Violence Intervention Program for Adolescents Contracts

Below are VIPA guidelines and expectations for youth and parent/guardian. The youth and parent/guardian must sign to acknowledge they have read and understood VIPA contracts.

Youth will meet for sessions on a regular basis and parent/guardian shall be aware and willing to participate when appropriate.

Number of sessions will be made at the discretion of LEAP counselor.

If a youth is referred or already enrolled in additional services or higher level of care, responsibility will fall on the family to provide appropriate proof of

efforts and enrollment to LEAP.

A parent will need to attend one VIPA Parent Meeting to complete this stipulation. Please email Lea Raymond (lraymond@njprevent.com) to schedule.

This meeting is one hour long and can be attended in-person or virtually.

As per protocol, we require notice of lateness. More than fifteen(15) minutes late for an appointment will result in a missed appointment. Rescheduling an appointment requires a doctor's note, or may be granted for extenuating circumstances with prior approval by VIPA staff. If a scheduled appointment is missed without 24 hour notification or approved documentation, youth will be charged for the session (up to $65), receive a written warning, and as stated above, will be considered a positive drug test result.

Youth must be an active participant and shall not be using a cell phone or other electronic device except for meeting purpose (Zoom). If youth is not actively participating or found using non-permitted electronic devices, they will receive a written warning. Youth must wear appropriate clothing which is clothing that covers the torso, legs (at minimum below mid-thigh), clothing free from offensive pictures or words, clothing free from rips/holes, etc. Inappropriate attire will result in a written warning.

Only one (1) written warning will be permitted per VIPA client. More than one infraction will result in noncompliance. Noncompliance: If youth is deemed noncompliant for any reason, PR shall contact school official and youth's charges may be reinstated

I have read and understood the requirements and expectations of my participation in the Violence Intervention Program for Adolescents.