Residential and Outpatient Handbook - Plymouth - 21

What Is " FOCUS " ?
Revised Jellinek Chart
Focus means paying attention to a specific area of
concern. A Focus is a short term addition to a patient's
individualized treatment plan which creates a small,
attainable, and measurable goal surrounding symptoms
and behaviors we commonly see become difficult.
A Focus provides a patient with increased support
through staff check-ins, environmental changes, and
added responsibility to help them get the most out
of their time with us, stay safe, and prevent atypical
discharge.
Some symptoms and behaviors that have an associated
Focus include repeatedly breaking program rules,
missing multiple required activities, instigating or
perpetuating peer conflict, aggression toward others or
property, engaging in threatening communication or
hate speech.
Confidentiality
Federal confidentiality laws apply to staff and patients
at Hazelden Betty Ford. Respect for a person's
anonymity is also an essential part of the Hazelden
Betty Ford philosophy, which is based on the Twelve
Steps of Alcoholics Anonymous.
To help ensure that Hazelden Betty Ford is a safe and
trusting environment for all clients, please remember
that confidentiality is a primary expectation.
When discussing confidentiality, we will cover the
following:
* Your responsibility as a patient
* Exceptions to confidentiality for patients
* Staff's responsibility
* Exceptions to confidentiality for staff
Signs or Symptoms Indicating the Progression of
Substance Use Disorder
- Occasional relief usage
- More frequent relief usage
- Tolerance for substance increases
- Blackouts or loss of memory
- Preoccupation with substance use
- Quick or fast use of substance
- Avoids talking about drug use or behavior
- Guilty feelings regarding behavior
- Increase in blackouts or memory loss
- Loss of control over substance use
- Using in secret or alone
- Lying, alibis
- Breaking promises made to self and others
- Extravagant, aggressive and/or guilty behavior
- Attempts to stop using substances
- Change in use pattern and/or switching from
one drug to another
- Social decay, losing or changing friends
- Problems at work or school
- Geographical escapes (moving to avoid
conflicts, running away)
- Family changes
- Seeking help
- Unreasonable resentments
- Maintaining a supply
- Heavy use
- Physical and emotional problems
- Neglecting food, sleep and health
- Morning usage
- Longer using episodes, bingeing
- Moral breakdown
- Insane thinking beyond reason
- Unreasonable jealousy
- Decreased tolerance to substances
- Tremors and shakes
- Clumsiness
- Vague spiritual desires
20

Residential and Outpatient Handbook - Plymouth

Table of Contents for the Digital Edition of Residential and Outpatient Handbook - Plymouth

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