TO DE PAUL TREATMENT CENTERS, INC. Creating freedom from addiction

TO
DE PAUL TREATMENT CENTERS, INC.
Creating freedom from addiction
Revised June, 2013
1
Dear New De Paul Client,
Welcome to De Paul Treatment Centers!
Expect a miracle!
De Paul’s motto is, “Creating freedom from addiction.” To us, this means that De Paul is a
place where your hopes can become reality. You are just beginning a journey to discover who
and what you are really meant to be – including free from the pain and sorrow of alcohol and
drug dependency, other addictions and trauma. ALL your experiences here will support you to
define and get to your destination.
From time to time, and especially at first, you may want to give up and leave. This is normal.
You are in a new place, sharing space, meeting lots of new people, and talking about yourself in
an unfamiliar way. It will take some time for you to feel comfortable and secure. The single
most important thing you can do is just STAY.
Your counselor and the other De Paul staff are here to help you settle in. Talk with them.
Your senior peers have experienced many of the same feelings you are having. Talk with them
as well.
When you relax and get to know us, you will find that De Paul is a special place. Our wellqualified staff blends diversity, education, a commitment to serve and, most importantly,
experience. This experience has shown us that the single most important thing you can do is
STAY.
STAY and you will find what you are looking for.
March, 2007
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ADULT RESIDENTIAL TREATMENT
CLIENT HANDBOOK
CONTENTS
Expect A Miracle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Client Handbook Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
De Paul’s Mission, History, and Core Values . . . . . . . . . . . . . . . . . . . .
Staff Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Diversity and Recovery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Welcome & Facility Emergency Information . . . . . . . . . . . . . . . . . . . .
Program Staff and Services; Health Care . . . . . . . . . . . . . . . . . . . . . . .
Treatment ABC’s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Medical Emergency or Injury
Alcohol and Drug Tests
Bulletin Boards, Bicycles, Cars
Child Care, Coffee, Computers, Confidentiality, Drinks,
Drug Use, Exercise
Extended Walks, Gambling, Groceries, Gum, Mail, Medications,
Passes, Pornography, Rooms, Searches, Selling, Storage of
Belongings, Suggestion Boxes
Telephone Use, Videos, Visitor Information
Weekend, Family/Support Visits, Work
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3
4
5
6
7
8-10
11-17
Your Individualized Treatment Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Model of Treatment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Group Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Your Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Client Rights Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Client Responsibilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Health and Safety Guidelines
General Community Guidelines
Mutual Respect Guidelines: In General, Towards Peers
Towards Staff, Engagement in Treatment
When Away from De Paul
Communication Guidelines
Group Guidelines
Consequences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Grievances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Description of Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Transitioning to Outpatient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Orientation Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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20-22
23-24
25-26
27-36
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DE PAUL’S MISSION STATEMENT
De Paul Treatment Centers works with individuals, families and communities to create freedom
from drug and alcohol addiction.
De Paul serves the community and those affected by the disease of addiction. Using proven and
effective treatment strategies, De Paul strives to build healthy and hopeful communities in
recovery.
DE PAUL’S HISTORY
 1974
 1975
 1978
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

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
1985
1983-1998
July, 2000
Sept., 2000
May, 2001
 Approved by Portland Council of the St. Vincent de Paul Society.
 St. Vincent de Paul Alcoholism Center formed as a residence with
2 employees and a $20,000 grant to serve late-term alcoholic
men.
 Approved by the State of Oregon as a Provider, became an
independent non-profit.
 Mission amended to include Women and Youth.
 Washington Street building purchased.
 De Paul Freedom Award initiated.
 Hillsboro Outpatient Office opened.
 CARF Accreditation achieved.
DE PAUL’S CORE VALUES
Love
Respect
Humility
Integrity
Courage
Creativity
Faith
Trust
Unity
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STAFF CODE OF ETHICS
De Paul’s primary concern is to provide services to individuals, families and groups in a
manner that reflects our core values and fulfills our mission.
General Ethical Conduct
All staff, contractors, and volunteers shall:
 Conduct themselves in a manner consistent with De Paul’s core values, which are love, faith,
humility, trust, courage, respect, integrity, creativity, and unity.
 Acknowledge strengths and effectiveness, challenge limitations and improve themselves
through continuing education, training, additional experience and knowledge of new
developments in our field;
 Maintain the highest standards for our field and help protect the community from unethical
practice by individuals and/or organizations engaged in the treatment of drug/alcohol
addictions and mental health.
All business and marketing practices reflect the agency’s core values and are conducted in an
ethical manner.
 Any use of illegal/non-prescribed drugs by any staff is strictly prohibited.
 We are inclusive; we do not practice any discrimination due to race, color, religion, ancestry,
sex, national origin, pregnancy, marital or veteran status, political affiliation, age, sexual
orientation or handicap.
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Ethical Responsibility to Clients
Clients are our first priority and we do not neglect or abuse them in any form or manner.
We maintain clear boundaries. Romances, sexual involvement, business or dating
relationships with clients or former clients are prohibited. There is no time limit on this
restriction unless the former client's professional status necessitates the development of a
relationship as a colleague.
Client confidentiality and privacy must be maintained. Confidential information obtained on
the job is never disclosed to unauthorized persons or parties.
Employees, contractors or volunteers will not exploit relationships with clients for personal
advantage.
Clients receive treatment and care only from properly credentialed and trained
staff/contractors.
Our relationship with our clients and the individualized services we provide, help to create
the environment that fosters self-determination.
We meet our clients where they are. We use best practices and clinical judgment to join with
the client to develop treatment goals that meet the clients’ needs.
We provide only the services the clients need, and only for as long as it is in their best
interest.
Appropriate channels will be used to resolve any conflicts or differences of opinion that may
develop.
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De Paul: A World of Diversity and Recovery
As people who desire a safe place to learn about recovery, all staff and clients are expected to
respect the different cultural groups that make up De Paul.
When we are faced with a person who is different from us or whom we don’t understand, we
tend to label him or her as “abnormal”, “weird” or “wrong”. It is important that we learn to
transform our human tendency of viewing “different from me” as “less than me”. We can learn
to do this.
At De Paul Treatment Centers, Inc., we have the opportunity to challenge our assumptions
about the “right” way of doing things and consider a variety of approaches.
When we are open to learning about people from other cultures, we become less lonely.
Prejudice and stereotyping separate us from individuals and groups of people who could be our
friends and partners in working to improve our health, in working for recovery.
Many of us long for real contact. Talking with people different from ourselves gives us new
ideas and hope. It energizes us to take on the challenge of improving our lives, our communities
and our world.
Help make De Paul a place that is safe to work for recovery. “Cleaning up the wreckage of our
past” is best done by taking responsibility for ourselves today. Make a choice to give support
instead of judgment, and kindness instead of meanness. We all will grow and benefit – you and I
– from that choice.
Adapted by Valerie Hunter from “Working on Common Cross-cultural Communication Challenges”
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Welcome
Welcome to De Paul Treatment Centers, and thank you for choosing to participate in our
program of alcohol and drug education and treatment. The purpose of this handbook is
to introduce our services and to provide you with information about program
expectations, procedures, and your rights and responsibilities.
Please read this handbook carefully. In it you will find the answers to many of your
questions about what to expect during treatment at De Paul.
Facility Emergency Information: De Paul periodically conducts drills to ensure emergency
preparedness. During a drill, or in case of an actual emergency, such as a fire or earthquake,,
an alarm will sound and the facility will be evacuated. Emergency exit routes are posted
throughout the facility for your safety during evacuation. Whether a drill or an actual emergency,
please remain calm and follow directions given by staff. You will be directed out of the building
to a nearby meeting area. Please follow all traffic safety rules. When you arrive at the area,
stand with your core group; staff will take roll. Remain with the group at all times; listen for
instructions and speak only to your core group leader or members. The group will remain in the
designated evacuation area until the “All Clear” signal is given to re-enter the facility. Smoking
is not permitted during evacuation, whether it is a drill or an actual emergency.
Again, thank you for choosing De Paul and remember…STAY and you will find what you
are looking for.
The De Paul Staff
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.
PROGRAM STAFF AND SERVICES
Throughout your treatment at De Paul, our staff and your peers will help you to reach your goal
of achieving a healthy, recovering lifestyle. Following are some of the people who will be
available to assist you with various issues.
Your Big Sister/Big Brother will be with you for the first day and available everyday after your
admissions to answer questions or lend support.___________________________, is a peer
who will help you to settle in, introduce you to your peers, and help you learn the schedule.
Your Counselor, ____________________________ will meet with you every day for the first
five days of your treatment work with you throughout your treatment at De Paul. You and your
counselor will develop your individual Treatment Plan, which includes your treatment goals and
objectives. Your Treatment Plan will be periodically updated to reflect your progress in
treatment.
Milieu Counselors (MCs) The residential facilities are staffed 24 hours per day, seven days a
week by MCs. The MCs help to maintain a safe and therapeutic treatment environment for
clients. They answer telephones, take messages, deliver mail, and help clients take care of
basic needs such as obtaining toiletries and supplies. The MCs dispense medication at specific
times each day and provide a safe environment for your recovery.
