Welcome to the Arbor House. Arbor House 53 Hall Road Hannibal, New York 13074

Transcription

1 Welcome to the Arbor House Arbor House 53 Hall Road Hannibal, New York Residents Phone Number: Staff Phone Number: Fax Number:

2 Revised June 2014 Table of Contents Section 1: Arbor House Overview Arbor House Overview Philosophy Arbor House Program Program Goals Rights For Your Information AH Program Policy Notice To Get the Most Out of This Program: pg. 5 pg. 5 pg. 6 pg. 6 pg. 7 pg. 7 pg. 8 pg. 8 Section 2: What you need to know Personal Property What to Bring/Not to Bring to Arbor House Arbor House Residents Rules of Conduct Search for Contraband Key Deposit Visitation Residents Use of Arbor House Staff Phone Cell Phone and other Electronic Devices Senior Peer pg. 10 pg. 10 pg pg. 14 pg. 14 pg. 15 pg. 15 pg. 15 pg. 16 Section 3: Structured Program Elements Recreational Activities pg. 18 Structure Program Elements Transportation Daily Schedule/Transportation Runs Program Priorities Meal Preparation pg. 19 pg. 20 pg. 21 pg. 22 pg. 22 Section 4: Reward and Demerit System Overview of Arbor House Point Systems: Demerit Points Reward Points Program Levels and Privileges Level Determination Levels pg. 24 pg pg pg. 28 pg. 29 pg Section 5: Passes Passes pg. 35 2

3 Residents Responsibilities with Passes pg. 36 Section 6: Discharges and Appeal Process Discharge Types: Corrective Procedures Residents Grievance Process pg. 38 pg. 39 pg Section 7: Fire Plan Fire Plan for Arbor House Fire Escape Plan Diagrams pg. 44 pg Section 8: Health HIV and Other Blood Borne Pathogens Medications: AH Infection Control Precautions pg. 47 pg 48 pg. 49 Section 9: Residents copies OASAS Clients Rights and Responsibilities Notice of Privacy Practices Confidentiality Notice Resident Admission Contract Consent for Release of Information Residents copy Next of Kin Release of Information pg pg pg pg pg. 62 pg. 63 Tobacco Free Policy Patient/Resident Attestation Statement pg. 64 pg. 65 3

4 SECTION 1: ARBOR HOUSE OVERVIEW AN OVERVIEW OF ARBOR HOUSE: Arbor House is a chemical dependence community residence established in 1987 and certified by the New York State Office of Alcoholism and Substance Abuse Services. It offers 24/7 supervision in a home-like environment. At its maximum capacity it can house 16 adults who are all recovering from the effects of a substance dependence or abuse condition. The staff provide an environment for structured residential living, chemical dependence education groups, supportive counseling services, crisis counseling and intervention services, preemptive crisis management, substance-free recreational and leisure activity planning, vocational and educational planning, and implementation of employee-directed activities. The community residence is a blend of residents of diverse age, ethnicity, educational achievement, family background, and financial means. The common bond, however, is that all residents have been diagnosed with a substance dependence or abuse condition and are actively engaged in personally meaningful recovery. Arbor House provides support, assistance, and guidance during this transitional period from active use, through initial treatment, and integration back to a productive lifestyle in the community. The program promotes a total, healthy adjustment to a substance-free lifestyle and encourages continued involvement in appropriate treatment programs, as well as recovery fellowships, following discharge. PHILOSOPHY: The Arbor House strives to provide a continuously supervised, controlled, and substancefree environment. It provides recovering persons the necessary transitional time to redirect their lives. It is for those individuals who may require a caring and supportive environment in which to become successful in that transition. It is a supportive and transitional living program and is not to be considered as permanent or long-term housing. The average length of a stay at the Arbor House is approximately six to nine months, depending on the resident s achievement of mutually agreed upon program goals. The basic tenet of the program is that teamwork is a vital tool and necessary component in the recovery process. A variety of opportunities exist where residents are encouraged to help themselves as well as one another. It is a community atmosphere which stresses individual as well as group responsibilities. All residents are expected to actively participate in maintaining a clean, homelike atmosphere. The program s philosophy is to provide a substance-free and safe environment in which recovery from addiction can thrive. 4

5 ARBOR HOUSE PROGRAM: 1. Admission to the Arbor House is a privilege extended to those who realize they have a substance abuse problem and are sincere in their desire to do something about it. The program is based on self-responsibility and self-help peer groups. We provide an environment conducive to recovery where you can live, learn, and grow. 2. The length of stay at the Arbor House depends upon how well you are adjusting and achieving your Service Plan goals. While this is an individual program, you should expect to be at the Arbor House for approximately 6-9 months. This is not a jail, nor is it a flophouse; it is your new home and the other residents are your family. We provide the elements essential for self-growth, but only you can provide the motivation to nourish those elements. 3. There are four levels of program activity, which are described on page 28 in this handbook. Your progression or regression through these levels will be the subject of formal evaluation by the staff and will also involve feedback from other support services, particularly your outpatient program counselor. To advance to the next level you must submit a Level Application a week before your anticipated level increase. ARBOR HOUSE PROGRAM GOALS: 1. The promotion and maintenance of abstinence from alcohol and other mood-altering drugs and substances except those lawfully prescribed by a physician, physician s assistant, or nurse practitioner; 2. The improvement of functioning and development of coping skills necessary to enable the resident to be safely, adequately and responsibly treated in the least intensive environment and; 3. The utilization of Comprehensive Service Plans to support the maintenance of recovery and the attainment of self-sufficiency, including, where appropriate, the ability to be functionally employed, and the improvement of the resident s quality of life. 5

