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FAMILY FRIENDS

Welcome SACRED HEART offers a broad continuum of top quality behavioral health recovery support and wellness services since 1967 Services are provided by a knowledgeable multidisciplinary team that includes both licensed credentialed clinicians and staff WE BELIEVE THAT EVERY INDIVIDUAL SHOULD HAVE THE RIGHT CARE AT THE RIGHT TIME AND IN THE RIGHT SETTING THE SACRED HEART WAY Mission Vision Values Our rich legacy of charitable service as reflected in our mission statement Sacred Heart Rehabilitation Center is dedicated to assisting all people with behavioral health issues including those with limited means to improve their quality of life We are rooted in a far reaching vision that calls upon the organization to reach for a higher standard of service excellence in pursuit of that mission Sacred Heart Rehabilitation Center will provide the best outcome driven evidence based cost effective behavioral health care in North America As we pursue that vision we remain committed to the following core values Integrity We adhere to the highest standards of ethical and professional conduct Accountability We accept and uphold our full responsibility to our clients community staff and organization Customer Service We will relentlessly focus on identifying and serving the needs of our customers Diversity We will honor nurture and respond to the differences inherent in a multicultural society How can I help?

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PHILOSOPHY OF CARE Sacred Heart o ers a broad con4nuum of top quality evidence based services to treat behavioral health disorders provided in various se ngs We believe that each of our clients regardless of nancial status should have the right care at the right 4me and in the right se ng At Sacred Heart we believe that addic4on to drugs and or alcohol is a progressive disease that a ects not only the addicted individual but also those with whom he or she interacts par4cularly friends and family We believe addic4ons are treatable through a comprehensive course of professional therapy educa4on and support individually tailored to the needs of each client served and his or her family All our services blend professional therapeu4c techniques with the principles and prac4ces of the 12step self help movement The services of Sacred Heart are rooted in the following principles Sacred Heart is an inclusive provider of services and aZempts to remove nancial cultural racial ethnic gender age lifestyle or other irrelevant barriers to any individual receiving the treatment he or she needs The principles of honesty and personal responsibility are essen4al founda4ons for las4ng recovery and must be modeled by sta and accepted by clients The individual path to recovery begins with the acceptance of the disorder and a desire to change the behaviors associated with it Recovery is personal and each client s personal plan for recovery must re ect his or her individuality The readiness of each client for the changes necessary for las4ng recovery must be recognized and become an integral part of his or her personal plan for recovery Addic4on is a disease with a variety of symptoms such as denial shame displacement resistance and relapse and these symptoms must be managed clinically not puni4vely Family members signi cant others and or loved ones should be involved in each client s personal plan for recovery as appropriate to the client s speci c circumstances Sustained recovery requires a course of therapy that encompasses mul4ple levels of care provided in mul4ple treatment se ngs Peer support and gra4tude are essen4al parts of sustained recovery and Alumni of Sacred Heart in sustained recovery and their respec4ve family members will be encouraged to provide such support to current clients and family members All services must be provided within a trauma informed culture based on safety collabora4on trustworthiness choice and empowerment for all people employed or served by this organiza4on

Code of Ethics Ethical conduct is necessary and expected Team members must carry out their assigned responsibilities according to any professional Code of Ethics for which they are accountable by virtue of position credentials licensure and or professional membership Sacred Heart s Code of Conduct and the Ethical Responsibility to Clients listed below The Ethical Responsibility to Clients section will be posted at all Sacred Heart facilities Should any client or team member feel that a team member of Sacred Heart has violated any of these responsibilities they should contact their therapist or his her leader with the complaint The complaint will be investigated and a response will be given to the person making the complaint If a satisfactory solution does not occur please contact our Recipient Rights Advisor Ethical Responsibility to Clients 1 Sacred Heart s primary responsibility is to promote the well being of our clients 2 Team members should use accurate and respectful language in all communications to and about clients Clients are not to be neglected or abused in any form or manner 3 Sexual contact sexual involvement or dating relationships are prohibited between team members and current and former clients 4 Team members should be aware of their influential positions concerning current and former clients and should not take advantage of their trust and dependency Secondary relationships should not expressly benefit the team member in any way 5 Every effort will be made to foster maximum self determination on the part of the client except when the client s actions or potential actions pose a serious foreseeable and imminent risk to themselves or others 6 Client confidentiality and privacy must be maintained Confidential information obtained on the job must not be disclosed to unauthorized persons or parties See Management of Information Policy and Procedures Chapter Procedure 1031 7 Clients will participate in the planning of their treatment programs and processes and have the opportunity to provide their informed consent regarding any services provided by Sacred Heart 8 Services should not be provided to clients when it is determined that a client does not require the service or that such services are no longer in the best interest of the client 9 Sacred Heart team members should take reasonable steps to avoid abandoning clients who are still in need of services Careful consideration of all factors is necessary to minimize possible adverse effects on the clients Sacred Heart will make reasonable efforts to ensure the continuity of services when services are interrupted by relocation illness or disability 10 Clients are to receive treatment and care only from properly credentialed and trained team members 11 Discrimination based on race color religion sex national origin sexual orientation gender identity disability political affiliation age marital status veteran status or any other status or condition protected by applicable federal and state laws will not be tolerated Sensitivity to a client s cultural affiliation should be reflected in all staff interactions with clients

