ThePlaybook_TransitionHouse

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THE PLAYBOOK

Transition House

Empowering Our Team with Clear Goals and Collaborative Success

A MESSAGE FROM OUR CEO

ALEXANDER YOUTH NETWORK CHIEF EXECUTIVE OFFICER

On behalf of the Senior Management Team, I am delighted to welcome you to the Alexander Youth Network! We are honored you have chosen to join us on this transformative journey.

Our mission is clear and powerful: to provide quality treatment to children with serious emotional and behavioral challenges, enabling them and their families to achieve their potential and contribute positively to society. Every day, you have the incredible opportunity to change lives and create lasting impact.

What sets us apart is not just our expertise but the compassion and dedication we bring to our work. As you become part of our vibrant community, remember to lean on your colleagues, ask questions, and share your insights. Every interaction and challenge you overcome brings us closer to fulfilling our mission.

Together, we can make a profound difference in the lives of countless children and their families. Here’s to a future filled with hope, resilience, and positive transformation.

Best regards,

INTRODUCTION THE PLAYBOOK

Purpose of The Playbook

Welcome to The Playbook! This eBook is a central resource for all employees, providing a clear overview of our program expectations and guidelines. Our goal is to ensure everyone in your department has consistent, accurate information, helping us maintain high standards and achieve our goals

Why the Playbook?

Enhance Clarity: Ensure everyone understands their roles and aligns with department goals.

Improve Communication: Clearly communicate expectations, reducing misunderstandings.

Support Training: Serve as a resource for onboarding and ongoing training.

Facilitate Accountability: Establish clear benchmarks and performance indicators.

How the playbook can help you

Program Overviews: Detailed descriptions of each program and key performance indicators.

Expectations: Clear outlines of your role and tasks.

Resources: Access to templates, forms, and contact information.

Procedures: Step-by-step guides to our processes.

Improvement: Best practices and tips for better performance

Using The Playbook, you’ll have the tools to perform your job effectively and contribute to our department’s success This eBook will be an invaluable resource in your professional journey.

ORGANIZATION CHART TRANISITION HOUSE

VP of Residential Services

Program Manager

Qualified / Associate Professionals Licensed Therapist

Recreational Therapist

TREATMENT & THERAPEUTIC

INTERVENTIONS

NeurosequentialModelofTherapeutics (NMT)

TheNeurosequentialModelofTherapeutics(NMT)isa developmentallysensitiveandneuro-biologicallyinformed approachtoworkingwithchildrenwhohaveexperienced trauma.DevelopedbyDr.BrucePerryandtheChildTrauma Academy,NMTisbasedonextensiveresearchintothe impactofearlychildhoodtraumaonthedevelopingbrain.

Core Concepts

NMT focuses on assisting children in forming new pathways for healthy brain development.

It provides a framework for assessing the child, identifying issues and strengths, and applying educational, enrichment, and therapeutic interventions

The model includes an assessment tool that produces a graphical illustration of the child's current brain functioning, allowing for the consideration of developmental risk and resiliency factors.

Application

Based on the results of the NMT metric, specific therapeutic activities are prescribed to support healthier brain development and recovery from trauma.

CopingPowerModel

TheCopingPowermodelisagrouptherapy-basedtreatment designedforchildrenaged8-14whoexhibitaggressive, disruptive,ornon-compliantbehavior,placingthematriskof developingantisocialbehaviorslaterinlife.Thismodelis groundedinempiricallyderivedriskfactorsassociatedwith thedevelopmentofconductproblems.

Key Components

Focus Areas

Goal Setting: Helping children set and achieve personal goals

Anger Management: Teaching techniques to manage and reduce anger

Social Skills: Enhancing interpersonal skills to improve interactions with peers and adults

Problem Solving: Developing effective problem-solving strategies.

Resisting Peer Pressure: Equipping children with skills to resist negative peer influences.

Study Skills: Improving academic skills and habits

Positive Peer Groups: Encouraging the formation of supportive and positive peer relationships

Structure

The model consists of 34 structured group therapy sessions. These sessions are delivered by a licensed clinician at least weekly

Parental Involvement

There is a component for parents, which can be integrated with the child's treatment.

This ensures that parents are actively involved in their child's therapeutic process, reinforcing the skills and strategies learned during the sessions

Objective

The Coping Power model is designed to address the specific needs of children at risk of conduct problems by providing them with the skills necessary for effective living and positive social interactions.

