Care Policy Adult Residential Treatment Center Policies and Procedures Owner’s Manual

Care Policy Adult Residential Treatment Center Policies and Procedures

Product Information

Policy and Procedure Manual

Specifications:

• Version : 1.0 [Month, Year]
• Document Classification: Confidential_ [AGENCY NAME]

Introduction :

• Welcome to the Policy and Procedure Manual of [AGENCY NAME], an Adult Residential Treatment Center located at [Agency Address]. Our facility is dedicated to providing high-quality care and support to individuals who are struggling with addiction. Our mission is to help our clients achieve sobriety and maintain their recovery through a combination of evidence-based practices and personalized treatment plans.
• This manual has been designed to provide guidance and information on the policies and procedures that govern our operations. We are committed to ensuring the safety and well-being of our clients, staff, and visitors, and this manual serves as a comprehensive resource for achieving that goal.
• Our policies and procedures are based on the regulations and guidelines set forth by the State of Virginia and the American Society of Addiction Medicine (ASAM). As such, we strive to comply with all relevant state and federal laws, as well as ethical principles and best practices in addiction treatment.
• We believe that a collaborative approach to care is essential, and we work closely with our clients, their families, and other healthcare providers to ensure that everyone is informed and involved in the treatment process. We also recognize the importance of continuous quality improvement, and we regularly review and update our policies and procedures to reflect the latest research and industry standards.
• Thank you for choosing [AGENCY NAME] as your partner in recovery. We are committed to providing the highest level of care and support to help you achieve lasting sobriety.

Vision and Mission:

• Vision: Our vision at [AGENCY NAME] is to create a world where individuals struggling with addiction can lead healthy, fulfilling lives, free from the devastating effects of substance abuse.
• Mission: [AGENCY NAME] is dedicated to providing high-quality care and support to individuals who are struggling with addiction. Our mission is to help our clients achieve sobriety and maintain their recovery through a combination of evidence-based practices and personalized treatment plans.

Values:

1. Compassion: We believe in treating all individuals with kindness, empathy, and respect, and providing them with the support they need to succeed in their recovery.
2. Integrity: We uphold the highest standards of honesty and ethical behavior in all our interactions with clients, staff, and the community.
3. Excellence: We strive for excellence in all aspects of our operations, including client care, program development, and staff training.
4. Collaboration: We recognize the importance of working together as a team to provide the best possible care to our clients.
5. Accountability: We take responsibility for our actions and decisions, and are committed to continuous improvement and learning.
6. Empowerment: We believe in empowering our clients to take an active role in their own recovery, and providing them with the tools and resources they need to achieve their goals.

Frequently Asked Questions:

1. Question: How can I access the Policy and Procedure Manual?
   Answer: The Policy and Procedure Manual can be accessed by contacting our facility directly. Our staff will provide you with the necessary information and support to access the manual.

2. Question: Are the policies and procedures in the manual regularly updated?
   Answer: Yes, we regularly review and update our policies an procedures to reflect the latest research and industry standards. This ensures that we are providing the best possible care to our clients.

3. Question: How can I get involved in the treatment process?
   Answer: We believe in a collaborative approach to care, and we encourage our clients, their families, and other healthcare providers to be actively involved in the treatment process. You can discuss your involvement with our staff and they will provide you with the necessary information and support.

Adult Residential Facility

• Version 1.0
• [Month, Year]

Copyright [Year] © [Agency Name] Disclaimer: All rights reserved. No part of this publication may be utilized, reproduced, stored in a retrieval system, or transmitted in any form by any means, electronic, mechanical, recording or otherwise, without the prior written consent of the publisher.

