PATIENT RIGHTS PATIENT BILL OF RIGHTS

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1 Welcome to Woodlake Addiction Recovery Center! You have just become part of a community consisting of other men and women, clients and staff, all coming together to aid you towards becoming clean and sober. You will learn the disease of addiction and yourself, while acquiring life skills that will enable you to live a more rewarding and productive life. This handbook was designed to help you make the most of your stay with us and continue your progress after you leave. What s going on here? Individuals who have experienced serious problems due to mind-altering drugs and destructive behaviors come to Woodlake to learn how to make positive changes in the way they think and make decisions. You are in charge of your treatment; there is nothing anyone can do for you or to you that will magically make your life better. Only you can do that. While here you can practice thinking differently, act differently, and feeling differently, from what you have been use to. It s that simple, however; that doesn t mean it is easy. What am I supposed to do here? First, make a decision that today you will not drink alcohol or use drugs. Once you make that decision then you are free to follow our daily schedule of activities. This schedule will take you step-bystep, day-by-day, to a healthier way of living. You agree to follow the schedule and rules at Woodlake in exchange for treatment services. Why all the rules? We have other clients living here, sharing rooms and facilities, with a common desire to reduce problems in their lives. Our staff, using their years of experience, developed procedures (rules) to reduce problems between residents. The house rules and schedule will be explained to you during your orientation. Will I have a counselor? Yes, depending on the day of the week you are admitted, you will be assigned a counselor. Your counselor will visit with you and develop a basic plan for your treatment. Do I have to attend A.A.? Yes. Part of our treatment program includes introducing you to Alcoholics Anonymous, Narcotics Anonymous, and Cocaine Anonymous. People who work these 12-Step Programs very often live satisfying lives. That s a goal for you. When you leave treatment, you will have friends you have met in AA, NA or CA to help stay focused on what you want in your life. March 1,

2 PATIENT RIGHTS PATIENT BILL OF RIGHTS Under HIPPA you have the right to request restrictions on certain uses and disclosures of your health information. Woodlake is not required to agree to any restrictions you request, but if it does agree then it is bound by that agreement and may not use or disclose any information which you have restricted as necessary in a medical emergency. You have the right to request that we communicate with you by alternative means or at an alternative location. Woodlake will accommodate such requests that are reasonable and will not request an explanation from you. Under HIPPA you also have the right to inspect and copy our own health information compiled for use in a civil, criminal, or administrative proceeding or in other limited circumstances. Under HIPPA you also have the right, with some exceptions, to amend health care information in Woodlake records, and to request and receive an accounting of disclosures of your health related information made by Woodlake during the six years prior to your request. You also have the right to receive a paper copy of this notice. In accordance with Title 6 of Civil Rights Act of 1964, Section 504 of the rehabilitation Act of 1973, Title 9 Section 10800, and Americans with Disabilities Act of 1990, each person receiving services from an alcoholism or drug abuse recovery or treatment facility, shall have rights which include, but are not limited to, the following: 1. The right to confidentiality as provided for the Title 42, Code of Federal Regulations, Part 2 and HIPPA and the right to receive this privacy notice. 2. To be accorded dignity in contact with staff, volunteers, board members, and other persons. You have the right to have your rights explained to you in simple terms, in a way you can understand within 24 hours admission, which can help in decision making. 3. To be accorded safe, healthful, and comfortable accommodations to meet the patient s needs. You have the right to humane environment that provides reasonable protection from harm and appropriate privacy for your personal needs. 4. To be free from verbal, physical, emotional abuse, inappropriate sexual behavior or contact, exploitation, humiliation, harassment, and/or neglect. 5. To be informed by the program of the procedures to file a grievance (without feat of retaliation) or appeal discharge. 6. To be free from discrimination based on ethnic group identification, culture, sexual orientation, religion or spiritual beliefs or age, gender, skin color, socioeconomic status, language, or disability. 7. To be accorded access to his or her file and the right to own the information within his or her file with the exception of psychotherapy notes. 8. The right to request corrections of erroneous and/or incomplete information. 9. The right to prohibit re-disclosure of patient information. 10. The right to request transmittal of communications in an alternative manner. 11. The right to obtain an accounting of disclosures. 12. The right to express preferences regarding counselor or service provider. 13. Fiduciary abuse of participants is prohibited. 14. To be free from any marketing or advertising publicity without written authorization. 15. The right to provision of services will be responsive to the participants social support and legal advocacy needs when necessary. 16. The right to be free from intrusive procedures (strip searched or pat downs.) 2