6 RESIDENTS RIGHTS: 1. You have the right to expect Arbor House to be an alcohol- and drug-free Environment. 2. You have the right to withdraw from the program at any time. This is a voluntary program. 3. You have the right to expect the confidentiality of your records and treatment at Arbor House to meet the standards required by the New York State Office of Alcoholism and Substance Abuse Services (OASAS). 4. You have the right to be free from physical, sexual, or verbal abuse. 5. You have the rights and privileges granted you as a citizen of the United States. 6. You have the right to expect the staff to carry out their duties in such a way as to preserve your self-respect and individuality. 7. You have the right to send and receive mail without hindrance. 8. You have the right to conduct private telephone conversations as long as you pay your telephone bills. 9. You have the right to have family members, significant others, and friends visit you at the Arbor House during specified visiting hours. FOR YOUR INFORMATION: Oswego County Opportunities, Inc. does not accept responsibility for the security of your personal possessions beyond taking reasonable care to insure their security. Large sums of money and valuable items should not be brought to the Arbor House nor should you have them brought to you at a later date. In accordance with the rules and regulations governing agencies providing alcoholism treatment or alcoholism residential services, this agency will not divulge any information regarding your treatment or stay without your specific written permission to do so. You are encouraged to respect the confidentiality of the other residents by not discussing their cases outside the confines of the Arbor House; in fact, failure to do so will be construed as misconduct and grounds for discharge. 6

7 ARBOR HOUSE PROGRAM POLICY NOTICE: It is the Arbor House program policy that no person will be denied admission, terminated, or have their services reduced, limited, or otherwise affected negatively, or their status changed solely on the basis of their actual, presumed, or alleged HIV related condition or status. TO GET THE MOST OUT OF THIS PROGRAM: Over time we have seen many behaviors or choices that end up with the resident being discharged. If you want to do everything you can to further your recovery we recommend that you follow these recommendations. Stay out of any new relationship. A relationship starts long before any physical contact. More residents have left this program without completing due to relationships than for any other reason. Avoid spending excessive time anywhere away from the house. This could be the library, on campus, downtown or elsewhere. Make your peers your primary sober support system and others including other support group members your secondary support system. Think of everything you do here as a beginning of something to be continued for life. That includes what you learn in this program. You may be discharged as Completed Treatment. Never believe your recovery is complete. We ask that you do not loan money or anything else to other residents. If you do and it is lost, Arbor House will not repay you for what you have lost If you chose not to follow the above and this choice negatively impacts your or others recovery it will become a treatment issue. We will advise you of the changes we believe you need to make. Choosing not to make these changes will result in discharge. 7

8 SECTION 2: WHAT YOU NEED TO KNOW PERSONAL PROPERTY: Arbor House will not be responsible for loss or damage to personal property. If circumstances require possession of more than pocket money or items of high value to you, Arbor House may accept money or other items and hold them in safe keeping. A written receipt will be given for anything we accept for safekeeping. What is accepted for safekeeping is at the sole discretion of Arbor House. WHAT TO BRING TO ARBOR HOUSE: Twin size sheet sets Blankets Towel and washcloth Pillow and pillow cases Laundry basket Personal hygiene supplies WHAT NOT TO BRING: Any drug, alcohol or nicotine paraphernalia or any items that symbolize drug, alcohol or nicotine Anything that is of high financial, sentimental or emotional value. Weapons of any kind Motor vehicles TVs Stereos Computer monitors larger than 17 inches Pets Furniture Picture frames that need to be hung on the walls RED or BLUE Bandana s or any gang related items. Staff reserves the right to lock up anything they deem gang related. You will receive it back upon your discharge from the Arbor House. Pornography of any sort is not allowed. Small boom boxes are allowed. Any other item not listed in this handbook requires advance approval, with the understanding that it may not be allowed. Examples: guitar and amp; painting supplies. 8

9 ARBOR HOUSE RESIDENT RULES OF CONDUCT: Actions resulting in immediate discharge include but not limited to: 1. Possession or use of any alcohol, illegal and non-illegal mood altering substances. 2. Failure to report to a staff person immediately any other resident possessing or using alcohol or illicit drugs or its paraphernalia. 3. Possession of any type of fire arm or weapon on premises. 4. Residents who are physically violent or abusive towards other residents or staff. 5. Sexual contact between residents OR BETWEEN staff persons AND residents; this is against Arbor House rules. Actions that may result in discharge: 1. Frequenting bars, clubs or social events where the primary focus is the sale/use of alcohol or other illicit drugs may result in discharge. 2. Withholding any prescribed or over the counter medication. It must be turned into staff and your Dr. must provide Arbor House with a stating you are allowed to take that particular medication and the reason for it. Example: You may need Tylenol for headaches but your Dr must provide you with a note stating you can take this medication. Residents are responsible for taking medication as prescribed at the proper times. Medications must be given to staff and when it is needed, staff will allow you to self medicate. 3. Misconduct, disruptive, illegal or deviant behavior of any kind, within or outside of the Arbor House, may result in immediate discharge. (This includes physical, verbal or psychological abuse, racial, ethnic, gender or religious disrespect, foul language, including relationships beyond a counselor/client with staff as a current resident or past). 4. Residents using their food stamps for their own personal use. 5. Residents are not permitted to enter another resident s bedroom without invitation and staff notification. 9