Other staff available at the Adult facility includes:
Admission Counselor: Meets with you at the time of your admission to arrange your payment
options and update OHP and Food Stamp information.
Dietitian: You will be referred to the registered dietitian for consultation if nutritional needs
(diabetes, eating disorders, chewing, swallowing problems, etc.) are identified by the
Admissions Counselor, medical staff, or your Counselor.
Family Services: De Paul’s treatment programs welcome families as partners in the treatment
process. Services available to you and your family members include: Individual, couples, and
family counseling, as well as weekly multi-family groups. Please contact the Family Therapist or
your Counselor for more information.
Food Services Staff: The Food Services department serves breakfast, lunch and dinner to
residential clients, meal times are listed on your Program Schedule. At the Adult Facility, the
Food Services staff also provides sack lunches for clients who are employed outside the facility.
If you will need a sack lunch, please notify Food Services the day before by adding your name
to the sign-up sheet in the kitchen.
Health Care Providers: A Nurse Practitioner/Psychiatric Nurse Practitioner are available
several days a week to assist you in meeting your physical and mental health care needs. They
consult and collaborate with the facility’s Medical Director, who is a physician, your Counselor,
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community providers and residential treatment facility clinical staff. If medical concerns arise
during treatment, please see the Health Care Services section of this handbook.
HEALTH CARE SERVICES
De Paul Treatment Centers’ staff is available to help you with your health care needs.
A Nurse Practitioner and a Psychiatric Nurse Practitioner are available several days per week,
on an appointment only basis. De Paul also has nursing staff available at Adult Residential.
Please discuss your health care needs with your Counselor, who may refer you to the Nurse
Practitioner or Psychiatric Nurse Practitioner.
Activity/Recreation Limitation: If you need to limit your physical activity, including house
chores, please INA the medical staff who may refer you to see the Nurse Practitioner.
Bed Rest Requests: Bed rest is 24 hours. If you are ill, please discuss this matter with MC
staff who will consult a Lead MC. Bed rest is approved for those who have a fever or other
specific symptoms of illness. If bed rest is approved, you are to leave your room only to use the
bathroom, and or get medication from the MC station. Meals will be brought to your room by a
peer. When you are done eating, set your tray outside of your bedroom door and a house
counsel member will remove it. There are no phone privileges while on bed rest. You are not
permitted to take smoke breaks while on bed-rest and if you are ill on a Friday or
Saturday; you will not receive a personal pass on Saturday or Sunday.
Community Health and Safety Concerns: Please present any health and safety concerns to
staff during the Community Concerns meetings.
Health Education: Health education is provided to all residential clients twice a month. Topics
include accessing health care outside De Paul, infectious illness, and other health-related
topics.
Hepatitis-C and HIV Testing: Testing is available through Multnomah County Public Health
Test Site, 426 SW Stark, Portland, OR. Your counselor can refer you to the Nurse Practitioner
for any Hepatitis C and HIV concerns you may have.
Medical or Dental Care Outside De Paul: Clients are encouraged to engage in treatment and
focus on issues/behaviors, which brought them to DePaul. Therefore, clients are encouraged to
take care of any and all routine medical and dental concerns before they enter residential
treatment. There is a dental van available for our clients once a month by referral only.
Outside Medical Appointments:
Urgent/Emergent: a condition that may result in death, permanent disability, or severe pain.
Steps to determine if this is an urgent/emergent condition: INA medical for assessment.
Any appointments scheduled during treatment need to be rescheduled until completion of
treatment.
If a client feels they have an urgent/emergent medical condition that requires follow up then the
client will INA medical to discuss issue, complete a ROI and medical will assess the client and
contact the provider before the pass is approved/denied.
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When a client has been approved for a medical pass they will not schedule a follow up
appointment at the hospital/clinic. When the client returns from the appointment with the follow
up paperwork they will give it to Carrie and she will consult with Medical as to the need for follow
up at an outside provider. Most follow up issues can be completed at De Paul Medical. If they
need to follow up then Carrie will confirm the appointment with the outside provider and let the
client know the appointment time/date.
Medical Emergency: If you are injured or have a medical emergency while in residential
treatment, immediately notify any staff member. Staff will arrange proper transportation to an
emergency room. You must bring the De Paul Hospital/Doctor. form with you and must bring
back all paperwork involved in your visit and provide it to staff, if you fail to do so could end in a
consequence Medications must not be opened until approved at De Paul. Be sure to inform
all medical professionals you visit that you are unable to use prescriptions for addictive
or mood altering medications. If you are seen at an emergency room, discuss the outcome
with your Counselor. If it is determined you need to see the Nurse Practitioner for follow-up,
your Counselor will schedule an appointment.
When you return from an emergency room or outside health care provider visit, please check in
at the MC station, turn in all medications, and give the staff all medical information, forms and
medications you received. Copies of your paperwork will be made and distributed to the
appropriate parties and the originals will be given back to you.
Medical History Review and Physical Exam: You will be scheduled for a medical history
review and physical exam by the Nurse Practitioner within 30 days of admission. Medical
appointments are posted on communication boards by the MC station the day before your
appointment; you may also ask the MC staff for the date and time of your appointment. If you
are scheduled to meet with the Nurse Practitioner, please bring your Adult Individual
Service Group Note and your completed medical history forms with you to this
appointment. Medical history forms are provided to you at Admissions.
Medical Needs: If you need to see the Nurse Practitioner at any time during your residential
stay, please INA the medical staff. Please bring your Adult Individual Service Group Note with
you to this appointment. Please check in at the Front Desk; do not knock on the Nurse
Practitioner’s office door.
Medical Transportation: If you have a medical, dental, or mental health appointment outside
De Paul, all escorts need to be approved by your Counselor or the Family Therapist. Any
outside medical and dental appointments will need to be approved by our medical department.
Medications and Self-Care Products: You will be asked to turn in all medications, including
over the counter (OTC) medicine to the Admissions Counselor when you are admitted to De
Paul. Medication is kept in a secure area at the MC Station and will be made available to you
on a scheduled basis (four times per day; hours are posted). You are expected to take your
medication as prescribed. Some medications (e.g., narcotics such as Vicodin, Percocet,
Oxycodone, Hydrocodone and others) are not allowed to be taken during treatment. If you have
questions, please see your Counselor. Please do not share your medication with other clients.
Medications at Discharge: When you are discharged from De Paul, you will need to take all
your medications. De Paul may only hold these items for you for 30 days after you leave. If you
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do not pick them up within 30 days of your discharge, De Paul will dispose of your medications.
Nicotine Cessation: All clients receive nicotine awareness education. For more information
about free nicotine patches call the Oregon Quit Smoking hotline 1-877-270-7867.
Nutrition Needs: If you need to see the Dietician at any time during your residential stay,
please consult with your Counselor, who will give you a referral. Appointments are available
within two weeks of your request; please bring your Adult Individual Service Group Note to this
appointment.
Note: You may not have money to pay for important matters, such as medical insurance
premiums (OHP) and prescription co-pays, that cannot wait. In some cases, De Paul may
advance the money. You will be asked to sign a form, which states you will repay De Paul when
you have income. De Paul will work out a payment schedule for you.
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TREATMENT ABC’s
Alcohol and Drug Tests: Visually supervised urine, breathalyzer, and/or saliva tests will be
conducted when you are admitted and randomly during treatment. A positive test shows
evidence you have used alcohol and/or illegal drugs. Positive results will affect your privileges
and may result in discharge. Positive results will be kept confidential except in cases where the
Court or your referral source requires positive UA results to be reported, and where you have
signed a Release of Information (ROI) for information to be given to them. Results of these
tests will be placed in your clinical record. Refusal to comply when asked to give a UA, or
tampering with the UA, may result in discharge. If you have difficulty providing urine and
require longer than three hours to urinate, the UA will be considered positive.
If you should relapse while in treatment, staff will work with you individually to give the support
needed to learn and practice recovery and life skills while accepting the natural consequences
of your behavior.
The testing process De Paul uses for UAs is sensitive to over the counter products which
include alcohol, e.g., mouthwash, hand sanitizer, and cold medicine. Excessive use of these
products can produce a positive result. In addition, eating certain foods can also produce a
positive UA, e.g., poppy seed muffins.
Bulletin boards: Each bedroom has a board for you to place pictures, papers and other
“mementos” important to you and help you feel more comfortable while here at De Paul.
Photographs and/or artwork must be appropriate, and all people must be fully clothed. Talk to
staff if you are unsure. Please do not place anything on the walls outside the boundaries of the
bulletin board.
Cars, trucks, motorcycles, and bicycles are not allowed while you are in treatment nor is a
client allowed to operate any cars, trucks, motorcycles, or bicycles while in treatment.
Child Care: De Paul Treatment Centers, Inc. does not have the ability to provide any onsite
childcare. Visits with your children are encouraged, and you are responsible for their behavior
and safety.