PRIVACY POLICY THIS POLICY DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION PLEASE REVIEW IT CAREFULLY This Privacy Policy is provided to you as a requirement of the Health Insurance Portability and Accountability Act HIPAA and Federal Regula4on 42 C F R Part 2 This No4ce describes how we may use or disclose your protected health informa4on and with whom we may share that informa4on Protected health informa4on is individually iden4 able health informa4on Such informa4on may include for example your age address or e mail address and it relates to your past present and future physical or mental health or condi4on and related health care services It is informa4on that you have given to us or that we have learned about you when you were a pa4ent This No4ce also describes your rights and our legal du4es related to this informa4on I Acknowledgment of Receipt of this No4ce You will be asked to provide a signed Acknowledgment of your receipt of this No4ce to ensure that you are aware of the possible uses and disclosures of your protected health informa4on and privacy rights Delivery of your health care services is not condi4oned upon your signature If you decline to provide a signed Acknowledgment we will con4nue to provide treatment to you and will use and disclose your protected health informa4on for treatment payment and health care opera4ons as necessary II Uses and Disclosures of Protected Health Informa4on for Treatment Payment and Health Care Opera4ons A Treatment Payment and Health Care Opera4ons The following describes di erent ways we use and disclose protected health informa4on for treatment payment and health opera4ons including examples of each 1 Treatment We may use or disclose your health informa4on to provide you with medical and behavioral health services including substance abuse preven4on treatment and interven4on You must sign a wriZen consent before we can share your informa4on for treatment purposes If you consent we may disclose your informa4on to people providing managing and coordina4ng your care This includes the coordina4on or management of your care with a third party For example we may disclose your protected health informa4on to a counselor or case manager so he or she can make decisions related to your care We may also disclose informa4on to a pharmacist about other medica4ons you have been prescribed to avoid poten4al adverse interac4ons According to South Carolina Code sec4on 40 75 190 a licensed counselor cannot disclose informa4on acquired during treatment except in these circumstances a b c To report suspected child abuse neglect or exploita4on of a vulnerable adult To prevent clear and immediate danger to a person or persons If the counselor is a defendant in a civil criminal or disciplinary ac4on arising from the course of treatment If you are a party in a criminal or civil proceeding including a commitment proceeding If you introduce your mental condi4on as an element of a claim or defense in a criminal or civil proceeding If you provide a waiver of con den4ality in wri4ng then only by the terms of the waiver d e f 2 Payment We may use or disclose your health informa4on so that we can bill and collect payment from you an insurance company or someone else for the health care services you

receive from us We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether the plan will pay for the treatment For example we may need to give your health plan informa4on about a planned drug screening so your health plan will pay us or reimburse us for the screening 3 Health Care Opera4ons We may use or disclose your health informa4on if you sign a wriZen consent to run necessary administra4ve business management quality assurance internal audit educa4onal func4ons certain marke4ng communica4ons and fundraising ac4vi4es For example we may use or disclose your health informa4on to conduct competence and quali ca4on evalua4ons of our sta who care for you We may use health informa4on to help us decide what addi4onal services we should o er how we can improve e ciency or whether certain treatments are e ec4ve We may also disclose your protected health informa4on to an agent or agency that provides services to us under a quali ed service organiza4on agreement and or business associate agreement in which they agree to abide by applicable federal law and related regula4ons 42 CFR Part 2 and HIPAA 4 Fundraising Ac4vi4es As part of our healthcare opera4ons we may use and disclose a limited amount of your health informa4on to contact you for fundraising e orts The health informa4on released for these fundraising purposes can include your name address other contact informa4on gender age date of birth dates on which you received service health insurance status the outcome of your treatment with us and your trea4ng physician s name Any fundraising communica4ons you receive from us will include informa4on on how you can elect not to receive any further fundraising communica4ons You can tell us not to contact you again 5 Certain Marke4ng Communica4ons We may use or disclose your protected health informa4on as necessary to provide you with informa4on about treatment alterna4ves case management care coordina4on or other health related bene ts and services that may be of interest to you Such communica4ons are a part of Health Care Opera4ons and examples of these communica4ons are invita4ons to con4nuing care programs alumni events newsleZers and other items We will not send communica4ons about a product or service that encourages the purchase or use of the product or service without authoriza4on You may opt out of receiving any of these communica4ons at any 4me 6 Appointment Reminders We reserve the right to contact you in a manner permiZed by law with appointment reminders or informa4on about treatment alterna4ves and other healthrelated bene ts that may be appropriate for you B Other Uses and Disclosures of Health Informa4on without Authoriza4on In addi4on to uses and disclosures of your health informa4on for treatment payment and health care opera4ons we may also use or disclose health informa4on without authoriza4on in the following circumstances 1 To you the pa4ent 2 If ordered by a court 3 For health oversight ac4vi4es such as for example internal and external inves4ga4ons inspec4ons or licensure ac4ons II PermiZed Uses and Disclosures of Protected Health Informa4on under 42 C F R Part 2