10 6. There is no smoking on Arbor House grounds, in the van or in the presence of staff.. There is to be no tobacco or any type of tobacco paraphernalia. Anyone violating this rule may be discharged. 7 Gambling of any kind is not permitted on Arbor House property. Anyone violating this rule may be discharged. 8. Residents must be in bed by 11 pm on weekdays and midnight on weekends. Excessive noise anytime is not permitted and residents are limited to the downstairs meeting room, or recreation room after this time, with staff permission. 9. Any AH appliances will not be removed from designated areas without prior staff approval. No equipment shall be used with any AH appliances. 10. All TVs/video games must be off between 11 pm 11 am. Weekend hours are off from midnight -7am,with the exceptions of AH approved holidays. Bedrooms are not to have TVs. 11. Each resident is responsible for maintaining appropriate personal hygiene. Linens are to be laundered at least one time per week along with personal laundry. Dirty laundry should be stored in plastic or laundry bags in the bedroom area. After clients start receiving extra monies they will be responsible for purchasing their own laundry detergent. 12. Residents are responsible for appropriate cleanliness and upkeep of their bedrooms. Rooms must be presentable by 9 am on weekdays and 10 am on weekends. Staff will check bedrooms on a daily basis to ensure their up-keep. 13. Appropriate dress must be worn at all times inside the residence. Shirt, shoes and pants are required at all times. Robes or other appropriate dress must be worn to and from the bathroom areas. 14. Required chores must be completed no later than 9 am daily with the exception of meal and kitchen chores which must be completed after designated meal times. It is the responsibility of the individual resident to clean up after themselves any time other than meal times. This includes washing the dishes, pots and pans and cleaning the area in which they have used. 15. All lights and electrical appliances must be turned off when not in use. 16. Passes will be granted only if staff agree that they are meeting program expectations. Residents must inform staff when they are departing and report to staff upon their return. 10

11 17. Returning back to bed or napping during the day is prohibited. Other than with staff permission, until after dinner. Naps are not permitted in the community areas. Pillows and blankets are not permitted in the community area as well. 18. Residents are not permitted to possess or review pornographic materials at the residence. Books, posters, magazines, films, etc. must be cleared by primary staff before viewed to determine the appropriateness conducive to recovery. 19. Transportation will be provided only for that which is necessary or agreed upon with staff. All other transportation: passes, home visits, and other leisure time activities, etc., must be secured by individual residents. All residents are required to wear their seatbelts while in the van. If a resident s behavior is deemed inappropriate they will be asked to leave the van. 20. Residents are to be present for meals unless they are out of the house. Dinner guests are welcome with proper staff notification and approval. No phone calls are to be made or received after 11 PM, unless its an emergency. Time on the phone is limited to 20 minutes. 21. Kitchen area will be closed after 10 PM. No meals are to be prepared after this hour, with the exception of non-cook snacks. 22. Music with foul language, racist, violent, etc. will not be acceptable. When there is a house activity scheduled everyone must attend and be on time. 23. During any house meeting no one is permitted to leave the meeting unless it is deemed an emergency, this includes getting coffee or answering the phone. 24. There is to be no feet on the furniture or any furnishings. Kitchen chairs must be sat in appropriately. 25. There will be no breaking, defacing, destroying or vandalizing any Arbor House or any resident s personal property. 26. Schedules and activities or rules are subject to change based upon individual or facility needs. 27. Staff have the right to search any persons, their belongings and their room, at anytime without resident(s) being present. 28. Residents may not attach anything to any furniture or walls. This could result in requiring the resident to reimburse Arbor House for damages, or the resident could be discharged from the program. 11

12 SEARCH FOR CONTRABAND: Arbor House reserves the right to search property owned or leased by the program, including individual rooms, without notice. Individuals may be searched for contraband on demand. All individual searches will comply with OASAS regulations (Section ). These regulations are as follows: Section Patient Searches (a) The purpose of patient searches is to ensure a safe and therapeutic environment for all patients. However, patients shall be free from searches except those searches that are authorized pursuant to this section. (b) Subject to the following requirements, a provider may choose to conduct searches of patients by establishing written policies and procedures which are provided to each patient at admission. Such policies may include the following: (1) Routine frisk or "pat down" searches of patients at admission or when returning to the service are permitted. (2) Searches of a patient's room or a patient's belongings may be conducted at any time with reasonable cause. (3) A provider may conduct a strip search of a patient only if: (i) reasonable suspicion exists that the patient possesses contraband; (ii) the provider's director authorizes the search; (iii) a same-sex-as-the-patient supervisor of the staff member requesting the search is present when the search is conducted; and (iv) the patient consents to the search. (c) Under extenuating circumstances and subject to the preceding requirements, a provider may elect to conduct a body cavity search of a patient. Such a search must be conducted only by a member of the provider's medical staff. If the provider does not employ medical staff, the provider must utilize a physician, nurse practitioner, registered physician's assistant, registered nurse, or licensed practical nurse to conduct the search. 12

