Client Orientation to Treatment

All clients entering services at Dawn Farm receive orientation to treatment upon admission. Orientation includes the following:

• an overview of program rules

• expectations of clients during treatment

• how treatment plans will be developed

• information related to payment of services

• rights and responsibilities of clients and grievance procedure

• discharge planning and criteria

Orientation information is provided to clients from staff and senior peers. All clients entering treatment are provided with a handbook that outlines Dawn Farm's mission and specific policies.

OLD INFO----

SPERA CLIENTS

It is the policy of Dawn Farm to insure that, at admission, all new clients are oriented to Dawn Farm. This orientation includes the following information and is accomplished in the following ways:

1. The client learns about Dawn Farm’s mission, programs, services and rules to enter detox when they process a Pre-Screen with the Spera Counselor (both over the telephone or walk-ins). The Spera Counselor reviews this information with the client and answers any questions. A rule list is given to the client upon their arrival.

2. The Spera Counselor explains how the client will be involved in the development and progress of their treatment (intake interview, vitals, treatment plans, referrals, staff requests, etc.)

3. The rights and responsibilities of clients, the potential for restriction of privileges and grievance procedures are detailed in the above (#1) mentioned brochures, the Dawn Farm Client Handbook and in the Discharge Release. The Spera Counselor reviews this information with the client and the client signs releases indicating that they understand this information.

4. Completion of orientation/admittance is indicated on client contact sheet.

OUTPATIENT CLIENTS

It is the policy of Dawn Farm to insure that, at admission, all new clients are oriented to Dawn Farm. This orientation includes the following information and is accomplished in the following ways:

1. The client learns about Dawn Farm’s mission, programs and services by reading the “Dawn Farm Outpatient Services” brochures prior to their admission interview. The intake interviewer reviews this information with the client and answers any questions.

2. The Client learns of financial expectations by receiving an initial contact letter that reviews the cost for services and informs them of our policy to not deny services based on someone’s inability to pay. During the intake interview the intake worker reviews all financial arrangements with the client and notes this in the file. If a client is reporting that he/she cannot afford the cost of treatment than they are asked to fill out a petition for a reduction of fees. This form requires the client to provide documentation and/or follow up information showing that they are unable to cover the full cost of treatment. If they are unable to do so a sliding scale fee will be applied. It has been determined that those who are referred through community corrections must get their petition of reduction approved by the Outpatient Coordinator, as well as, the Community Corrections Supervisor. The Outpatient Coordinator will approve all reductions.

3. The intake interviewer explains how the client will be involved in the development and progress of their treatment (assessment interview, treatment plans, treatment plan reviews, additional required 12 step meetings, etc.) and begins the process by ascertaining the client’s goals in entering Dawn Farm.

4. The rights and responsibilities of clients, the potential for restriction of privileges and grievance procedures are detailed in the above (#1) mentioned brochures, the Dawn Farm Client Handbook and in the Discharge Release. The intake interviewer reviews this information and the client signs releases indicating that they understand this information.

5. Clients are given a copy of the rules of Outpatient. The intake interviewer will go over the rules with clients and answer any questions that they have.

6. If a client is to attend group therapy than an explanation of what one can expect from that group will be given. For example, the name of the group leader, the date and time of the group, and the degree of participation that will be expected from them. A start date will be set and the client will receive a card with the start date and time, as well as, with the Outpatient phone number on it in case they have any further questions.

7. Completion of orientation is indicated on the Client File Checklist.

RESIDENTIAL CLIENTS

It is the policy of Dawn Farm to insure that, at admission, all new residents are oriented to Dawn Farm. This orientation includes the following information and is accomplished in the following ways:

1. The client learns about Dawn Farm’s mission, programs and services by reading the “Information for Prospective Residents and their Families” and the “Dawn Farm Rules and Regulations” brochures prior to their admission interview. The intake interviewer reviews this information with the client and answers any questions. The client also signs a release indicating this procedure occurred.

2. The President, Clinical Director or Financial Coordinator reviews all financial arrangements with the client and notes this in the file.

3. The intake interviewer explains how the client will be involved in the development and progress of their treatment (assessment interview, treatment plans, weekly feedback sheets, staff requests, etc.) and begins the process by ascertaining the client’s goals in entering Dawn Farm.

4. The rights and responsibilities of clients, the potential for restriction of privileges and grievance procedures are detailed in the above (#1) mentioned brochures, the Dawn Farm Client Handbook, and in the Discharge Release. This information is reviewed by the intake interviewer and the client signs releases indicating that they understand this information.

5. On the day of admission, the client is assigned a Primary Counselor by the admitting counselor or the Intake Counselor . The Primary Counselor introduces themselves to the client (on the day of admission or the next time the counselor is on duty) and explains that they will coordinate services and that any questions the client has can be brought to them.

6. Clients are given a card titled “Your First Day at Dawn Farm” which details what they can expect and includes a daily schedule of activities. They are also assigned a “big sibling”, a senior resident who will act as a guide for the new client in their early treatment.

7. Completion of orientation is indicated on the Client File Checklist.

CARF Standard:

2.B.8