A 1 2 3 4 5 B C D E The con den4ality of alcohol and drug abuse pa4ent records maintained by this Agency is protected by Federal law and regula4ons which in some circumstances may o er more or di erent protec4on than HIPAA The Agency may not say to a person outside the Agency that a person is a pa4ent of the Agency or disclose any informa4on iden4fying a pa4ent as an alcohol or drug treatment pa4ent except in the following instances permiZed by Federal law The pa4ent consents in wri4ng The disclosure is allowed by a court order The disclosure is made to medical personnel in a medical emergency or to quali ed personnel for research audit or program evalua4on To report a crime commiZed on the Agency s premises or against Agency personnel or Pursuant to an agreement with a quali ed service organiza4on business associate For example the Agency can disclose informa4on without your consent to obtain legal or nancial services or to another medical facility to provide health care to you as long as there is a quali ed service organiza4on business associate agreement in place Viola4on of the Federal law and regula4ons by the Agency is a crime Suspected viola4ons may be reported to appropriate authori4es in accordance with Federal regula4ons Federal law and regula4ons do not protect any informa4on about a crime commiZed by a pa4ent either at the Agency or against any person who works for the Agency or about any threat to commit such a crime Federal laws and regula4ons do not protect any informa4on about suspected child abuse or neglect from being reported under State law to appropriate State or local authori4es See 42 U S C 290dd 3 and 42 U S C 290ee 3 for Federal laws and 42 CFR part 2 for Federal Regula4ons III Uses and Disclosures of Protected Health Informa4on Only with Authoriza4on A Except for the purposes de ned and listed above we will not use or disclose your health informa4on for any purpose unless you give us your wriZen authoriza4on Circumstances that may require wriZen authoriza4on include the use or disclosure of psychotherapy notes for marke4ng purposes and the sale of your health informa4on B Revoca4on of Authoriza4on If you give us authoriza4on you can withdraw or amend this wriZen authoriza4on at any 4me To withdraw your authoriza4on deliver or fax a wriZen revoca4on to our Privacy O cer at 810 392 2167 If you revoke your authoriza4on we will no longer use or disclose your health informa4on as allowed by your wriZen authoriza4on except to the extent that we have already relied on your authoriza4on IV Your Rights Regarding Your Protected Health Informa4on A You have certain rights regarding your health informa4on which are listed below If you want to exercise any of your rights you must do so in wri4ng in some cases we may charge you for the costs of providing materials to you You can get more informa4on about how to exercise your rights and about any costs that we may charge for materials by contac4ng our Privacy O cer Right to Inspect and Copy With some excep4ons you have the right to inspect and get a copy of the health informa4on that we use to make decisions about your care For the por4on of your health record maintained in an electronic health record if any you may request that we provide that informa4on to or for you in an electronic format If you make such a request we are required to provide that informa4on to you electronically unless we deny your request for other 1

