Legacy Center Programs General Orientation Legacy New Hire

Legacy Center Programs General Orientation Legacy New Hire Part 1 Modules 1 & 2

What to Expect in This Course • Each module will begin with a broad learning goal and a list of learning objectives. • You are responsible for owning your learning experience and will be expected to show mastery of each concept via quizzes. • Quizzes are made up of 4 -10 questions. Questions will directly relate to the learning objectives stated at the beginning of each section. • A passing score of 80% on each quiz is required to move to the next section or module. If you score below 80% you will be required to re -read the material before attempting the quiz again. • You will receive a survey once you have completed the training. Please take a moment to answer all questions as thoroughly as possible. Your feedback helps us to continuously improve this course.

Module 1 Estimated Time 20 minutes Let’s take a moment to review our learning objectives before you begin the next section. Remember that your quiz will relate to these objectives, so keep them in mind as you read through the information. • Learning Goal – The new Employee will gain knowledge about the history, mission, and purpose of the Legacy Counseling Center.

Module 1 Estimated Time 20 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Recall the history of the Legacy Counseling Center including how long the center has been open without referring to the website. • Summarize the mission of the Legacy Counseling Center including mental health care and special care housing to persons in the North Texas Area who have tested positive for HIV/AIDS, and/or family, friends and caregivers of such individuals without referring to the website. • Recall the purpose of the Legacy Counseling Center including improve the quality of life of people affected by AIDS, foster mental and emotional health, promoting autonomy, and promoting coping skills without referring to the website. • List the types of people the Legacy Center Programs serves including people with HIV/AIDS, significant others, family members, and caregivers without referring to the website.

Legacy Center Programs Staff The LCC staff are available and here to support you. Do not hesitate to contact a staff member for assistance. • Executive Director: Melissa Grove – melissa@legacycounseling. org – 214 -520 -6308 ext. 302 • Director of Counseling Services: Robert (Bob) Roton – bob@legacycounseling. org – 214 -520 -6308 ext. 337

Legacy Center Programs Staff • Founders Cottage Director: Brooke Henderson – brooke@legacycounseling. org – 214 -941 -7373 • Homebase for Housing Director: Lisa Rand – lisa@legacycounseling. org – 214 -520 -6308 ext. 338

Legacy Center Programs Staff • Intern/Volunteer Coordinator: Angela Huddy Director of Development – angela@legacycounseling. org – 214 -520 -6308 ext. 356 • Front Office Manager: Tammy Mc. Cormack – tammy@legacycounseling. org – 214 -520 -6308 ext. 1

Legacy Center Programs Staff • Substance Abuse Therapists • Psychotherapist • Volunteers

Legacy Center Programs History 1989 Legacy Counseling Center founded 1996 Founders Cottage open 1999 Substance abuse treatment and state licensed IOP begins; Grace Project begins 2000 First Annual Grace Project Conference for Women Living HIV/AIDS is held 2006 Legacy begins outreach educational training including HIV 101

Legacy Center Programs History 2012 Homebase for Housing launches and Legacy Walk in Clinic opens 2013 Master Leasing Program for literally homeless individuals begins 2015 Awarded the Dallas Voice Readers Voice Awards 2015 Best LGBT Charitable Organization

Legacy Center Programs Mission To provide affordable mental health care, counseling, substance abuse treatment, emotional support services, and special care housing to persons in the North Texas Area who have tested positive for HIV/AIDS, and/or family, friends and caregivers of such individuals.

