THE SOVEREIGN WAY: PHASE PRIVILEGES AND MILESTONES

Size: px

Start display at page:

Download "THE SOVEREIGN WAY: PHASE PRIVILEGES AND MILESTONES"

Melina Davis
5 years ago
Views:

1 THE SOVEREIGN WAY: PHASE PRIVILEGES AND MILESTONES Phase 0 - Transitional Phase (Treatment Days 1-14) Transitional Phase Goals: During this phase, the goal is to stabilize patients and protect them from outside stressors which can intensify symptoms, distract from treatment and/or hinder the recovery process. Transitional Phase Benefits: The first 14 days of treatment are referred to as a supported transitional period. This means patients will not have access to phone calls, mobile phones, lap tops, visitors and/or leaving the property without program staff. The Transitional Phase is a protected period where patients do not need to worry about managing outside contacts and relationships. Family members who are on consent may contact the patient s Case Manager to obtain updates on how they are doing, or to communicate information about a family emergency. In the case of a family emergency, or other extenuating family circumstances, the treatment team may approve up to one 15-minute call per patient, per week (or more at the explicit authorization of a Program Director). All approved calls will be monitored by the Case Manager. In some cases, people have difficulty transitioning to being engaged in treatment and their behaviors may lead them to revisit the Transitional Phase even though they are not in the first 14 days of treatment. Revisiting the Transitional Phase may happen if a patient is unable to maintain a higher phase status. Improper privilege requests may be considered a reflection of low phase readiness. Phase I - Milestones to Achieve : To earn Phase I status, patients must achieve the following milestones: Ia. Patients must fully complete a Phase I Petition form, and present it to their Case Manager for review and signature.the Case Manager may agree or disagree with the Phase Petition. If they disagree, they will work with the patient to develop a specific plan to help them achieve their desired phase. If they agree, the patient must then submit the completed and signed form to their primary therapist. The therapist will review the form and, if they also agree with the request, they will submit it to the Program Director(s) for final review and authorization. Ib. Patients must attend all scheduled group and individual therapy sessions.

2 Ic. Empowerment Letters:. DD Program: Patients must write a good-bye letter to their addiction. (Optional for patients in the MH program who may have a secondary addiction.). MH Program: Patients must write an empowerment letter to their mental health problems/symptoms, taking back control over their life. (Optional for patients in the DD program with secondary mental health concerns.) Id. At a 12-step or SMART Recovery meeting, patients must obtain the names of 3 people of the same gender who have at least 2 years sobriety (DD program only). Ie. If. Patients must pass all UA and Breathalyzer tests. Patients must be medication compliant, consistent with their most recent medication plan. Phase I (Treatment Days 15-30) Phase I Goals: During Phase I, the goal is to maintain stabilization and begin engagement in treatment. Phase I Benefits: During Phase I, patients may be eligible for a 4-hour pass following participation in the Saturday Family Group.. All passes must be approved by the patient s clinical team prior to the pass being issued. All pass visits must take place outside of the residences to ensure compliance with privacy guidelines.. Pass visits are for the purpose of Family Reunification and Sober Support only.. Pass request forms can be obtained from the patient s House Manager or from the Case Manager s office.. All passes must be approved through the Pass Request approval process (see the Pass Request Form for instructions).. Pass Request Forms must be turned in to the Primary Therapist, before 4:00 p.m. on Wednesday, for approval.. Completing and submitting passes will require planning and thinking ahead. Improper planning may be considered a reflection of low phase readiness. During Phase I, subject to clinical approval, patients will have earned supervised phone calls with loved ones. All family calls must be coordinated through and monitored by the patient s Case Manager. Except in the case of an emergency, or other extenuating family circumstances, approved calls will be limited to one 15-minute call per patient, per week. Additional calls require the explicit authorization of a Program Director. Improper privilege requests may be considered a reflection of low phase readiness.

3 Phase II - Milestones to Achieve : To earn Phase II status, patients must maintain all Phase I milestones and also achieve the following Phase II milestones: IIa. Patients must fully complete a Phase II Petition form and present it to their Case Manager for review and signature. The Case Manager may agree or disagree with the Phase Petition. If they disagree, they will work with the patient to develop a specific plan to help them achieve their desired phase. If they agree, the patient must then submit the completed and signed form to their primary therapist. The therapist will review the form, and, if they also agree with the request, they will submit it to the Program Director(s) for final review and authorization. IIb. Patients must be able to identify at least 3 areas of increased awareness related to their addiction and/or mental health concerns. Examples: Addiction:- 1) How past patterns of substance seeking behavior have harmed the patient s loved ones. 2) How other positive aspects of the patient s life have been put on hold as a result of their use and/or substance seeking behaviors. Mental Health:- 1) How past patterns of unmanaged or untreated mental health symptoms have impacted the patient s relationships with others. 2) Being able to identify specific choices the patient can make which will help them manage their mental health symptoms and have more control over their life. IIc. Patients must have identified at least three personal goals to achieve whilst in treatment and have discussed a plan for reaching those goals with their Case Manager and Primary Therapist. IId. DD Program: Patients must have an identified a Sponsor or Recovery Mentor who has at least 1 year of sobriety. The name and contact information of the Sponsor or Recovery Mentor must be shared with the Case Manager. MH Program: Patients must have identified at least one person in their life who will be a Core Positive Social Support. The name and contact information of the core positive social support must be shared with the Case Manager. Phase II (Treatment Days 31-60) Phase II Goals: During Phase II, the goal is to maintain stabilization and increase personal responsibility for both treatment and discharge plans as they relate to the patient s current and aftercare treatment and personal development outside of treatment (work, family, school, etc).