reasons We may deny your request to inspect and or copy in certain limited circumstances and if we do this you may ask that the denial be reviewed 2 Right to Amend You have the right to amend your health informa4on maintained by or for us or used by us to make decisions about you We will require that you provide a reason for the request and we may deny your request for an amendment if the request is not properly submiZed or if it asks us to amend informa4on that a we did not create unless the source of the informa4on is no longer available to make the amendment b is not part of the health informa4on that we keep c is of a type that you would not be permiZed to inspect and copy or d is already accurate and complete 3 Right to an Accoun4ng of Disclosures You have the right to request a list and descrip4on of certain disclosures by us of your health informa4on 4 Right to Request Restric4ons You have the right to request a restric4on or limita4on on the protected health informa4on we use or disclose about you a for treatment payment or health care opera4ons b to someone who is involved in your care or the payment for it such as a family member or friend or c to a health plan for payment or health care opera4ons purposes when the item or service for which we have been paid out of pocket in full by you or someone on your behalf other than the health plan For example you could ask that we not use or disclose informa4on about a laboratory test ordered or a medical device prescribed for your care Except for the request noted in IV c above we are not required to agree to your request Any 4me we agree to such a restric4on it must be in wri4ng and signed by our Privacy O cer or his or her designee 5 Right to Request Con den4al Communica4ons You have the right to request that we communicate with you about health maZers in a certain way or at a certain place We will accommodate reasonable requests For example you can ask that we only contact you at work or by mail 6 Right to a Paper Copy of This No4ce You have the right to copy a paper copy of this No4ce whether or not you have previously agreed to receive the No4ce electronically 7 Right to be No4 ed of a Breach You have the right to be no4 ed if there is a breach a compromise to the security or privacy of your health informa4on due to your health informa4on being unsecured We are required to no4fy you within 60 days of the discovery of a breach VI Revisions to this No4ce We have the right to change this No4ce and to make the revised or changed No4ce e ec4ve for health informa4on we already have about you as well as any informa4on we receive in the future Except when required by law a material change to any term of the No4ce may not be implemented prior to the e ec4ve date of the No4ce in which the material change is re ected We will post the revised No4ce at clinical loca4ons and on our website and provide you with a copy of the revised No4ce upon your request VII Ques4ons or Comments If you have any ques4ons about this No4ce please contact our Privacy O cer at 810 392 2167 If you believe your privacy rights have been violated you may le a complaint To le a complaint contact our Recipient Rights O cer at 810 392 2167 You will not be penalized for ling a complaint This no4ce tells you how we may use and share health informa4on about you If you would like a copy of this no4ce please ask your health care provider

WHY IS CONTINUED CARE IMPORTANT Life challenges outside of residential treatment present unexpected risks to clients leaving care It is vital that clients continue their care from residential through to an outpatient program in the home community It is important that clients think of completing residential care as the first step in a journey that will lead to health and happiness This period of time is also a transition period when clients tend to feel overly confident about their new sobriety and as a result may place themselves into risky situations Additionally when the client first leaves residential treatment they have only begun to learn the many triggers to their use of substances and have just started to learn the many coping techniques to keep themselves from a potential relapse It is for this reason that we help our clients connect to community services Outpatient treatment which typically lasts for three to six months 12 Step Meetings Michigan Resource Services Drug Court probation GED programs Disability Network Neighbors Helping Neighbors and Department of Health and Human Services Outpatient substance abuse treatment offers support to the client and the family We address family issues interpersonal relationships issues dual diagnosis health issues work issues Child Protective Services cases and other legal problems Families have the opportunity to participate in conjoint and family sessions learn about Adult Children of Alcoholics Children of Drug Addicts Al Anon support as well as other community resources Adolescents as young as 14 years old can be assessed and receive substance abuse treatment at a Sacred Heart outpatient facility AA Meeting Info www aa org NA Meeting info www michigan na org