Legacy Center Programs Purpose • Help to improve the quality of life of people affected by AIDS • Foster mental and emotional health in our clients by providing emotional support and encouragement • Promote autonomy and decision making by highlighting the choices in living with HIV/AIDS • Promote and assist individuals living with HIV/AIDS with coping skills

Legacy Center Programs Scope • Services are limited to people with HIV/AIDS, to their families, significant others, and caregivers • Services are provided irrespective of: – – – – – Race Creed National origin Religious practice Sex Age Disability Marital status Sexual orientation

• The services provided by the Legacy Counseling center are limited to which type of client population? – A. Clients diagnosed with Hepatitis and their family members requiring supportive care and education. – B. People with tuberculosis confirmed by skin test needing IV medication daily. – C. People with HIV/AIDS, their families, significant others, and caregivers. – D. Clients diagnosed with a disorder involving a compromised immune disorder and psychiatric problems.

• The Legacy counseling center aims to serve clients in an effort to provide which positive outcome? Select all that apply. – A. Improve the quality of life of people affected by AIDS. – B. Directed client to follow instructions and predetermined decisions by staff. – C. Providing emotional support and encouragement that foster mental and emotional health in our clients. – D. Assist with coping by making decisions for the clients.

• The Legacy counseling center mission is to provide which services to persons in the North Texas Area who have tested positive for HIV/AIDS, and/or family, friends and caregivers of such individuals. ? Select all that apply. – A. Counseling. – B. Special Care Housing. – C. Transportation services. – D. Mental health care. – E. Emotional support services

• What year was Legacy Counseling Center founded? – A. 1979. – B. 1989. – C. 1999. – D. 2009.

Module 2 Estimated Time 30 minutes Let’s take a moment to review our learning objectives before you begin the next section. Remember that your quiz will relate to these objectives, so keep them in mind as you read through the information. • Learning Goal – The new Employee will gain knowledge about the available services at Legacy Counseling Center.

Module 2 Estimated Time 30 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Describe the available service at Legacy Counseling Center including services at the Counseling Center, Founders Cottage, Grace Project, Homebase for Housing without referring to the website. • Differentiate available services from provided services at the Founders Cottage without referring to the website. • List the counseling center services including mental health, substance abuse, and 24 -hour emergency line for crisis and suicide without referring to the website.

Legacy Center Programs • Counseling Center – http: //legacycares. org/counseling-center/ • Founders Cottage – http: //legacycares. org/founders-cottage-2/ • Grace Project – http: //legacygraceproject. org/ • Homebase for Housing – http: //www. homebaseforhousing. org/

Counseling Center Services • Mental Health – Individual Therapy – Group Therapy – HIV-Positive Women’s Groups – Spanish Language Therapy • Substance Abuse Program – Nine-Week Intensive Outpatient Program – Nine-Week Supportive Outpatient Program – Individual Counseling • 24 -hour emergency hotline – Suicide – Crisis Situations

Founders Cottage • Established 1996 • Cited by Texas Department of Health officials as a model special care housing facility for critically ill people living with AIDS

Founders Cottage • Established 1996 – Cited by Texas Department of Health officials as a model special care housing facility for critically ill people living with AIDS – Types of residents • Medical prognosis less than 6 months to live – Low T-cell counts; very high viral loads – High pain levels • Care after major medical problem and hospital stay • Disability that requires constant care • Respite care – Care giver needs to rest – Primary care giver unavailable

Founders Cottage Employees • Program Director • Patient Care Assistant • Housing Services Coordinator • Cook • Volunteers – Administrative Work – Patient Care Assistant – Comfort Food

Founders Cottage Services Available • Special-Care Facility – Healthcare – Respite – Hospice

Founders Cottage Service Provided • • • 24 -Hour Care Meals, Comfort Food Housekeeping Counseling Medical Support • • • Companionship Bereavement Support Advocacy Social Work Case Management

Founders Cottage Service Provided • 24 Hour care – Personal hygiene – Grooming needs – Turning/Repositioning client • Housekeeping – Laundry – Cleaning

Founders Cottage Service Provided • Meals – Homemade meals for each client • Medical requirements are considered and met for individual residents – Food and drug interactions – Dairy/juice • Management of symptoms – Fatigue – Throat or mouth pain

