A Model Development Program National Center on Homelessness ...

A Model Development Program National Center on Homelessness ...

Transitioning a GPD Facility to GPD Low Demand M. Scott Young, PhD Research Assistant Professor University of South Florida Paul Smits, LCSW Senior Policy Analyst University of South Florida 1 Overview

Examination of Zero Tolerance Policies Tailoring Rules, Policies and Procedures for Veterans in Early Recovery Resident and Staff Safety Rules Curfews, Contraband, Visitors, and Monitoring Comings and Goings Breathalyzers and Drug Screens? When Can Staff be Flexible and When Must Staff Stand Firm? 2 Examination of Zero Tolerance Policies

Policies that call for dismissal of residents for infraction of rules, relapse, or unacceptable behavior These incidents are NOT ignored, but seen as need for the staff to engage the resident The review of zero tolerance policies and procedures should be conducted with all facility staff engaged in resident care 3 Tailoring Rules, Policies, and Procedures for Veterans in Early Recovery

Early recovery interventions stress the importance of careful assessment of behavior and developing FLEXIBLE alternatives for intervention IN COLLABORATION with the resident A guiding principle in early recovery - resident change comes in very small steps Interventions work best when staff collaboratively develop an intervention approach, using morning huddles, with clear communication to staff on all shifts 4 Resident and Staff Safety Rules Low Demand does NOT mean there are no rules

Resident rules should be kept to a minimum but expectations should be high The important rules should focus on staff and resident safety Rules that apply to all Low Demand Programs -No dealing or use of illicit drugs in the facility -No buying, selling, or use of alcohol or drugs in the facility -No sexual activity between residents -No violence or threats of violence Some rule violations may call for dismissal 5 Curfews, Contraband, Visitors, and Monitoring Comings and Goings

Curfews most Low Demand Programs have curfews Contraband most low demand programs do some contraband checks -at entrance -periodic locker and personal space checks, but can be announced ahead of time with Veteran provided the option of being present -amnesty boxes are used in some Low Demand Programs Visitors most Low Demand Programs have rules regarding visitation Check in and check out procedures- almost all sites have sign in/sign out or similar procedures to monitor the comings and goings of residents Low Demand Facilities Rarely Discharge Residents for Rules Violations of Curfews, Contraband, Visitor Policy and Check In/Check Out

6 Breathalyzers and Drug Screens? Drug and alcohol testing is generally discouraged in Low Demand Programs When drug and alcohol testing is conducted in Low Demand Programs, the participation and results of testing are not used as a basis for removal from the program 7

When Can Staff be Flexible and When Must Staff Stand Firm? Minor infractions and relapse should be managed as flexibly as possible with the incidents used as opportunities for resident engagement Safety and issues involving violence usually call for harsher interventions and sometimes discharge Striking a balance with regard to flexibility and firmness should always be achieved by seeking consensus on appropriate next steps through team discussion 8

Grouping Low Demand Residents Together Low Demand Programs generally group low demand clients together in a common floor, wing, etc. Fosters a supportive community among Low Demand residents Reinforces the rule differences Minimizes potential disruption to other Veterans in sobriety based programs 9 Questions? / Discussion

10

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