3 PATIENT RIGHTS CONTINUED 17. If you agree to treatment, medication, you have the right to change your mind at any time (unless specifically restricted by law). You have the right to receive unnecessary or excessive mediation. 18. You have the right to accept or refuse treatment after receiving this explanation. 19. You have the right to appropriate treatment in the least restrictive setting available that meets your needs. 20. You have the right to be told about the program s rules and regulations before you are admitted. You also have the right to be told what is to be expected of treatment. 21. You have the right to be told before admission: a. the condition to be treatment; b. the proposed treatment c. the risks, benefits, and side effects of all proposed treatments and medication; d. other treatments that are available and which ones, if nay, might be appropriate for you; and e. the expected length of stay 22. You have the right to a treatment plan designed to meet your needs, and you have the right to take part in developing the plan. You also have the right to meet with staff to review and update the plan on a regular basis. 23. You have the right to be told in advance all estimated charges and any limitations on the length of service of which Woodlake is aware. 24. You have the right to receive an explanation of your treatment and/or you rights if you have questions while you are in treatment. 25. You have the right to be restrained or placed in a locked room by yourself unless you are in danger to yourself or others. You have the right to communicate with people outside of Woodlake. This includes the right to have visitors, to make telephone calls, and to send and receive mail. This right may be restricted on an individual basis by the medical director or program director if it is necessary for your treatment or security, but even then you may contact an attorney or the Louisiana Department of Mental Health at any reasonable time. If a patients right to free communication is restricted under the provisions of this paragraph, the medical director or program director will document the clinical reasons for the restriction and the duration if the restriction on the patient record. The program director will also inform the patient and if appropriate the patients consenter of the clinical reasons for the restriction and the reason for the duration of the restriction. 26. If you consented to treatment, you have the right to leave Woodlake within fours hours of requesting release unless a physician determines that you pose a threat of harm to yourself or others. 3

4 THE GOLDEN RULES While in treatment as well as any post graduation visits, we expect you to follow our Golden Rules. These are rules we feel are important for an overall positive treatment experience for everyone in our care and violation of any of these rules may result in immediate discharge. Take your time to read these rules and ask any questions you may have about them. 1. Absolutely no drugs, prescription or other medications will be allowed unless prescribed by our Medical Director. (Anyone caught with drugs or other contraband will be discharged.) 2. Drug Screens are done upon admission. Random drug screens will be taken to insure compliance. Patients who fail to provide a urine sample will be discharged. Patient will be required to remain with the nurse until a sample is given or they are discharged. 3. Sexual activity and/or physical contact are not allowed. NO ONE-ON-ONE! Patients must always be in groups of three or more. NO PHYSICAL CONTACT WITH FORMER CLIENTS WILL BE ALLOWED! 4. Physical violence and/or threats to staff or patients, or destruction to property will not be tolerated. The possession of instruments which may be used as weapons is not allowed. 5. NO STEALING, NO GAMBLING! 6. Threats and cursing to any staff member will not be tolerated. 7. No smoking except in designated areas. No smoking during Recreation. No smoking in any building. 8. Electrical appliances used in the bedrooms (curling irons, hairdryers, etc.) must be unplugged immediately after use. Radios, ipods, mp3 players, or any other electronic devices are not allowed. NO CELLPHONES OR PAGERS ARE ALLOWED. If you bring a cell phone to the facility, it will be stored and secured in the administration office. 9. Anything discussed in Group Therapy must be kept confidential. WHAT IS SAID IN GROUP STAYS IN GROUP. WHO YOU SEE HERE, WHAT YOU SEE HERE, STAYS HERE! 4