Computers: Personal computers, laptops, palm pilots, hand held video games, etc., are not
allowed. De Paul provides computers for use of skill building (e.g., typing), preparing resumes,
and other competencies. You are not allowed to play any games on the computer,
including solitaire. You may not install any games or software on these computers.
Confidentiality: Please respect the confidentiality of your fellow clients. Federal law and
regulations protect the confidentiality of your records at De Paul Treatment Centers. Violation of
the federal law and regulations by a treatment program is a crime. Suspected violations may be
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reported to appropriate authorities in accordance with federal regulations. Generally, we may
not confirm you attend our programs, or disclose any information about you unless:
• You consent in writing;
• Disclosure is required by a court order;
• Disclosure is made to medical personnel in a medical emergency or to qualified
personnel for research, audit, or program evaluation; or
• Disclosure is required by federal or state law or law enforcement.
To protect our client’s confidentiality, cameras are not allowed in residential treatment. In
addition, family members are requested not to take pictures while visiting on the 2nd floor during
holiday or family visits.
Clients on probation and parole or referred by the Department of Human Services (DHS) will be
asked to sign a Release of Information allowing information to be exchanged with the
Department of Criminal Justice and DHS. When these clients leave treatment, their referent will
be advised of the change in their treatment status.
Exceptions to confidentiality:
Under the following circumstances, De Paul staff is required by law to report to the appropriate
authorities:
• If you commit a crime, either while in treatment or against any person who works at
programmed Paul, or if you threaten to commit such a crime;
• If you tell us you intend to harm yourself or others;
• If you are suspected of child abuse or neglect;
• If you tell us someone is hurting or has hurt you;
• If you are suspected of abuse or neglect of the handicapped or elderly.
Donations: De Paul welcomes donations and contributions. However, while you are in
treatment De Paul cannot accept donations of any kind from you or your extended family
members.
Drinks: All drinks are to be consumed in either the second floor dining area or the third floor
break room/lounge. Soda may be purchased from the machine on the second for the women,
and on the third floor for the men and must be consumed in the break room or the dinning
room. Soda can not be consumed during classes, groups, or study hall. You may have water
throughout the building but only in a clear plastic water bottle. Please do not put sugar or juice
in your water bottle.
Drug use: If you use on De Paul property, you will be discharged from treatment. If your relapse
occurs elsewhere (for example, while on pass) and you inform staff immediately, staff may
choose to work individually with you to give the support and structure needed to learn and
practice recovery and life skills while accepting the natural consequences of your behavior.
Electronic Devices: iPods or other electronic devices with video capabilities are NOT allowed
in treatment. You are allowed to have a portable CD player, or an MP3 player that is NOT video
capable, to listen to music. IPOD Mini Shuffles are the ONLY type of IPODS allowed.
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Offensive Music: Music which is offensive i.e., swearing, glamorizing drugs and partying,
objectifying, over sexualized will be confiscated.
Exercise: De Paul offers several forms of exercise, including: afternoon walks, exercise
equipment and aerobics.
Afternoon walks: On your 5th day in treatment you can participate in the staff escorted
afternoon walk.
Family Services: All requests for the following are reviewed by your counselor in consultation
with the Family Therapist: Family services, personal pass, family escort and child visits. With
approval, family involvement may occur based on recommendations of family therapist and
once you have completed the following:
• Family assessment and its review by your counselor.
• Submission of a Child Visitation Request Form to the lead MC by Wednesday of each week.
The Treatment Team will consider the following when approving your request for family
involvement:
• Your drug use patterns and history of family involvement.
• Your capacity to remain abstinent and treatment compliant.
• The stability of your relationship.
• Your history of abuse of any kind, physical, emotional, and sexual
• Your family’s support for you remaining in treatment and completing the program.
• Any probation stipulations, restraining orders and/or DHS service agreement restrictions.
• A copy of the approved Visitation Request must be on file with the Family Therapist.
• A Release of Information (ROI) must be on file for each family/support person.
• You must be into your second Sunday in treatment.
Child visiting hours for male clients are from 1:50-2:50 PM and female child visits are from 3-4
PM Children must remain in the 2nd floor dining room and are not allowed in your room or in the
back hallway.There must be one accompanying adult. Snacks will be provided by the kitchen
staff for the children only.
•
Clients may be subject to search following a child visit.
Gambling: Gambling is not permitted, in any form. This includes activities both inside and
outside of De Paul. It includes, but is not limited to, bets on games (i. e., cards, dominoes,
bingo, board games), broadcasted games (i. e., televised sports), and sports action and lottery
activities. No dice are allowed in treatment.
Groceries: Once each week, groceries are delivered. Male clients are to help with bringing in
the groceries from outside.
:
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Acrylic nails No acrylic nails are allowed in treatment
Gum: Gum is not allowed at De Paul. This includes nicotine gum.
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Head Phones/Ear Buds: Clients can only wear head phones or ear buds in their rooms or at
the park. Head phones and ear buds can not be worn anywhere in the building, on the walk or
while walking to the park.
Hoods: Clients are not allowed to wear hoods on their heads while in the building (i. e.,
sweatshirt hoods, coat hoods, shirt hoods).
Mail: You may receive mail during your stay at De Paul Treatment Centers. Packages and
envelopes must be opened in the presence of staff and their contents inspected. Our correct
mailing address is:
Your Name
C/o De Paul Treatment Centers, Inc.
P.O. Box 3007
Portland OR 97208-3007
Mail is distributed at set times in the morning and evening. If you have mail your name will be
posted at the MC station where you can pick it up at the specific times posted. Please do not
request your mail outside of the specific pick-up times posted. If you have missed receiving at
the earlier distribution times, please wait until the next posted time. All packages mailed to
clients are opened in front of the client by staff.
Due to federal confidentiality laws, De Paul Treatment Centers is not permitted to sign for
client’s mail. If a signature is required for delivery, the item will be returned to sender. Please
be sure to inform your family and friends you are unable to receive mail that is certified,
registered, Federal Express, or any other method requiring a signature.
MC Station: If you have an appointment downstairs or are going downstairs for any reason
(including an unauthorized smoke break), please inform the MC’s of your intentions. Please
stand away (approximately 5 feet) from any person currently getting medication at the MC
station. This is to protect their confidentiality. If a client is talking to a MC at the MC station
window, please maintain your distance.
Between 12-1pm and 5-6:30 PM, please do not access the MC station on the second floor
except to check in from a pass. Dinnertime medication times are posted at the MC station.
Passes: Client passes are carefully monitored. The degree of freedom offered to clients
varies, depending on numerous factors (i.e., program guidelines, probation restraints).
Residential Treatment clients must have a pass to leave the facility. Clients are asked to
submit their completed passes and pass Log by 7pm Sunday evening of each week. These
passes are to cover Tuesday through the following Monday of each week.
Counselors and clients work together to create a safe plan for time spent away from De Paul.
Treatment activities are always a priority, so you will want to plan passes to avoid conflicts.
therapeutic passes may be approved for weekend days only. There is no clear designation
regarding when clients begin to take therapeutic passes on the weekend or how many hours.
Therapeutic passes may only be taken with approved support persons who have satisfied the
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requirements of our Family Therapy Program. All passes personal and business must be
approved by the treatment team. Counselors and clients discuss safety issues and develop a
plan of increasing community involvement.
Sponsor Passes: Once you have obtained a sponsor, and they have been approved by the
Lead MC, you may be eligible to go on a meeting pass with your sponsor. This will be
dependant on you meeting other pass guidelines, as mentioned above.
In your final days before transitioning to a lower level of care, an overnight pass may be allowed
if approved for therapeutic reasons. Please see the section on expectations when away from
De Paul for more information on passes.
Pornography: Pornography (whether viewed as “hard” or “soft”) and other pictures that
objectify people are not permitted at De Paul. This includes videos, magazines and other print
materials. This restriction also includes explicit sexual instruction books and materials, as well
as pictures commonly found in magazines including sexually provocative pictures of either male
or females. All such material will be confiscated and destroyed.
Rooms: Your picture will be placed in a plastic holder outside your room. Please do not draw
on or alter it in any way. Rooms are expected to be kept clean and in order at all times. This
includes making your bed each morning and putting clothes away in your dresser, closet or
other storage unit. Also, be mindful of keeping the tops of your dressers and desks neat and
organized. Room checks are done daily and having an unkempt room may result in your loss of
privileges. Rooms should be vacuumed and cleaned, and trash should be emptied on a regular
basis. Please wash your clothes, sheets and towels each week on the day your room is
scheduled to use the laundry room. The only bedroom you’re allowed in is your own! Your door
is to be locked when you’re not in it and unlocked when you are in it, this includes during
sleeping hours. You must, wear appropriate non revealing Pajamas to sleep in..
Searches: You will be asked to self search upon admission to De Paul, upon return to the
facility from passes, and when contraband is reported to be in the facility. Staff may also use a
security wand to search your person for contraband. Purses, pockets, socks, waistbands,
and packages or materials brought into the facility will also be searched. Random room
searches will be conducted during your stay.