13 (e) If a patient refuses to consent to a proper request to conduct a search he or she may be discharged in accordance with regulations. KEY DEPOSIT: For a key to the client s room, there is a $5.00 deposit. If a client loses a key there will be a $1.50 charge for a new key to be made. This will not be taken out of the deposit. This will be collected from the resident and he will sign the Key and linen agreement. A copy will be made for the client and a copy of the room key will be given. The money will be returned when the key is returned to the HOUSE MANAGER or their designee. The HOUSE MANAGER will fill out the second half of the sheet, make and give a copy of this form to the resident along with his money. If a client does not retrieve his funds after 30 days from discharge from the program, this money will be used in conjunction with Arbor House petty cash. VISITATION: Visitation prior to 4 pm on weekdays and noon on weekends is not permitted without prior staff permission and all visitors must vacate the premises by 7 pm. Visitors are not permitted in the bedroom areas. When children are visiting, direct supervision by the Resident is mandatory and the Resident is responsible for making proper notifications with the staff person on duty that their child is in the building. Visitation for children is limited to the hours of 2 pm-6 pm on Saturdays and Sundays. Visitation by children should be limited to the downstairs meeting room. Each resident s guest(s) is allowed to visit twice a week, and day and time is limited on the weekend. Visitors CAN BE subject to a personal search of their belongings by staff. At NO TIME will staff require a visitor to be stripped searched. Visitors are not allowed any use/possession of any mood altering substances including but not limited to: tobacco. If they are found to be in possession or under the influence of any mood altering substances, staff holds the right to ask the visitor to leave, ban the visitor from any future visits or calling local authorities. All visitors need to follow all Arbor House Rules. RESIDENTS USE OF ARBOR HOUSE STAFF PHONE: 13

14 Residents may use the staff telephone for an EMERGENCY situations. Residents will be billed for all long-distance charges incurred. CELL PHONE, PERSONAL COMPUTERS AND OTHER ELECTRONIC DEVICES Residents of the Arbor House are permitted to bring and carry a personal cell phone, personal computer and other electronic devices. During the admission process, all equipment must be checked by the resident HOUSE MANAGER or his designee. Please remember the nature of our program and respect the confidentially of other residents and staff. It is understood that no personal device is to be used for any photographing or voice recording of other residents in the program. If it is found that a Resident has misused any of their approved devices, staff holds the right to limit a Resident s use of that device or prohibit them from using it entirely. Electronic Devices are also not be used at all during ANY of these activities: Education Group, Meal Times; Outside Meetings; Outpatient Group. 14

15 SENIOR PEER: Senior Peer is a resident who helps assist with many facet of the Arbor House Program. A resident may apply for the Senior Peer position once they have reached Level II status. They will ask their primary counselor for a job application that will be filled out and interviews will be conducted once the position is open. Senior Peer is a permanent position for the duration that the resident is at our program. The Senior Peer can be fired from their duties if staff feel his job performance is not up to good standards. A Senior Peer is not a staff member. They are not expected to confront other peers in a negative way if those peers are not doing their duties as expected. Senior Peer is expected to inform staff that is on that they had asked their peer to do their duties with no response. Pay for the Senior Peer position is 5 reward points a week as long as staff feels he is doing his responsibility adequately. Duties of Senior Peer: Checking chores daily, signing off if they are done according to standards or asking other peers to complete them up to standards. Covering chores that are not assigned to anyone, or finding volunteers to cover chores that are not assigned to anyone. Minor maintenance around the house with Program Coordinators permission. Running/Starting Peer driven groups Monday Friday as schedule. Assist new residents with house tour, chore assignment and answering questions. 15

16 SECTION 3: STRUCTURED PROGRAM ELEMENTS RECREATIONAL ACTIVITES: The residence permits a variety of additional recreational activities. This includes television viewing, use of the VCR/DVD, a resident computer, as well as reading, exercise activities and participation in a local area fitness club. Residents are expected to advise on-duty staff when leaving the residence to participate in off residence recreational activities and to notify staff of their anticipated time of return. Noise levels of all recreational activities are to be kept at a level that is non disruptive to other residents as well as non disruptive to staff work activities. Residents are also encouraged to close doors quietly and keep voices to a conversational level at all times. In addition to these recreational activities residents are also afford the opportunities to these monthly assigned activities: Every first Sunday of the month: Trip to the Mall. Every third Sunday of the month: Bowling 16

