP

     c.  EAP plan

PP

     g.  Written performance evaluations

PP

     h.  Hiring policy

PP

     i.  Disciplinary procedures

PP

     j.  Grievance procedures

PP

     l.  Medical exam pol./employee health

PP

6.    Personnel Files Secure

SI

7.c.  Volunteer Policies

PP

8.   Staff Training plan (See Regs)

PP

L.    Control of Medication (See Regs)

PP

M.    Nutritional Services (See Regs)

PP

N.    Suicide or Serious Injury Policy

PP

O.    Program Evaluation (See Regs)

OD