A. In
addition to information contained in the agency provider's policies and
procedures manual, agency providers of Substance Use Disorder Residential
Treatment Services must develop a handbook which includes all applicable
policies and procedures. Handbooks are to be provided to the
person/parent(s)/legal representative(s) during orientation. The Community
Living Handbook must be readily available for review by employees and must be
updated as needed.
B. All agency
providers must document that each person (and/or parent[s]/legal
representative[s]) served is provided with a handbook during orientation on the
day of admission. The agency provider must document the review of the handbook
with the person/parent(s)/legal representative(s) annually (if applicable to
the service).
C. The service and
site-specific handbook must be written in a person-first, person-friendly
manner that can be readily understood by the person/parent(s)/legal
representative(s).
D. Agency
providers must have a written plan for providing the handbook information in a
person's language of choice when necessary if English is not the person's
primary language.
E. At a minimum,
the handbook must address the following:
1. A
person-friendly, person-first definition and description of the service being
provided
2. The philosophy, purpose
and overall goals of the service, including but not limited to:
(a) Methods for accomplishing stated goals
and objectives;
(b) Expected
results/outcomes; and,
(c) Methods
to evaluate expected results/outcomes.
3. A description of how the service addresses
the following items:
(a) Visitation
guidelines;
(b) External
communication guidelines (phone, mail, email, etc.);
(c) Dating;
(d) Off-site activities;
(e) Household tasks;
(f) Curfew;
(g) Use of items for personal consumption
(i.e., tobacco, dietary supplements, over-the-counter medications, food or
drink items, etc.); and,
(h)
Respecting the rights of other people's privacy, safety, health and
choices.
4. A
description of the meal schedule is to be provided. Meals must be provided at
least three (3) times per day, and a snack must be provided throughout the day.
Documentation of the meal planning must be available for review, and
documentation must include development of a menu with input from the person
living in the residence that includes varied, nutritious meals and snacks and
description of how/when meals and snacks will be prepared.
5. Personal hygiene care and grooming
expectations, including assistance available
6. Medication schedule
7. Guidelines for prevention of and
protection from infection, including communicable diseases
8. Policy regarding the search of the
person's room, person and/or possessions including:
(a) Circumstances in which a search may
occur;
(b) Employees designated to
authorize searches;
(c)
Documentation of searches; and,
(d)
Consequences of discovery of prohibited items.
9. Policy regarding urine drug screening for
prohibited/illegal substances including:
(a)
Circumstances in which screens may occur;
(b) Employees designated to authorize
screening;
(c) Documentation of
screening;
(d) Consequences of
positive screening of prohibited substances;
(e) Consequences of refusing to submit to a
screening; and,
(f) Process for
people to report in a confidential manner the use of prohibited substances
prior to being screened.
10. Description of the employee's
responsibility for implementing the protection of the person and his/her
personal property and rights.
F. Orientation of the person to the service
including:
1. Familiarization of the person
with the living arrangement and neighborhood;
2. Introduction to support personnel and
other people (if appropriate);
3.
Description of the written materials provided upon admission (i.e., handbook,
etc.); and,
4. Description of the
process for informing people/parent(s)/legal representative(s) of their rights,
responsibilities and any service restrictions or limitations prior to or at the
time of admission.
G.
Methods for assisting people in arranging and accessing routine and emergency
medical and dental care including:
1.
Agreements with local physicians and dentists to provide routine
care;
2. Agreements with local
physicians, hospitals and dentists to provide emergency care; and,
3. Process for gaining permission from
parent(s)/legal representative(s), if necessary.