17 STRUCTURED PROGRAM ELEMENTS: Arbor House provides a structured program that all residents are required to participate in. Each activity is one hour in length. This program consists of a combination of groups, classes and mediation that are presented or supervised by Arbor House staff. The content of these structured elements changes over time, as the needs of the residents change. Community Group Relapse Prevention Every Wednesday 10 am Every Thursday at 2pm Volunteer Work at Our Lady Rosary Church Individual Counseling Every Tuesday 10 am -???? As schedule Activities Committee Every Wednesday at 2 pm Provides an opportunity to enhance interpersonal relationships and communication skills on a feeling level. Introduces basic concepts of relapse/ recovery dynamics. To help residents identify relapse indicators and develop individualized strategies to deal with them. Residents will assist the staff with food pantry requests. Provides supportive counseling, formulation of an Individual Service Plan with ongoing revision Residents join together to make up a list of possible recreational activities. These would include planning family fun days, recovery peer dinner, seasonal parties. This is a peer driven group. 17

18 TRANSPORTATION: Arbor House maintains a 12-passenger van to transport residents to Arbor House recreational activities, local medical appointments and outpatient treatment, as well as educational, vocational and Support Group meetings or functions. Residents must fill out a transportation request at minimum one week before their expected appointment. A resident must utilize all other modes of transportation before they put in for the request for Arbor House transport. The Substance Abuse Counselors or designee will receive the request and set up the transportation for Arbor House the following week. All resident appointments are to be set up to coincide with the van transportation runs scheduled by the program. All appointments must be scheduled between the hours of 11:30 am and 3 pm Monday through Friday, unless medical transport or other approved transportation can be arranged with prior primary counselor permission and it does not conflict with any Arbor House scheduled activities. Arbor House will provide transportation when their is no pubic transportation available within Oswego County or within a 50 mile radius of the home. Transportation may be provided by the program staff IF: Public transportation is not available. The destination is within a 50 mile radius from the Arbor House with the exception of medical and financial emergencies or related appointments. You have utilized all other resources to find a ride to your appointment. (ie. Family, sobriety supports) You have requested transportation within 3 weeks of the appointment date, except for what staff deems is an emergency. Family can provide some transportation upon approval of the Primary Counselor. Request for out of town appointments must be made at least THREE weeks in advance. Emergency Medical or Psychiatric transportation will NOT be provided by STAFF. An ambulance or 911 will be contacted to transport you to the hospital of your choice. Residents also have available medical transportation provided by Oswego County Opportunities, Inc. Transportation Services for most medically related appointments (which includes outpatient treatment). If the resident is not an Oswego County resident pre-approval might be needed. Arbor House will not provide transportation money for public transportation. 18

19 DAILY SCHEDULE/TRANSPORTATION RUNS Day/ Time 6:45 am 7:15 am 7:45 am 9:00 am Sunday 10 am Chores done/ Rooms clean 11:0011:30 am 1 pm Monday Tuesday Wednesday Thursday Friday Medication Medication Medication Medication Medication Breakfast Breakfast Breakfast Breakfast Breakfast Medication Lunch Saturday Medication Chores done/ Rooms Clean Open Chores done/ Rooms Clean Volunteer Hours Chores done/ Rooms Clean Community Meeting Chores done/ Rooms Clean Open Chores done/ Rooms Clean MENS GROUP Van Run/Noon AA Open Van Run/Noon AA Open Van Run/Noon AA Open Van Run/Noon AA Open Van Run/Noon AA Open Chores done/ Rooms clean NOON Meeting Lunch 2 pm Peer Group Peer Group Peer Group Relapse Prevention Peer Group 3:15/ 5:15pm Van P/u 5:15 Dinner Van P/u 3:15 Dinner Van P/u 5:15 Dinner Van P/u 5:15 Dinner Outside Meeting Outside Meeting Outside Meeting Outside Meeting Kitchen Closed Lights Out Kitchen Closed Lights Out Kitchen Closed Lights Out Kitchen Closed Kitchen Closed Lights Out Lights Out 6:00 PM 7:30 pm 10 pm 11 pm 12 pm Dinner Sponsor Meeting Kitchen Closed Lights Out Van P/u 5:15 Dinner Sponsor Meeting Kitchen Closed Lights Out Dinner PROGRAM PRIORITIES Scheduling conflicts do occur. Those activities listed in have the highest priority; #1 below have the highest priority. Those listed in Number 2 have the second highest priority, etc. 19

