Written by: Eleanor McGuff. ☼ To promote a multi-faceted healing process for each individual and their families in Clermont and its surrounding counties,

Adams Recovery Center 1569 State Route 28, Loveland, Ohio 45140

Phone: (513) 575-0968

Written by: Eleanor McGuff

☼ To promote a multi-faceted healing process for each individual and their families in Clermont and its surrounding counties, by providing accessible, quality treatment utilizing a service system that emphasizes trust, respect, confidentiality, and compassion.

Mission Statement

☼ We exist for the patient and their families where we create, promote, and maintain a positive relationship with our patients, payor sources, associates and staff, and the community.

ARC Philosophy

☼ Adams Recovery Center is a for profit organization. It does not receive any type of grants. Funding is through Medicaid, some private insurance, or self-pay.

ARC Funding

☼ Persons living in any Ohio county with a substance abuse problem, can come to ARC. ☼ Potential clients are advised to detox before coming to ARC because they do not provide detoxification services.

Population Served

☼ Adams Recovery Center opened in November 2011. ☼ In 2012, there were 585 patients served for the year,

with a monthly average of 48 clients.☼ Through July 2013 there have been 359 patients

served. The 2013 monthly client average is 51.

Population Served

☼ ARC is a Therapeutic Community (TC) based treatment facility.

Treatment Details

☼ TC has existed for about 40 years. In general, TCs are drug-free residential settings that use a hierarchical model with treatment stages that reflect increased levels of personal and social responsibility. Peer influence, mediated through a variety of group processes, is used to help individuals learn and assimilate social norms and develop more effective social skills.

☼ Successful Completion (Graduate): Client has completed 60-90 days of inpatient treatment, accomplished all treatment plan goals/objectives, made living arrangements, has a finalized relapse prevention plan, established a healthy support system, and provided a detailed exit plan for maintaining sobriety.

Treatment Outcomes

☼ Administrative Discharge: Not based on clinical decision, mainly insurance termination related.☼ Clinical Discharge: Clinical team decision (i.e., mental health issues beyond scope of practice, repeated client behaviors unhealthy to overall client community).☼ Unauthorized Discharge: Client makes decision to leave treatment against clinical advise.

Treatment Outcomes (contd.)

☼ Owner/Program Director/President = Lori Highlander☼ Vice President, Operations = Amy Gast☼ Clinical Director = Matt Rupert LICDC, PCC☼ Clinical Coordinator = Dave Neltner LICDC☼ Medical Coordinator = Terry Schuelter RN☼ Medical Assistant and Counselor = Ann Pullem RN,CDCA☼ Counselor/Counselor Assistants = Suzanne Hoskins MA,

PC/CR, George Adams BS, CDCA, Rita Vilvens BA, LSW, Charisse Seikbert CDCA, Dave Miller CDCA, Chip Drews CDCA, Eleanor McGuff CDCA

☼ Residential Monitors (3rd Shift) = Sherri Richey, Cassie Bergen

☼ Medical Records/Intake = Jan Flucas☼ Office/Receptionist = Whitney Plessmer, Jamie McCray☼ Maintenance Department = Mark Dreyer

Adams Recovery Staff

The 5/28/13 ARC Table of Organization is:Program Director/President: Lori HighlanderClinical Director: Matt RupertClinical Coordinator: Dave NeltnerAll remaining staff reports to Matt Rupert, then Dave Neltner.

ARC Table of Organization

☼ Counselor:- Minimum of an Associate of the Arts degree

(Bachelor preferred)- Minimum of CDCA, LSW, PC, or MFT.- At least one year of experience providing

counseling in the chemical dependency field.- Scope of practice on licensure needs to

specifically include AOD (alcohol or drug) treatment.

- Experience with individual, family, and group counseling

Staff Requirements

☼ Intake Worker:- A.A. degree or higher- CDCA or higher or other appropriate licensure with declared AOD scope- Experience working with the AOD population- Experience with assessment/intake preferred.- Experience with insurance paneling preferred.

Staff Requirements

☼ Front Desk:- No minimum degree requirement, high school diploma or GED preferred.- No specific AOD work experience required, but is considered extremely helpful.- Ability to perform multiple tasks.- Ability to work within a day treatment program and adhere to standards of practice and confidentiality.

Staff Requirements

☼ Adams Recovery Center is not accredited . ☼ ARC operates and works under the umbrella policies, guidelines, and procedures set forth by the ODADAS.

Accreditation

☼ Residential Monitoring: enforce all group and treatment center rules, bi-weekly checks/searches of women/men dormitories for cleanliness and contraband items, de-escalating client behavioral issues/incidents.☼ Counseling: currently in learning process… treatment plan preparation, weekly counseling sessions (observed by supervisor) have been completed, case management note preparation, and assisting with group therapy sessions☼ Office/Receptionist Support: Phones, greeting visitors, client requests, assisting with admission of new clients (searching personal belongings, preparing client release of information forms, facility tours, facility rules explanation, and introduction to big brother/sister). Weekly preparation of all client medical and PRN sheets for use by the nursing staff.

Eleanor’s Responsibilities

☼ Staff Meeting Notes: Take notes at weekly staff meetings and then type/email to send to all staff.☼ Billing: Responsible for preparing case management, individual counseling, crisis intervention, and group therapy session notes.

Responsibilities (contd.)

☼ Self-Disclosure: Sharing personal information takes focus off client and puts on self.☼ Growth in Acceptance: Accepting that a client is exactly where they are supposed to be at any given time. I am there to listen, be helpful, and show empathy.☼ Theorectical Orientation: trained in basics of Therapeutic Community (TC),

My Learning Experience

☼ Rational Behavioral Emotive Therapy (RBET): Increase in understanding client behavior, able to provide clients with alternate behavior choices, and mistakes are part of the growth process.☼ Group Therapy: Learned importance of excellent listening skills, observed several group leader techniques, and watched client group behavior.☼ Group Counseling Techniques: Observation of 4+ counselors in group therapy sessions on regular basis.

My Learning (contd.)

☼ SMART Recovery: 1) Motivation: If you are not fed up entirely with a

situation, you will not change it. Client becomes aware of consequences.

2) Dealing with Urges: Brain pathways lead to triggers. Tools need to be provided to fight urges, which have a time factor. If you mentally play with urges you increase desire to use. You need to have a plan of action.

3) Managing Thoughts/Feelings/Behavior 4) Balanced Life Style: Developing a new life style.

My Learning (contd.)

☼ Individualized Treatment Plans: Problem statement, goals, objectives, and progress. Listening to client, getting their input/ideas for their treatment. Primary counselor for 1 client.☼ Facilitated Group Therapy Sesssions: Group leader for weekly 12 step group/AA big book discussion.

My Learning (contd.)

Classmate Importance☼ Adams Recovery Center has experienced staff

that have the capabilities to help substance abusers and this facility a good learning opportunity for anyone interested in the helping professional field.

☼ Observation is a wonderful tool to learning and a great way to help you develop your professional style.

☼ Putting classroom education into practice makes the connection you need to personally grow.

Adams Recovery Center Employee Handbook, November 2011.Audience. "What is a therapeutic community?” National

Institute on Drug Abuse. N.p., n.d. Web. 25 July 2013. <http://www.drugabuse.gov/publications/research-reports/therapeutic-community/what-therapeutic-community>.

Hoskins MA, PC/CR, Suzanne. Personal interview. 19 July 2013.

Rupert LICDC PCC, Matt. Personal interview. 23 July 2013.

Works Cited