5 PATIENT RULES 1. GROOMING AND DRESS CODE Personal grooming should be done in the privacy of your room or restroom, at the appropriate times. Daily showering is required. Dress appropriately, be neat, and wear shoes and underwear at all times. a. Pajamas, lounge wear and bathrobes are restricted to the bedrooms. b. Shower shoes and flip flops are only to be worn for showering/bathing c. Shorts only to be worn during recreation and cannot be more than two inches above the top of the knee when standing d. DO NOT LOAN/BORROW/EXCHANGE or SELL clothes or jewelry (Exception allowed by staff with staff in the transaction) Appropriate Dress Men: Clean and neat short or long sleeve shirts, t-shirts, long pants and shoes. Women: Clean and neat short or long sleeve shirts, t-shirts, long pants and shoes. Skirts or dresses have to be below the knee. Inappropriate Dress: a. Any hat or clothing item (s) with drug, alcohol, profanity, violence, sexual, gang or gambling related logos, transfers, patches or embroidering. b. Any sleeveless clothing, clothing that does not completely cover the torso, tight fitting, overly loose fitting, seriously stained, with holes or tears. c. Any skirt or dresses that are about the knee. Any skirt or dress that has a split. d. Pants will be worn about the waist. e. Footwear- no high-heeled or strapless shoes wear. Shoes with laces will be laced at all times. f. No sunglasses or hats will be worn in the building at any time. Wear them and you will loose them. You will be required to change your attire immediately if a staff member finds you dressed inappropriately. 2. PUNCTUALITY FOR SCHEDULED ACTIVITIES Each patient is responsible for being on time for ALL scheduled activities. a. Infractions will be assigned if you are late for vital/meds. b. Take care of your bathroom business before the start of scheduled activities. c. You are to be seated by the start of all group or education activity. d. At 10:30 pm all clients are to be in bed with the lights off, Sunday Thursday. 3. COMPLIANCE WITH MEDICAL ORDERS It is the patient s personal responsibility to: a. report to the nursing station for vital signs b. report to the nursing station for scheduled medicines c. comply with medical orders regarding diet 5

6 PATIENT RULES 4. DISRUPTION DURING SCHEDULED ACTIVITY including 12-Step Meetings a. Unacceptable behaviors include cross-talk, talking and laughing inappropriately, sleeping or appearing to be asleep, passing notes, eating or drinking or rude behavior during a scheduled activity b. You are expected to respect others by remaining attentive during scheduled activities. c. After being cleared by medical staff you will be assigned a chore for the week. The chore list has instructions for performing your assigned chore. d. Patient is expected to participate in all program activity unless excused by medical staff. e. NO THREATS, VERBAL OR PHYSICAL f. NO HORSEPLAY 5. PERSONAL BOUNDARIES 6. ENABLING a. Pairing off or forming clicks is not allowed b. Physical contact between patients is not permitted at any time c. Giving or passing notes, messages, money, etc. to other patients is not allowed Individual change is essential for recovery. You will have opportunities to develop and practice new behaviors while in treatment. It is the responsibility of each patient to work for the common good of the entire community. When patients allow each other to disrupt the recovery program, without taking action, this is enabling. Enabling behaviors allow everyone to remain sick and in denial of their need for change. ENABLERS MAY BE GIVEN THE SAME CONSEQUENCES AS THE ONE WHO IS BEING DIRRRUPTIVE TO THE PROGRAM. 7. VERBAL ABUSE Is not allowed, including name calling, cursing, and threats of violence (direct or veiled) and or sexual harassment. Patients need to practice appropriate behaviors at all times. 8. PHYSICAL ABUSE Is not allowed, anyone touching another in a physically aggressive manner (push, punch, kick, grab, slap, etc.) will be removed from the program and the police will be contacted. No horseplay. 9. USE OF TELEPHONE Patients cannot use the phone for their first five days of their treatment (exceptions will be made through the patients primary counselor) Patients will have access to a phone. All calls in a 40 mile area are covered by our plan. Calls over 40 miles will require a phone card. Patients can bring cards with them at the time of admission, family can send cards to patients, or you can purchase them from Woodlake Addiction Recovery Center. One call at a time, calls will be limited to 10 min., pm calls when not in a scheduled activity as well as weekend calls when not in a scheduled activity. A 30 min. break is required between telephone conversations. Emergency calls will be granted with the permission of patient s primary counselor, permission will be given in writing and the note must be presented to staff, staff will make arrangement for call to be placed. Patient has the right to call their attorney at any time. Violation of the phone rules can cause a person to lose their personal phone rights for twenty-four hours or more. 6