Selling or buying: Selling any item (for example, clothing, CD’s, or services) is not permitted.
Storage of belongings: Our facility does not have the capacity to store your belongings during
your residential treatment, beyond what will fit into your room. If you do not have adequate
space in your room for your belongings, please notify a member of your support system who
can hold these for you during your treatment.
If necessary, De Paul will provide storage of your personal belongings for up to 7 days after you
leave treatment (for any reason). Our facility does not have the space to store your belongings
beyond this time limit. De Paul does not assume responsibility for lost or stolen items. If
someone other than yourself is going to be claiming your belonging, that person(s) must have
written permission signed by you the client.
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Suggestion Boxes are located in all De Paul facilities so you may give us your input and ideas
for improvement.
Telephone: There is no phone use in your first four days of treatment. Cellular phones,
pagers, and other electronic devices are not permitted in treatment. Messages will be taken for
you by the MCs; please see the message list posted on the window of the MC station. You are
also required to be off of the phones at 5 minutes before meetings start.
All calls are to be limited to 10 minutes and will automatically shut off when 10 minutes has
elapsed. Each client is allowed 2 phone calls per day. The MCs monitor the frequency of the
use of the phone and violating this rule can result in a loss of your phone privileges.
There is a cordless telephone at the MC station designated for business uses, such as calling
DHS, your P.O. or attorney. During the transition phase you may request to use the cordless
phone for housing purposes. Business calls are to be made during the hours of 8 AM to 5 PM
No business calls are to be made after 5 PM. Unless it is an emergency and you receive
permission from other staff, you will need to request a business phone pass from the Lead MC
in order to use the cordless phone.
You are also able to use the cordless phone to call your sponsor between the hours of 6 AM
and 9 PM. Please INA the Lead MC for a sponsor phone pass. You will need to have an ROI
filled out for your sponsor, to allow the Lead MC to call and verify/approve your sponsor. To
request sponsor passes after your initial pass, resubmit the previous week’s sponsor pass
stapled to an INA each week by Sunday night for a new one.
Videos: De Paul has videos for viewing during approved TV hours. Clients may not bring
videos from home, rental stores or the library. Commercial videos donated to De Paul must be
approved before they are added to the collection and viewed by clients.
Visits: All visitors must be authorized prior to entering the facility and are subject to search.
Visitation rights and privileges may be revoked at any time if you do not comply with treatment
rules and expectations.
Visitor Information: If you wish to have someone bring you money or items from outside of De
Paul a Release of information must be completed for each visitor. When it is suspected a visitor
is under the influence of either drugs or alcohol, they will be asked to leave the facility. You are
not to visit with people you see on the sidewalks around De Paul and in the Admissions area.
Drop off's must be left at the second floor MC station. MCs will search the items, after which the
items will be available for you to pickup. You are not allowed to visit with the visitors bringing
your items.
When someone comes to drop off money for a client they will give the money to the MC and
sign a receipt that will have the amount of money given, the date, and their signature. They will
then be given a copy of the receipt to take with them. The Mc will also sign the receipt as well as
the client when the client receives the money from the MC and all appropriate parties will have a
copy. Clients may only receive money once every 7 days and no more than $30 at a time.
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To receive money you must have completed a Release of Information (ROI) form for the person
who is delivering the money.
All drop off's are between the hours of 12-1pm and 5-8pm. All drop off's will be coordinated with
the Lead MC's. Lead MC's will also coordinate with clients to make sure clients stay within their
allotted number of clothes.
Child visits with minor children may occur on Sunday afternoons, or other pre-arranged times,
and may be supervised by DHS. While clients are not allowed visitation with other family
members, occasional exceptions may occur. Clients may spend time with other family members
as they participate in the treatment process during Family Group or in individual family
counseling with the Family Therapist.
Work: If you should find employment before you have clean and sober housing, you must
maintain a minimum of 20 hours of treatment activities each week. This will need to be arranged
with your counselor and approved by the treatment team.
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YOUR INDIVIDUALIZED TREATMENT PLAN
Treatment at De Paul offers you the opportunity to learn how to live alcohol- and drug-free in a
safe, supportive environment. Some people stay for two months, others for six months. Because
treatment at De Paul is individualized, there is no “set” amount of time for “completing”
treatment. Recovery from alcohol and drug addiction is a lifelong process, one step at a time.
Think of treatment as an opportunity to learn the basics of lifelong recovery.
To help you focus on your individual recovery, treatment at De Paul is also gender-specific, and
contact between men and women is minimized.
Because people need different kinds of services in different amounts and ways, your Counselor
will work with you to develop Treatment Plans for your individual needs. One person’s treatment
plan will look different from another person’s because each plan is individualized. When you first
arrive at De Paul your Counselor will work with you to come up with Treatment Plans that
include the goals that are important to you.
When your plans are developed, you and your Counselor will both sign them in agreement. A
copy will go into your chart and you will get a copy to keep. You may also work with the Family
Therapist to develop plans for you and your family.
As your treatment continues and your needs change, you and your Counselor will work to
evaluate and update your Treatment Plans. You will discuss your treatment goals and the
activities you will choose to meet these goals. Each time you update your plans, you and your
Counselor will sign them; a copy will go into your chart and you will get a copy to keep.
At the time of admission, you will be given a Recovery Plan to complete and share with your
Counselor. Please complete this Recovery Plan within 5 days of your admission to De Paul.
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MODEL OF TREATMENT
Stages of Change
Precontemplation
Stage I
Action
Stage 3
Contemplation
Preparation
Stage 2
Maintenance
Stage 4
Competencies
Area of Focus
Alcohol
and
Drug
Awareness
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Recovery
Planning
Life Skills
20
Support
Systems
Physical
Health
Mental
Health
ADULT RESIDENTIAL GROUP DESCRIPTIONS
De Paul’s Adult Services are based on clients individual goals. This means you will set the pace
for your progress through treatment as you learn and practice skills or complete treatment plans
one step at a time. As you learn and grow, you will move into new phases in the subject areas
we offer.
Alcohol and Drug Education: Presentations, videos, discussions, activities, and exercises
designed to increase your awareness and knowledge of yourself, alcohol and other drugs, and
related issues. You will also learn about relapse prevention and how you can develop a drugfree lifestyle.
Anger Mindfulness: Learn how to use your DBT and other mindfulness skills to help with
feelings of anger and urges to act out on your anger. You will also gain increased awareness of
your own style and patterns of anger and how they relate to your addiction.
Career Development: Clients examine their personal assets and strengths to determine how
to find their personal passion and self-efficacy as it relates to their career development goals.
Dialectical Behavior Therapy (DBT): The focus of DBT is core mindfulness, a concept you will
hear repeated again and again in all your groups and classes. Basically, being mindful is being
present to the moment. It is focused, intentional awareness of your thoughts, emotions, and
behaviors, non-judgmentally. This class will provide you with concrete skills in each of the core
mindfulness areas and help you to maintain your safety. Between classes, you will practice the
skills and keep a daily record of their effectiveness using your DBT diary card.
Domestic Violence: In this class you will learn about cycles of family violence. You will also
learn about different types of abuse, physical, mental, emotional, verbal, and sexual. This is an
educational class not a process group. The class focus will be: raising your awareness,
recognizing your patterns, and keeping yourself safe.
Dual Diagnosis Class: These groups are an individualized process oriented set of groups.
Emphasis is placed on assisting clients in developing the needed skills in managing their day to
day functioning as it relates to their mental health diagnosis.
Engagement: You will attend this class during your first and second week of treatment. The
Client Handbook is reviewed, rules are discussed, and you have an opportunity to ask questions
about your treatment experience. This is a class you’ll attend during your first few weeks in
treatment. Staff will give you tips on how to organize your notebook and homework, how to
complete your Weekly Group Summary, and how to set priorities and practice time
management.
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Family Counseling Groups: These groups will allow you to learn to communicate with the
important people in your life in healthier ways. They also provide an opportunity for the people
who care about you to learn about what you’re going through and to talk about how it has been
for them.
Health: Learn how to take care of your body: how to get good medical and dental care, how to
stop smoking, and how to sleep and eat well in recovery.
Healthy Relationships: This group focuses on building healthy relationships by exploring
communication skills, conflict resolution, and tools for doing no harm.
Meditation: Every morning you will learn and practice how to quiet your mind, relax your body
and listen to the wisdom within.
Nicotine Cessation: Step by step, staff can help stop your nicotine use. Sugarless candy is
available at the MC desk when others go out on scheduled smoke breaks. Staff will help you
develop skills, breathe easier, and lower your risk of cancer, heart disease, and other serious
illnesses.
Process Groups: Your individual counselor (also referred to as your counselor or PC) meets
with clients on his/her caseload two mornings or afternoons each week. These groups offer a
smaller, perhaps safer, environment for you to talk about your feelings and recovery-related
issues.
Recovery Mindset: This group will help you learn new ways of getting your needs met and
letting go of old behaviors and thought patterns that may have led to your legal problems.
