WHAT DOES ARC MANOR DO?
1. ARC Manor helps people learn to live happily without drugs and alcohol.
2. ARC Manor helps people change.
3. ARC Manor teaches people to control their own lives.
4. ARC Manor teaches people to cope with problems in their lives.
5. ARC Manor helps families transcend the effects of substance abuse.

CLIENT RIGHTS

1. You are protected by State and Federal Confidentiality Laws. See attached.
2. A person receiving care or treatment under the provisions of, or subject to
the provision of section 7 of the PA Drug and Alcohol Abuse Control ACT (71
p.s. 1690.107), shall retain all civil rights and liberties except as provided by
law. No client shall be deprived of any civil right solely by reason of treatment.
3. No one is discriminated against on the basis of age, race, creed, sex, ethnicity, color, national origin, marital status, sexual orientation, handicap, economic condition, or religion.
4. You will be treated humanely; with dignity and respect.
5. You have the right to request information about the rules, regulations, and policies regarding your treatment.
6. You have the right to review your file. If you wish to review your file, talk with your counselor. A request is then made to the Executive Director. Prior to a review, the Executive Director may temporarily remove portions if it is
determined that the information would be harmful if presented. Reasons for
removing sections will be documented and kept on file. You may appeal this
decision in writing to the Executive Director.
7. You have the right to request the correction of inaccurate, irrelevant,
outdated, or incomplete information from your records. The request should be addressed to the counselor/Executive Director in writing.
8. You have the right to submit rebuttal data or memoranda to your records. The material should be written.
9. You have the right to appeal termination of services to the agency director.
10. You have a right to provide input to your treatment plan.
11. You have the right to file a complaint/grievance if you are dissatisfied with services. Issues subject to grievance include length of stay, level of care
determination, denial or termination of services, results of financial liability
determination, and consumer abuse/neglect.

RISKS AND BENEFITS

When receiving drug and alcohol treatment there are both risks and benefits. Risks or side effects may include experiencing discomfort from sharing personal information, or discomfort from trying/applying treatment strategies to your daily living routine. There may be times of strong unpleasant feelings. This is a normal part of the counseling process and can be discussed with your therapist at any time.

There are also clear possible benefits. Benefits may include: abstinence from substance use, increase in ability to cope with stressors, a decrease in symptoms, better relationships, increased self-understanding and acceptance, and an overall feeling of being understood.

CLIENT RESPONSIBILITIES

1. You have the responsibility to fully participate in your therapy by openly and honestly disclosing your concerns.
2. You have the responsibility to keep all scheduled appointments and to cancel only when necessary and then to do so as early as possible.
3. You have the responsibility to be on time for appointments.
4. You have the responsibility to complete your homework assignments.
5. You have the responsibility for taking care of all financial obligations promptly.
6. You have the responsibility for following all the rules and regulations applicable to you.
7. You have the responsibility to put into action the changes you will be discussing in therapy.
8. You are responsible for abstaining from drugs and alcohol.
9. You are responsible to provide urine samples for drug testing. The sample
may be sent for confirmation and you would be responsible for any cost of
this procedure.

WHO IS ELIGIBLE FOR SERVICES

1. Any individual with a substance use disorder.
2. Any individual impacted by a substance use disorder.
3. Any individual who is motivated to change and participate in treatment.
5. Individuals coming to residential treatment should be at least 18 years old and be able to participate and benefit from our treatment program.

COMPLETION OF TREATMENT/AFTERCARE AND FOLLOW-UP

1. Treatment is considered done when the majority of your treatment goals are completed or in process and your primary therapist recommends discharge.
2. Treatment is terminated if one month has elapsed between appointments.
3. Treatment may be terminated if you are no longer willing to invest in your
treatment.
4. Treatment may be terminated for violation of rules.
5. Treatment is best terminated after a thorough evaluation of your progress with your counselor.
6. As part of our treatment program, some individuals are contacted for follow-up.

AVAILABILITY OF SERVICES

1. Staff are available 24 hours a day every day of the year by phone.
2. Appointments are scheduled with your counselor to fit the schedules of both. Hours are flexible.

CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS

The confidentiality of alcohol and drug abuse patient records maintained by this program is protected by Federal law and regulations and State law. Generally, the program may not say to a person outside the program that a petient attends the program or disclose any information identifying a patient as an alcohol or drug abuser UNLESS:
1. The patient consents in writing;
2. The disclosure is allowed by a court order; or
3. The disclosure is made to a medical personnel in a medical emergency or to qualified personnel for research, audit, or program evaluation.

Violation of the Federal law and regulations by a program is a crime. Suspected violations may be reported to appropriate authorities in accordance with Federal regulations.

Federal law and regulations do not protect any information about a crime committed by a client either at the program or against any person who works for the program or about any threat to commit such a crime.

Federal laws and regulations do not protect any information about suspected child abuse or neglect from being reported under State law to appropriate State or local authorities.
(See 42 U.S.C. 200dd-3 and 42 U.S.C. 200ee-3 for Federal laws and 42 CFR part 2 for Federal regulations).
(Approved by the Office of Management and Budget under Control No. 0930-0099)

The agency is required to enter into a qualified service organization agreement with the local public health agency. This allows ARC Manor to report certain diseases and conditions to the Health Department for purposes of disease prevention and control. Disease Prevention and Control Law of 1955, 35 P.S. 521.1 et seq.

My signature below acknowledges that I do voluntarily consent to enter treatment at ARC Manor. I agree to follow the treatment program which has been designed for me. All of the above has been explained to me and I have been offered a copy of this document.

Armstrong-Indiana-Clarion Drug & Alcohol Commission, Inc.

LOC and MAT Re-Admission Guidelines

Re-Admission into rehabilitation services for clients who have relapsed have the following limitations:

1. Clients are eligible for a maximum of two inpatient, non-hospital rehabilitation stays per twelve (12) month period. It is anticipated that the second stay will be of short term duration.

2. To be re-admitted to the rehabilitation system, the client must be evaluated by the Case Manager.

3. The decision to re-admit is based on the following factors:

a.       Previous treatment progress

b.      Type of discharge

c.       ASAM criteria

d.      Desired goals and motivation

4. The client will need to explain:

a.       What has changed

b.      What went wrong in the last course of treatment

c.       Client’s motivation for returning to treatment

d.      How the consumer will make treatment work this time

5. All clients who have left treatment AMA or who are administratively discharged are required to wait for a 30 day period and may be required to attend AA/NA meetings and/or check in with the Case Manager during this period.  This policy does not apply to priority populations.

6. There is no denial where the need for detoxification is clearly indicated.

7. Exception to the above may be granted by the Case Management Supervisor or Executive Director where special circumstances exist.

Re-Admission into the Medication Assisted Treatment (MAT) Program for clients have the following limitations: 

1.      To be re-admitted to the MAT Program, the client must be evaluated by the Case Manager.

2.      The decision to readmit is based on the following factors:  Previous treatment progress, type of discharge, ASAM criteria, and desired goals and motivation. 

3.      The client will need to explain:  what has changed, what went wrong in the last MAT Program admission, his/her motivation for returning to the MAT Program and how s/he will make the MAT Program work this time.

4.      Clients who have dropped out or were administratively discharged from the MAT Program are required to wait for 30 days and may be required to attend AA/NA meetings and/or check in with the Case Manager during this period.

5.      Exceptions may be granted by the Case Management Supervisor or Executive Director where special circumstances exist. 

The Case Manager will attempt to facilitate entry to a lower level of care and/or provide appropriate interim services where re-admission is denied.