Addiction Awareness OSCA 11-036 response - REDACTED.pdf

More documents

Recommendations

Info

Addiction Awareness, LLC Treatment Incident Report Missouri Department of Probation and Parole Client/Offender Name: ________________________________________________ Counselor : _______________________________ Date: __________________ Incident(s) affecting treatment: Positive UA/BA ______ Association ______ Incarceration _____ Medical _____ Work change ______ Family Issue _____ Demographics____ Sanction ____ PO transfer ______ Reporting change _____ Discharge ______ Date when the incident did or will occur: ________________________ Other issues to consider regarding incident: ____________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ If a relapse: Alcohol/Drug Did they admit? __________________ Statement from client: ______________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How much was used if known and over what time frame? _________________________ ________________________________________________________________________ How was the relapse discovered? __________________________________________ Comments regarding above incidents being reported:_____________________________ ________________________________________________________________________ ________________________________________________________________________ Other Information necessary for treatment team: ________________________________ ________________________________________________________________________ ________________________________________________________________________ Counselor staffing detailed recommendations: Counselor (or Counselor Supervisor) Signature Date
--------- City of Saint Joseph, Missouri Certificate of Occupancy ADDICTION AWARENESS Certificate # \vrl 0-011 57 Address: 1109 Soulh Rellliwy Suite C Building Are. Being Certilied: Officl',"pllce of 1200 5(1. ft. I' .......... y 0«., •• , No_A6tl .... , , ..... 1>-) 10 1M SoIII_ , .. St. c..by, M~""J6 VIC Group: H Cons.rucllo. 'I'YI"" VH COde: rollA Oall:" (kc"p.nl l..oad: 11 Sprinkler Syltt ...: No TIlt. ttnlflt!< , ... , the nul insp""llon .... bHn ,.1I,rleID.liy ronductl!d and tb.r I. h .. rc If. ~''"'" ,., ,Ir"clure ud thl' II .. ror wh"'~ the prOI_ Doc"l.ono), II d.,.lflcd . J,ly X. 1110 Il ••• • Ill.R ••
Page 1 and 2:
OSCA 11-036 Treatment Court Special
Page 3 and 4:
Page 5 and 6:
Page 7 and 8:
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Jeremiah W. (Jay) Nixon Governor Ge
Page 41 and 42:
John Sutherland Counseling 902 Edmo
Page 43 and 44:
IXlllBn \ rRIOK tVt klt'
Page 45 and 46:
EXHIBIT .. PIUOS t XUBl t )(C£ Tho
Page 47 and 48:
EDlI8IT .. ""01 E"7'-"f"'" ~ ___...
Page 49 and 50:
• Fa mily Inlen 't ntiu n Sp«ill
Page 51 and 52:
Lisa Doyle, CRADC QMHP Objective To
Page 53 and 54:
I'rofn_Su........., --. "010 ......
Page 55 and 56:
• • • T_hina .......... 7·10
Page 57 and 58: Evelyn Coffman Office Manager 4/198
Page 59 and 60: • Individual counseling , group c
Page 61 and 62: Rita Miller Goal: To become a subst
Page 63 and 64: State of Missouri Office of Adminis
Page 65 and 66: ADDICTION AWARENESS, LLC CONSENT FO
Page 67 and 68: What do you expect/need from treatm
Page 69 and 70: Signature: Title Date: Progress Not
Page 71 and 72: 02/28/2011 ENTER SITE NAME HERE Pag
Page 81 and 82: addicted individual. Alcoholism and
Page 83 and 84: JUSTICE 9. Made direct amends to su
Page 85 and 86: chemical dependency or experiencing
Page 87 and 88: you see someone else do something n
Page 89 and 90: When you have achieved all the requ
Page 91 and 92: 6. Be well-groomed and clean for al
Page 93 and 94: Community of the results of Level-U
Page 95 and 96: ___________________________________
Page 97 and 98: Addiction Awareness, LLC DRUG COURT
Page 99 and 100: G. Behavioral Objective (Interventi
Page 105 and 106: ADDICTION AWARENESS, LLC PROGRAM SU
Page 107: ADDICTION AWARENESS LLC EVALUATION
Page 111: '_od •• 1___ ""It.,.. I ~ ll'::
show all

Addiction Awareness OSCA 11-036 response - REDACTED.pdf

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?