PROGRAM EXPECTATIONS

ProgramOverview:

TargetPopulation:Childrenaged6-12whohave completedPRTF,LevelIII,orLevelIVprograms

ProgramType:DHSRLevelIIIgrouphome

PrimaryClients:YouthinDSScustody

AverageTreatmentDuration:3-4months

Goal:Supportreintegrationintolocalcommunities

Accreditation:JointCommissiononAccreditationof HealthcareOrganizations

ProgramObjectives&

ProjectedClinicalOutcomes

Ourprogramaimstoachievethefollowingforeach child:

Stabilizationofacutesymptomsandbehaviors

Improvedemotionalself-regulationandbehavioral functioninginhomeandschoolsettings

Developmentorenhancementofcopingskills

Increasedsocialandrelationalskills

Reducedfrequencyandintensityofcrisisepisodes

Successfultransitiontoanappropriatelong-term placementorcommunity-basedservice

PROGRAM EXPECTATIONS

Services

24/7 Supervision and Support

Daily schedules posted in living areas

Team-building activities

Social skills training

Therapy Services (by Licensed Clinician)

Individual therapy: 2 sessions/week

Group therapy: 2 sessions/week

Family therapy: As appropriate

Clinical Assessments and Treatment

Planning

Comprehensive assessments upon admission

Regular reassessments

Monthly Child and Family Team meetings

Recreational Therapy

5 group sessions/week

2-3 weekly community outings

Activities: Arts, crafts, music, cooking, swimming, gardening, sports, social skills

practice

Crisis Management

Handle with Care techniques

Crisis Plans in each child's PersonCentered Plan

ADDITIONAL SERVICES

Services

Skill-Building Activities

Focus: Daily living skills, social skills, hygiene, home and community integration, etiquette

Educational Support

Coordination with local schools

Day Treatment services when medically necessary

Medication Management

Provider: Alexander Youth Network

Outpatient Services or chosen provider

Administration: Trained staff

Family Engagement

Potential Family Nights

Resource identification for children in DSS custody

Therapeutic Leave (max 45 days/year, 15 days/quarter, 5 consecutive days max)

Additional Services

Case management

Discharge planning

Bark and Heal program for all children

Structure of Daily Program

Operation: 24/7, 365 days a year

Daily Activities:

School or day treatment attendance

Structured therapeutic activities

Group and individual sessions

Community-based activities for real-world skill practice

Program Staff

Our multi-disciplinary team includes: Program Manager

Licensed or associate-level Licensed Professionals

Behavior Health Counselor (QPs, Associate Professionals, Paraprofessionals)

Licensed Recreation Therapist

Staffing Ratio

Waking hours: 1 staff: two children

Overnight: 2 awake staff

Additional staff based on children's individual needs

Staff Training

Handle with Care

Trauma-informed care

CPR/First Aid

Sex-offender training (when applicable)

Restrictive Intervention Guidelines

Restrictive interventions are emergency measures used only for imminent risk of harm Key points:

Only trained, authorized staff may initiate

Continuous monitoring and documentation required

Age-based time limits for restraints

Debriefing within 24 hours

Planned Interventions only used when approved by Client Rights

Committee and reviewed monthly by the Child and Family Team

Incident Reporting

Staff must report any unusual occurrence affecting a child's care: Notify supervisor within 4 hours

Complete incident report ASAP

Incidents classified as Level I (minor), II (moderate), or III (serious)

Critical Incidents (Level II or III) reported in NC Incident Response

Improvement System (IRIS)

Documentation

AlexanderYouthNetwork'sTransitionHouseprogramprovidesdailyservice notesthatincludeallrequiredelementsasperNCDMAClinicalCoverage8D-2 Additionally,wemaintainalogofallreferralsviaEchoVantage,including keyinformationsuchastheyouth'sname,referringDSS,dateandtimeof referralandadmission,andrationaleforanyadmissiondenials

DailyProgressNotes:CompletedinEchoVantageattheendofevery shift,describingbehaviors,interventions,andprogress.

ReferralLog:InEchoVantage,werecordallreferrals,includingyouth's name,referringDSS,andadmissiondetails.

CaseNotes:DocumentedinEchoVantageforsignificanteventsand communications

ClinicalTherapyNotes:CompletedinEchoVantagebylicensed clinicianswithin24hoursofsessions

MedicationAdministrationRecord:Updatedinreal-timeforall medicationsadministered.