7 PATIENT RULES 10. FACILITY BOUNDARY VIOLATIONS You are not allowed to: a. Enter a bedroom other than one s own, exceptions for one s buddy can be obtained from one s counselor b. Enter into a counselor s office without them being present c. Approach a motor vehicle d. Walk a guest to their car e. Be in an off limit area, i.e., admission area, nurses station, intake area, and staff lounge f. Bedroom doors are to remain open until 10pm each day except when with a medical exception. 11. USE OF ELECTRICAL APPLIANCES Any electrical appliance used by a patient must be unplugged immediately after use or it will be removed and the patient will not be allowed to use it for twenty-four hours or more. This includes irons, curling irons, hair dryers, etc. 12. ABUSE OF PROPERTY Includes the destruction of or any attempt to damage the property or furnishings. It is the facility s right to take legal action to reclaim the cost of destroyed or damaged property and furnishings. 13. SMOKING Anyone smoking inside the building will be discharged this includes smokeless tobacco. Smoking and the use of smokeless tobacco is allowed only in designated areas and during scheduled breaks and free time. Cigarette butt cans are provided on grounds; these should be used to extinguish cigarettes. No dropping butts on the grounds. Smoking or using smokeless tobacco in undesignated areas can cause you to loose you privileges for twenty four hours or more. 14. OFF GROUNDS CONDUCT If you are taken by a staff member to an off-grounds medical appointment or other outside activity, you are to remain at the specified destination until the staff member returns. When taken off in a group, you are expected to remain with the group and the staff member at all times. Staff instructions are to be followed at all times. While off campus you are to act in a respectful manner following all social rules and regulations. 7

8 GRIEVANCE PROCEDURE PATIENT GRIEVANCE PROCEDURE It is the policy of Woodlake Addiction Recovery Center that every effort shall be made to resolve a patient s grievance in a fair and equitable manner, and that all patient grievances will be investigated and resolved promptly in accordance with the Louisiana Department of Mental Health. 1. All staff members shall be aware of a patient s needs and shall pay close attention to those situations that could lead to a patient grievance. Patients may report any violation of patient rights or Department of Mental Health Standards. 2. Staff members shall make every effort to resolve the grievance informally by discussing the situation or circumstances with the patient. 3. Staff members who are involved shall not be included in acceptance. Investigation, or dicisions making concerning the grievance. 4. Patients who are not able to resolve their grievance by discussion can put their grievance in writing including date and signature. 5. Woodlake will provide pens, paper, envelopes, postage and access to a telephone upon request in order to file a complaint Woodlake will provide assistance to patients who cannot read or write who have difficulty reading or writing. 6. The program director will acknowledge receipt of the grievance within 24 hours, and investigate the grievance and interview the patient as necessary. 7. A written report of the investigation and initial disposition shall be made available to the patient by the director of designee within seven days. 8. A patient who is still dissatisfied may appeal the decision to the governing authority and a written report of the decision will be forwarded to the Department of Mental Health and a written response will be given to the patient within 30 days. 9. There shall be no retaliation formal or informal, against a patient who has filed a grievance. 10. Woodlake shall retain the full records of all grievances in a confidential file for three years, but not in a patient s clinical chart. 11. Patients may submit their grievance any time directly to: Louisiana Office of Mental Health State Headquarters Bienville Building 628 North 4th Street Baton Rouge, LA Phone: (225) Fax: (225)

9 HONESTY BOARD POLICY Failure to comply with rules and expectations is a significant issue for those who have been active in their addiction and it becomes a way of life. Since recovery is related to Honesty (DOING THE NEXT RIGHT THING) and Integrity DOING WHAT WE SAY WE ARE GOING TO DO, WHEN WE SAY WE ARE GOING TO DO IT), it is important you be able to identify those times when you have failed to live up to your agreements outlined at the time of admission to the program. Next, you will need to practice Honesty and Integrity. 9

10 12 STEP MEETING POLICY 1. Residents will not be allowed to leave a 12 Step Meeting, for any reason, once the meeting begins, all residents will remain in the meeting until after the closing prayer. 2. Behaviors shall be respectful and courteous towards members of the community attending the meeting, act as you would treat a special guest in you home. Resident aids will be responsible for making decisions regarding appropriate behavior, 3. Residents will not make arrangements for friend or family to meet them at the 12 Step Meeting. This distracts from the purpose of the meeting. Off campus meetings are a privilege that has to be earned. 10