20 All structured program activities. This includes appointments, groups, etc. with Outpatient Services. All residents are to make appointments around structured program activities and to correspond with van runs if not utilizing van runs. 2. Health services including medical, dental, etc. appointments may conflict with #l. In those cases these services take priority. This is allowed only with staff approval in advance 3. Recreational and social activities. Residents are to schedule their activities accordingly. Resolve potential conflicts, in sufficient time to avoid problems, by talking with the appropriate staff. 1. MEAL PREPARATION: Each resident is encouraged to eat 3 nutritionally balanced meals per day. Monday through Friday breakfast is served family style at 7:15 am. Dinner is also served family style Sunday-Saturday at 6 pm. Lunch is served family style Saturday and Sunday. Meals are prepared by Arbor House residents. The menus are set up on a 4-week rotating schedule. The program s staff will be responsible for the procurement of food supplies and the training and directing of food preparation by the residents. A Registered Dietitian will provide menu planning services and educational seminars on healthy meal preparation and nutrition for staff. Shopping is done on a weekly basis and menus are prepared in advance by the designated cooking team. Safe food handling and cooking procedures are discussed with all residents to ensure that safe food preparation and handling procedures are followed at all times. Individuals are required to wear food handling gloves and caps or hairnets when preparing or handling residence food products. Proper food storage procedures utilizing three refrigerators, three large stand-up freezers, and a small dry storage room are supervised by program staff. SECTION 4: REWARD AND DEMERIT SYSTEM: OVERVIEW OF ARBOR HOUSE POINT SYSTEMS: The Arbor House has two different point systems. The systems are called Demerit Points and Reward Points. The Demerit Points system is a system in which a resident gets points for negative behavior that is against the rules of the Arbor House. In order to be given certain privileges, a resident must not earn more than a designated number of demerit points. See the Privileges section of this handbook to view the demerit point totals that cannot be exceeded for each privilege. 20

21 The Reward Points system is a merit system in which a resident goes above and beyond house expectations and earns points for these achievements. When a resident reaches a certain number of points they will be eligible for certain privileges based on their level. Staff members will write down demerit or reward points on each resident s point sheet whenever appropriate. Residents will be notified verbally that they have been awarded a Demerit or Reward point and the reason for it. The points will be logged into the appropriate area by the end of the staff member s shift. You may check with your Primary Counselor regarding your Demerit and Reward points. The residents levels and other privileges are based upon the point system. DEMERIT POINTS Demerit Points are accumulated on daily basis. 1. Consequences for Accumulating Points a. If a resident receives a 30 point demerit they will be issued an Emergency discharge. This occurs when the resident is determined to be a danger to others. The resident will have the right to appeal within 24 hours from another placement. b. If a resident receives 20 points or more they will be given a Recommendation of Treatment. c. If a resident earns 15 or more points within 30 day period they will have a Program level drop if not already on Level I. d. To be able to receive day/weekend passes a client must have no more than 10 Demerit points on their sheet for the week that they are requested pass. 2. Ways to reduce accumulated points a. Every week a resident earns no additional points they will receive a 5 point deduction from their point sheet. A sheet will never have negative points Use of any mood altering substance not prescribed or approved by a qualified medical practitioner or in a way that is inconsistent with recovery, within Arbor House or its vicinity. Returning to the Arbor House under the influence of any mood altering substances. Possession of any alcoholic beverages (this includes mouthwash and anything else that can be swallowed and contains alcohol), designer drugs, mood altering substances, medication not prescribed or approved by a qualified medical practitioner (prescribed and over the counter medication are available only through staff). Physical abuse or Threat of physical abuse of another person, regardless of

22 provocation, being a danger to others, including staff. Possession of a weapon, including but not limited to any firearm, blackjack, Billy club, sap, stiletto, switchblade, army knife, butterfly knife, etc. Refusal to submit to any test that screens for alcohol and/or substance usage Theft or willful destruction of individual or Arbor House property. Engaging in sexual activity with other residents, residents of supportive living, or any staff member. Refusal to submit to room search, personal search, pat down, strip search, body cavity search. Possession of any mood altering substances paraphernalia including but not limited to: small baggies, containers, pipes, needles etc. Failure to treat either other residents or staff with respect and consideration. This includes verbal abuse and any behavior that would make continued residency unsafe for another. Engaging in Criminal Behavior that results in your arrest. Failure to inform staff of another resident s use of mood altering substances, possession of any contraband. Flagrant disregard of the Arbor House rules and regulations. Failure to return from pass on time. It is the resident s responsibility to arrange for dependable transportation. Failure to respect the property of residents, staff or the Arbor House. Failure to exit the building and meet in the designated location within 2 minutes of the fire alarm being sounded after the first offense. Spending Food stamps Suspicion of use any mood altering substance not prescribed or approved by a qualified medical practitioner or in a way that is inconsistent with recovery, within Arbor House or its vicinity. Testing positive for any mood altering substances. Failure to comply with a staff member s direct request. In case of disagreement, comply with the request than submit a grievance within 24 hours. Gambling with the intent to win money or any other prize, or valuable possession Smoking E-Cigarettes in or on the property of the Arbor House Smoking in or around the Arbor House Behavior once brought to the Residents attention which continues to interfere with their participation, as a fully integrated group member. This includes failure to abide with any written contract or treatment plan. Unauthorized absence from the Arbor House or Out-patient Repeated violations of the Arbor House rules and regulations. Frequenting bars, clubs or social events where the primary focus is the sale/use of alcohol or other illicit drugs will result in discharge. If you need to be 21 to enter, you should not be there. 29 Misconduct, disruptive, illegal or deviant behavior of any kind, within or outside of the Arbor House. (This includes physical, verbal or psychological abuse, racial, ethnic,