Relapse Prevention: The focus of this class is how to recognize your own relapse cycles,
triggers, and warning signs. You will view videos, have class discussions and do homework to
help yourself escape the cycle of addiction.
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De Paul Treatment Centers has seen a significant increase in pain medication addiction over
the past several years. However, we are seeing more young women who are using opiates
(Heroin). De Paul Treatment Centers decided in 2009, to become medication assisted
treatment facility. The reason for this decision was to assist our clients in detoxing from opiates
and alcohol. Research has shown the use of Bupreenorphine while a client is detoxing from
opiates decrease the severe side effects of the opiate detox. In addition, we are partnering with
CODA who is a licensed Methadone Clinic in the Portland Metro area to provide Methadone to
our women clients who are pregnant. Methadone decreases the symptoms of detoxing off of
opiates and is safer the fetus than Buprenorphine.
De Paul Treatment Centers provides two gender specific programs for women both with a focus
on Trauma Informed Care-Seeking Safety and Connections.
Seeking Safety:
This a present-focused therapy to help people attain safety from
trauma/PTSD and substance use. It has also been used with people who have a trauma history,
but do not meet criteria for PTSD.
In this class you’ll learn such things as: What safety means to you and how to recognize when
you’re not safe, how to identify and manage symptoms related to past trauma, how to ask for
help, and how to practice compassionate self-talk.
Connections: This group helps our clients recognize shame as a universal experience and
embrace authentic living as a foundation for shame resilience. Topics include defining shame,
practicing empathy, exploring triggers and vulnerabilities, practicing critical awareness, reaching
out to others creating, embracing, and inspiring change. Connections engages clients on a
cognitive, behavioral, and interpersonal level.
Self Esteem: This group explores the importance of developing a healthy self view for
increasing self esteem and empowerment.
Co-dependency: This group explores how A&D use effects clients psychologically, physically
and emotionally and how this effects sexual and intimate relationship dynamics.
Specific Cultural Groups: The following groups offer people from different cultural groups an
opportunity to come together and talk about recovery from their varied points of view.
African American Support Group
Transitions: In this class, clients explore the process of transition and how it relates to making
change in their life. Clients learn the step-by-step process of the transition process, skills they
can use, and group discuss for how to negotiate this process.
Yoga: Yoga is a mind body discipline for stretching, strengthening, and focusing. Yoga classes
are taught by Living Yoga volunteers and are a required activity.
Young Men's Process Group: Process based group for 18 through 24 year olds, with an
emphasis on helping the clients identify challenges they face as young men in treatment. This
group focuses on the unique needs of the younger population, such as establishing age
appropriate clean and sober support. Assisting clients in finding healthy independence, and
empowering them in the change process.
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12 Step Study Support: How to utilize 12 step recovery and support. Looking at the 12 step
programs and how it relates to treatment and on-going recovery.
House Council Meeting: This is a group of peer leaders, who have undergone a thorough
process of applying and interviewing for the position, of House Council Member. This group
meets 2 times a week and the emphasis is placed on assisting clients in developing a positive
and therapeutic community through peer leadership.
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YOUR RIGHTS
De Paul believes that a basic responsibility of its programs is to protect and promote
your rights. Each client actively participates in planning his or her services. De Paul’s
client rights policies and procedures comply with federal, state and local laws.
•
When you are admitted, you will be given a Client Handbook (this is it!) that includes a
program description and a copy of your rights and responsibilities.
•
De Paul treatment and prevention services are provided only if you voluntarily consent to
them. At admission, you will sign a written Informed Consent form to receive the services we
provide, as well as a Receipt of Rights form.
•
Any work you do as part of your Treatment Plan or program expectations shall be agreed to
by you in writing. This work must comply with regulations of other agencies that oversee the
program.
•
Service planning and delivery at De Paul is client-centered, developmentally and age
appropriate and as is possible and appropriate, promotes the involvement of the family, as
defined by the client.
•
Our holistic view means we prioritize practices that have been demonstrated to reverse the
downward spiral of individuals and families with serious mental health conditions, substance
use disorders and co-occurring disorders. Specifically, we consider and evaluate the role
that trauma has played in the lives of the people seeking our mental health and addictions
services.
•
While we recognize we cannot meet every need, DP’s services are responsive to the
vulnerabilities of trauma survivors. We are aware mis-diagnosis and coercive treatment can
re-traumatize individuals seeking help and support. Therefore, we encourage individuals to
be involved in determining the services they receive as well as their intensity and duration.
•
Making reasonable modifications in policies, practices, and procedures to avoid
discrimination—unless doing so would fundamentally alter the nature of services.
•
Providing services, such as interpreters, needed to provide nondiscriminatory treatment for
you, at no charge to you.
•
Referring you to another provider if you need treatment outside De Paul’s areas of
specialization and if De Paul would make a similar referral for a client without a disability.
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•
Your rights are posted in conspicuous places in the facility where you may see them. They
are also listed on the next page.
•
You have the right to a safe environment and to assist with this DePaul has 24 hour
surveillance cameras throughout the interior and exterior of the building.
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CLIENT RIGHTS
All clients of De Paul Treatment Centers, Inc. are entitled to the rights listed below
1. Non-discrimination: This agency will not discriminate against you on the basis of your race, creed,
color, national origin, duration of residence, religion, ancestry, gender, disability, sexual orientation,
political affiliation, marital status, ability to pay for treatment or age. Youth under the age of 14 must
have parental consent for treatment. De Paul will comply with the ADA.
2. Respect: You have the right to treatment that is considerate and respectful of your dignity and
individuality, providing freedom from abuse, exploitation, retaliation, humiliation and neglect. You
have the right to religious freedom. Services will be sensitive to gender. Materials will be provided
in alternate format or language as needed.
3. Confidentiality: You have the right to confidential treatment of your records. Except as required by a
medical emergency, no information will be released to or sought from any other agency or significant
other (spouse, parent, etc.), unless you have signed a Release of Information form or are under age
14. Statistical data reported to funding and monitoring agencies shall be processed in a way that
protects your identity.
4. Information about treatment: You have the right to ask for and receive, from appropriate staff
members, information on your diagnosis, individual plan and treatment methods, prospects for
recovery, potential risks and alternative choices for treatment in understandable terms. You have
the right to be informed at the start of services, and periodically thereafter, of the rights guaranteed.
5. Service Denial – You have the right to file a request for a hearing with the Department of Human
Services (DHS) as a result of a denial of service or an adverse finding against a complainant.
6. Participation in treatment planning: You have the right to choose from available services and
supports, those that are consistent with your Individual Services and Supports Plan (ISSP) and that
those services are provided in the most integrated setting in the community and under conditions that
are least restrictive to your liberty, to you as an individual and which provide for the greatest degree
of independence. You have the right to participate in the development of your written ISSP, receive
services consistent with the plan and to participate in periodic review and reassessment of service
and support needs and to receive a copy of the written ISSP. You have the right to invite someone of
your choosing to participate in treatment planning.
7. Refusal of treatment: You have the right to give informed consent in writing prior to the start of
services, except in a medical emergency or as otherwise permitted by law. Minor children may give
informed consent to services I the following circumstances: (A) under age 18 and lawfully married,
(B) age 16 or older and legally emancipated by the court, or (C) age 14 or older for outpatient
services only. For purposes of informed consent, outpatient service does not include service
provided in residential programs or in a day or partial hospitalization program. You have the right to
terminate services at any time. You also have the right to refuse treatment and to be informed of the
consequences of your refusal. However, if your refusal prevents
De Paul staff from giving
appropriate, ethical care, De Paul Treatment Centers may terminate your services
8. Termination of treatment: You have the right to receive prior notice of service conclusion or
transfer, unless the circumstances necessitating service conclusion or transfer pose a threat to health
and safety.
9. Appropriate care: You have the right: a) to receive adequate and appropriate treatment and care
(for residential clients, this includes food, housing, and personal services); b) to be fully informed and
give consent to your treatment and ISSP; c) to a declaration of mental health treatment, if applicable,
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and d) to receive, if medication management becomes part of your plan, medication specific to your
diagnosed clinical need and to be fully informed of the risks and benefits of the medication.
10. Exercise of rights: Your civil and human rights are the same as if you were not in treatment. You
have the same right to vote that you would have if you were not in treatment. You have the same
rights and privileges to legal representation as you would when not in treatment. Information
regarding these services, as well as referrals to self-help groups or advocacy groups will be provided
by agency staff when requested. You have the right to exercise these rights without any form of
reprisal or punishment.
11. Explanation of fees: You have the right to receive an explanation of your fees and any bill you may
receive. Except for any co-insurance, co-payment and deductibles, De Paul will not seek payment
for any services covered by Medicaid fee-for-service or through contracted managed care plans. All
agreements about fees will be in writing and placed in your clinical record.
12. No restraint, seclusion or abuse: Physical and chemical restraints, or seclusion in a locked room,
are prohibited. Physical punishment and mental, sexual, and physical abuse are prohibited. Clients
are not permitted to discipline other clients. Sexual contact between clients and agency personnel is
prohibited. You have the right to not participate in experimentation.