• [Agency Name]
• [Agency Address]
• [Contact Number]
• [Email Address]
• [Website]

Introduction

• Welcome to the Policy and Procedure Manual of [AGENCY NAME], an Adult Residential Treatment Center located at [Agency Address]. Our facility is dedicated to providing high quality care and support to individuals who are struggling with addiction. Our mission is to help our clients achieve sobriety and maintain their recovery through a combination of evidence-based practices and personalized treatment plans.
• This manual has been designed to provide guidance and information on the policies and procedures that govern our operations. We are committed to ensuring the safety and well being of our clients, staff, and visitors, and this manual serves as a comprehensive resource for achieving that goal.
• Our policies and procedures are based on the regulations and guidelines set forth by the State of Virginia and the American Society of Addiction Medicine (ASAM). As such, we strive to comply with all relevant state and federal laws, as well as ethical principles and best practices in addiction treatment.
• We believe that a collaborative approach to care is essential, and we work closely with our clients, their families, and other healthcare providers to ensure that everyone is informed and involved in the treatment process. We also recognize the importance of continuous quality improvement, and we regularly review and update our policies and procedures to reflect the latest research and industry standards.
• Thank you for choosing [AGENCY NAME] as your partner in recovery. We are committed to providing the highest level of care and support to help you achieve lasting sobriety.

Vision and Mission

• Vision:
  Our vision at [AGENCY NAME] is to create a world where individuals struggling with addiction can lead healthy, fulfilling lives, free from the devastating effects of substance abuse.

• Mission:
  At [AGENCY NAME], our mission is to improve the lives of individuals by providing structured, supportive residential programs for addiction. We are committed to organizing daily living tasks and providing comprehensive recovery services to help individuals achieve lasting sobriety and reach their full potential. We strive to create a safe and nurturing environment where individuals can heal and grow, and to empower our clients with the skills and tools they need to successfully navigate their recovery journey.

Values
The values of [AGENCY NAME] are:

1. Compassion : We believe in treating all individuals with kindness, empathy, and respect, and providing them with the support they need to succeed in their recovery.
2. Integrity : We uphold the highest standards of honesty and ethical behavior in all our interactions with clients, staff, and the community.3. Excellence: We strive for excellence in all aspects of our operations, including client care, program development, and staff training.
3. Collaboration : We recognize the importance of working together as a team to provide the best possible care to our clients.
4. Accountability : We take responsibility for our actions and decisions, and are committed to continuous improvement and learning.
5. Empowerment : We believe in empowering our clients to take an active role in their own recovery, and providing them with the tools and resources they need to achieve their goals.

Document Control

Document Revisions shall be recorded in the table below;

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Description of Amendment

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Approved By

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Date

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Document review and approvals shall be recorded in the table below;

Description

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Title

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Signature

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Date

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Prepared By

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Reviewed By

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Approved By

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Note: All policies and procedures shall be reviewed at least annually, with recommended changes submitted to the governing body for approval, as necessary.

Covered Services and Limitations

Introduction:

[AGENCY NAME] is an Adult Residential Treatment Center that provides residential programs for addiction treatment. Our goal is to provide comprehensive, evidence-based treatment to individuals struggling with addiction, in compliance with the state regulations and American Society of Addiction Medicine (ASAM) policies. This document outlines our policy and procedures for delivering covered services and limitations in our center.
Covered Services:

1. Assessment: Every patient will undergo a comprehensive assessment by a qualified professional, which includes medical, psychiatric, and substance use evaluations. The assessment will determine the level of care required, including the need for medical detoxification, residential treatment, or outpatient treatment.
2. Medical Services : Our center will provide 24/7 access to medical staff who will monitor and manage the patient’s medical needs. Medical services include medication management, medical evaluation, and treatment of co-occurring medical conditions.
3. Behavioral Health Services: Our center will provide evidence-based behavioral health services, including individual and group therapy, cognitive-behavioral therapy (CBT), and motivational interviewing (MI).
4. Peer Support : Peer support will be provided to all patients to help build a supportive community that encourages and supports recovery.
5. Family Support: Family support services will be offered to educate families about addiction, provide support, and develop coping strategies.
6. Aftercare : Our center will provide aftercare services to patients who have completed their treatment. Aftercare services may include counseling, relapse prevention, and ongoing support.

Limitations:

1. Length of Stay: The length of stay for patients will be determined based on their individual needs, treatment plan, and insurance coverage.
2. Discharge : Discharge from our center will occur when the patient has completed their treatment plan, met their treatment goals, or when the treatment is no longer medically necessary.
3. Treatment Refusal : Our center reserves the right to refuse treatment to patients who do not meet our admission criteria or whose medical or psychiatric conditions require care  beyond our scope of services.
4. Non-Medical Services: Our center will not provide non-medical services, such as legal or financial advice.

