INTRODUCTION AND WELCOME

 

Welcome to Positive Change Institute!

We are pleased to offer you numerous opportunities in your journey of change. We are dedicated to the belief that people can change when provided with the right opportunities. Whether you have selected to investigate and consider change or you have been given a court order to attend, we ask the same thing. Please proceed with an open mind. There is value in all experiences and treatment is no different. We want you to benefit from this experience and learn new ways of coping with life’s challenges rather than through the use of drugs, alcohol, violence, and crime. It is our hope that we may provide you with knowledge and education to give you the ability to consider things you have not yet thought of.

As you proceed on this journey, please be patient with yourself. Change can be a very difficult thing to do. Although it is inevitable that change must happen, it is sometimes a painful experience. You may think and feel things that are new to you and cause discomfort. Please do not be afraid to share these experiences and allow for others to offer you support. Remember that when all is said and done, it is UP TO YOU. You get to decide what changes need to happen and you get to make them happen! Hopefully, you too will experience the “Positive Change”.

 

 

Thanks for selecting us to be your guide on this journey. 

PROGRAM RULES AND REGULATIONS

 

  1. All clients must check-in at the front desk prior to receiving services.

 

  1. No Loitering. Clients may arrive up to 30 minutes early for appointments and must leave the facility immediately following their session.

 

  1. All clients will respect the confidentiality of other clients. Talking outside of sessions should NOT include conversations about treatment.

 

  1. Violation of any of these rules may result in termination from the program and/or appropriate legal action.

 

  1. Children must remain in the lobby and must be attended to by an adult.

 

  1. There will be no drugs or alcohol brought into the facility at any time.

 

  1. Fees for services will be paid at the time services are rendered in the form of cash, with exact change, or money order made payable to Positive Change Institute, Inc.

 

  1. All clients will be clean and sober at the time of services. Anyone appearing for services under the influence will be immediately dismissed, their referral source will be contacted, and the may be contacted by law enforcement.

 

  1. There will be no threats or acts of aggression made towards the program, program staff, or other clients of the program. Such action will result in immediate termination, report to the referral source, and law enforcement involvement.

 

     10. Clients will present for all scheduled appointments. If an appointment must be missed, the client will reschedule AT LEAST 24 hours in advance. Failure to reschedule AT LEAST 24 hours in advance will result in a rescheduling fee that will be due and payable prior to the next session.

 

       11. Clients are expected to be ON-TIME for scheduled sessions. In the result of unforeseen circumstances, a five minute grace may be used. If this grace is abused, it will be result in no grace period for that individual. NO ENTRY to appointments will occur later than fifteen minutes following the scheduled start time. Being too late is an absence and will result in a rescheduling fee. 

 

12.  Attendance is MANDATORY. Substance Abuse and Anger Management clients are allowed 2 absence during treatment. More than 2 absences will result in restarting the program. Domestic violence clients are allowed 3 total absences. Upon the 4th absence, the client will restart the entire program.  

13.          Clients missing 3 consecutive sessions will be terminated as Non-Compliant and will require a new intake prior to readmission. DV CASES from Mesa City Court and Mesa Justice Courts upon termination the judge presiding over the case is informed. A court date is set and notification, in writing, is sent to the Defendant ordering them to appear. Failure to appear for the scheduled hearing will result in a warrant being issued and a jail sanction being imposed by the judge. If the defendant presents in court, the judge will impose additional sanctions of fines, community service, and/or incarceration. DV CASES from Superior Court – Maricopa Adult Probation Department upon termination the supervising probation officer will notify the DV court of the treatment Non-Compliance and request a status conference. The probation officer will contact the defendant and prepare a violation form informing the defendant of their scheduled court date. The DV judge will then either order additional court sanctions of community service, PV court set-in, or a term of incarceration in the county jail, or will choose to violate the defendant and sentence to a term of incarceration in the Department of Corrections.

 

PAYMENT COLLECTION POLICY

 

It is the policy of Positive Change Institute, Inc. to require payment for services

AT THE TIME SERVICES ARE RENDERED.

Payments may be made in the form of cash or money order.

Payments made in the form of a money order must be made paid to the order of: Positive Change Institute.

Money orders made any other way will NOT be accepted.

Cash payments must be in the exact amount as no change will be available. Receipts will be provided for all payments

All money collected will be removed from the facility immediately. There will be NO CASH on premises.

 

FEE POLICY

Positive Change Institute, Inc. reserves the right to modify service fees at any time.

New clients will receive a current fee schedule at the time of intake.

Existing clients will receive at least a 30 day written notice of any fee changes prior to activation of any increase in fees. This statement will be signed and a copy placed in their file.

The current fee schedule will be posted in the lobby of the facility at all times.

 

REFUND POLICY

It is the policy of Positive Change Institute, Inc. to refund money owed to a client due to pre-payment for services not yet rendered. And the client will not be continuing services due to one of the following factors:

  • Client is involuntarily discharged
  • Client is voluntarily discharged
  • Client is transferred to another program

 Refunds are processed and distributed within 10 working days of a request for refund being made.

Refunds are issued in the form of a check and made payable to the client.