14. No services by clients: You may not be required to perform services for De Paul that are not
included for therapeutic purposes in the program or in the individual plan.
15. Information about services: You have the right to information about De Paul rules and regulations
affecting client care and conduct.
16. Complaints: You have the right to formally or informally express concerns and complaints. You
have a right to information regarding the grievance process and to have documentation regarding
grievances placed in your clinical record. If your health is at risk, the handling of your complaint will
be moved to the highest priority level for quick resolution.
17. Privacy and private communications: You have a right to privacy in caring for your personal needs
and to private communications with others consistent with program resources and program rules.
You have access to and can communicate privately with any rights protection program or rights
advocate.
18. Access to records: You (or your legal guardian) have the right to review your records within five
days of your written request to do so.
When consistent with individual plan and written program rules, Residential Treatment Clients
also are entitled to:
19. Visitors: You have the right to receive visits from family members, friends, advocates, legal and
medical professionals in coordination with staff and consistent with written program rules.
20. Personal property: You have the right to keep such personal property as is consistent with
treatment plans and written program rules.
21. Community activities: You have the right to spiritual practice as personally preferred. You have the
right to access community resources such as guardians and conservators, self-help groups and
advocacy services.
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CLIENT RESPONSIBILITIES
The following information will help you to understand what is expected while you are in
treatment here at De Paul.
A big part of recovery is the willingness to look at our behaviors and ourselves. Learning to
follow rules, making good choices, understanding and accepting consequences are all skills that
will serve recovery.
While you are here, please observe De Paul’s therapeutic guidelines. They are primarily about
respect toward yourself and others, and will help you and our staff to create a community where
it is safe to change.
Health and Safety Guidelines
Alcohol/other drug use: For the safety of the De Paul community, no one is allowed to be
inside De Paul Treatment Centers’ facilities while under the influence of alcohol or other moodaltering drugs. We understand a relapse can occur when people are in recovery from
substance dependence. If a client relapses while in treatment at DePaul, staff will work
individually with them to give the support needed to learn and practice recovery and life skills
while accepting the natural consequences for his or her behavior.
Cleanliness: We request you be clean and use good hygiene while attending treatment at De
Paul. Clients are expected to shower daily and wash clothes and bedding weekly. In addition,
clients are expected to make their beds and straighten their room everyday before going to
class.
Contraband: Do not bring any contraband items into the treatment facility. Items that are
considered contraband will be confiscated. These items include, but are not limited to:
•
Weapons, knives, needles
•
Any unsealed, opened containers of vitamins; food products of any kind
•
Candles, incense, fireworks
•
Glue or liquid bleach; laundry detergent with bleach
•
Extension cords, TVs, cell phones, pagers, any tools, computers, and hand held video
games
•
Books or magazines or personal photographs with pornographic, drug/alcohol, or
violent themes
•
Any item(s) meant for oral use containing alcohol as the primary ingredient (such as
mouthwash, cough syrup, cold medication)
•
Any item(s) gang-related, alcohol or other drug-related, racist, sexist, homophobic or
satanic, or that could be construed as violent.
•
Electronics, e.g., boom boxes, computer/iPod speakers, docking stations, and
speakers in general
•
Adult battery operated novelty items
•
IPods with video and internet service capability
•
No cigars or clove cigarettes are allowed in treatment.
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Some items, such as clippers/scissors and haircutting items may be kept in the client’s
medication box at the MC station. Only non-acetone nail polish remover is allowed in this
facility. Random room searches will be conducted and contraband items confiscated. Clients
found in possession of contraband items will face appropriate therapeutic action, which may
include discharge from treatment.
Food: Do not share your food with anyone else. Do not give your food to others and do not
accept anyone else’s food. Do not take food into your room, whether from the dining room or
outside the building. No leftovers from any meal are to be removed from the dining area or
placed in the refrigerator. Do not save packets of creamer or sugar in your room. No coffee
or juice is allowed in your room at any time. For late meals, you may sometimes have to eat in
Room 211 for the women and the break room for the men.
Music/noise: Clock radios are to be kept at a low volume. If your radio can be heard in the
hallway, it is too loud. Clock radios are to be turned off when you are not in the room and
must be off at designated “quiet time”. If your clock radio is found to be too loud it will be
confiscated from you for a minimum of two weeks. Additional incidents can bring about 30
days. Please be mindful of your own voice volume and keep it low!
Running: Do not to run in the building. This includes the hallways and stairways!
Sleep: It is important for you to stay awake during the day, to help you establish a normal
nighttime sleep pattern. There is no napping during the day unless you are approved for bedrest or have permission for pregnancy rest time. This is to help you regulate your sleeping
patterns. If you have trouble sleeping at night, please talk to your Counselor and they may
refer you to the Nurse Practitioner. Quiet time Sunday through Thursday is from 10:00PM to
10:30PM and lights out at 10:30PM. Quiet time on Friday and Saturday is from 11:00PM to
11:30PM with lights out at 11:30PM.
Snacks: Are provided and are to be eaten in the second floor dining area or third floor break
room. You are not permitted to bring snacks back to your room. If snacks and other food
products are found in your room, this will be considered a treatment issue to be addressed
with your counselor.
Tattooing, piercing or removal, giving blood are not permitted while in treatment. DO NOT
share razors, toothbrushes, tweezers or other items that could become contaminated with
blood. This rule is for the safety and well being of our clients.
Trauma: Suicide threats or attempts will always be taken seriously. If there is a suicide threat
or attempt, staff will provide direct care or permit the release of information to appropriate
persons in order to secure help for the client and/or protect other individuals. To promote client
safety, all clients presenting with a history of self-harm, suicidal ideation and/or suicide attempts
will work with their counselor to develop a crisis plan.
Tobacco: Tobacco use is addressed in all groups as a basic part of our treatment program.
Our counseling staff can provide you with information about quitting. Smoking is allowed only
during scheduled tobacco breaks. During tobacco breaks, you are to walk the designated
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route without stopping and are allowed to smoke only one cigarette per smoke break.
While on an authorized tobacco break, you are not allowed to speak to anyone who is not
currently in residential treatment. This means family members, support persons, or former
DePaul clients. Do not litter; use the receptacles to dispose of your cigarettes. Please smoke
away from the doorways.
Chewing Tobacco is not allowed in treatment and will be considered contraband.
Dissolvable tobacco and Nicorette gum is not allowed in treatment and will be
considered contraband.
Touching: Touching is not allowed in treatment. this includes horse play, hugging, etc.
Handshaking is appropriate.
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General Community Guidelines
House Council (HC): House Council members are all clients who are nominated and selected
by the clinical team, after applying and interviewing for the responsibility. Responsibilities of
House Council members include: Greeting new residents and helping them get adjusted,
staying aware of community concerns and reporting them to staff, being available to help peers,
and returning soft drink cans.
Chores: Staff will assign you a chore each week. Please do your house job well, and do it on
time. You may be excused from performing a particular chore only with written medical
permission or instruction. This information must then be forwarded to the House Council.
Building Restrictions: Remain in authorized areas of the building. Male clients are restricted
from entering Women’s areas except for the Dining Room, and only at scheduled times.
Female clients are restricted from entering the Men’s areas. Male clients empty trash following
meals and must walk down the hall in the Women’s area. They are to be accompanied by a MC
who will announce "loudly" “Man on the floor”. The door between the foyer and the Dining
Room must remain closed at all times except when men are using it or are in the Dining Room.
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Windows: An occasional glance out the window is expected. Sitting by the window and
staring down, however, is not appropriate nor is it helpful to your treatment experience.
This applies to windows in the Serenity Room, Computer Room, Break Room, Lounge,
Dining Room, or your own room.
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Lobby: The only time you are to be in this area is when you are using the phone or
signing in or out of the building. For all other reasons, such as waiting for the phone,
waiting for medications, or waiting for a MC, you are to wait in the designated areas, if
you are unsure of where to wait ask a MC.
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Please do not tape, tack, or nail anything to the walls of your room. The bulletin
board is provided for your use.
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Please do not place your feet on the furniture.
Borrowing and Lending: Do not borrow, lend, or give money or possessions to your peers.
Please give the MCs your clean clothes donation; do not leave it in the hallway outside the
Clothes Closet.
phones: Phones may be used between 6:30 AM and 10 PM Phone call will be limited to 10
minutes with an automatic shut off occurring. Do not use the phone during your scheduled
treatment activities. After your initial blackout period you may make phone calls, however, you
MUST ask the MCs for permission to use the phone. It is important to tell the MC's when your
call does not go through or you leave a message, as this will not count as one of your calls if
you notify staff at the time. Each client is allowed two phone calls per day.Cordless phone: A
cordless phone is available from the MC station. This is to be used for business phone calls
(such as medical, dental, mental health, legal, court, housing, employment, etc.). Please submit
an INA to the Lead MC for approval. Clients may be able to call their sponsor using the cordless
phone, once the sponsor has been approved by the Lead MC.