Founders Cottage Service Provided • Medical Support – Pain management – Medications delivery on time – 24 hour access to on call nurse and physician

Founders Cottage Service Provided • Case Management and Advocacy – Medication delivery – Transportation – Social Work – Legal services – Financial assistance – Spiritual care

Grace Project Services • National Conference for Women Living with HIV S E E – upport, ducate, and mpower women living with HIV/AIDS – Network of women living with HIV – Serves approximately 200 women through the year BUILDING TOMORROWS HOPE

Grace Project Services • National Conference for Women Living with HIV – Established 1999 – Create future advocates for HIV prevention, health education, and awareness – Bring formerly isolated women living with HIV together BUILDING TOMORROWS HOPE

Grace Project Services • Goals – Review health concerns women encounter • • • Prenatal and postpartum care Menopause Unique effects of HIV/AIDS on women Disclosure trainings Cultural considerations Educational programs – HIV 101 • Educate women about depression obesity, and diabetes BUILDING TOMORROWS HOPE

Grace Project Services • Media links – 2012 Conference • http: //www. nbcdfw. com/news/local/Conference. Raises-HIVAIDS-Awareness-162491786. html – 2013 Positivi. TEA • http: //dfwstyledaily. com/2013/03/19/video-feel-goodfashion-at-legacy-grace-projects-positivi-tea/ – 2014 Keynote Speaker Diane Reeve BUILDING TOMORROWS HOPE

Grace Project Services • Media links – 2014 Keynote Speaker Diane Reeve • http: //www. bing. com/videos/watch/video/hiv-victimturns-tragedy-into-triumph/1 d 23 hpsqe – Legacy Counseling Center You. Tube Channel • https: //www. youtube. com/channel/UCV 0 Iwb. PDCl 2 OY op. Pxq 28 cn. Q BUILDING TOMORROWS HOPE

Homebase For Housing Services • Established 2012 • Dedicated to preventing homelessness for people living with HIV/AIDS • Housing information and referral program – Dallas County and 7 surrounding counties – Improving quality of life • Database for housing options

Homebase For Housing Services • Services Provided – Individual housing search assistance – Resource room with phone & computers • Access to website for housing search • Free e-mail set up – Referrals • Utility payments • Financial assistance

• The Legacy Counseling Center provides a suicide and crises hotline. Which of the following statements about the hotline is accurate? – A. The hotline is available for clients of the Legacy Counseling Center during business hours. – B. The suicide and crises line is available 24 -hours a day. – C. The 24 hour emergency line is set up for clients to request assistance with insurance issues. – D. The hotline is equipped to assist clients with financial issues regarding prescription refills.

• The Founders Cottage is a special care facility that provides which of the following services? – A. Healthcare. – B. Medical support. – C. Respite. – D. Hospice.

• The Founders Cottage is a special care facility with services that are available including which of the following? – A. Hospice. – B. Surgery. – C. Child birth. – D. Health care. – E. Respite.

Great work! You are much more knowledgeable about the Legacy Counseling Center! We will now review the policies and procedures. The Legacy Counseling Staff History mission, purpose, and scope Counseling Center and Founders Cottage • Grace Project, and Homebase for Housing q Client Approach, confidentiality, and abuse q Grievances, contraband, incidence reporting, AAP, and Drug free work place

Legacy Center Programs General Orientation Legacy New Hire Part 2 Modules 3 & 4

Module 3 Estimated Time 20 minutes Let’s take a moment to review our learning objectives before you begin the next section. Remember that your quiz will relate to these objectives, so keep them in mind as you read through the information. • Learning Goal – The new Employee will gain knowledge of the expected approach to clients at the Legacy Counseling Center.

Module 3 Estimated Time 20 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Discuss the ethical treatment of clients at the Legacy Counseling Center including individuality, consideration, respect, and dignity without referring to the website. • Differentiate ethical treatment of clients and unethical treatment of clients at the Legacy Counseling Center including individuality, consideration, respect, and dignity without referring to the website. – Upon completion of the orientation program, the Learner will choose to: • Demonstrate the ethical treatment of clients at the Legacy Counseling Center including individuality, consideration, respect, and dignity without referring to the website.

