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Welcome SACRED HEARToffers 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 offers a broad continuum of top quality evidence based services to treat behavioral health disorders provided in a variety of settings We believe that each of our clients regardless of financial status should have the right care at the right time and in the right setting At Sacred Heart we believe that addiction to drugs and or alcohol is a progressive disease that affects not only the addicted individual but those with whom he or she interacts particularly friends and family We believe addictions to be treatable through a comprehensive course of professional therapy education and support individually tailored to the needs of each client served and his or her family All of our services blend professional therapeutic techniques with the principles and practices of the 12 Step self help movement The services of Sacred Heart are rooted in the following principles Sacred Heart is an inclusive provider of services and attempts to remove financial 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 essential foundations for lasting recovery and must be modeled by staff 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 reflect his or her individuality The readiness of each client for the changes necessary for lasting recovery must be recognized and become an integral part of his or her personal plan for recovery Addiction is a disease with a variety of symptoms such as denial shame displacement resistance and relapse and these symptoms must be managed clinically not punitively Family members significant others and or loved ones should be involved in each client s personal plan for recovery as appropriate to the client s specific circumstances Sustained recovery requires a course of therapy that encompasses multiple levels of care provided in multiple treatment settings Peer support and gratitude are essential parts of sustained recovery and Alumni of Sacred Heart in sustained recovery and their respective 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 collaboration trustworthiness choice and empowerment for all people employed or served by this organization

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SACRED HEART REHABILITATION CENTER INC 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 Regulation 42 C F R Part 2 This Notice describes how we may use or disclose your protected health information and with whom we may share that information Protected health information is individually identifiable health information Such information 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 condition and related health care services It is information that you have given to us or that we have learned about you when you were a patient This Notice also describes your rights and our legal duties related to this information I Acknowledgment of Receipt of this Notice You will be asked to provide a signed Acknowledgment of your receipt of this Notice to ensure that you are aware of the possible uses and disclosures of your protected health information and privacy rights Delivery of your health care services is not conditioned upon your signature If you decline to provide a signed Acknowledgment we will continue to provide treatment to you and will use and disclose your protected health information for treatment payment and health care operations as necessary II Uses and Disclosures of Protected Health Information for Treatment Payment and Health Care Operations A Treatment Payment and Health Care Operations The following describes different ways we use and disclose your protected health information for treatment payment and health operations including examples of each 1 Treatment We may use or disclose your health information to provide you with medical and behavioral health services including substance abuse prevention treatment and intervention You must sign a written consent before we can share your information for treatment purposes If you consent we may disclose your information to people providing managing and coordinating your care This includes the coordination or management of your care with a third party For example we may disclose your protected health information to a counselor or case manager so he or she can make decisions related to your care We may also disclose information to a pharmacist about other drugs you have been prescribed to avoid potential adverse interactions According to South Carolina Code section 40 75 190 a licensed counselor cannot disclose information acquired during the course of treatment except in these circumstances a To report suspected child abuse neglect or exploitation of a vulnerable adult b To prevent a clear and immediate danger to a person or persons

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c If the counselor is a defendant in a civil criminal or disciplinary action arising from the course of treatment d If you are a party in a criminal or civil proceeding including a commitment proceeding e If you introduce your mental condition as an element of a claim or defense in a criminal or civil proceeding f If you provide a waiver of confidentiality in writing and then only in accordance with the terms of the waiver 2 Payment We may use or disclose your health information 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 information about a planned drug screening so your health plan will pay us or reimburse us for the screening 3 Health Care Operations We may use or disclose your health information if you sign a written consent to run necessary administrative business management quality assurance internal audit educational functions certain marketing communications and fundraising activities For example we may use or disclose your health information to conduct competence and qualification evaluations of our staff that care for you We may use health information to help us decide what additional services we should offer how we can improve efficiency or whether certain treatments are effective We may also disclose your protected health information to an agent or agency which provides services to us under a qualified service organization agreement and or business associate agreement in which they agree to abide by applicable federal law and related regulations 42 CFR Part 2 and HIPAA 4 Fundraising Activities As part of our health care operations we may use and disclose a limited amount of your health information to contact you for fundraising efforts The health information released for these fundraising purposes can include your name address other contact information gender age date of birth dates on which you received service health insurance status the outcome of your treatment with us and your treating physician s name Any fundraising communications you receive from us will include information on how you can elect not to receive any further fundraising communications You can tell us not to contact you again 5 Certain Marketing Communications We may use or disclose your protected health information as necessary to provide you with information about treatment alternatives case management care coordination or other health related benefits and services which may be of interest to you Such communications are a part of Health Care Operations and examples of these communications are invitations to continuing care programs alumni events newsletters and other items We will not send communications about a product or service that encourages purchase or use of the product or service without authorization You may opt out of receiving any of these communications at any time