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Computer Use: Computers are available for your use. However, follow the instructions in the
computer area. If you have problems with a computer, do not attempt to take care of this
yourself. Contact a House Council member who will know the appropriate staff to contact. Do
not play games on the computers. Please do not save your documents on the hard drive,
instead please ask the MCfor a disc for this purpose.
Library: Use of the library is on an honor system. Please sign out all books you borrow and
return them within two (2) weeks.
Newspapers: Newspapers will be provided for your use in the Lounge or Break Room. Do not
take the newspaper to your room. Please leave the papers in a neat stack, and when no longer
being used, dispose of papers in the receptacle provided for recycling.
TV: Movies are permitted during certain times when treatment activities are not taking place.
The viewing hours are:
Men's Floor
Friday night:
4:30 to 11:00 PM
Saturday night:
4:30 to 11:00 PM
Women's Floor
Friday night
5:15 to 11:00 PM
Saturday night:
5:15 to 11:00 PM
TV viewing is prohibited at all other times unless specifically authorized by staff.
Accommodations will be made on holidays for additional TV viewing. If treatment videos are
approved for client use during non-scheduled treatment times, these will be kept at the MC
station and checked out one at a time. Clients can watch the evening news from 5:30 PM to
6:30 PM for the women’s floor, and 5:30PM to 7:00 PM for the men’s floor.
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Mutual Respect Guidelines
General Expectations:
Appropriate Language: Positive relationships in treatment depend on the trust level
established between you and your peers. Keeping this goal in mind, language that is racist,
sexist, homophobic or sexually provocative is prohibited, and the use of language designed to
glamorize use of alcohol, other drugs or criminal behavior is discouraged. Abusive and/or
insulting language or behavior is prohibited, whether toward staff or your peers. The use of
swear words is not allowed. Music containing inappropriate and disrespectful language is
prohibited. In addition, teasing, banter or horse play with another client is considered
potentially harmful, and is therefore strongly discouraged.
Appropriate Dress: You are expected to dress appropriately at all times while in treatment at
De Paul. Treatment staff has the right to inform you of what may or may not be appropriate
dress.
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Shoes and shirts are required.
Clothes, including hats, bearing pictures or appearing to promote alcohol, drugs, smoking
or tobacco products, sex, gang affiliation, racist beliefs, hostile attitudes, weapons or
violence are not to be worn or stored in the facility.
Pants or shorts that are sagging, showing underwear and/or belly button, are not allowed
to be worn in the facility.
Shorts are permitted. No "Short Shorts" or tight shorts are allowed. All shorts must not
be more than 4 inches from the knee.
Underwear is required.
Lycra or spandex clothing, leggings, or tights may be worn only with sweaters or tops,
which reach to mid-thigh or longer.
Tank tops may be worn if the straps are at least 2 inches thick, no gaping
armholes, and no revealing tanks. If a staff member asks you to change then you
must do so.
No bedclothes (pajamas, robes, slippers) are to be worn anywhere but the back
residence halls.
Do not leave your room, even to go to the bathroom, unless you are fully dressed (a
bathrobe is acceptable). Do not be nude or dress or undress in front of your roommate or
other peers or in front of windows.
Clients must wear shoes with heels less than two inches.
Gang Colors are not allowed, this means no bandanas, and no 'over matching '. If your
dress is perceived by staff as being gang influenced you will be asked to change.
Shower shoes are to be worn ONLY for showering.
Expectations for behavior toward all other De Paul clients:
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Be kind. Do not verbally abuse or nonverbally threaten your peers. Such behavior can
result in termination from treatment. Do not tease, banter, or mock your peers in a joking
way. Do not participate in horse play or bulling with other peers.
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Attempt to resolve conflicts directly with a peer, or ask your counselor or your process
group for assistance.
Relationships, including sexual, between De Paul clients are not allowed and can result
in discharge. This restriction includes the exchange of notes, mail or phone calls.
Any language or behavior toward staff members or your peers, which is sexual in nature,
i.e. sexualized comments, obscene gestures, is prohibited.
Respect the privacy of your peers. You are not allowed in someone else’s room. Do not
give YOUR room key to any of your peers. Your room is to be unlocked when you are in
it and locked when you are not in it. Do not leave your room key in the lock of your door
at anytime.
Theft or vandalism at De Paul Treatment Centers is prohibited.
Laundry is to be put into and taken out of machines in a timely manner. Ironing can be
done only in the laundry room.
Music in your room needs to be soft enough so as not to be heard outside your room.
Headphones may be used in your room or when exercising in Group Room 1 or Room
211.
Quiet Hours are between 10 PM and 6:30 AM. Please honor this time in consideration of
your peers. No radios, loud noise, or visiting other client’s rooms during these hours.
On Friday and Saturday nights, quiet hours are the same; however, movies may be
viewed until 11:00 PM. 10:30 PM is Lights Out on weeknights. This means all client
lights are to be off at that time, and clients are to be in bed. On Friday and Saturday
nights, Lights Out is at 11:30 PM.
Expectations for behavior toward staff:
(This
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includes MCs, Administrative staff, Kitchen and Maintenance staff and Counselors)
Be honest and respectful.
Follow staff direction.
Keep all scheduled appointments with staff, such as Counselor, Chiropractor, Nurse or
Psychiatric Nurse Practitioner, Dietician, Admissions Specialist, and Kitchen staff. In
addition to appointment slips, client appointments are written on the board at the MC
Station daily.
Do not engage in intimidating behavior, whether verbal or non-verbal.
If you have a conflict with a staff person, bring it to that person and/or to your counselor
to help resolve the issue. You may also speak with the Program Supervisor, and or the
MC Supervisor. If this does not work, then follow the Grievance Procedure outline in this
handbook.
Expectations for Engaging in Treatment:
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Be on time for all scheduled activities. Use the restroom and fill your water bottle prior to
group.
Come to groups prepared and ready to participate. Bring your binder, pencil and paper,
eyeglasses, if necessary, and your weekly attendance log to each scheduled activity.
Do not leave groups before they end. Be sure to take care of all personal needs before
or between classes.
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As part of your program, you can expect to receive some reading and/or writing
assignments. All homework assignments MUST be completed.
Expectations when at outside support meetings:
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De Paul has in-house AA, NA, and CA meetings. Maintaining appropriate behaviors and
following accepted rules of meetings are expected. Arrive on time for in-house meetings.
Do not leave during the meeting. Do not eat anything during the meeting. Get needed
medications and use the restroom before the meeting starts.
No family members, friends, or significant others are allowed to attend in-house support
meetings while you are in treatment.
Your counselor will work with you to determine when it is safe for you to attend outside
meetings with your sponsor or mentor.
Expectations when away from De Paul:
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You must have an approved Therapeutic Pass to leave the facility except for staff
accompanied walks. The treatment team must approve all Therapeutic Passes, which
must be requested on Monday morning (except in the case of an emergency).
Completed passes for all appointments (such as medical, dental, housing, educational,
and legal) and for Therapeutic Personal Pass must be turned in Sunday evening by 7pm.
Passes need to be made out for Tuesday through to the following Monday. Same day
passes will not be accepted.
Schedule appointments during non-treatment activities unless it is an emergency. Be
sure to include all destinations and the names of people who will be with you on your
pass. If you go someplace not approved for your pass, this will be considered a
deviation from your agreed-upon pass and will result in loss of privileges. Stopping
in stores, coffee shops, etc. unless they are listed on your pass is considered a
deviation. If you need to change your plans for any reason, or if you will be late returning,
please call the De Paul MC station 503-535-1171.
Always sign out and in, and list your destination.
When you return from a pass, stop by the MC station so they can mark on your pass that
you have returned. They must also search anything you have brought with you (such as
bags or boxes) and may ask to search your pockets or purse.
The route of your walk or run is pre-arranged. You may not wear head phones on the
walk or run. Ask your Counselor, Case Manager, or Lead MC if you are interested in
participating.
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Communication Guidelines
These guidelines for healthy communication are to be followed by clients in De Paul Treatment
Centers, Inc. Communication promoting romantic or sexual relationships (fraternizing) is not
allowed. Necessary communication must be courteous.
Respectful Language
• Use common courtesy phrases such as
o “Please” and “Thank You.”
o “Excuse me.”
o “Good morning.”
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Be assertive as needed. Be specific in what you’re saying and look directly into the
person’s face. For example:
o “It’s my turn in line.”
o “I have been waiting to use the phone.”
o “I’m not interested in receiving that note.”
o “My program is important to me.”
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Speak clearly. Do not mutter under your breath.
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Do not use disrespectful or vulgar language. (No profanity).
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Do not use slang (such as referring to any client as “baby”.)
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Do not make sexual comments.
Eye Contact
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Limit eye contact to face, rather than scanning the other person’s body with your eyes.
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Do not stare.
Physical Space
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Maintain a respectful distance from the other person (at least 3 feet).
Nonverbal Communication
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Facial expressions, body stance, and hand gestures are to be respectful.
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Sexual gestures will not be tolerated.
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Group Guidelines
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Arrive on time. If you are late, briefly apologize.
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Speak considerately, listen, give each person time to speak without interruption.