ProgressNotesDocumentationExpectations

LeadBHCsresponsibleforensuringalldocumentationiscompleted duringtheirshifts

ProgramManagersmusttagprogressnoteswithin24hours Incompletenotesresultindisciplinaryaction,includingwrittenwarnings Qualityandcompliancearecrucialforfunding,qualitycare,andlegal compliance

Continuation/TransitionPlanning

RegularChildandFamilyTeammeetingstoreviewprogressandupdate Person-CenteredPlan

DischargeplanningbeginsatadmissionandisreviewedineveryChild andFamilyTeammeeting

WeeklydischargemeetingswithPRTFtoensuresmoothtransitions

Referrals

AcceptedFrom: PRTFs

Otherbehavioralhealthprograms

DepartmentofSocialServices(DSS)

ManagedCareOrganizations(MCOs)

I A DiscoverAYNConnect,yourcomprehensiveemployeeresourcehub designedtostreamlinecollaborationandinformationaccessacross ourorganization.

KeyFeatures:

IntelligentDocumentSearch:Navigateourvastinformation landscapewithease.Ourrobustsearchfunctionallowsyouto quicklylocatedocumentsusingkeywordsorspecifictitles.

CentralizedResourceFolder:Accessourcollaborativedocument library,whereinterdepartmentalfilesharingbecomeseffortless. PoliciesandProcedures:Neverwonderwheretofindcritical informationagain.Accessallagencypoliciesandproceduresin onecentralized,easy-to-navigatelocation.

DedicatedTeamSites:Eachdepartmentenjoysatailoreddigital spaceforfilestorageandteamwork,enhancingproductivityand organization.

AYNStream:UnlockthefullpotentialofAYNConnectwithlive streamsandvideotutorials,ensuringyou'realwaysup-to-speed withourlatestfeatures.

VivaEngage:YourCommunicationPowerhouseStayconnected withcolleaguesthroughthisdynamicplatformforannouncements, discussions,andtimelyupdates.

AYNConnectisn'tjustatool;it'syourgatewaytoamoreefficient, collaborative,andinformedworkexperience Embracethefutureof workplaceconnectivitywithAYNConnect–whereinformationmeets innovation.

POLICIES & PROCEDURES

AGENCY WIDE

AGENCY POLICIES

At Alexander Youth Network, we provide top-quality care through comprehensive policies ensuring safety and consistency Visit our Policies & Procedures page on AYN Connect for more information

Access Our Policies Instantly!

Get to know our agency policies in no time Simply click the folder to your left and find all the important guidelines at your fingertips.

Agency Policies

Click Here

Employee Handbook Behavior Healthcare Policies IT Policy

AGENCY PROCEDURES

Need to find our Agency Procedures?

Click the folder to your left and access all our Agency Procedures instantly!

CCA and Reassessment Procedure

Emergency and Inpatient Notifications

Agency Procedures

Click Here

IHAP Procedure

Handle with Care Physical Intervention

Emergency and Inpatient Notifications

PROGRAM PROCEDURES

TRANSITION HOUSE

PROGRAM PROCEDURES

Program Procedures is designed to assist our staff in efficiently accessing and implementing essential protocols within your Transition House program. By following these procedures, we collectively contribute to delivering the best possible care and services to the youth under our care.

DISCOVER TRANSITION HOUSE PROGRAM

PROCEDURES STREAMLINED!

Simply click the folder to your right to access the streamlined Day Treatment Program Procedures!

Here are some of the most frequently used procedures:

ClientPhone Streamlined

ManagingHigh-RiskIssues Streamlined

RolesResponsibilities Streamlined

TransitionHouseTraining Streamlined

TransitionHouseProgramExpectations Streamlined

TransitionHouseVisitors Streamlined

AYN Connect

Resource Folder

Welcome to AYN Connect's Resource Folder, designed to support all staff with comprehensive departmental information, standardized templates, checklists, forms, best practices, and training materials This centralized hub ensures you have the tools and resources needed for success. Our goal is to equip you for excellence and enhance our mission

Resource Folder

Transition House

Welcome to the Day Treatment Resource Folder! Here, you'll find essential tools, guidelines, templates, checklists, forms, and training materials tailored for the Day Treatment program Access and contribute valuable resources to empower your team and support our mission effectively.

Explore the Top Transition House Resources Available Inside!

Weekly Calendars

Team Contact List

Transition House Schedules

Art Activities

Cooking Activities

Medication Storage Sign

Transition House Team Schedule

Enviroment of Care EOC

The EOC is a comprehensive approach to safety and well-being within our organization

KEYPOINTSINCLUDE

SafetyPhilosophy

Highestsafetystandardsinall operations

Safetyiseveryone'sresponsibility

Preventionofinjuryandillnessisa primarygoal

EOCCommittee

Assistsinimplementingcampus safetyplans,policies,and procedures

Develops,implements,and evaluatesthesafetyprogram

Aimstocreateandmaintaina safety-consciousenvironment Principles:

Allinjuriesandaccidentsare preventable

Safetyisthefirstconsiderationinall workplaceactions

Writtensafetyplansareessential

Off-jobsafetyawarenessis encouraged

EmployeeExpectations

Followallsafetyprogramaspects

Contributetoasafe,organized,and efficientworkplace

Knowandfollowwrittensafety plans

Suggestimprovementstothesafety program

Enviroment of Care Resources

Explore the top resources!