Legacy Center Programs Client Approach • • Clients will be treated with dignity Approach clients in a respectful manner Consideration will be given to clients Each client’s individuality will be recognized

Legacy Center Programs Client Approach Respect Dignity Consideration Individuality

Legacy Center Programs Client Approach Ethical principles are important in defining your approach to clients and residents. Understanding and applying these principles ensure our clients are approached in a respectful manner. • Autonomy – Self-determination by a patient including the ability to act on one's own • Expectations for healthcare provider actions – Promote patient's decision making – Support informed consent – Give weight to patient opinions – Refrain from obstructing patient actions unless they are detrimental to themselves or others

Legacy Center Programs Client Approach • Confidentiality – The duty to respect privileged information about a patient • Expectations for healthcare provider actions – Protect the identity of clients, families, and significant others – Do not talk about client’s diagnosis or issues – Do not talk about a patient in public or outside the context of the health care setting

Legacy Center Programs Client Approach • Beneficence – Doing or actively promoting good • Expectations for healthcare provider actions – Determine how the patient is best served – Maximize possible benefits – Minimize possible harms

Legacy Center Programs Client Approach • Nonmaleficence – Do no harm to a patient • Expectations for healthcare provider actions – Avoid doing any deliberate harm while rendering care

• The health care team member promotes a patient’s decisions and supports informed consent. Which ethical principle is the health care worker implementing? – A. Confidentiality. – B. Autonomy. – C. Nonmaleficence. – D. Beneficence.

• The health care team member’s duty to respect privileged information about a patient including not talking about a patient in public or outside the context of the health care setting is which principle? – A. Confidentiality. – B. Autonomy. – C. Nonmaleficence. – D. Beneficence.

• The health care team at the Legacy Counseling Center will treat the patient in which manner? Select al that apply. – A. Clients will be treated with dignity. – B. Approach clients in a respectful manner. – C. Consideration will be given to clients. – D. Each client’s individuality will be recognized. – E. All the above.

Module 4 Estimated Time 1 hour and 50 minutes Let’s take a moment to review our learning objectives before you begin the next section. Remember that your quiz will relate to these objectives, so keep them in mind as you read through the information. • Learning Goal – The new Employee will gain knowledge of the Legacy Counseling Center policies and procedures including grievances, contraband, incidence reporting, Affirmative Action Plan (AAP), and Drug free work place.

Module 4 Estimated Time 1 hour and 50 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Describe the confidentiality procedures including blocking Legacy name when making calls and the standard response to inquiries about clients without referring to the policy manual. • Describe abuse including the definition without referring to the policy manual. • Describe neglect including the definition without referring to the policy manual. • Describe exploitation including the definition without referring to the policy manual.

Module 4 Estimated Time 2 hours and 10 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Describe the process for grievances including expectation for frank communication, filling out a quality assurance, and response by designated administrative personnel without referring to the policy manual. • List 3 contraband items not allowed at Legacy Center without referring to the policy manual. • List 5 critical incidents that must be reported within 24 hours of occurrence without referring to the policy manual.

Module 4 Estimated Time 2 hours and 10 minutes • Learning Objectives – Upon completion of the orientation program, the Learner will be able to: • Describe the process for critical incidents including filling out an incident report without referring to the policy manual. • Describe the purpose of affirmative action without referring to the policy manual. • Describe when an employee is drug tested without referring to the policy manual.

Module 4 Estimated Time 2 hours and 10 minutes • Learning Objectives • Describe the process for requesting paid time off including direct supervisor approval and request submission 1 week in advance without referring to the policy manual. • State when paid time off is first available without referring to the policy manual. • List 3 potential reasons paid time off may be denied without referring to the policy manual. • State the accrual rate of paid time off per month without referring to the policy manual. • State the consequences for unplanned absences without referring to the policy manual.

