Adams Recovery Center 1569 State Route 28, Loveland, Ohio 45140 Phone: (513) 575-0968

1. Adams Recovery Center 1569 State Route 28, Loveland, Ohio 45140Phone: (513) 575-0968 Written by: Eleanor McGuff

2. Mission Statement ☼ To promote a multi-faceted healing process for each individual and their families in Clermont and its surrounding counties, by providing accessible, quality treatment utilizing a service system that emphasizes trust, respect, confidentiality, and compassion.

3. ARC Philosophy ☼ We exist for the patient and their families where we create, promote, and maintain a positive relationship with our patients, payor sources, associates and staff, and the community.

4. ARC Funding ☼ Adams Recovery Center is a for profit organization. It does not receive any type of grants. Funding is through Medicaid, some private insurance, or self-pay.

5. Population Served ☼ Persons living in any Ohio county with a substance abuse problem, can come to ARC. ☼Potential clients are advised to detox before coming to ARC because they do not provide detoxification services.

6. Population Served ☼ Adams Recovery Center opened in November 2011. ☼ In 2012, there were 585 patients served for the year, with a monthly average of 48 clients. ☼ Through July 2013 there have been 359 patients served. The 2013 monthly client average is 51.

7. Treatment Details ☼ ARC is a Therapeutic Community (TC) based treatment facility.

8. ☼ TC has existed for about 40 years. In general, TCs are drug-free residential settings that use a hierarchical model with treatment stages that reflect increased levels of personal and social responsibility. Peer influence, mediated through a variety of group processes, is used to help individuals learn and assimilate social norms and develop more effective social skills.

9. Treatment Outcomes ☼ Successful Completion (Graduate): Client has completed 60-90 days of inpatient treatment, accomplished all treatment plan goals/objectives, made living arrangements, has a finalized relapse prevention plan, established a healthy support system, and provided a detailed exit plan for maintaining sobriety.

10. Treatment Outcomes (contd.) ☼ Administrative Discharge: Not based on clinical decision, mainly insurance termination related. ☼ Clinical Discharge: Clinical team decision (i.e., mental health issues beyond scope of practice, repeated client behaviors unhealthy to overall client community). ☼ Unauthorized Discharge: Client makes decision to leave treatment against clinical advise.

11. Adams Recovery Staff ☼ Owner/Program Director/President = Lori Highlander ☼ Vice President, Operations = Amy Gast ☼ Clinical Director = Matt Rupert LICDC, PCC ☼ Clinical Coordinator = Dave Neltner LICDC ☼ Medical Coordinator = Terry Schuelter RN ☼ Medical Assistant and Counselor = Ann Pullem RN,CDCA ☼ Counselor/Counselor Assistants = Suzanne Hoskins MA, PC/CR, George Adams BS, CDCA, Rita Vilvens BA, LSW, Charisse Seikbert CDCA, Dave Miller CDCA, Chip Drews CDCA, Eleanor McGuff CDCA ☼ Residential Monitors (3rd Shift) = Sherri Richey, Cassie Bergen ☼ Medical Records/Intake = Jan Flucas ☼ Office/Receptionist = Whitney Plessmer, Jamie McCray ☼ Maintenance Department = Mark Dreyer

12. ARC Table of Organization The 5/28/13 ARC Table of Organization is: Program Director/President: Lori Highlander Clinical Director: Matt Rupert Clinical Coordinator: Dave Neltner All remaining staff reports to Matt Rupert, then Dave Neltner.

13. Staff Requirements ☼ Counselor: - Minimum of an Associate of the Arts degree (Bachelor preferred) - Minimum of CDCA, LSW, PC, or MFT. - At least one year of experience providing counseling in the chemical dependency field. - Scope of practice on licensure needs to specifically include AOD (alcohol or drug) treatment. - Experience with individual, family, and group counseling

14. Staff Requirements ☼ IntakeWorker: - A.A. degree or higher - CDCA or higher or other appropriate licensure with declared AOD scope -Experience working with the AOD population -Experience with assessment/intake preferred. -Experience with insurance paneling preferred.

15. Staff Requirements ☼Front Desk: - No minimum degree requirement, high school diploma or GED preferred. - No specific AOD work experience required, but is considered extremely helpful. -Ability to perform multiple tasks. - Ability to work within a day treatment program and adhere to standards of practice and confidentiality.

16. Accreditation ☼ Adams Recovery Center is not accredited . ☼ ARC operates and works under the umbrella policies, guidelines, and procedures set forth by the ODADAS.

17. Eleanor’s Responsibilities ☼ Residential Monitoring: enforce all group and treatment center rules, bi-weekly checks/searches of women/men dormitories for cleanliness and contraband items, de-escalating client behavioral issues/incidents. ☼ Counseling: currently in learning process… treatment plan preparation, weekly counseling sessions (observed by supervisor) have been completed, case management note preparation, and assisting with group therapy sessions ☼ Office/Receptionist Support: Phones, greeting visitors, client requests, assisting with admission of new clients (searching personal belongings, preparing client release of information forms, facility tours, facility rules explanation, and introduction to big brother/sister).Weekly preparation of all client medical and PRN sheets for use by the nursing staff.

18. Responsibilities (contd.) ☼ Staff Meeting Notes: Take notes at weekly staff meetings and then type/email to send to all staff. ☼ Billing: Responsible for preparing case management, individual counseling, crisis intervention, and group therapy session notes.

19. My Learning Experience ☼Self-Disclosure: Sharing personal information takes focus off client and puts on self. ☼Growth in Acceptance: Accepting that a client is exactly where they are supposed to be at any given time. I am there to listen, be helpful, and show empathy. ☼ Theorectical Orientation: trained in basics of Therapeutic Community (TC),

20. My Learning (contd.) ☼Rational Behavioral Emotive Therapy (RBET): Increase in understanding client behavior, able to provide clients with alternate behavior choices, and mistakes are part of the growth process. ☼ Group Therapy: Learned importance of excellent listening skills, observed several group leader techniques, and watched client group behavior. ☼Group Counseling Techniques: Observation of 4+ counselors in group therapy sessions on regular basis.

21. My Learning (contd.) ☼ SMART Recovery: 1) Motivation: If you are not fed up entirely with a situation, you will not change it. Client becomes aware of consequences. 2) Dealing with Urges: Brain pathways lead to triggers. Tools need to be provided to fight urges, which have a time factor. If you mentally play with urges you increase desire to use. You need to have a plan of action. 3) Managing Thoughts/Feelings/Behavior 4) Balanced Life Style: Developing a new life style.

22. My Learning (contd.) ☼Individualized Treatment Plans: Problem statement, goals, objectives, and progress. Listening to client, getting their input/ideas for their treatment. Primary counselor for 1 client. ☼ Facilitated Group Therapy Sesssions: Group leader for weekly 12 step group/AA big book discussion.

23. Classmate Importance ☼ Adams Recovery Center has experienced staff that have the capabilities to help substance abusers and this facility a good learning opportunity for anyone interested in the helping professional field. ☼ Observation is a wonderful tool to learning and a great way to help you develop your professional style. ☼ Putting classroom education into practice makes the connection you need to personally grow.

24. Works Cited Adams Recovery Center Employee Handbook, November 2011. Audience. "What is a therapeutic community?” National Institute on Drug Abuse. N.p., n.d. Web. 25 July 2013. <http://www.drugabuse.gov/publications/research-reports/therapeutic-community/what-therapeutic-community>. Hoskins MA, PC/CR, Suzanne. Personal interview. 19 July 2013. Rupert LICDC PCC, Matt. Personal interview. 23 July 2013.