4 Phase II Benefits: During Phase II, patients will earn the eligibility for consideration of passes. They may be eligible for an 8-hour pass following participation in the Saturday Family Group, or any time between 9:00 a.m. and 9:00 p.m. on Sunday.. All passes must be approved by the patient s clinical team prior to the pass being issued.. All pass visits must take place outside of the residences to ensure compliance with privacy guidelines.. Pass visits are for the purpose of Family Reunification and Sober Support only.. Pass request forms can be obtained from the patient s House Manager or from the Case Manager s office.. All passes must be approved through the Pass Request approval process (see the Pass Request Form for instructions).. Pass Request Forms must be turned in to the Primary Therapist, before 4:00 p.m. on Wednesday, for approval.. Completing and submitting passes will require planning and thinking ahead. Improper planning may be considered a reflection of low phase readiness. During Phase II, patients will earn the use of approved electronic devices between the hours of 5:00 p.m. and 10:00 p.m. Monday to Friday after weekend family groups and all day Sunday (wake-up until 10:00 p.m.). Approved electronic devices include, but are not limited to: mobile phones, laptop computers, personal music devices and/or tablet computers.. The use of approved electronic devices is a privilege and is contingent upon following treatment plans, proper completion of chores and maintaining appropriate behavior across settings and situations.. Approved electronic devices must be checked in/out with staff and must be turned in at the request of any staff member; otherwise privileges will be revoked and a loss of phase status may occur.. If patients allow other patients to use their approved electronic devices, privileges will be revoked and a loss of phase status may occur. Phase III - Milestones to Achieve : To earn Phase III status, patients must maintain all Phase I and Phase II milestones, plus also achieve the following Phase III milestones: IIIa. Patients must fully complete a Phase III Petition form, and present it to their Case Manager for review and signature. The Case Manager may agree or disagree with the Phase Petition. If they disagree, they will work with the patient to develop a specific plan to help them achieve their desired phase. If they agree, the patient must then submit the completed and signed form to their primary therapist. The therapist will review the form and, if they also agree with the request, they will submit it to the Program Director(s) for final review and authorization. IIIb. Patients must be able to identify their reservations about maintaining their recovery after treatment.

5 IIIc. IIId. IIIe. IIIf. Patients must be able to identify and discuss at least 3 personal risk factors for relapse. Patients must be able to identify and discuss at least three strategies to prevent them from relapsing. Patients must be able to list at least three healthy ways to cope with personal relapse triggers when they arise. Patients must be able to list three aspects of their discharge plan which they are currently working on with their Case Manager. Phase III (Treatment Days 61-90) Phase III Goals: During Phase III, the goal is to achieve stabilization of symptoms/sobriety and actively implement your personalized discharge plan. Phase III Benefits: During Phase III, patients will earn the eligibility for consideration of passes. They may be eligible for passes on weekday evenings between the hours of 5:00 p.m. and 9:00 p.m., all day on the weekends (Saturday and Sunday between the hours of 9:00 a.m. and 9:00 p.m.) and/or overnight stays with approved family members (outside of treatment hours). Phase III privileges allow for a maximum of 3 approved passes (day/evening passes) during the treatment week, as well as a maximum of two (non-consecutive) overnight passes. (There will not be more than 2 non-consecutive overnight passes allowed during any one course of treatment.). All passes must be approved by the patient s clinical team prior to the pass being issued.. All pass visits must take place outside of the residences to ensure compliance with privacy guidelines.. Pass visits are for the purpose of Family Reunification and Sober Support only.. Pass request forms can be obtained from the patient s House Manager or from the Case Manager s office.. All passes must be approved through the Pass Request approval process (see the Pass Request Form for instructions).. Pass Request Forms must be turned in to the Primary Therapist, before 4:00 p.m. on Wednesday, for approval.. Completing and submitting passes will require planning and thinking ahead. Improper planning may be considered a reflection of low phase readiness.

6 At Phase III status, patients will earn the use of approved electronic devices at all times outside of treatment settings.. The use of approved electronic devices remains a privilege and is contingent upon following treatment plans, proper completion of chores and maintaining appropriate behavior.. Approved electronic devices must be turned in at the request of any staff member; otherwise privileges will be revoked and a loss of phase status may occur.. If patients allow other patients to use their property, privileges will be revoked and a loss of phase status may occur. PHASE SYSTEM - LEVEL DROP GUIDELINES 1) Phase levels are considered earned status with associated privileges. Failure to maintain milestones for a current phase will result in a therapeutic intervention, including a loss of phase status. 2) The clinical team is always at liberty to modify the above mentioned phase privileges, decrease certain privileges, or decrease phase status at any time they determine it to be a clinically appropriate and necessary intervention. 3) A patient may also lose phase status privileges, or be returned to the Transition Phase if they do not pass UA/Breathalyzer screenings. 4) Substance relapse will result in a loss of phase status and privileges. Pending clinical determination, a relapse may also result in a housing and/or treatment location change and a return to the Transition Phase of treatment. (NOTE: Lack of medication compliance for individuals in the mental health treatment program is considered a relapse.)

Chapter 19 HUD-VASH. This chapter describes HUD regulations and CKHA policies related to these special programs created through this targeted funding:

Chapter 19 HUD-VASH. This chapter describes HUD regulations and CKHA policies related to these special programs created through this targeted funding: Chapter 19 INTRODUCTION HUD-VASH Charleston-Kanawha Housing Authority (CKHA) also operates the HUD-Veterans Affairs Supportive Housing (HUD-VASH) Program. The HUD-VASH program combines HUD Housing Choice