Discharge Resources Safety Plan

Field Trip Permission Form

At Alexander Youth Network, we use EchoVantage to streamline our operations and ensure we provide the best care possible. EchoVantage is an advanced electronic health record (EHR) system designed specifically for behavioral health organizations, and it's a key tool in our daily work.

WhatisEchoVantage?

EchoVantage is a comprehensive EHR system that integrates various aspects of client management, documentation, billing, and reporting. It helps us maintain accurate and up-to-date client records, manage appointments, and ensure compliance with industry standards and regulations.

KeyUses

ClientManagement:Maintaindetailedclientprofilesandtreatmentplans.

Scheduling:Manageandcoordinateappointments.

Documentation:RecordSessions,ProgressNotes,andIncidentReport

Billing:Automatebillingandclaimssubmission.

Reporting:Generatereportsforperformancetrackingandcompliance

EchoVantage Videos Tutorials

AYN Stream - EchoVantage

Visit our playlist on AYN Stream, you'll find a collection of recordings that offer: Guidance and Support: Step-by-step video guides on logging in, troubleshooting, and using new updates.

New Feature Explanations: Detailed breakdowns of the latest EchoVantage features. Assessment and Note Guides: Comprehensive tutorials on conducting assessments and managing notes effectively.

Need Support? Ask AlexAI

Create a Ticket

Click"OpenaNewTicket" 5 SelectSupportTeam:Clicktherightteam

Restart & Quit Commands

StartingaConversation:Type"restart"toclearpreviouschatsandstart fresh.

EndingaConversation:Type"quit"toproperlyendtheconversation

SwitchingTopics:Type"quit"toendthecurrenttopic,then"restart"to beginanewone Thiskeepsthechatbotontrack

EXAI

Paycom is a comprehensive and user-friendly

HRIS solution where we complete HR processes (submitting timesheets / time off requests, viewing benefits, etc.)

Learn more: AYN Connect: Paycom

Click Here: Employee Self-Service Login

Need Help? Visit Paycom’s Help Center

Paycom offers a comprehensive Knowledge Base with 125 articles and guides on features and troubleshooting Additionally, there are 123 step-bystep instructional videos and FAQs addressing common questions on various topics.

Examples of tutorials in Paycom’s Help Center:

Benefits: Show Me How: to Enroll in Benefits

Paycom Basics: Payroll: Show Me How: to Approve My Check (Mobile)

Payroll: Show Me How: to Set Up My Direct Deposit

Time Management: Show Me How: to Approve My Timecard

Time Management: Show Me How: to Submit a Punch Change Request

Time-Off Requests: Show Me How: to Request Time Off (Video)

Scheduling: Show Me How: to Review My Schedule

Scheduling: Show Me How: to Offer and Pick Up Shifts

Click Here: Show Me How to Download the iOS App

Click Here: Show Me How to Download the Android App

The Playbook

Next Steps

Thank you for taking the time to read through our Transition House Program Playbook We hope this resource has provided you with clear expectations, useful guidelines, and valuable insights to help you thrive in your role If you have any questions please contact your manager, search the Day Treatment SharePoint site, or ask AlexAI for assistance.

Recap of Key Points

Program Expectations: Understand the standards and responsibilities for Transition House staff.

Streamlined Procedures: Follow the outlined processes for efficient and effective operations.

Resources and Tools: Access the tools and information you need to succeed.

Your Role in Our Mission

Each member of our team plays a vital role in achieving our mission to provide exceptional care and support to those we serve. Your dedication, professionalism, and compassion make a significant impact

Stay Connected

For ongoing support and updates, stay connected through: Microsoft Teams: Join discussions, ask questions, and share insights

SharePoint: Access the latest documents, updates, and resources.

Stream Videos: Watch quick demos and tutorials for visual guidance.

Looking Forward

We are excited to have you as part of our team and look forward to your contributions. Together, we can achieve excellence and make a difference in the lives of those we serve.

Thank you, Alexander Youth Network

THE PLAYBOOK Empowering Our Team with Clear Goals and Collaborative Success

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