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Be respectful. No cross-talk.
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Do not monopolize.
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Speak in “I” statements; take ownership.
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Be honest; take risks; participate.
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Stay on the issues at hand.
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Give constructive, caring feedback and accept feedback from others.
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Call time-out if needed.
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There is no place in group for arguing, threats, or violence.
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Racial or sexual slurs are not acceptable.
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NO eating, drinking, or chewing gum during groups. You are allowed to have water in
clear water bottles in group.
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Leave group only with permission.
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Do not break confidentiality of other clients.
business.
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Remember, what’s said in process group, stays in process group.
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Who is in treatment is no one else’s
CONSEQUENCES – ADULT RESIDENTIAL PROGRAM
Consequences in response to rule violations are designed to protect the community as a whole
and, when possible, to initiate constructive changes in individual treatment plans.
Consequences for violating some of the rules of the treatment community are outlined in a
handout separate from this handbook, therefore not all rules and consequences are covered.
You are responsible for reading this handbook and following the rules. If consequences result in
the loss of privileges, you and your Counselor will work together towards a return of any lost
privileges.
Violation of the following rules will result in immediate discharge.
• Use of alcohol or other drugs in the building.
• Hiding, possessing, or distributing alcohol or other drugs in the building.
• Sexual contact in the building.
• Physical violence toward peers or staff.
• Smoking or burning anything in the building.
• Bringing a weapon into the building.
• Making racial, ethnic, sexist, or homophobic remarks.
Violation of the following rules may result in immediate discharge.
• Threatening behavior or verbal or nonverbal threats of violence.
• Unauthorized absence from treatment.
• Repeated violations of expected behavior.
• Non-participation in an emergency drill.
• Violating another client’s confidentiality.
• Nonpayment of treatment fees, which were arranged at admission.
• Deviation from personal passes.
• Making derogatory remarks.
Other consequences may include:
• Personal Refocus including a writing assignment.
• Writing assignment (i. e., Change Plan Worksheet, Thinking Error, Behaviorial Chain
Analysis, and Decision Balance Sheet , etc.)
• Restriction of outside passes for a period of days.
• Behavioral Conference with staff.
• Behavioral Contract.
• Discharge.
• Conference with referent (e.g., Probation Officer, DHS) Counselor and client.
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GRIEVANCE PROCESS NOTICE
De Paul Treatment Centers is committed to providing quality services designed to meet clients’
needs and to respect clients’ rights. You may submit a grievance regarding any aspect of your
treatment and any staff member can accept your grievance. We encourage you to first ask your
Counselor to help you resolve the problem. In any case, there will be no retaliation or
restriction on your treatment as a consequence of your having written a grievance.
While not a requirement, grievances are requested in writing in order to protect your rights. The
written grievance must include a statement of the problem, date(s) of occurrence, a list of
persons involved and any other pertinent details that will clarify your grievance. You may suggest
potential resolutions.
Timeframe: The resolution will be pursued in a timely manner, with a goal of resolving the matter
within three (3) business days. If this does not occur, you will be updated on progress every
three business days. In circumstances where the matter of the grievance is likely to cause harm
to you before the grievance procedures are completed, you may request an expedited review.
The program representative must review and respond in writing to the grievance within 48 hours
of receipt of the grievance. The written response must include information about the appeal
process. The investigation of any grievance will be completed within 30 calendar days.
If at any time you are not satisfied with the efforts toward resolving your grievance or with the
results, you may appeal your grievance to the Director of Professional Services. We ask that you
include a written description of your dissatisfaction with previous efforts to resolve the grievance.
You have the right to appeal entry, service conclusion and grievance decisions as follows:
a) If you are not satisfied with the decision, you may file an appeal in writing within ten
working days of the date of De Paul's response to the grievance or notification of denial for
services as applicable. The appeal must be submitted to the CMHP Director in the county
where the provider is located or to the Division as applicable;
b) If requested, program staff must be available to assist the individual;
c) The CMHP Director or Division, must provide a written response within ten working days of
the receipt of the appeal; and
d) If you or your guardian, if applicable, are not satisfied with the appeal decision, a second
appeal may be filed in writing within ten working days of the date of the written response to
the AMH Assistant Director.
You also have the option of contacting any of the following
1. Tom Shrewsbury 503-945-5760
Oregon Health Authority, AMH Division 500 Summer St. NE, E-86, Salem, OR 97301-1118
2. De Paul: Terry Forrest, Dir. of Professional Services: 503-535-1174 P.O. Box 3007,
Portland, OR 97208
3. Holly Ivey, Licensing Coordinator; Treatment Services and Licensing Unit, Children, Adults,
and Families (503) 945-6660
4. Applicable managed care organization (ask at the front desk for the number of your MCO)
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DESCRIPTION OF FEES
Oregon law requires De Paul to charge fees for services provided, and to base our fee schedule
on the cost of our services, adjusted according to your ability to pay. Each year we determine
the cost of our services and adjust our fee schedules, which are developed according to federal
and state laws. The Executive Director may, at his or her discretion set a maximum charge for a
service that is less than that shown in the fee schedule.
Payments from third party payers, such as government agencies or insurance companies,
generally do not cover the full fee for the services provided. In this case we are required to
charge you, or the person responsible for the cost of your care:
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The balance of the fees charged but not paid, or
A fee adjusted according to your ability to pay, whichever is less.
You, or the person responsible for the cost of your care, have the right to refuse to give financial
information to De Paul. If you refuse to give information, however, we must charge you the
maximum allowable fees. For Residential treatment services, the maximum fee is the cost of
our services, minus the payment from the third party payer. For Outpatient treatment services,
the maximum fee is established yearly.
Our Business Office staff will meet with you and explain our fee policy. Using the financial
information you provide, our Business Office staff will assess your fees based on your income.
You may pay your fees directly to the Business Office, or to program staff.
You, or the person responsible for the cost of your care, may ask our Business Office to waive
some or all of your assessed fees. This decision will be based on clinical considerations
recommended by staff. The Director or his/her designee will approve or deny the request.
If you are a Residential client, and you have no income, no fee will be assessed. Food stamps
are not considered part of your income, though we may collect them on your behalf during your
stay here. As your treatment progresses and you are able to seek employment, or if your
financial status changes, your fees will be re-assessed.
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Transitioning to Outpatient
Treatment at De Paul is individualized. There is no set or pre-determined amount of time for
transitioning from residential to outpatient. Treatment for and recovery from alcohol and drug
addiction is a lifelong process, one step at a time. Think of residential treatment as an
opportunity to learn the basics of lifelong recovery.
Although clients occasionally leave De Paul before transitioning to outpatient, for various
reasons such as serious illness, most clients complete residential treatment and graduate from
outpatient. The timing of your transition to outpatient will depend upon your reaching the
treatment goals you will set, and upon your achieving and maintaining abstinence for a specified
length of time.
Planning for your transition to outpatient actually begins soon after your admission. If you are to
maintain your sobriety, you will need to have a plan based on your strengths, needs, abilities
and preferences. Within a few days of beginning treatment, your Counselor will meet with you
to begin development of your Recovery Plan, which will help you to develop goals and to guide
your own treatment.
When you transition to 301 treatment curriculum you will attend one outpatient class each week.
This class is called Continuing Care. When you discharge from residential treatment you will be
assigned an outpatient counselor. The amount of time until your graduation from outpatient and
the completion of your treatment episode, will be decided by you and your outpatient counselor.
Recovery from chemical dependency is an ongoing, conscious process requiring continuing
attention. It is not a condition reached at the end of treatment. The quality of your sobriety will
depend on your willingness to make sincere efforts in many areas. And with a solid recovery,
you will regain the freedom to make choices and rediscover peace of mind – or discover it for
the first time.
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ORIENTATION CHECKLIST
Please be sure you understand the following information presented in this handbook, which you
signed upon admission to the De Paul Residential program. If you have any questions, please
be sure to see your Counselor.
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I have a basic knowledge of what treatment at DePaul means.
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I understand De Paul’s Medical Emergency Information and the Facility Emergency
Information.
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I understand the confidentiality rules.
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I understand my person, my belongings, and my room is subject to search and I will
be subject to random urinalysis tests (UAs). I understand the consequences for
refusal to cooperate.
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I understand De Paul is not liable for lost or stolen items.
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I understand the visitation rules.
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I will be assigned a Big Sister/Brother and I understand the details of this relationship.
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I understand how to access medical care provided by the Nurse Practitioner.
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I understand the importance of taking my medications as prescribed.
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I understand I will be involved in planning my treatment.
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I understand my rights as a client and De Paul’s Grievance Procedure.
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I understand the guidelines of DePaul Treatment Centers, Inc.
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I understand the expectations around my personal hygiene.
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I understand the boundaries of staff and other clients relating to interacting, touch,
violence, anger, threats of injury and personal space.
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I understand the system of consequences and privileges utilized by DePaul Treatment
Centers, Inc.
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I understand the criteria for discharge from the program, including premature
discharge.
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Client Signature
Date
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Print Name
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