Residential and Outpatient Handbook - Plymouth - 65

Facility Abuse Prevention Plan
Plymouth-2023
Introduction
Minnesota law identifies some adults as vulnerable and therefore susceptible
to abuse. This designation may apply to certain individuals with substance
use disorders and to certain others by reason of mental illness or physical
disability. This document fulfills the Minnesota Department of Human
Services requirement for the adoption of a plan to prevent abuse of patients
served by Hazelden Betty Ford Foundation in Plymouth. The plan is derived
from assessments of the population served, the physical plant, and the
environment.
Assessment and Plan
Assessment of the Population
The non-residential and residential treatment programs at Hazelden Betty
Ford Foundation in Plymouth accepts people who experience problems
relating to substance use and/or mental health conditions for treatment. The
programs serve persons ages 12-25. Due to the wide age range of individuals
served, unique challenges are presented regarding abuse prevention and
safety. Specific factors that may increase the potential for abuse in this
population include age, substance use prevalence and a higher prevalence of
patients with prior exposure to abuse. Measures taken to ensure safety and
prevent abuse include:
* Gender affirming physical and programmatic assignment in residential
services.
* Vulnerability assessment of each patient including consideration of
vulnerability with regard to room assignments, counselor assignment,
consideration of age and developmental level in assignment to program
components and activities, increased monitoring by workforce when
warranted and specific risk management measures as appropriate.
* The use of video monitoring in common areas of the facility.
* The use of workforce rounds in all areas of the building with higher
frequency at times of lower staffing levels.
RULE 32:
The population served by the Rule 32 program consists of individuals aged 14
to 25. All genders are accepted.
The Rule 32 treatment program for detoxification accepts for treatment who
meet the following criteria:
A. appear intoxicated;
B. experience physical, mental, or emotional problems due to
withdrawal from alcohol or other drugs;
C. are being held under apprehend and hold orders under Minnesota
Statutes, section 253B.07, subdivision 2b;
D. have been committed under Minnesota Statutes, chapter 253B, and
need temporary placement;
E. are held under emergency holds or peace and health officer holds
under Minnesota Statutes, section 253B.051, subdivisions 1 and 2; or
F. need to stay temporarily in a protective environment because of
a crisis related to substance use disorder. Persons meeting this
criterion may be admitted only at the request of the county of fiscal
responsibility, as determined according to Minnesota Statutes,
section 256G.02, subdivision 4. Persons admitted according to this
provision must not be restricted to the facility.
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Persons meeting these criteria are deemed to have additional vulnerability
to abuse and neglect due to their potential for intoxication, impaired mental
functioning, compromised physical and/or emotional health and potential
for challenging behaviors due to intoxication or withdrawal discomfort. They
may not be capable of self-care, of communicating their needs, of acting
in their own behalf and in their own interest, and of understanding and
exercising their rights, including the right to file grievances. The workforce
recognizes these factors in the prevention of abuse. Workforce who interact
with patients in this program are specifically trained to safely treat patients
who may exhibit some or all of the above concerns. Additional strategies to
promote safety and reduce vulnerability include providing gender affirming
services and use of 1:1 specialized staffing when indicated. Abuse prevention
measures for these patients include 24-hour nursing monitoring and delaying
administrative admission procedures requiring patient understanding until
the patient is able to understand. A multidimensional assessment of each
patient is made to determine the extent to which they may be susceptible
to abuse for the current course of care as well as for continuing care.
Thereupon, appropriate measures, including referrals, are incorporated into
the patient's care plan.
Patients accepted for 245G non-residential and residential treatment are
capable of self-care, of communicating their needs, of acting in their own
behalf and in their own interest, and of understanding and exercising
their rights, including the right to file grievances. Pre-admission screening
procedures determine the extent to which individuals meet Hazelden Betty
Ford Foundation's admission criteria. Assessments identify maladaptive
behavior and/or the presence of other conditions, such as known violent
crime or acts of physical aggression toward self or others, that may place the
patient and others at risk. Registered sex offenders as defined by the State of
Minnesota and other individuals who do not meet admission criteria are not
admitted to the program, however referrals are provided.
Individuals with a history of substance use disorders are susceptible to
continued use and, while using substances, may experience diminished
ability to exercise caution in relations with others and to act responsibly in
their own interest. Withdrawal concerns may exacerbate existing physical,
emotional and mental distress. Patients may also have greater vulnerability
due to clinical factors such as history of abuse, cognitive limitations, poor
personal boundaries, impulsivity, difficulties with assertiveness, etc.
The workforce recognizes these factors in the prevention of abuse. A
multidimensional assessment of each patient is made to determine the
extent to which they may be susceptible to abuse for the current course
of care as well as for continuing care. Thereupon, appropriate measures,
including referrals, are incorporated into the patient's care plan.
Hazelden Betty Ford Foundation's therapeutic programs require active
involvement of patients, notably in development and implementation
of individual treatment plans. The workforce subscribes to those
therapeutic methods with a high degree of involvement of the patient.
Patient participation is expected and family participation is sought, when
appropriate, in the development of individual treatment plans. Mechanisms
for family involvement include third party calls and encouragement to
participate in the virtual Family Program.
General orientation is provided to all patients. Mechanisms include provision
of a digital copy of the patient handbook at the time of admission; hard
copies of the patient handbook are present on treatment units/available
upon request. Rights and responsibilities of patients, as well as behavioral
expectations, are detailed and made available to each patients and/or
patient representative on request. Additionally, copies of the list of patients'
rights, the grievance procedure, telephone numbers of State regulatory
and advocacy agencies, this abuse prevention plan, and other pertinent
Residential and Outpatient Handbook - Plymouth

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