Human Services, Inc.

ADULT SHORT TERM RESIDENTIAL (Dual Diagnosis Capable)

Each Client stay is determined through individual needs based on accepted ASAM level of care criteria and the DSM-V. HSI provides, (within scope of

practice) care for persons with co-occurring conditions unless primary diagnosis is psychiatric-ally based and is determined by HSI clinical staff that person needs psychiatric care as primary assessment or who meets exclusionary criteria.

 

ADMISSION: All referrals must be pre-screened prior to any information being sent. 

1. Referred person must have an evaluation, completed by a credentialed professional that meets diagnostic criteria for a substance dependence diagnosis as well as meets ASAM criteria for level III.5 Clinically Managed High Intensity Residential Services. Referring agency/counselor must then contact our Admissions Coordinator by telephone for pre-screening of referral information. This must include current DSM-V and current ASAM criteria, completed in compliance NE regulation definitions in 206.

2. Financial arrangements and negative TB test results must be completed prior to admission. If the person has received services before, any outstanding bill, must be current with payment. If not current financial arrangements must be made before readmission. TB test results must accompany evaluation.

3. The Admission Coordinator will request when evaluation is to be mailed or faxed. This expedites the admission process.

4. Persons on psychotropic medications will be evaluated prior to admission. Alternatives to medication with the propensity for dependency will be offered suggestions of alternative effective medications. (Examples: Ativan, Seroquel, Xanax ,or other Benzodiazepine, Opioids, any narcotic or mood affecting, dependency building drugs and other drugs determined inappropriate). Persons who decline alternative solutions will be offered a referral to treatment of their choice. No one will be allowed to enter or receive narcotics. If client is seen at the emergency room for treatment and narcotics are given, client will not be allowed to return to agency as agency is a non-medical facility and has no nursing staff. Client may return at time prearranged with Medical Director. Any person seeking treatment at HSI will be individually reviewed for appropriateness.

5. Human Services, Inc. requires a referred person to have a negative TB test prior to admission. If they have ever had a positive TB test, referred person must have completed a minimum of 2 weeks documentation of appropriate medications, a clear x-ray, and a note from providing physician verifying both. There may be other required tasks. Those with positive TB will not be admitted.

6. If the referred person has a guardian due to cognitive impairments that do not allow for person to sign own consents and responsibilities, he/she may not be appropriate for facility.

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WHAT CLIENTS NEED TO BRING

1. Legally recognized photo ID.

2. Proof of Income.

3. Results of TB test and any necessary documentation.

4. Medications approved by Medical Director and the ability to refill medications.

5. Foot covering (no bare feet)

6. $65.00 for drug screen, telephone, laundry and activities.

7. Sealed cigarettes and toiletries (alcohol free and no E-Cigarettes).

8. Laundry detergent (powder only, sealed). 

9. Electric razor (no razor blades).

10. No gang colors, midriff shirts, mini skirts, sheer clothing, tank-tops, or shorts above the knee. Must have appropriate sleep ware (co-ed facility).

11. Co Pay or down payment may be needed.

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SMOKING/CHEWING: Is only allowed outside in designated areas at designated times. No open packs of cigarettes/chew cans are allowed at admission. No spitting and person must maintain cleanliness.

will not be allowed to visit if suspected to be under the influence of any chemical. 

If suspected to be under the influence, they will be required to pass a drug screen at a cost of $25.00 or will not be allowed to visit.

 

PHONE CALLS: Client may not make or receive phone calls until they have been here for 15 days. Also calls may only be made/received on Friday 4:30-11:00 pm, Saturday 7:00 am-11:00 pm and Sunday 7 am-11 pm. Client phone number is (308) 762-9946. Client will need a phone card or they will need to call collect. Clients answer their own phone. Agency does not take messages unless it is an emergency which would be referred to on-call personnel.

 

EXCLUSIONARY CRITERIA

Clients may be excluded from this program for the following:

1. Program does not provide for clients other needs (e.g. Primary psychiatric, medically unstable)

2. Family members of direct service delivery employees

3. Conflicts of interest between any agency employee and the client that may restrict client’s treatment involvement

4. Persons with criminal records indicating poor impulse control resulting in violence or criminal backgrounds of sexual abuse

5. Persons diagnosed with positive TB screen without documented two weeks medication and without proof of treatment (clear x-ray is not sufficient) and any contagious disease such as Staph or MRSA until documented medically to be no longer contagious.

6. Persons unable to self-care or who has a guardian due to cognitive impairments that does not allow person to legally sign consent and make personal decisions on their own. 

7. Clinical decision based on individual case.

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