Policy and Procedure Confidentiality • LCC adheres to strict confidentiality guidelines following federal HIPPA guidelines • All medical and social information is confidential and released only as permitted by federal and state laws

Policy and Procedure Confidentiality • Identity of clients and residents is confidential, protected information • The right to disclose such information is the privilege of the client or resident • All staff will take every precaution to guard against disclosing private information – Who is a client or resident at LCC – HIV status – Substance abuse history

Policy and Procedure Confidentiality • A release must be signed by a client prior to sharing protected health information • Written permission includes: – Provided for specific reasons – Indicate to who the information is released – List what information can be released – How long the release is effective – May be revoked at any time – Must be signed by the client/resident

Policy and Procedure Confidentiality • Staff and volunteers will: – Sign a confidential statement prior to employment or assignment – By signing the agreement 1. You agree not to disclose the HIV status or any other information about any positive client or intern/volunteer to any other person 2. You agree not to discuss a person's involvement with Legacy because this can jeopardize privacy • Staff and volunteers will not: – Discuss cases where others may hear – Leave charts where non-staff have access – Reveal client information

Policy and Procedure Confidentiality • Protect client/resident confidentiality – Dial *67 to block Legacy’s name when making a phone call – Medical and social information will be shared only with family designate by the client to receive the information with appropriate release and consent – Client/resident Identity will not be disclosed without written consent – All records will be destroyed 7 years after a client leaves services or dies

Policy and Procedure Confidentiality • Resident or guardian will agree to the sharing of information between agencies – Allows free flow of information • Legal requirement • Signed consent form

Policy and Procedure Confidentiality • Clients/residents are provided a copy of the privacy notice at intake • Clients/residents sign acknowledgment regarding Receipt of LCC/LFC’s privacy notice • Exceptions – Staff may inform necessary people to secure suicidal or homicidal clients – Billing information follows HIPPA guidelines – Disclosures of a reportable crime – Therapist may discuss cases for the purpose of case management and case development

Policy and Procedure Confidentiality • Violation of the confidentiality policy will result in the immediate dismissal of an employee or volunteer

• All staff and volunteers must block Legacy’s name when making a phone call by dialing which numbers. – A. *411 – B. *67 – C. * 76 – D. *911

• LCC adheres to strict confidentiality guidelines. Which statement accurately reflects the LCC confidentiality policy? – A. Client/resident Identity will be disclosed to callers. – B. Staff may inform necessary people to secure suicidal or homicidal clients. – C. Staff should leave charts out on desks where nonstaff have access. – D. Staff are encouraged to discuss cases where others may hear.

• All staff will take every precaution to guard against disclosing private information. Which information is considered private? – A. Who is a client LCC. – B. Medical condition including HIV status. – C. Substance abuse history. – D. Disclosure of a reportable crime. – E. Therapist may discuss cases for the purpose of case management

True or False • All staff and volunteers may choose to sign or not sign a confidentiality statement prior to employment.

• Identity of clients and residents is confidential, protected information. The right to disclose such information is the privilege which person? – A. Psychologist. – B. Case manager. – C. Client/Resident. – D. Social worker.

Policy and Procedure Abuse, Neglect, & Exploitation • Abuse, neglect, and exploitation of LCC clients and LFC residents is strictly prohibited

Policy and Procedure Abuse, Neglect, & Exploitation • Abuse – Physical, emotional, abandonment, or sexual behaviors, exhibited by a paid or volunteer member • Neglect – Willful disregard for a patients’ physical or mental well -being • Exploitation – Treating someone unfairly in order to benefit from them

Policy and Procedure Abuse, Neglect, & Exploitation • Staff and volunteers will: – Report any suspicions of abuse, neglect, or exploitation to the supervisor and executive director immediately • Staff and volunteers will not: – Abuse, neglect, or exploit a LCC client or LFC resident

