Develop a policy and procedure manual for an outpatient tx facility in Lancaster, Texas. Company name is Step by Step Recovery will be offering adult and adolescents outpatient treatmnet. Website www.stepbysteprecoverydallas.com Adults and adolescents cannot be in same groups they have to be seperated . Rules Facility Organization Operational Plan, Policies and Procedures Reporting Measures Quality Management General Environment Required Postings General Documentation Requirements Client Records Incident Reporting Client Transportation Subchapters
Policy and Procedure Manual for Step by Step Recovery Outpatient Treatment Facility
1. Facility Organization Operational Plan:
1.1 Mission Statement:
Step by Step Recovery’s mission is to provide comprehensive and individualized outpatient treatment services to adults and adolescents in Lancaster, Texas, with a focus on promoting long-term recovery and improving overall well-being.
1.2 Organizational Structure:
Step by Step Recovery will operate under a hierarchical organizational structure, with the following key personnel:
1.2.1 Executive Director: Responsible for overall management and strategic planning.
1.2.2 Clinical Director: Responsible for clinical oversight, program development, and staff supervision.
1.2.3 Treatment Team: Comprised of licensed and certified professionals, responsible for delivering comprehensive treatment services.
1.2.4 Support Staff: Responsible for administrative and operational support.
1.3 Program Components:
1.3.1 Adult Outpatient Treatment: Offered to individuals aged 18 and above, providing counseling, group therapy, and education sessions.
1.3.2 Adolescent Outpatient Treatment: Offered to individuals aged 13-17, with a separate program from adults to ensure age-appropriate treatment methods.
1.3.3 Treatment Modalities: Step by Step Recovery will utilize evidence-based approaches, including cognitive-behavioral therapy, motivational interviewing, and family therapy.
2. Policies and Procedures:
2.1 Reporting Measures:
2.1.1 Incident Reporting: All staff members are required to report any incidents, accidents, or safety concerns promptly to their supervisor, who will document and investigate the incident. Incidents involving clients will be reported to the Executive Director.
2.1.2 Client Progress Reports: Treatment team members will document and report client progress regularly, using standardized assessment tools and individualized treatment plans. Progress reports will be reviewed by the Clinical Director.
2.1.3 Quality Management: Step by Step Recovery is committed to continuous improvement. Regular quality management activities, such as audits, client feedback surveys, and staff trainings, will be conducted to ensure high-quality service delivery.
2.2 General Environment:
2.2.1 Facilities and Equipment: Step by Step Recovery will maintain a clean, safe, and conducive environment for treatment. Facilities will be regularly inspected for safety compliance, and equipment will be well-maintained.
2.2.2 Client Seating: In group therapy sessions, clients will be seated in a manner that promotes privacy and confidentiality. Seating arrangements will be determined based on individual and group dynamics.
2.2.3 Confidentiality and Privacy: Confidentiality of client information will be strictly maintained, in compliance with state and federal laws. Staff members will receive training on confidentiality practices and sign confidentiality agreements.
2.3 Client Transportation:
2.3.1 Transportation Policy: Step by Step Recovery will not provide transportation services to clients. However, staff members may provide information and resources for alternative transportation options.
2.3.2 Client Responsibility: Clients are responsible for arranging their transportation to and from treatment sessions. Failure to attend scheduled sessions due to lack of transportation will be addressed through individualized case management.
3. Required Postings:
Step by Step Recovery will prominently display the following required postings in its facilities:
3.1 Notice of Privacy Practices
3.2 Non-Discrimination Statement
3.3 Emergency Contact Information
3.4 Hours of Operation
3.5 Grievance Procedures
4. General Documentation Requirements:
4.1 Client Intake Forms: All clients entering treatment will complete intake forms, providing relevant personal and medical information. This information will be stored securely and confidentially.
4.2 Treatment Plans: Each client will have an individualized treatment plan, developed collaboratively with the treatment team. Treatment plans will be reviewed regularly and updated as necessary.
4.3 Progress Notes: Treatment team members will document client progress, interventions provided, and any significant events or observations during each session. Progress notes will be maintained in the client’s electronic health record.
5. Client Records:
5.1 Record Management: Client records will be maintained in compliance with state and federal laws and regulations. Records will be protected against unauthorized access or disclosure and stored securely.
5.2 Records Retention: Client records will be maintained for a minimum of seven years after the last treatment session, in accordance with legal and ethical standards.
5.3 Access to Client Records: Access to client records will be granted only to authorized staff members directly involved in the client’s treatment or those with a legal basis for access.
6. Incident Reporting:
6.1 Incident Definition: An incident is any event or circumstance that deviates from normal operations or poses a risk to clients, staff, or the organization.
6.2 Incident Reporting Process: Staff members are required to report incidents immediately to their supervisor, who will initiate an incident report. The incident report will document the details of the incident and any steps taken to address it.
7. Client Transportation:
7.1 Transportation Policy: Step by Step Recovery does not provide transportation services to clients.