THE DETOXIFICATION EXPERIENCE EMOTIONAL ISSUES IN EARLY RECOVERY Although each client will approach his or her detoxification experience differently there are a number of common emotions most clients will have to deal with as they begin their journey on the road to recovery How effectively they handle these unpleasant feelings at the outset of treatment may well determine their overall success in completing the entire program The following are examples of the many potential hurdles clients may need to overcome early on if treatment is to be effective DENIAL The feeling shortly after arrival that I m not as bad as the rest of these people maybe I don t really need to be here ANGER The perception that the medical staff isn t paying close enough attention to my condition or aren t giving me the medication I want as soon as I feel I need it RESENTMENT Hey I ve gotten myself here against all odds and I m feeling really bad Why does the staff keep coming in and asking me to get up and have my vital signs taken or to get dressed and sit in a group meeting Don t they understand how sick I am right now SHAME The client has returned for their third attempt at recovery Surely the staff will think they are a hopeless case by now How can they face the same people yet again CRAVINGS I ve never felt so much like doing my drug and escaping this terrible sickness If I went home now I could be feeling better in no time Maybe I should get out of here and try this again next month COERCION If the client was influenced in their decision to enter into rehabilitation by outside forces such as their family employee courts etc and does not feel they really wants or needs to quit using alcohol drugs at this time their motivation to change may be quite low Although people in this situation may initially feel they don t have a problem occasionally they do realize the urgency of their situation by listening to the experiences of others FEAR Who will I be when I get clean and leave treatment How will I relate to people I ve been getting high for so long I can t remember life without the drug I won t even know myself anymore Uncertainty about their future in recovery and how they will fit into it can be a powerful deterrent for clients REGRET When the effects of the drugs and or alcohol start to wear off clients may begin to experience shame and remorse for many of the things they ve done and people they ve hurt in order to maintain their addictions If clients tend to isolate themselves early on and not go to groups and 12 step meetings while in detox they will not have had a chance to begin to process and work through these emotions Consequently they may start to feel that they don t deserve to quit using and attain a better life HELPLESSNESS and HOPELESSNESS Sometimes the problems that continue to go unaddressed and multiplied during the course of one s addiction can seem insurmountable in the early stages of recovery For a long time the client s primary responsibility was to find a way to keep on getting high Now the issues requiring one s attention involve such things as health legal matters personal relationship problems employment housing transportation the list seems endless Unless the client receives counseling family and peer support from the very outset they might easily start to feel overwhelmed by the magnitude of his new responsibilities and retreat into the only comfort zone they have known for so long Obviously a person coming into treatment has a lot to contend with The help and understanding of loved ones and treatment staff is crucial at this juncture We must all try to attain a delicate balance between underinvolvement and expecting too much too soon The staff of Sacred Heart Rehabilitation Center is dedicated to helping our clients find and navigate their individual paths to a sustainable future in recovery Many of us know from personal experience the uphill battle facing people who have made the commitment to take back their lives and get well again We will do everything in our power to demonstrate to your loved ones that a brighter tomorrow can exist for them as well as for yourselves Hope truly does spring eternal Each client s experience is different this is meant for informational purposes only

FAMILY SUPPORT INFORMATION www al anonfamilygroups org Al Anon and Al Teen www alanon alateen org Alcoholics Anonymous hZp www aa org en_informa4on_aa cfm Benzodiazepine Anonymous BA 818 6671070 hZp www benzobuddies org resources CARE Family Educa4on Programming 586 541 0033 www careofmacomb com Resources html Children of Alcoholics Founda4on www coaf org This is a very good website it contains educa4onal ac4vity sheets and informa4on is provided for caretakers to children of alcoholics Co Anon Family Group www c anon org Co Dependents of Alcoholics www codependents org County Food Programs Wayne County 313 923 3535 Macomb County 586 469 6004 Oakland County 248 332 1473 Genesee County Community Ac4on Agency 810 232 2185 County Health Departments Genesee County 810 257 3612 Macomb County 586 469 5235 Oakland County 248 858 1280 St Clair 810 987 5300 Wayne County 734 727 7006 Drug Informa4on Source www drugtv com Dual Recovery Anonymous www dualrecovery org Families Anonymous www tabw org Helping Families Heal www helpingfamiliesheal org Informa4on for Parents www thean4drug com MI Child 1 888 988 6300 Medical insurance for those 18 and under who qualify Very a ordable even for low income families Narco4cs Anonymous www na org NAR ANON Narateen www nar anon org Na4onal Assoc for Children of Alcoholics hZps nacoa org US Dept of Health of Human Services www health org WIC Services hZps www michigan gov documents mdch WIC_Agency_List_382084_7 pdf INFORMATION ON SELF HELP GROUPS ADULT CHILDREN OF ALCOHOLICS ACOA Adult Children of Alcoholics is a recovery program for adults whose lives were a ected as a result of being raised in an alcoholic or other dysfunc4onal family It is based on the success of Alcoholics Anonymous and employs its version of the Twelve Steps and Twelve Tradi4ons Do my parents need to be alcoholics No If you can iden4fy with The Problem or have several of the characteris4cs of the Laundry List ACA will bene t you