Policy and Procedure Abuse, Neglect, & Exploitation • Executive director will: • Prevent all staff and volunteers from engaging or ignoring allegations of abuse neglect, and exploitation • Take immediate action to stop an alleged abuse, neglect, or exploitation • Provide appropriate care and treatment if abuse, neglect, or exploitation occurs • Report allegations to the Texas Department of Health and Human Services • Notify guardian or significant other after written permission is obtained

Policy and Procedure Abuse, Neglect, & Exploitation • The grievance committee will investigate alleged incidents – Document in writing • • Investigations Actions to resolve Actions taken to prevent recurrence Documentation is kept in a dedicated file • Board members, staff, and volunteers who engage in abuse, neglect, and exploitation will be terminated from employment or participation

• Abuse, neglect, and exploitation of LCC clients and LFC residents is strictly prohibited. Which statement accurately reflects neglect? – A. Physical, emotional, abandonment, or sexual behaviors, exhibited by a paid or volunteer member. – B. Willful disregard for a patients’ physical or mental well-being. – C. Treating someone unfairly in order to benefit from them. – D. The staff making treatment decisions instead of clients and residents.

• Abuse, neglect, and exploitation of LCC clients and LFC residents is strictly prohibited. Which statement accurately reflects abuse? – A. Physical, emotional, abandonment, or sexual behaviors, exhibited by a paid or volunteer member. – B. Willful disregard for a patients’ physical or mental well-being. – C. Treating someone unfairly in order to benefit from them. – D. The staff maintaining patient records in a confidential manner.

• Staff and volunteers will report any suspicions of abuse, neglect, or exploitation to which person? – A. Volunteer. – B. Case Manager and social worker. – C. Staff member. – D. Supervisor and executive director.

Policy and Procedure Grievances • Any resident, family member, staff, or volunteer may file a complaint or grievance about any matter • Open, frank communication style is expected and encouraged • Quality Assurance (QA) forms are the method by which problems, suggestions, or concerns will be addressed • Destructive complaining and failure to use the QA grievance procedure system is against company policy and will be considered a reason for disciplinary action

Policy and Procedure Grievances • Employees present complaints and grievances to their supervisor using QA forms • QA forms are available to staff, volunteers, clients, residents, family members, and visitors • QA forms ask the nature of the problem, previous efforts to solve the problem and suggestions for action

Policy and Procedure Grievances • For Clients – A copy of complaint information is provided to each client, resident, or family member – Client, resident, or family member will complete the QA form independently or with assistance of staff and turn in the form • LCC forms are submitted to the ED • LFC forms are submitted to PD • Substance abuse and mental issues will be submitted to DCS – A copy of the QA form will be maintained by the ED, PD, or DCS and given to the complainant

Policy and Procedure Grievances • For Clients – The ED, DCS, or PD will review and respond to the complaint or delegate to someone for handling within 48 hours – Complaints filed by substance abuse program clients must be acknowledged and documented within 3 days – All substance abuse program clients must be informed of findings of complaints within 7 calendar days

Policy and Procedure Grievances • For Clients – The ED will review resolved QA forms monthly – All QA responses are available to any staff or board member upon request – Clients dissatisfied with ED recommendations may: • Personally present his/her case to the board within 20 days by presenting to the ED and President of the Board • Client or resident may ask for assistance in preparing the case • The ED reviews the case within 10 days and recommend action to the Board of Directors at the Board meeting • The decision of the board shall be final

Policy and Procedure Grievances • For Staff Members and Volunteers – Staff members and volunteers will complete a QA form and turn it into their supervisor – The supervisor will review the concern and work to resolve it – If the supervisor cannot or does not resolve the issue after 2 attempts the staff member or volunteer may escalate the issue to the ED – If the ED cannot or does not resolve the issue after 2 attempts the staff member or volunteer may escalate the issue to the Chairman of the Board