11 VISITING POLICY Visiting hours are from 2:00 p.m. to 5:00 pm every Saturday, however; special visitation times will be allowed for holidays. Special circumstances visitation can be requested through the patient s assigned counselor. Thursday prior to the designated weekend you must turn in a visiting list of whom will be coming to visit and the relationship they have with the stated visitor. Only children from the immediate family will be allowed to visit. This is defined as one s sons, daughters and/or step children. The visitor request form will be turned into your counselor during your AM group. Visitors will be required to remain in the visitation designated areas. Visitors who are found outside the designated areas will be required to leave the building. All visitors must sign in at the administration office, after signing in visitors will not be allowed to leave for any reason and return on the same day of visitation. No visitors currently abusing alcohol or drugs will be allowed on campus. Woodlake Addiction Recovery Center reserves the right to drug screen any person who enter the premises. If a person has a positive screen for any drugs, they will not be allowed to enter the building until such time as they can produce a clean drug screen. The cost of the drug screen will not be the responsibility of Woodlake Addiction Recovery Center. If alcohol is detected, the visitor will loose their right to visit the following weekend. No sexual activity will be tolerated. Violation of this rule will be immediate discharge from the program. Visitors will not be allowed to bring anything into the building other than supplies for the patient. Neither food nor drinks may be brought in during the visit. Sometimes patients need clothing, personal hygiene supplies, pen, paper, etc.; these items can be brought in by visitors. When the visitor arrives they will need to bring these items in so that they can be checked. When staff has the time to inspect what is coming in they will contact the family member, conduct the inspection, have client sign for property and at this point the property will be turned over to the client. Any item leaving the property must be checked by staff prior to removal from the facility. Woodlake Addiction Recovery Center reserves the right to search any person who enters the premises. Persons refusing to be searched will be placed on a list of (individuals not allowed on campus) and they will be banned. This process has an appeal. IT IS ILLEGAL FOR ANYONE TO BRING ALCOHOL, DRUGS, KNIVES OR FIREARMS ONTO THE GROUNDS. IT IS THE POLICY OF WOODLAKE ADDICTION RECOVERY CENTER THAT ANY PERSON IN VIOLATION OF THIS RULE WILL BE TURNED OVER TO THE POLICE (NO EXCEPTION). 11

12 COUNSELING & EDUCATION INDIVIDUAL COUNSELING We prefer you work in group settings on your issues. If you need to see your therapist privately, ask during group about a meeting. Individual session will be set up as deemed appropriate. Your counselor may meet with you individually to offer guidance as needed. Do your best to follow the suggestions. Your counselor is there to listen to your concerns and act as your advocate. FAMILY THERAPY Addiction is a family disease. As your family adapted to your behavior(s), they too became sick. Your counselor will work with you to determine which family members and you (the client) will best benefit from the education and family therapy session. Family Therapy consists of two parts: part one is education with part two being the actual family session. The family session follows the education and is done in the client s small group. Follow up session will be scheduled as deemed appropriate. SMALL GROUP THERAPY Each day you will meet with other members in the community assigned to a specific counselor to discuss specific issues related to addiction as well as issues specific to your life and belief system. This is the core of your program so it is important you attend each day and invest as much of yourself as you can. More about group will be in your packet. LECTURES Different staff members will present diverse lectures at specified times during the week. Topics will cover many aspects of recovery such as causes of addiction, family roles, principals of recovery, spirituality, social skills, relationship issues, living skills and more. Education is important, but it is not enough. You must take what you hear and internalize it. When it is internalized you will act differently. FILMS While in treatment you will see different films. Some will be in an information format, others will be dramas. All films are to aid you in understanding your addiction and how it has impacted you and those around you. 12

13 THERAPY GUIDELINES Group therapy is offered everyday; it is imperative that you attend and be on time. The purpose of group discussion is to improve self understanding and communication with others by sharing ones honest feelings and thoughts about ourselves and other group members and by listening to how others see themselves and us. If you want the most out of group therapy, you must be able to recognize your character defects and have a desire to make changes. You will make no progress unless you are willing to become teachable. HOW TO GET THE MOST OUT OF GROUP THERAPY 1. No matter how hard you find it, participate. You cannot make progress unless you get involved. Experience your true feelings and reactions to others in the group. 2. Make the group part of your life. In other words, don t think of group as something that happened one day, then forgotten the next day. After the group session, think about what happened. Process what you heard and how you feel about it. Try to figure out what you are feeling and be ready to discuss this information in the next group. 3. Be spontaneous as possible. Show the group all sides of your personality. 4. Don t wait for an opportunity before you start talking and getting into your feelings. Likewise, if you feel board and think the person who is talking is going nowhere, tell them. 5. Speak directly to individuals. 6. Speak in first person.. Say, I feel or I think. Don t speak for others. 7. This is your group, if it is not going where you want it to go; it is up to you to move it in another direction. 8. Try to push yourself into areas where you are emotionally uncomfortable both inside and outside of group, you only grow by going beyond the limits you have set for yourself in the past. 9. Try asking for help and following advice even when it is not what you want to do. This is a new behavior which will help you with recovery. 10. If someone upsets you in any way, say so. Say how you feel, but do not make threatening remarks or gestures. 11. If outside group you hold a conversation with anyone in which you comment on the group, a person in it, etc., you should express it back in group. How can anyone grow if they have not been honestly told how others react to them? SMALL GROUP GUIDELINES 1. Be on time for group you need to be in group whether your therapist is there or not. 2. No gum, candy or drinks in group. Cough drops are allowed when given by nurses, wait until break if possible. 3. No cross talk in group while others are presenting. 4. Each group member is expected to give feedback to peers about work presented. Regardless of time here, every person will give some form of feedback positive and adverse. 13