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6 Appointment Reminders We reserve the right to contact you in a manner permitted by law with appointment reminders or information about treatment alternatives and other health related benefits that may be appropriate to you B Other Uses and Disclosures of Health Information without Authorization In addition to uses and disclosures of your health information for treatment payment and health care operations we may also use or disclose health information without authorization in the following circumstances 1 To you the patient 2 If ordered by a court 3 For health oversight activities such as for example internal and external investigations inspections or licensure actions III Permitted Uses and Disclosures of Protected Health Information under 42 C F R Part 2 A The confidentiality of alcohol and drug abuse patient records maintained by this Agency is protected by Federal law and regulations which in some circumstances may offer more or different protection than HIPAA The Agency may not say to a person outside the Agency that a person is a patient of the Agency or disclose any information identifying a patient as an alcohol or drug treatment patient except in the following instances permitted by Federal law 1 The patient consents in writing 2 The disclosure is allowed by a court order 3 The disclosure is made to medical personnel in a medical emergency or to qualified personnel for research audit or program evaluation 4 To report a crime committed on the Agency s premises or against Agency personnel or 5 Pursuant to an agreement with a qualified service organization business associate B For example the Agency can disclose information without your consent to obtain legal or financial services or to another medical facility to provide health care to you as long as there is a qualified service organization business associate agreement in place C Violation of the Federal law and regulations by the Agency is a crime Suspected violations may be reported to appropriate authorities in accordance with Federal regulations D Federal law and regulations do not protect any information about a crime committed by a patient either at the Agency or against any person who works for the Agency or about any threat to commit such a crime E 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 290dd 3 and 42 U S C 290ee 3 for Federal laws and 42 CFR part 2 for Federal Regulations

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IV Uses and Disclosures of Protected Health Information Only With Authorization A Except for the purposes defined and listed above we will not use or disclose your health information for any purpose unless you give us your written authorization Circumstances that may require written authorization include use or disclosure of psychotherapy notes for marketing purposes and for the sale of your health information B Revocation of Authorization If you give us an authorization you can withdraw or amend this written authorization at any time To withdraw your authorization deliver or fax a written revocation to our Privacy Officer at 810 392 2167 If you revoke your authorization we will no longer use or disclose your health information as allowed by your written authorization except to the extent that we have already relied on your authorization V Your Rights Regarding your Protected Health Information A You have certain rights regarding your health information which are listed below If you want to exercise any of your rights you must do so in writing in some cases we may charge you for the costs of providing materials to you You can get more information about how to exercise your rights and about any costs that we may charge for materials by contacting our Privacy Officer 1 Right to Inspect and Copy With some exceptions you have the right to inspect and get a copy of the health information that we use to make decisions about your care For the portion of your health record maintained in an electronic health record if any you may request we provide that information to or for you in an electronic format If you make such a request we are required to provide that information for you electronically unless we deny your request for other 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 information 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 submitted or if it asks us to amend information that a we did not create unless the source of the information is no longer available to make the amendment b is not part of the health information that we keep c is of a type that you would not be permitted to inspect and copy or d is already accurate and complete 3 Right to an Accounting of Disclosures You have the right to request a list and description of certain disclosures by us of your health information 4 Right to Request Restrictions You have the right to request a restriction or limitation on the protected health information we use or disclose about you a for treatment payment or health care operations 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 operations purposes

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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 information 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 time we agree to such a restriction it must be in writing and signed by our Privacy Officer or his or her designee 5 Right to Request Confidential Communications You have the right to request that we communicate with you about health matters 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 Notice You have the right to a paper copy of this Notice whether or not you may have previously agreed to receive the Notice electronically 7 Right to be Notified of a Breach You have the right to be notified if there is a breach a compromise to the security or privacy of your health information due to your health information being unsecured We are required to notify you within 60 days of discovery of a breach VI Revisions to this Notice We have the right to change this Notice and to make the revised or changed Notice effective for health information we already have about you as well as any information we receive in the future Except when required by law a material change to any term of the Notice may not be implemented prior to the effective date of the Notice in which the material change is reflected We will post the revised Notice at clinical locations and on our website and provide you a copy of the revised notice upon your request VII Questions or Comments If you have any questions about this Notice please contact our Privacy Officer at 810 392 2167 If you believe your privacy rights have been violated you may file a complaint To file a complaint contact our Recipient Rights Officer at 810 392 2167 You will not be penalized for filing a complaint This notice tells you how we may use and share health information about you If you would like a copy of this notice please ask your health care provider