Policy and Procedure Grievances • For Staff Members and Volunteers – The Chairman of the Board (COB) will try to find a resolution for the grievance – If the person is dissatisfied with the recommendation of the COB, he/she may present the case to Board of Directors – Following the Boards consideration of the committee recommendation the Board decision shall be final

Policy and Procedure Grievances • Board member concerns or suggestions – The member will complete a random board survey – mail or e-mail the concern in writing • After 2 attempts via written notices the concern may be escalated to the ED and then COB • The ED will keep a log of all QA issues and responses • The log of all QA issues will be available to any staff or board member upon request • The LCC and LFC will maintain written complaints and investigations reports for 5 years

• A complaint or grievance may be filed at LCC by which people? Select all that apply. – A. Resident – B. Family member – C. Staff – D. Volunteer – E. All the above.

• The LCC and LFC will maintain written complaints and investigations reports how many years? – A. 1 year. – B. 3 years. – C. 5 years. – D. 10 years.

True or False • The log of all QA issues will be available to any staff or board member upon request.

• Any staff may file a complaint or grievance about any matter at LCC. What should the person filing the grievance do if the situation is not resolved by the supervisor? – A. After 1 attempt by the supervisor to resolve the issue, the staff may take the complaint to the board. – B. The staff member may escalate the issue to the ED if the issue is not fixed immediately. – C. After 2 attempts by the supervisor to resolve the issue, the staff may take the complaint to the executive director. – D. The supervisor must contact members of the board to get assistance.

– Any client may file a complaint or grievance about any matter at LCC. What should the person filing the grievance do if the situation is not resolved by the executive director? • A. Nothing, the decision by the executive director is final. • B. Personally present his/her case to the board within 20 days. • C. The decision by the executive director is final. • D. Discuss the dissatisfaction with volunteers.

Policy and Procedure Contraband • LCC/LFC is a safe place for clients and staff • Items not allowed – Guns – Knives • Greater than 6 inches • Double-edge blade – – Fireworks Flare gun Alcohol Illicit drugs Exception: Alcoholic beverages may be served at approved fund-raiser social functions

Policy and Procedure Contraband • Anyone observed to possess or claim to possess contraband: 1. Will be asked to leave the premises 2. Will be reported to the police • Repeat offenders will be banned

• LCC/LFC is a safe place for clients and staff. Which of the following items are banned from the premises? Select all that apply. – A. Knives greater than 6 inches. – B. Guns. – C. Flare Gun. – D. Illicit drugs. – E. Prescription drugs.

True or False • Anyone observed to possess or claim to possess contraband will be asked to leave the premises.

Policy and Procedure Critical Incident Reporting • Internal critical incident report shall be completed for all client incidents including: – Violations of client rights • Allegations of abuse, neglect, and exploitations – Medical emergencies – Psychiatric emergencies – Medication errors – Illegal or violent behavior – Loss of client record – Personal restraint or seclusion

Policy and Procedure Critical Incident Reporting • Internal critical incident report shall be completed for all client incidents including: – Release of confidential information without consent – Fire – Death of an outpatient or residential client • On or off the program site – Client absent without permission from a residential program

Policy and Procedure Critical Incident Reporting • Internal critical incident report shall be completed for all client incidents including: – Suicide attempt by an active client – On or off the program site – Medical or psychiatric emergencies that result in admission to an inpatient unit of a medical or psychiatric facility – Any significant disruptions

Policy and Procedure Critical Incident Reporting • The involved staff member completes the incident report within 24 hours of the occurrence Or • The involved staff completes the incident report within 24 hours of when the facility became aware of or reasonably should have known of the occurrence that occurred off-site per DSHS Standard of Care code S 448. 509

Policy and Procedure Critical Incident Reporting • Incident Report – The report provides a detailed description of the event including • • • Date Time Location Individuals involved Action taken – The individual writing the report shall sign it and write the date and time – Stored in a single, separate file

Policy and Procedure Critical Incident Reporting • Incident reports are faxed by the PD to the ED for review • ED, PD, and DCS review incident reports • All incidents are evaluated through the quality management process – Determine opportunities for improvement – Address program and staff performance

• Internal critical incident report will be completed for which client incident? – A. Confidentiality of diagnosis maintained. – B. Medication administered on time. – C. Suicide attempt by an active client. – D. All clients present and attending residential programs.