14 THERAPY GUIDELINES 5. Group members are expected to bring community issues concerning small group members to light in small group. 6. Assignments to be presented in small group are to be checked by two persons in the community. If they recommend changes, make them. 7. Do not mail any process letters without counselor approval. 8. You will not discuss peer information outside of group with anyone other than the peer. It is appropriate to confront peer on addictive and inappropriate behaviors outside group. Never discuss sensitive information (rape, sexual molestation, abuse or crimes committed outside of group setting. 9. Normally, we do not do individual counseling session. We prefer you work in group settings on your issues. If you need to see your therapist privately, ask during group about a meeting. Individual sessions will be set up as deemed appropriate. STUDY HALL This program asks a lot of you in a short period of time. For this reason we have a supervised Study Hall. Each day you will have an hour to work on your assignment/s with staff available to help (that does not mean) do the assignment. At other times you can work with assistance from your peers. SUPPORT GROUPS The 12 Step Meetings are the cornerstone of this program. In the long run, your recovery will depend on your willingness to make yourself part of the fellowship of men and women who, come together to share their experience strength and hope. If you want to remain clean and sober you will have to make a continued, lifelong goal of going to meetings. AA was founded 70 years ago. Over the years similar groups have started based on this approach. Why, because it has been shown to be the most successful treatment for addictions. ACTIVITIES Exercise and recreation are important parts to your recovery. On your weekly schedule you will find both of them. Appropriate T-shirts, sweats, jeans, shorts and tennis shoes are to be worn. These activities will help you to begin to feel better both physically and mentally. These activities will also help you learn cooperation, sharing, decision making and how to have fun without drugs and alcohol. For in the end, if one does not learn to have fun clean and sober they will not remain sober. MAIL, CHANGE AND SUPPLY REQUEST At 4:00 p.m. every afternoon staff will conduct mail call. At this time, all incoming packages and/or mail will be distributed. Remember all mail and packages must be opened in front of staff. Any outgoing mail needs to be turned in by 11 a.m. the next day. Patient s needing to purchase specific items may turn their purchase list into the staff member during mail call. Purchase lists will be reviewed by the administrator and arrangements will be made as deemed appropriate. 14

15 THERAPY GUIDELINES BUDDY SYSTEM GUIDELINES We as a staff see the need for new clients entering treatment to be guided by clients who have become familiar with our program. What is a buddy and what is he/she supposed to do? 1. Make sure your buddy has read everything in their packet. 2. Make sure your buddy knows their way around, where group is, where not to go, etc.. 3. Make sure your buddy is on time for all scheduled activities. 4. Be there to listen to their issues and normalize their fears. 5. Make sure your buddy is familiar with the Big Book and other reading material relating to recovery. 6. Make sure your buddy gets out and meets the other people in their community. Community members should introduce themselves and be friendly to new clients. COMMUNITY LEADER DUTIES 1. Help new people with rules and orientation 2. Makes sure all new clients have a buddy 3. Set a good example and act as a role model 4. Make nightly rounds to speak with the other clients for the purpose of helping people who are having issues 5. Bring community and individual issues to staff 7. Be the leader for morning community meetings 8. Speaks for the community 9. Collect mail at morning meeting and brings it to staffing 10. Calls and chairs all Help Sessions A.A. SPONSOR GUILDELINES 1. Your sponsor has to be active in A.A. 2. The sponsor should have experience working the steps and presently practice these steps in their daily life. 3. Your sponsor should have a sponsor and be working the steps with their sponsor 4. Your sponsor should not be a Woodlake Addiction Recovery Center staff member, relative or close friend of yours. 5. The sponsor has to be the same sex. 6. A permanent sponsor should live in close enough vicinity to you for it to be practical to call and see them regularly. 7. When you graduate from treatment, your sponsor will determine what step you need to work on. 8. There are 12 steps and you need to work all of them with your sponsor. 9. Your sponsor needs to know everything and you need to be willing to follow their suggestions especially when you do not want to. 15