23 gender or religious disrespect, foul language and getting arrested). Any behavior that is considered not conducive to your recovery or other residents in the house. Failure to arrive on time, actively participate in and remain at: in-house groups, appointments, house sponsored activities in house or anywhere else. This includes failure to reschedule any appointment at least 24 hours in advance Entering another bedroom without permission. Failure to notify staff of leaving or returning from the house. Possession of, or viewing, X-rated films or videos that are not allowed. Failure to exit the building and meet in the designated location within 2 minutes of the fire alarm being sounded. Possession of tobacco products, which include but not limited to: cigarettes, cigars, pipe tobacco, chewing or dripping tobacco. Possession of any tobacco paraphernalia including lighters, matches, pipes, rolling papers, etc 37 Failure to contribute to the appearance and daily operation of the facility by doing various assigned chores or by failing to: Complete chore on time, do the work well and as instructed, arrange to have the work done during any absence or help staff when asked. 38 Failure to have the bedroom clean and neat including making the bed as instructed before leaving the room. A thorough cleaning once a week. We reserve the right to knock, enter and search at any time. 39 Failure to change and launder bed linens and towels once a week. 40 Failure to remove laundry from the machines keeping others from using them. 41 Failure to bathe or shower daily or maintain acceptable personal hygiene including the use of deodorant products. 42 Failure to be dressed in street clothes including shoes or slippers while walking around the house. Failure to be appropriately dressed when entering or exiting the shower. 43 Obstructing doors, hallways, stairwells or safety exits. 44 Watching TV outside the designated times. 45 Failure to limit phones to 15 minutes while on the resident s phone or using cell phone during non-approved times. 46 Attaching anything to bedroom walls, ceiling, doors (both inside and out) or anywhere else. 47 Failure to comply with lights out time. 48 Failure to take medication as prescribed. 49 Sleeping or lying down after Morning Meditation until 8 pm. Monday through Friday. 50 Failure to keep your door open while you are occupying your bedroom during nonsleep hours. 51 Playing a radio or other similar equipment loud enough to be heard outside your room. Also playing music that is not recovery conducive, inappropriate language (i.e. cuss words, belittling individuals). 52 Playing headphones that can be heard beyond your listening zone

24 Swearing. Failure to limit eating to the dining rooms. Failure to be at to meals on time. Failure to pick up and clean up after cooking, eating, snacking, etc. Dishes must be rinsed and placed in dishwasher. Pots and pans must be washed and put away. Failure to remain seated for 15 minutes during meal times. Failure to hand in daily schedule. Failure to hand in signed sheets form from appointments. Having your feet on the furniture REWARD POINTS The Rewards Point system is based upon receiving REWARD POINTS for going above and beyond. Residents will earn reward points for different activities and will be offered several different rewards they can chose from. Points will be tallied at the end of each month by the staff member assigned this task and privileges will be handed out at the first community meeting of the month. You cannot hand in one privilege for a higher level one. If you have more than 10 demerits points for a week you cannot use a reward point certificate. 1. How to earn Reward Points: ACTION Cleaning an area of the home that is not part of an individual chore.(no more than 3 points a week) Having a perfect room inspection sheet at the end of the month Having NO DEMERIT points all month. Volunteering hours to the house. (i.e. landscaping, maintenance) Resident of the Month as voted by your peers Senior Peer Position (5 points a week if job is acceptable) Privileges that you can receive based on Reward Points: 24 Points Earned

25 Level I Privileges: Sleep-in pass Staff do your chore for a day. Get 5 demerit points deducted (does not apply if a resident receives a 30 point Demerit ) Extra day pass/sponsor Pass Level II, III and IV Privileges: 1 2 Extra overnight pass (not to exceed 6 overnights in a month) Any privilege of Level One. 20 PROGRAM LEVELS AND PRIVILEGES: Arbor House has four different levels. Each level brings different responsibilities and privileges. How Resident Attitude and Behavior Impact the Level Earned A resident s attitude and behavior over time will determine his levels and privileges. Advancement depends upon a combination of things. Some of these are clearly measurable. For example, a resident s point total is either zero or a specific number. Other indicators, not so easily measured, can be even more important to recovery than the easily measured ones. For example, one peer may not directly threaten another peer but still be threatening. Telling stories that center on the violence done to others by one peer can be threatening to other peers indirectly. The tone of voice, body posture, or the way someone looks at someone else can also be threatening. By limiting our conditions for advancement to objective or measurable items and ignoring these less easily measurable items, we would not be doing our job. This would make it possible for a resident to complete this program and advance through the levels by keeping a low profile, following all the rules, and doing just enough to get by. Just getting by is not what recovery is all about. To avoid this kind of situation from occurring, advancement to and retention of levels requires work that is measured both objectively and subjectively. Every resident begins on Level I. All requirements for advancement in Level must be met prior to advancement. Once a level is earned, continued effort is required to keep it. 25