• The staff member involved or aware of a critical incident must complete the incident report within what time frame? – A. 4 hours of the occurrence – B. 12 hours of the occurrence – C. 18 hours of the occurrence – D. 24 hours of the occurrence

Policy and Procedure Affirmative Action Plan (AAP) • LCC/LFC intends to ensure there will be no discrimination against any employee, applicant, or potential applicant for employment • LCC/LFC intends to comply with federal guideline prohibiting sexual harassment in the work place • Purpose of the AAP – Establish safe guards to prevent discrimination based on: • • • Religion Political affiliation Race Color National origin Sex

Policy and Procedure Affirmative Action Plan (AAP) • LCC/LFC is an equal opportunity employer – Select job applicants whose education experience and personal qualifications most closely match the requirements of the position – Recruitment, screening, and hiring procedures are intended to ensure the effective implementation of the AAP – All employment offers including rate-of-pay must be approved in advance by the ED

Policy and Procedure Affirmative Action Plan (AAP) • Recruitment efforts will be conducted to ensure minority and women’s groups are actively targeted • Prior to filling positions announcements of position vacancies posted: – Within the agency – Local newspapers – Listed in online employment services

Policy and Procedure Affirmative Action Plan (AAP) • The ED will screen all resumes to determine most qualified applicants • Applicants selected for an interview will complete an application • Reference checks and licensure status will be validated before the DCS offers employment • No persons related by blood or marriage may be employed within the agency

Policy and Procedure Affirmative Action Plan (AAP) • Discrimination or sexual harassment toward minority populations, or any employee will not be tolerated • Prompt action will be taken to intervene • Prompt disciplinary action will be taken against any offender – Staff or non-staff • Continued disregard of this policy may result in termination or permanent denial of access to LCC/LFC and services

• True or false • Discrimination or sexual harassment will not be tolerated and may result in termination

• When a new employee or volunteer starts work at LCC, all references and licenses must be checked. When will the validation process will be completed? – A. References and licensure are not checked. – B. Within 3 days of the start date. – C. Within 90 days of starting work. – D. Before employment position is offered.

Policy and Procedure Drug Free Work Place • Legacy reserves the right to conduct preemployment drug testing • The following behavior will not be tolerated during work hours – Possession or use of illegal drugs – Possession or use of alcohol – Misuse of prescription drugs • Residual effects of the use of alcohol or drugs must not be evident or interfere with the ability to perform work task

Policy and Procedure Drug Free Work Place • An employee, therapist, or intern suspected to be in violation of the drug free work place policy will be asked to submit to a drug-screen test • Volunteers under suspicion may be discharged from their duties without screening • Employees identified with an alcohol or drug problem will be provided appropriate referrals • Employees are expected to complete recommended treatments prior to returning to work

Policy and Procedure Drug Free Work Place • No employee will be discriminated against due to chemical dependency status • Employees who are in chemical dependency recovery must: – Have continuous sobriety for 2 years prior to providing direct services to clients seeking drug or alcohol treatment

• LCC Employees who are in chemical dependency recovery must have continuous sobriety prior to providing direct services to clients. The continuous sobriety must be for how long? – A. 2 months – B. 2 years – C. 4 months – D. 4 years

• True or False • An employee, therapist, or intern suspected to be in violation of the drug free work place policy can refuse to submit to a drug-screen test and continue to work.