[AGENCY NAME] is committed to providing comprehensive, evidence-based treatment to individuals struggling with addiction, in compliance with state regulations and ASAM policies. Our policy and procedures for delivering covered services and limitations ensure that patients receive high-quality care and support throughout their recovery journey.

General Information

Introduction :
[AGENCY NAME] is an Adult Residential Treatment Center that provides residential programs for addiction treatment. Our goal is to provide comprehensive, evidence-based treatment to individuals struggling with addiction, in compliance with the state regulations and American Society of Addiction Medicine (ASAM) policies. This document outlines our policy and procedures for general information in our center.
Admission :

1. Criteria : Patients must meet the following admission criteria to be admitted to our center:
   • 18 years or older
   • Diagnosis of a substance use disorder
   • Medically stable
   • No history of violence or aggressive behavior
2. Process: The admission process includes an initial screening, followed by a comprehensive assessment by a qualified professional. The assessment will determine the patient’s level of care required, including the need for medical detoxification, residential treatment, or outpatient treatment.
3. Documentation: All patients must provide the following documentation at the time of admission:
   • Photo identification
   • Insurance information
   • Medical history
   • List of medications and dosages
   • Emergency contact information

Patient Rights:

1. Confidentiality: All patient information is kept confidential in compliance with state and federal laws, including HIPAA regulations.
2. Informed Consent : Patients will be provided with information about their treatment plan, including the risks and benefits of treatment, and will be asked to sign an informed consent form.
3. Participation in Treatment: Patients have the right to participate in their treatment plan and to be involved in the decision-making process.
4. Access to Records: Patients have the right to access their medical records, in compliance with state and federal laws.

Treatment:

1. Individualized Treatment Plan: Each patient will receive an individualized treatment plan that addresses their specific needs and goals.
2. Evidence-Based Treatment: Our center provides evidence-based treatment, including cognitive-behavioral therapy (CBT), motivational interviewing (MI), and medication-assisted treatment (MAT).
3. Peer Support: Peer support will be provided to all patients to help build a supportive community that encourages and supports recovery.
4. Family Involvement: Family involvement is encouraged and supported through family education, counseling, and support groups.

Discharge:

1. Discharge Planning: Discharge planning begins at admission and is an ongoing process throughout the patient’s stay. The patient’s treatment team will work with them to develop a discharge plan that includes aftercare services, such as counseling, support groups, and referrals to community resources.
2. Discharge Criteria: Patients will be discharged when they have completed their treatment plan, met their treatment goals, or when the treatment is no longer medically necessary.
3. Discharge Summary: A discharge summary will be provided to the patient and their healthcare providers, which includes information about the patient’s treatment plan, progress, and aftercare recommendations.

[AGENCY NAME] is committed to providing comprehensive, evidence-based treatment to individuals struggling with addiction, in compliance with state regulations and ASAM policies. Our policy and procedures for general information ensure that patients receive high-quality care and support throughout their recovery journey, while respecting their rights and privacy.
Behavioral Health Services Administrator (BHSA)
Introduction:
[AGENCY NAME] is an Adult Residential Treatment Center that provides evidence- based residential programs for addiction treatment. Our Behavioral Health Services Administrator (BHSA) plays a critical role in ensuring that the center operates effectively and efficiently, in compliance with state regulations and American Society of Addiction Medicine (ASAM) policies. This document outlines our policy and procedures for the BHSA position.
Qualifications:

1. Education : The BHSA must have a master’s degree in a behavioral health-related field, such as social work, counseling, psychology, or a related field.

2. Experience : The BHSA must have at least two years of experience in a behavioral health setting, with experience in addiction treatment preferred.

3. Licensure : The BHSA must be licensed in Virginia as a professional counselor, clinical social worker, or clinical psychologist.