16 ADDICTIVE BEHAVIORS vs RECOVERY BEHAVIORS ADDICTIVE BEHAVIORS LIP SERVICE Hallmark: Insincerity Pretending All talk Deceitful GRANDIOSITY Hallmark: Contempt Accusing Arrogant Loud-mouthed CORNER-CUTTING Hallmark: Excuse Making Lazy Late Self-indulgent DEFIANCE Hallmark: Immaturity Rule Breaking Stubborn Rigid RECOVERY BEHAVIORS COMMITMENT Hallmark: Sincerity Sincere Genuine Honest SELF-CONFIDENCE Hallmark: Respect Humble Listening Learning VIGILANT Hallmark: Accountable Active Punctual Disciplined ACCEPTANCE Hallmark: Maturity Compliance Open-Minded Flexible 16

17 CHARACTER DEFECTS SELF CENTERED: Preoccupation with our needs and wants. Me first, last and always, with no concern for others. ALIBIS: To excuse our own behaviors with self-justification and blaming other people, places and things. FALSE PRIDE: To falsely build up our self-image to exaggerate, arrogance with self-deception. RESENTMENT: These are hate, envy and hostilities that consume us from within and are aroused by real and imagined wrongs or injuries to us. This is a demonstration of our inability to forgive and to seek reconciliation. INTOLERANCE: A refusal to accept other human beings beliefs, values, habits, practices or conditions of life that differ from our own. Here a person cannot accept short-comings and mistakes of others. IMPATIENCE: We have difficulties in allowing for any delays on our time, interests, needs or wants. ENVY / JEALOUSLY: A self-centered preoccupation with other person s abilities, well-being or good fortune. PROCRASTINATION: Putting things off. Waiting for a miracle tomorrow, that never comes no matter how we suffers, I will do it later FEELING EASILY HURT: A form of self-centered, self-pity which is a plea for the world to take care of us over sensitive. SELF-PITY: Nobody loves me: everyone is against me God couldn t care less; poor little old me. FEARS, WORRIES AND ANXIETY: Feeling possessed, dominated, controlled by fears, something that might happen to me, not being able to deal with today. GUILT, SHAME AND REMORSE: Saying that God can and will forgive others of their wrongs but that we are special and unique and beyond His forgiveness. We don t see our mistakes as our own selfishness, immaturity, lack of care and concern for the needs of others. 17

18 STEP ONE I CAN T PHASE I - BREAKING THROUGH DENIAL INTERNALIZING OWNENRSHIP OF THE ADDICTION/ALCOHOLISM Step One We admitted we were powerless over alcohol that our lives had become unmanageable. The essence of the First Step is to admit that you cannot control your addiction and that your addiction is making it impossible to manage your life. The Goal is to get in touch with powerless and unmanageability as it relates to you and your life. You are expected to develop a working understanding of Denial and how it is working in your life. The Behaviors are to become fully involved in all treatment activities and be on time to all scheduled meetings. You are expected to manage your time and take responsibility for you actions and own you negative behaviors. Clients will learn and follow all rules. Clients will learn to properly confront their peers and the importance of this behavior. All assignments will be completed by their assigned dates. Privileges are visitors, telephone and weekend movies. Written Assignments: Drug History complete history of drugs, alcohol, and/or process addictions used over one s life time. Powerlessness, Un-manageability, and Consequences list five examples of powerlessness, five examples of un-manageability, and 15 examples of consequences related to one s drug use and/or addictive behaviors. Honesty (better referred to as Dishonesty) describe 10 examples of being dishonest in spiritual, mental, emotional, work or business life, economics, family, legal, and AA life Defenses present minimum of 10 examples of defending the drug use and addictive behaviors (e.g. minimizing, rationalizing, denying, justifying ) Denial Describe with illustrations the denial, anger, bargaining, sadness/depression, and acceptance related to the drug addiction/alcoholism. Step One Thirty five questions directed at examining and detailing the preoccupation, loss of control, destructive behaviors related to the powerlessness, un-manageability, and consequences created in the addiction/alcoholism. Relapse Work recognizing potential triggers that could contribute to a relapse. Gorski Handout Chapter 5 I Can t Reading assignments: From the Big Book 1) The Doctor s Opinion 2) Bill s Story 3) Chapters 3 More About Alcoholism 4) Chapter 5 How It Works From the Twelve and Twelve Step One Test combining Big Book and Twelve and Twelve reading materials Total Expected Time on Phase One Work is 4-5 Weeks 18