26 Each week a resident s progress will be assessed and the Level Earned will be posted. A resident on Level IV could drop to Level I. Length of time in the program has no impact on how low the level may drop. Once a level is reached it is kept by continued work. LEVEL DETERMINATION: A resident s level is determined by comparing what the resident has accomplished to the requirements for each level. The resident is then placed on the highest level on which all conditions have been met. There are two sets of conditions. 1. Objective. This includes anything that is concrete and does not require staff making a judgment to determine, such as: Length of time in residence. This is determined by counting the number of full days since admission. The actual day of admission does not count toward time in residence Total number of points All required documentation has been completed (including appropriate discharge planning) Resident has been admitted to and continued satisfactorily with an Outpatient Treatment Provider Satisfactory progress has been made in meeting the goals specified in the Comprehensive Service Plan 2. The second area examined depends on staff judgment. Your Substance Abuse Counselor is responsible for this area and any staff member may provide additional input. The set of behaviors and or attitudes that are examined are listed for each Level under Earning and Keeping Levels. All residents are expected to be actively working toward earning Level IV status. Any resident not working toward individual growth will be discharged. 26

27 Approval of the Treatment Team Advancement in Level requires the approval of the treatment team. Each member of the treatment team looks at the same behaviors and attitudes of each resident, while using their own individual professional perspectives. The types of behaviors and attitudes each member of the treatment team looks for are similar for each resident while somewhat different based upon their areas of responsibility. LEVELS: Level I: Responsibilities While on Level I During this period, you are in an adjustment phase. You are learning the ropes of group living in a sober environment. You should be constantly working towards progressing to Level II within 30 days of your arrival. Level I runs 30 days from the day of admission. Attend a minimum of one support group meeting everyday. Night meetings must be attended. Submit weekly support activities journal to staff. Complete your Initial Service plan, Discharge plan, evaluation and Comprehensive Service Plan. Participate in all activities sponsored by Arbor House. Begin working on a telephone support network (have 10 telephone numbers by day 30.) Begin volunteer work, GED Classes or ABE Classes. Having no more than 19 Demerit points on your sheet on your last day of Level I. Have one person you consider your main Recovery Peer that you contact at least 3 times a week. (Cannot be family, significant other or best friend) Submitting a Level II application one week prior to your anticipated level advancement. Observable by Substance Abuse counselor Is honest at all times Treats both peers and staff with courtesy and respect Minimal or no isolation 27

28 Works well with at least three peers No use of intimidation or threat either direct or implied No relationship is interfering with resident progress Privileges During Level I: Two 6-hour day passes permitted per month; must be in context with your treatment plan. Three 2 hour Support Group Passes each month. These passes can not be used in conjunction with other passes. Support Group Passes can only be used on Wednesday and Sunday Evenings.** Your support group member must come to the house and verify your intentions. If you do not meet any of the tasks or follow any/all of the rules, Level II status may not be granted. Level II: Earning and Keeping Level II Requires Everything from Level I. Level II is for minimum of 60 days. Responsibilities While on Level II Maintaining weekly contact with Recovery Peer. Add more support network numbers each week. Attend 5 support group meetings each week. A Demerit Point Total of 10 or less More than 30 days at the residence. Arbor House Comprehensive Service Plans Completed Admitted to an approved Outpatient Treatment Provider Submit a Level III application one week before your anticipated level advancement. Observable by Substance Abuse counselor Is honest at all times Treats both peers and staff with courtesy and respect Minimal or no isolation Works well with at peers No use of intimidation or threat either direct or implied 28

29 No relationship is interfering with resident progress Privileges During Level II: Three 6-hour day passes permitted per month; must be in context with your treatment plan. Can not be combined with other passes. FOUR 2 Hour Support Group Passes each month Two overnight passes each month. Can not be combined with other passess. Approval of passes is not automatic and will be approved only if it appears that it is in the best interest of the individual. Earning Level III Requires Everything from Level I and Level II to be continued AND Level III can not be initiated for at least 60 days from your accepted start date of Level II. Responsibilities While on Level III More than 90 days in residence A Demerit Point Total of 5 or less Completing your Comprehensive Service Plan review with your Substance Abuse Counselor. Submit a Level IV application one week before your anticipated level advancement. Observable by Substance Abuse Counselor Growth since admission is obvious. Obvious means that specific changes in attitudes and behaviors can be identified. Acts as a role model in all clinical settings Defenses do not block progress Accepts feedback and makes positive changes in response Focus is on self and individual change needed to continue personal growth Understands need for and is supportive to others. Focuses on self and growth in recovery now includes an understanding, with appropriate supporting 29

30 behaviors, that it is only through being there for and giving to others that recovery can continue Privileges During Level III: 1. FIVE 8-hour day passes permitted per month; must be in context with your treatment plan. 2. SIX 4-hour Support Group Passes each month. Your support group member must come to the house and verify your intentions. 3. May apply for THREE overnight passes each month. Combining passes on this level can be discussed with your Primary Counselor This level can be maintained for the rest of your stay at the Arbor House. Earning Level IV Requires Everything from Level I, II and III. Responsibilities While on Level IV Discharge plan must be nearing completion and your plan for leaving the Arbor House are beginning to take shape. More than 180 days in residence A Demerit Point Total of 3 or less Outpatient Treatment is Continuing Observable by Substance Abuse Counselor Shows continued growth Fully engaged in program Is a role model EVERYWHERE and ALL OF THE TIME Outside activities further recovery without detracting from program responsibilities Privileges of Level IV: SEVEN eight hour day passes permitted per month; must be in context with your treatment plan. SEVEN overnight passes each month. 30