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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

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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

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FAMILY SUPPORT INFORMATION www al anonfamilygroups org Al anon and Al ateen www al anon alateen org Alcoholics Anonymous http www aa org en_information_aa cfm Benzodiazepian Anonymous BA 818 667 1070 http www benzobuddies org resources Drug Information Source www drugtv com Dual Recovery Anonymous www dualrecovery org Families Anonymous www tabw org Helping Families Heal www helpingfamiliesheal org CARE Family Education Programming 586 541 0033 www careofmacomb com Resources html Children of Alcoholics Foundation www coaf org This is a very good website Contains educational activity sheets and information 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 Action 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 Information for Parents www theantidrug com MI Child 1 888 988 6300 Medical insurance for those 18 and under who qualify Very an affordable even for low income families Narcotics Anonymous www na org NAR ANON Narateen www nar anon org National Assoc for Children of Alcoholics https nacoa org US Dept of Health of Human Services www health org WIC Services https www michigan gov documents mdch WIC_Agency_List_382084_7 pdf

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INFORMATION ON SELF HELP GROUPS ADULT CHILDREN OF ALCOHOLICS ACOA Adult Children of Alcoholics is a recovery program for adults whose lives were an effected as a result of being raised in an alcoholic or other dysfunctional family It is based on the success of Alcoholics Anonymous and employs its version of the Twelve Steps and Twelve Traditions Do my parents need to be alcoholics No If you can identify with The Problem or have several of the characteristics of the Laundry List ACA will benefit you The Problem Many of us found that we had several characteristics in common as a result of being brought up in an alcoholic or other dysfunctional households We had come to feel isolated and uneasy with other people especially authority figures To protect ourselves we became people pleasers even though we lost our own identities in the process All the same we would mistake any personal criticism as a threat We either became alcoholics ourselves married them or both Failing that we found other compulsive personalities such as a workaholic to fulfill our sick need for abandonment We lived live from the standpoint of victims Having an over developed sense of responsibility we preferred to be concerned with others rather than ourselves We got guilt feelings when we trusted ourselves giving in to others We became reactors rather than actors letting others take the initiative We were dependent personalities terrified of abandonment willing to do almost anything to hold on to a relationship in order not to be abandoned emotionally We keep choosing insecure relationships because they matched our childhood relationship with alcoholic or dysfunctional parents These symptoms of the family disease of alcoholism or us o ctoh evricdtiymsfsu ntchtoiosne made who take on the characteristics 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 conditioning we often confused love with pity tending to love those we could rescue Even more self defeating we became addicted to excitement in all an airs preferring constant upset to workable solutions www adultchildren org AL ANON ALATEEN Al Anon and Alateen members are people just like you and me people who have been an effected by someone else s drinking They are parents children spouses partners brothers sisters other family members friends employers employees and coworkers of alcoholics No matter what our specific experience has been we share a common bond we feel our lives have been an effected by someone else s drinking How will Al Anon help me Many who come to AlAnon Alateen are in despair feeling hopeless unable to believe that things can ever change We want our lives to be different 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 Alateen members share their own experience strength and hope with each other You will meet others who share your feelings and frustrations if not your exact situation We come together to learn a better way of life to and happiness whether the alcoholic is still drinking or not ALATEEN Alateen is part of Al Anon which helps families and friends of alcoholics recover from the effects of living with the problem drinking of a relative or friend Alateen 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 Traditions and the Twelve Concepts of Service The only requirement of membership is that there be a problem of alcoholism in a relative or friend www al anon alateen org CODEPENDENCE ANONYMOUS CODA Imf yaoyubaerwe onnedwetroinCgo DAmA yIou codependent At CoDA we offer no definition or diagnostic criterion for codependence What we do offer is a list of patterns and characteristics as a tool to aid in self evaluation