19 STEP TWO SOMEBODY ELSE CAN PHASE II OWNING THE CHARACTER DEFECTS CONTRIBUTING TO HARM DONE TO SELF & OTHERS Step Two Came to believe that a Power greater than ourselves could restore us to sanity. The essence of this step is to accept that this step does not say did restore us to sanity but says came to believe that it could restore us to sanity. Here we develop a since of faith that someone or something knows more about addiction and recovery that we do. The Goal is to internalize how each of us is suffering from an addiction-induced insanity that creates the obsession and compulsion to use alcohol, that the addiction-induced insanity can only be corrected with outside help and we have developed attitudes, beliefs and rationalizations that prevent us from accepting help. We need to develop and expand our belief that there is a Power greater than you and internalize a need to search out this power and learn more about how it works. The Behaviors is to ask for help before taking action, verbalize your understanding of addictive-induced insanity, and have an argument explaining why it will take help from others to remove our addiction-induced insanity and define specific attitudes, beliefs and rationalizations that limits your growth. Clients are expected to demonstrate proper confrontation, getting out of self and helping others. Clients at this point will be considered for working as a buddy for new arrivals. Privileges are visitors, telephone, weekend movies and consideration for specific requests. Written Assignments: Life Story presenting one s life story divulging significant events and persons that contributed to one s perceptions, personality, and responses. Surrender verses Compliance comparing the difference between surrendering/accepting one s addiction/alcoholism and complying to placate and manipulate others. Stinking Thinking contrast thinking that contributes to the addiction and relapse behaviors and attitudes, perceptions, and behaviors congruent with recovery. Grandiosity examining an over inflated sense of self that affords a foundation for entitlement and diminishes the opportunity for gratitude. Step Two - questions directed at addressing defining a Power greater than oneself, traits of such Power, entity or persons possessing such characteristics, insanity, and examples of the insanity. Relapse Work recognizing potential triggers that could contribute to a relapse. Gorski Handout Chapter 6 Somebody Else Can Reading assignments: From the Big Book 1) Chapter 2 There Is a Solution 2) Chapter 4 - We Agnostics 3) Chapter 6 Into Action From the Twelve and Twelve Step Two Test combining Big Book and Twelve and Twelve reading materials Secure a Temporary Sponsor Total Expected Time on Step Two Work is 3 to 4 Weeks 19

20 STEP THREE I LET OTHERS HELP ME PHASE III BUILDING A SPIRITUAL FOUNDATION FOR RECOVERY Step Three Made a Decision to turn our will and life over to the care of God as we understand him. The essence of the First Three is about accepting help from on outside source and doing things differently. It is about living life by moral principles and not our feelings. Most of the time God works through others and God expects us do our part (this means do something). The Goal is to internalize the need for asking for help and following their advice. The behavior to demonstrate is doing what you are told when it is not what you want to do. Next, is to see and feel the damage you have done to others and yourself. Next, learn the steps in making amends. Last, is to look at specific recovery issues in your life and prepare for the real world while continuing you spiritual journey. The Behaviors is taking responsibility for your actions and becoming a contributor to the community and program by actively looking for ways to improve the program while solving community issues. The resident should have a good understanding of the disease of addiction, 12-Step Program, understand denial and recognize how denial works in their participation in group, appropriate confrontations, recognition and open admission of one s own addictive thinking and behaviors when it is identified. CARING ENOUGH ABOUT OTHER RESIDENTS TO CONFRONT THEM. Written Assignments Toward Spirituality contrasting the negative and positive directions of spirituality. Humility - understanding the necessity and definition of humility in the foundation and maintenance of spirituality. Step Three questions directed at addressing defining a decision, life, will, surrender or turning one s life over to a God one understands presently. Morals, Values, & Ethics define morals, values, and ethics compared and contrasted with the past, the present and the future ones necessary to stay sober. Relapse Work recognizing potential triggers that could contribute to a relapse. Gorski Handout Chapter 7 I ll Let Them Help Me Reading assignments: From the Big Book 1) Chapter 7 - Working with Others 2) Chapter 11 - A Vision for You 3) He Who Loses His Life 4) Freedom from Bondage 5) Spiritual Experience From the Twelve and Twelve Twelve and Twelve Step Three Test combining Big Book and Twelve and Twelve reading materials Total Expected Time on Step Three Work is 3 to 4 Weeks 20

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