To receive a refund the client must:

  • Notify office staff of request for refund in writing
  • Provide office staff with current address for mailing or
  • Contact phone number for those client’s picking up the refund

CLIENT RIGHTS

 

You have the following Rights:

 1.) To be treated with dignity, respect, and consideration;

 2.) Not to be discriminated against based on race, national origin, religion, gender, sexual orientation, age, disability, marital status, diagnosis, or source of payment;

 3.) To receive treatment that: Supports and respects the client's individuality, choices, strengths, and abilities; Supports the client's personal liberty and only restricts the client's personal liberty according to a court order; by the client's general consent; or as permitted in this Chapter; and

Is provided in the least restrictive environment that meets the client's treatment needs;

 4.) Not to be prevented or impeded from exercising the client's civil rights unless the client has been adjudicated incompetent or a court of competent jurisdiction has found that the client is unable to exercise a specific right or category of rights;

 5.) To submit grievances to agency staff members and complaints to outside entities and other individuals without constraint or retaliation;

 6.) To have grievances considered by a licensee in a fair, timely, and impartial manner;

 7.) To seek, speak to, and be assisted by legal counsel of the client's choice, at the client's expense;

 8.) To receive assistance from a family member designated representative, or other individual in understanding, protecting, or exercising the client's rights;

 9.) If enrolled by the Department or a regional behavioral health authority as an individual who is seriously mentally ill, to receive assistance from human rights advocates provided by the Department or the Department's designee in understanding, protecting, or exercising the client's rights;

 10.) To have the client's information and records kept confidential and released only as permitted under R9-20-211(A)(3) and (B);

 11.) To privacy in treatment, including the right not to be fingerprinted, photographed, or recorded without general consent, except: For photographing for identification and administrative purposes, as provided by A.R.S. § 36-507(2); For a client receiving treatment according to A.R.S. Title 36, Chapter 37; For video recordings used for security purposes that are maintained only on a temporary basis; or As provided in R9-20-602(A) (5);

 12.) To review, upon written request, the client's own record during the agency's hours of operation or at a time agreed upon by the clinical director, except as described in R9-20-211(A)(6);

 13.) To review the following at the agency or at the Department: This Chapter; The report of the most recent inspection of the premises conducted by the Department; A plan of correction in effect as required by the Department; If the licensee has submitted a report of inspection by a nationally recognized accreditation agency in lieu of having an inspection conducted by the Department, the most recent report of inspection conducted by the nationally recognized accreditation agency; and

If the licensee has submitted a report of inspection by a nationally recognized accreditation agency in lieu of having an inspection conducted by the Department, a plan of correction in effect as required by the nationally recognized accreditation agency;

 14.) To be informed of all fees that the client is required to pay and of the agency's refund policies and procedures before receiving a behavioral health service, except for a behavioral health service provided to a client experiencing a crisis situation;

 15.) To receive a verbal explanation of the client's condition and a proposed treatment, including the intended outcome, the nature of the proposed treatment, procedures involved in the proposed treatment, risks or side effects from the proposed treatment, and alternatives to the proposed treatment;

 16.) To be offered or referred for the treatment specified in the client's treatment plan;

 17.) To receive a referral to another agency if the agency is unable to provide a behavioral health service that the client requests or that is indicated in the client's treatment plan;

18.) To give general consent and, if applicable, informed consent to treatment, refuse treatment or withdraw general or informed consent to treatment, unless the treatment is ordered by a court according to A.R.S. Title 36, Chapter 5, is necessary to save the client's life or physical health, or is provided according to A.R.S. § 36-512;

 19.) To be free from: Abuse; Sexual Abuse; Neglect; Exploitation; Coercion; Manipulation; or Retaliation for submitting a complaint to the Department or another entity; Discharge or transfer, or threat of discharge or transfer, for reasons unrelated to the client's treatment needs, except as established in a fee agreement signed by the client or the client's parent, guardian, custodian, or agent; Treatment that involves the denial of: Food, The opportunity to sleep, or The opportunity to use the toilet; and Restraint or seclusion, of any form, used as a means of coercion, discipline, convenience, or retaliation;

 20.) To participate or, if applicable, to have the client's parent, guardian, custodian or agent participate in treatment decisions and in the development and periodic review and revision of the client's written treatment plan;

 21.) To control the client's own finances except as provided by A.R.S. § 36-507(5);

 22.) To participate or refuse to participate in religious activities;

 23.) To refuse to perform labor for an agency, except for housekeeping activities and activities to

maintain health and personal hygiene;

 24.) To be compensated according to state and federal law for labor that primarily benefits the agency and that is not part of the client's treatment plan;

 25.) To participate or refuse to participate in research or experimental treatment;

 26.) To give informed consent in writing, refuse to give informed consent, or withdraw informed consent to participate in research or in treatment that is not a professionally recognized treatment;

27.) To refuse to acknowledge gratitude to the agency through written statements, other media, or speaking engagements at public gatherings;

 28.) To receive behavioral health services in a smoke-free facility, although smoking may be permitted outside the facility; and

GRIEVANCE PROCEDURE

It is the clients right to grieve any decision affecting his/her treatment in this program that would result in a change or termination of services.

Upon admission, the client will receive the Grievance Procedure that will be explained to them during the intake process. The client will sign that they have received and had this policy explained to them.

When a client receives any formal notice of change that will impact his/her treatment, he/she will be given the opportunity to file a grievance.

When a client requests to file a grievance related to any program or treatment issue, he/she will be offered the assistance needed to initiate the process. 

Grievance Procedure

 1.   Client will be provided with a Grievance Complaint form and be scheduled to see the assigned counselor within 2 business days.

 2.   Client and counselor will identify the problem and determine a plan of correction or resolution, if possible that will be documented and forwarded to the Program Administrator for review.

 3.   If the situation is not resolved with the assigned counselor, a meeting may be requested with the Program Administrator, to occur within 2 business days of the request. The identified problem, plan of correction, and proposed resolution are to be documented and forwarded to the Company President within 1 business day.

 4.   The Company President will review and provide the client with a written decision within 3 business days of receiving the documentation form the Program Administrator.

 5.   If the client chooses, he/she may also contact the Arizona Office of Behavioral Health Licensure at (602) 364-2595.