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Patterns and Characteristics of Codependence These patterns and characteristics are offered as a tool to aid in self evaluation They may be particularly helpful to newcomers Denial Patterns I have difficulty identifying what I am feeling I minimize alter or deny how I truly feel I perceive myself as completely unselfish and dedicated to the wellbeing of others Low Self Esteem Patterns I have difficulty making decisions I judge everything harshly as nI ethvienrk gsoayodor do enough I am embarrassed to receive recognition and praise or gifts 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 Patterns I compromise my own values and integrity to avoid rejection or others anger I am very sensitive to how others are feeling and feel the same I am extremely loyal remaining in harmful situations too long I value others opinions and feelings more than my own and am afraid to express differing opinions and feelings of my own I put aside my own interests and hobbies in order to do what others want I accept sex when I want love Control Patterns I believe most other people are incapable of taking care of themselves I attempt to convince others of what they should think and how they truly feel I become resentful when others will not let me help them I freely offer others advice and directions without being asked I lavish gifts and favors on those I care about I use sex to gain ahpavperotovabl ean ndeaecdceedp tainnce I order to have a relationship with others www codependents org 1998 Co Dependents Anonymous Inc and its licensors All Rights Reserved FAMILY SUPPORT INFORMATION Adult Children of Alcoholics https adultchildren org Al Anon for Family and Friends 1 888 4AL ANON www alanonfamilygroups org Al anon and Al ateen www al anon alateen org Alcoholics Anonymous http www aa org en_infor mation_aa cfm Benzodiazepian Anonymous BA 818 667 1070 http www benzobuddies org resources CARE Family Education Programming 586 541 0033 www careofmacomb com R esources html Children of Alcoholics Foundation www coaf org This is a very good website Contains educational activity sheets and information 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 CountyCommunity Action 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 Information Source www drugtv com Dual Recovery Anonymous www dualrecovery org Families Anonymous www tabw org Helping Families Heal www helpingfamiliesheal or g Information for Parents www theantidrug com MI Child 1 888 988 6300 Medical insurance for those 18 and under who qualify Very an affordable even for low income families Narcotics Anonymous www na org NAR ANON Narateen www nar anon org National Assoc for Children of Alcoholics https nacoa org US Dept of Health of Human Services www health org WIC Services https www michigan gov documents mdch WIC_Ag ency_List_382084_7 pdf

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GLOSSARY ABSTINENCE To refrain from the usage of chemicals for 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 organization of individuals who have a problem with their consumption of chemicals whether drugs or alcohol Abstinence is achieved through a 12 step process and a setting of one alcoholic sharing his her like experiences with another alcoholic AL ANON A 12 step process for loved ones who have been affected by an alcoholic addict It introduces alcoholism to those who might not understand the disease It teaches coping skills and how to become supportive of the alcoholic yet not enable them CASE MANAGEMENT is when the process of treatment is individually managed from the first steps of treatment planning through the next step of treatment delivery to the final step of termination and discharge from treatment CODEPENDENCE A state of being overly concerned with the problems of another to the detriment of one s own wants and needs CONTINUUM OF CARE A term that implies a progression of services that a child moves through usually one service at a time More recently it has come to mean comprehensive services Also see system of care and wraparound services DENIAL A common reaction 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 reaction that is the product of psychological and physiological factors especially those concerned with memory and the influence 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 distortions 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 time managing the individual s symptoms of withdrawal often the first step in a drug treatment program DIDACTIC Instructive or intended to teach or demonstrate especially with regard to morality DOPAMINE A neurotransmitter present in regions of the brain that regulate movement emotion motivation and feelings of pleasure DUALLY DIAGNOSED A person who has both an alcohol or drug problem and an emotional psychiatric problem is said to have a dual diagnosis ENABLING Allowing irresponsible and destructive behavior patterns to continue by taking responsibility for others not allowing them to face consequences of their own actions EVIDENCE based treatment Scientifically validated approaches are called evidence based treatment An array of healthcare initiatives to ensure that patients medical care is grounded in the best scientific knowledge and is specifically appropriate for them Evidence based thinking is a process by which diverse sources of information are synthesized by a clinician expert or group of experts in order to identify or choose the optimal clinical approach for a given clinical situation FAMILIES ANONYMOUS A 12 step self help recovery and fellowship of support groups for relatives and friends of those who have alcohol drug or behavioral problems They share their like experiences strengths and hope 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 emotional interactions of the group s members to help them get relief from distress and possibly modify their behavior INDIVIDUAL THERAPY Therapy tailored for a patient client that is administered one on one