The Problem Many of us found that we had several characteris4cs in common as a result of being brought up in alcoholic or other dysfunc4onal households We had come to feel isolated and uneasy with other people especially authority gures To protect ourselves we became pleased people even though we lost our own iden44es in the process All the same we would mistake any personal cri4cism as a threat We either became alcoholics ourselves married them or both Failing that we found other compulsive personali4es such as a workaholic to ful ll our sick need for abandonment We lived from the standpoint of vic4ms Having an overdeveloped sense of responsibility we prefer to be concerned with others rather than ourselves We got guilty feelings when we trusted ourselves giving in to others We became reactors rather than actors le ng others take the ini4a4ve We were dependent personali4es terri ed of abandonment willing to do almost anything to hold on to a rela4onship in order not to be abandoned emo4onally We keep choosing insecure rela4onships because they match our childhood rela4onship with alcoholic or dysfunc4onal parents These symptoms of the family disease of alcoholism or other dysfunc4on made us co vic4ms those who take on the characteris4cs of the disease without necessarily ever taking a drink We learned to keep our feelings down as children and keep them buried as adults As a result of this condi4oning we ooen confuse love with pity tending to love those we could rescue Even more self defea4ng we became addicted to excitement in all a airs preferring constant upset to workable solu4ons www adultchildren org AL ANON ALATEEN Al Anon and Alateen members are people just like you and me people who have been a ected by someone else s drinking They are parents children spouses partners brothers sisters other family members friends employers employees and coworkers of alcoholics No maZer what our speci c experience has been we share a common bond we feel our lives have been a ected by someone else s drinking How will Al Anon help me Many who come to Al Anon Al Anon are in despair feeling hopeless unable to believe that things can ever change We want our lives to be di erent but nothing we have done has brought about change We all come to Al Anon because we want and need help In Al Anon and Al Anon members share their own experience strength and hope with each other You will meet others who share your feelings and frustra4ons if not your exact situa4on We come together to learn a beZer way of life to and happiness whether the The alcoholic is s4ll drinking or not ALATEEN Al Anon is part of Al Anon which helps families and friends of alcoholics recover from the e ects of living with the problem of drinking of a rela4ve or friend Al Anon is our recovery program for young people Alateen groups are sponsored by Al Anon members Our program of recovery is adapted from Alcoholics Anonymous and is based upon the Twelve Steps Twelve Tradi4ons and the Twelve Concepts of Service The only requirement of membership is that there is a problem of alcoholism with a rela4ve or friend www al anon alateen org

CODEPENDENCE ANONYMOUS CODA If you are new to CoDA you may be wondering Am I codependent At CoDA we o er no de ni4on or diagnos4c criterion for codependence What we do o er is a list of paZerns and characteris4cs as a tool to aid in self evalua4on PaZerns and Characteris4cs of Codependence These paZerns and characteris4cs are o ered as a tool to aid in self evalua4on They may be par4cularly helpful to newcomers Denial PaZerns I have di culty iden4fying what I am feeling I minimize alter or deny how I truly feel I perceive myself as completely unsel sh and dedicated to the well being of others Low Self Esteem PaZerns I have di culty making decisions I judge everything I think say or do harshly as never good enough I am embarrassed to receive recogni4on and praise or gios I do not ask others to meet my needs or desires I value others approval of my thinking feelings and behavior over my own I do not perceive myself as a lovable or worthwhile person Compliance PaZerns I compromise my values and integrity to avoid rejec4on or others anger I am very sensi4ve to how others are feeling and feel the same I am extremely loyal remaining in harmful situa4ons for too long I value others opinions and feelings more than my own and am afraid to express di ering opinions and feelings of my own I put aside my interests and hobbies to do what others want I accept sex when I want love Control PaZerns Most other people are incapable of taking care of themselves I aZempt to convince others of what they should think and how they truly feel I become resenvul when others will not let me help them I freely o er others advice and direc4ons without being asked I lavish gios and favors on those I care about I use sex to gain approval and acceptance I have to be needed in order to have a rela4onship with others www codependents org 1998 Co Dependents Anonymous Inc and its licensors

GLOSSARY ABSTINENCE To refrain from the use of chemicals to which a person may have become addicted ADDICTION A chronic relapsing disease characterized by compulsive drug seeking and use despite harmful consequences and by neurochemical and molecular changes in the brain ALCOHOLICS ANONYMOUS A voluntary anonymous self help organiza4on of individuals who have a problem with their consump4on of chemicals whether drugs or alcohol Abs4nence is achieved through a 12 step process and a se ng of one alcoholic sharing his her experiences with another alcoholic AL ANON A 12 step process for loved ones who have been a ected by an alcoholic addict It introduces alcoholism to those who might not understand the disease It teaches coping skills and how to become suppor4ve of the alcoholic yet not enable them CASE MANAGEMENT is when the process of treatment is individually managed from the rst steps of treatment planning through the next step of treatment delivery to the nal step of termina4on and discharge from treatment CODEPENDENCE A state of being overly concerned with the problems of another to the detriment of one s needs and needs CONTINUUM OF CARE A term that implies a progression of services that a child moves through usually one service at a 4me More recently it has come to mean comprehensive services Also see the system of care and wraparound services DENIAL is a common reac4on of people with substance use disorders who when confronted with the existence of those disorders deny that they have a substance abuse problem and or have lost control of it This is a complex reac4on that is the product of psychological and physiological factors especially those concerned with memory and the in uence of euphoria produced by the substance of abuse It is not a deliberate willful act on the part of the person who is abusing substances but is rather a set of defenses and distor4ons in thinking caused by the use of substances DETOXIFICATION A process that enables the body to rid itself of a drug while at the same 4me managing the individual s symptoms of withdrawal ooen this is the rst step in a drug treatment program DIDACTIC Instruc4ve or intended to teach or demonstrate especially with regard to morality DOPAMINE A neurotransmiZer present in regions of the brain that regulate movement emo4on mo4va4on and feelings of pleasure DUALLY DIAGNOSED A person who has both an alcohol or drug problem and an emo4onal psychiatric problem is said to have a dual diagnosis ENABLING Allowing irresponsible and destruc4ve behavior paZerns to con4nue by taking responsibility for others not allowing them to face the consequences of their own ac4ons EVIDENCE BASED TREATMENT Scien4 cally validated approaches are called evidence based treatment An array of healthcare ini4a4ves to ensure that pa4ents medical care is grounded in the best scien4 c knowledge and is speci cally appropriate for them Evidence based thinking is a process by which