Roles and Responsibilities:

1. Administration: The BHSA is responsible for overseeing the daily operations of the center, including program development, implementation, and evaluation.
2. Compliance : The BHSA is responsible for ensuring that the center complies with state regulations, ASAM policies, and other relevant standards.
3. Staff Supervision: The BHSA is responsible for supervising and evaluating the performance of staff, including clinical staff and support staff.
4. Quality Assurance: The BHSA is responsible for monitoring and evaluating the quality of services provided by the center, including clinical services and support services.
5. Program Development: The BHSA is responsible for developing and implementing new programs and services as needed, based on the needs of the patients and the community.
6. Staff Development : The BHSA is responsible for providing ongoing training and professional development opportunities for staff, in order to ensure that they have the knowledge and skills needed to provide high-quality services.
7. Budget and Financial Management: The BHSA is responsible for managing the center’s budget and finances, including developing and monitoring the budget, and ensuring that the center operates within budgetary constraints.
8. Interagency Collaboration: The BHSA is responsible for collaborating with other agencies and organizations in the community to ensure that patients receive comprehensive, coordinated care.
9. Data Collection and Reporting: The BHSA is responsible for collecting and reporting data on the center’s operations, including patient demographics, treatment outcomes, and other relevant information.

Supervision:

1. Supervision Requirements: The BHSA must receive at least two hours of individual supervision per week from a qualified supervisor.
2. Supervision Goals : The goals of supervision include supporting the BHSA in their role, providing guidance and feedback on performance, and promoting professional development.
3. Supervision Documentation: All supervision sessions must be documented, including the date, duration, topics discussed, and any action items identified.

Conclusion:

• The BHSA plays a critical role in ensuring that [AGENCY NAME] operates effectively and efficiently, in compliance with state regulations and ASAM policies. Our policy and procedures for the BHSA position ensure that the BHSA has the qualifications, roles, and responsibilities needed to effectively manage the center, supervise staff, and promote high-quality services.

Medicaid Managed Care

• Policy:
  [AGENCY NAME] recognizes the importance of Medicaid Managed Care as a critical component in providing access to quality behavioral health services for individuals with addiction. The organization shall comply with the state regulations regarding Medicaid Managed Care and ensure that services provided to Medicaid and FAMIS enrollees meet the requirements of the Medicaid MCOs.

Procedures:

1. Medicaid Managed Care Eligibility: [AGENCY NAME] shall determine Medicaid Managed Care eligibility of individuals seeking admission to the program. The organization shall verify the individual’s enrollment status in Medicaid MCOs through the appropriate system and contact the MCO to confirm the individual’s eligibility for services.
2. Participating with MCOs: [AGENCY NAME] shall participate with the individual’s MCO to provide Medicaid Managed Care services. The organization shall negotiate with the MCO to become a contracted provider, or as an MCO out-of-network provider, to receive reimbursement for services provided.
3. Service Authorization: [AGENCY NAME] shall adhere to the ARTS program requirements, service authorization criteria, and reimbursement rates established by the MCOs. The organization shall obtain service authorization from the individual’s MCO before providing any services.
4. Reimbursement Guidelines: [AGENCY NAME] shall contact the individual’s MCO directly to obtain information regarding the reimbursement guidelines for services provided through the MCO. The organization shall comply with the reimbursement guidelines established by the MCO and submit claims for reimbursement in accordance with the MCO’s policies and procedures.
5. Program of All-Inclusive Care for the Elderly (PACE): [AGENCY NAME] shall follow the PACE program’s regulations for individuals enrolled in the program. The organization shall provide services to the individual as per the PACE program’s guidelines and seek reimbursement for services provided through the PACE program.
6. Adherence to ARTS regulations: [AGENCY NAME] shall ensure that all services provided to individuals enrolled in Medicaid Managed Care comply with the ARTS regulations, this manual, and state and federal regulations. The organization shall maintain records and documentation of services provided, including service authorizations and claims for reimbursement, as required by the MCOs and the state.
7. Access to information: [AGENCY NAME] shall maintain up-to-date information on the managed care programs, including Medallion 4.0, Commonwealth Coordinated Care Plus (CCC Plus), and PACE. The organization shall provide information to staff, clients, and their families on the managed care programs, including eligibility, service authorization criteria, and reimbursement guidelines.
8. Continuous Improvement: [AGENCY NAME] shall continuously review and evaluate its policies and procedures related to Medicaid Managed Care to ensure compliance with the state regulations and best practices in the industry. The organization shall identify areas of improvement and implement corrective actions to enhance the quality of services provided to individuals enrolled in Medicaid Managed Care.

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