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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 acting synthetic medication that is effective in treating opioid addiction NARCOTICS ANONYMOUS A self help organization of individuals who have a dependence on drugs and want to commit to a life of abstinence One addict helping another to achieve the same goal goes a long way and could save someone s life OPIOIDS Controlled drugs or narcotics most often prescribed for the management of pain natural or synthetic chemicals based on opium s active component morphine that work by mimicking the actions of pain relieving chemicals produced in the body PEER SUPPORT Structured relationship in which people meet in order to provide or exchange emotional 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 line forums Peer support by itself does not constitute treatment but is one of the many tools that make up a treatment plan Peer support should be used in conjunction with professional psychosocial therapy and or medication as part of a comprehensive treatment plan PHYSICAL DEPENDENCE An adaptive physiological state that can occur with regular drug use and results in withdrawal when drug use is discontinued Physical dependence alone is not the same as addiction which involves compulsive drug seeking and use despite its harmful consequences PSYCHOTHERAPEUTICS Drugs that have an effect on the function of the brain and that often are used to treat psychiatric disorders can include opioids CNS depressants and stimulants RECOVERY A lifelong process of change to abstain from alcohol drug usage A character building process which 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 Abstinence from consumption of alcohol or drugs THREE QUARTER WAY HOUSE is a living environment supervised and structured for persons reentering their communities These houses are drug free residence 12 step recovery residence or clean and sober living After completing treatment for drugs or alcohol some clients may be referred to a structured house because they have nowhere else to go or returning to their home may be detrimental to their recovery This is a living environment with curfews and rules that helps someone in the transition 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 residential treatment court or directly from home Clients may stay from several weeks to well over a year while they adjust and stability in their lifestyle Court or probation monitoring and reporting can be a part of a house contract and is supported by staff TWELVE STEP PROGRAMS A process of abstinence taken from the founders of Alcoholics Anonymous used by millions of alcoholics addicts as a starting point into a new life The steps represent an admittance 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 Assumptions convictions 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 dementia convulsions sweating trembling weakness and seizures

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NOTES __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________ __________________________________________________________________________________________________________

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WHAT TO BRING INTO TREATMENT TREATMENT PAYMENT INFORMATION YOU SHOULD BRING Luggage the size of a carry on suitcase No more than 2 pieces of luggage are allowed Purses backpacks and small bags are not allowed in the common areas and should not be brought All items that you are bringing must fit into your 2 pieces of luggage Medication prescribed to you by a licensed medical professional Over the counter medication is not permitted Medication will be collected and reviewed by our medical team and will be stored in the medical area All prescriptions must be in their prescribed bottle Every client must have enough of their prescribed medication s for their entire length of stay Sacred Heart is a drug free environment therefore medical cannabis narcotics medications not in proper bottles or drug paraphernalia will be destroyed A form of identification Proof of Insurance Insurance card papers Medicaid card etc Contact information for your primary care physician obstetrician gynecologist and or psychiatrist Deductibles co pays spend downs if required If Medicaid spend down has not been met yet bring documentation of what your monthly spend down is Proof of income and residency if referred and authorized by a Prepaid Inpatient Health Plan No more than seven days worth of clothing Clothing should not contain advertising for drugs alcohol bars or guns Cigarettes or bagged tobacco unopened packs if necessary Chewing tobacco and e cigarettes vaping devices are not allowed Toiletries and personal hygiene articles must be clear with no alcohol content No aerosol sprays or body sprays are allowed please read labels 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 fit on desk if desired PLEASE DO NOT BRING Money more than 100 Money orders should be made out to the client and should be 100 00 or under in value Sacred Heart cannot cash money orders over 100 Valuable rings watches jewelry etc unless worn Please leave all valuables at home or with trusted family friends Sacred Heart is not responsible for stolen items Check books Sharp instruments pocketknives scissors guns and or weapons of any kind Electronics except for a small audit device will not be allowed Food candy or drinks Meals and snacks will be provided Personal linens pillows blankets bedding or stuffed animals Shampoo conditioner and or body wash These items will be provided Clothing should be always appropriate and no revealing shirts or shorts are permitted

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CONTACTING A CLIENT Confidentiality 42CFR Due to the strict Confidentiality laws protecting clients it may seem difficult to contact clients who are in residential treatment Please remember to be patient with staff who can only provide you with information about your loved one with written permission Cellphones purses bags weapons medications recording devices food and beverages are not permitted in the facilities TO DROP OFF BELONGINGS You may drop off personal items to any of the outpatient locations for a client in a residential treatment facility If you are sending money please have the money sent in the form of cashier s check or money order Money orders should be made out to the client s name and should be 100 or under in value Sacred Heart cannot cash money orders over 100 Drop off times 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 Residential where the messages are transferred to the client s therapist for him her to inform the client Please be patient as our therapists are attending to the broad scope of client needs daily These needs may impact you receiving a return call in a timely manner All clients are given two assigned times weekly to make calls Please inquire with your loved one when that time is for them MAIL Sacred Heart Clearview or Richmond Residential Attn 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 Ext 2755 where the messages are transferred to the client s therapist for him her to inform the client Please be patient as our therapists are attending to the broad scope of client needs daily These needs may impact you receiving a return call in a timely manner All clients are given two assigned times weekly to make calls Please inquire with your loved one when that time is for them MAIL Sacred Heart Serenity Hills Attn Client s Name 6418 Deans Hill Road Berrien Center MI 49102

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Information for Friends & Family

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