diverse sources of informa4on are synthesized by a clinician expert or group of experts in order to iden4fy or choose the op4mal clinical approach for a given clinical situa4on FAMILIES ANONYMOUS A 12 step self help recovery and fellowship of support groups for rela4ves and friends of those who have alcohol drug or behavioral problems They share their likes experiences strengths and hopes with each other and with new members GROUP THERAPY This form of therapy involves groups of usually 4 to 12 people who have similar problems and who meet regularly with a therapist The therapist uses the emo4onal interac4ons of the group s members to help them get relief from distress and possibly modify their behavior INDIVIDUAL THERAPY Therapy tailored for a pa4ent client that is administered one on one MEDICAID A health insurance assistance program funded by Federal State and local monies It is run by State guidelines and assists low income persons by paying for most medical expenses METHADONE A long ac4ng synthe4c medica4on that is e ec4ve in trea4ng opioid addic4on NARCOTICS ANONYMOUS A self help organiza4on of individuals who have a dependence on drugs and want to commit to a life of abs4nence One addict helping another to achieve the same goal goes a long way and could save someone s life OPIOIDS Controlled drugs or narco4cs most ooen prescribed for the management of pain natural or synthe4c chemicals based on opium s ac4ve component morphine that work by mimicking the ac4ons of pain relieving chemicals produced in the body PEER SUPPORT Structured rela4onship in which people meet in order to provide or exchange emo4onal support with others facing similar challenges The group does not necessarily need to have healthcare providers among its members Peer to peer groups are those such as AA NA SMART Recovery and online forums Peer support by itself does not cons4tute treatment but is one of the many tools that make up a treatment plan Peer support should be used in conjunc4on with professional psychosocial therapy and or medica4on as part of a comprehensive treatment plan PHYSICAL DEPENDENCE An adap4ve physiological state that can occur with regular drug use and results in withdrawal when drug use is discon4nued Physical dependence alone is di erent from addic4on which involves compulsive drug seeking and use despite its harmful consequences PSYCHOTHERAPEUTICS Drugs that have an e ect on the func4on of the brain and that are ooen used to treat psychiatric disorders can include opioids CNS depressants and s4mulants RECOVERY A lifelong process of change to abstain from alcohol drug usage A character building process that increases the chance of staying clean and sober RELAPSE To fall back into the former state of drinking or using once treatment or recovery has begun The act of going back to old behavior or regressing from sobriety SOBRIETY Abs4nence from the consump4on of alcohol or drugs

THREE QUARTER HOUSE is a living environment supervised and structured for persons reentering their communi4es These houses are drug free residences 12 step recovery residences or clean and sober living Aoer comple4ng treatment for drugs or alcohol some clients may be referred to a structured house because they have nowhere else to go or because returning to their home may be detrimental to their recovery This is a living environment with curfews and rules that help someone in the transi4on back to independent living Clients may be referred to such a house or decide for themselves that they need a clean and safe drug free residence So residents may come from residen4al treatment court or directly from home Clients may stay from several weeks to well over a year while they adjust and nd stability in their lifestyle Court or proba4on monitoring and repor4ng can be a part of a house contract and is supported by sta TWELVE STEP PROGRAMS A process of abs4nence taken from the founders of Alcoholics Anonymous used by millions of alcoholics addicts as a star4ng point into a new life The steps represent an admiZance to oneself that he she has a problem with alcohol drug abuse a cleansing process of shame guilt and resentments a character building process an amending process and a process of giving back for the new life that one has received VALUES Assump4ons convic4ons or beliefs about the manner in which people should behave and the principles that should govern behavior WITHDRAWAL The symptoms that one may have when detoxing from alcohol or drugs This may include nausea insomnia anxiety demen4a convulsions swea4ng trembling weakness and seizures

CONTACTING A CLIENT Con den4ality 42CFR Due to the strict Con den4ality laws protec4ng clients it may seem di cult to contact clients who are in residen4al treatment Please remember to be pa4ent with sta who can only provide you with informa4on about your loved one with wriZen permission Cellphones purses bags weapons medica4ons recording devices food and beverages are not permiZed in the facili4es TO DROP OFF BELONGINGS You may drop o personal items at any of the outpa4ent loca4ons for a client in a residen4al treatment facility If you are sending money please have the money sent in the form of a cashier s check or money order Money orders should be made out to the client s name and sh ould be 100 or under in value Sacred Heart cannot cash money orders over 100 The drop o 4mes are between 8 A M 8 P M RICHMOND AND CLEARVIEW WOMEN S SPECIALTY PHONE CALLS All incoming calls for clients are directed to the client message line 810 392 2167 Ext 1411 Clearview and 810 392 2167 Ext 1155 Richmond Residen4al where the messages are transferred to the client s therapist for him her to inform the client Please be pa4ent as our therapists are aZending to the broad scope of client needs daily These needs may impact your receiving a return call in a 4mely manner All clients are given two assigned 4mes weekly to make calls Please inquire with your loved one when that 4me is for them MAIL Sacred Heart Clearview or Richmond Residen4al AZn Client s Name 400 Stoddard Road Richmond MI 48062 SERENITY HILLS RECOVERY WELLNESS CENTER PHONE CALLS All incoming calls for clients are directed to the client message line 269 815 5500 E xt 2755 where the messages are transferred to the client s therapist for him her to inform the client Please be pa4ent as our therapists are aZending to the broad scope of client needs daily These needs may impact your receiving a return call in a 4mely manner All clients are given two assigned 4mes weekly to make calls Please inquire with your loved one when that 4me is for them MAIL Sacred Heart Serenity Hills AZn Client s Name 6418 Deans Hill Road Berrien Center MI 49102 There are currently no visits at Serenity Hills

WHAT CAN BE BROUGHT INTO TREATMENT NOTE If you do not have any of the items listed below Sacred Heart can help facilitate For example medica2ons hygiene toiletries and clothing necessi2es Please bring any medica2on prescribed to you by a licensed medical professional You should have enough of your prescribed medica2on s for your en2re length of stay o Over the counter medica2on is not permiIed o Medica2on will be collected and reviewed by our medical team and will be stored in the medical area o All prescrip2ons must be in their prescribed boIle o Sacred Heart is a drug free environment therefore medical cannabis narco2cs medica2ons not in proper boIles or drug paraphernalia will be destroyed Luggage the size of a carry on suitcase No more than two pieces of luggage are allowed All items that you are bringing must t into your two pieces of luggage o No more than seven days worth of clothing CigareIes or bagged tobacco unopened packs if necessary Toiletries and personal hygiene items o Must be clear with no alcohol content Work out clothes gym running shoes and or some type of sandals to wear in the showers are recommended Audio device if desired no headsets allowed Small fan to t on desk if desired

Checklist Healthcare Patient Best Practices Be prepared for your virtual visit by checking off this list of best practices Before your visit Download the Zoom app on your computer or mobile device at zoom us download for the best experience Make sure you have a good WiFi connection Set up close to your WiFi router If your WiFi connection is poor connect to your router using an ethernet cable Watch this video for more tips on how to improve your WiFi at home Try to find a space for your visit that is private quiet and without distractions Look for a well lit area or use a lamp set behind your computer to light your face Tidy up your background environment or sit in front of a wall backdrop Position your webcam at or slightly above eye level to create the feeling of having a face to face conversation with your provider Join your Zoom video call 5 minutes early to make sure you re all set and can get started on time Not sure how to join your Zoom video call Check out this Help Center article to learn about all the ways you can join a Zoom video call Test your audio and video so you can start your visit without delays Make sure your camera is on During your visit Keep your video on so your provider can see you Select Speaker View so you can see your provider better

Therapist Group Number Room Number SERENITY PRAYER God grant me the serenity To accept the things I cannot change Courage to change the things I can And wisdom to know the difference ac d a ic a abi i a i da d cc di d a i ai d a a a i a d i a c c c i c ca di a b id d aid ai a a a d ic a a d a i i ad i i a ic Do you want to read stories of IMPACT & COMPASSION?

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