KM GROUP BIP HOMEWORK

Orientation Handbook

I have electronically completed the initial orientation by enrolling in the Batterers Intervention Program and/or Substance Abuse Program. I also received a copy of the Client Orientation Handbook/BIP Workbook, which includes treatment procedures. 

My rights and responsibilities have been reviewed, and I understand my rights and responsibilities concerning services.   

Hours of Operation 

Monday –Friday 9:00 am – 5:00 pm | Saturday 8:30 am-2:30 pm | Sunday Closed. 4390 Lindell Blvd. | St. Louis, Missouri 63108 – 

Treatment Offices 

8500 Halls Ferry | St. Louis, Missouri 63147 – Group Therapy Offices 4390 Lindell Blvd. | St. Louis, Missouri 63108 – Group Therapy Offices 314.956.0547 Access to Care

• Patients have access to care during routine office hours or at mutually agreed-upon times.   
• Routine Office Hours are: M-F 8:30 am-5:00 pm; Saturday 8:30 am-2:30 pm   
• The office is closed on Sundays and Holidays (unless pre-arrangements have been made with the Clinician).   Emergency Care 
• Emergency Care is directed to Behavioral Health Response (BHR) 866-366-5885 or Local Emergency Response 911.  
• After-hour appointment requests made via Exchange, Phone, Voice Message, Email, or Fax will be returned the next business day.     
• Urgent Office Visits are scheduled within 24 hours for the earliest mutually agreed-upon appointment time.   
• Routine Office Visits are scheduled within three business days for the earliest mutually agreed-upon time.   

Appointments (Office Visits) 

• Patients are instructed on how to access the office before their appointment time:  
• Driving: Address is 4390 Lindell Blvd. St. Louis, Missouri 63108.  Please pull into the driveway and park behind the building.  Enter through the Side Red Door and wait in the waiting room until called.   
• Public Transportation:  Address is 4390 Lindell Blvd. St. Louis, MO 63108.  The Bus Stop is in front of the building.  Please enter through the Side Red Door and wait in the waiting room until called.   
• Insurance: Insurance information is reviewed at the initial office visit.   
• Co-Pay is due at the time of visit unless payment arrangements are made with the clinician.   

Individualized Treatment Plan 

• Patients and clinicians develop an individualized treatment plan that includes treatment services, supports, frequency of visits, and treating staff.   
• If needed, treatment referrals are identified and listed. 
• Patient and clinician treatment identify patient needs and goals.     
• Treatment plans are reviewed and updated every 90 days (or as needed).   

Grievance or Formal Complaint 

• The Group Administrator identifies and eliminates barriers to patients receiving mental health counseling. Patients who identify barriers to care notify the Group Administrator of their concern or complaint via letter or email.   
• The Group Administrator or designee works to resolve identified barriers to care through communication with appropriate parties within seven business days. 
• The Group Administrator or designee responds in writing to the patient concerning the outcome of their complaint within 10 business days.   
• The patient has the right to appeal the report findings within 30 calendar days of the written complaint report.   Missed Appointments 
• The treating clinician contacts the patient via phone, text, or email if an appointment is missed and documents their reason given for the missed appointment in their treatment file.   
• The treating clinician notifies the scheduler of the patient's missed appointment via phone, text, or email.   
• The scheduler notifies the referring agency of the patient's missed appointment within 48 hours.   
• The scheduler identifies the next scheduled treatment date.   

Crisis Intervention and Assistance 

• Patients requiring emergency mental health treatment are referred to the local emergency services line via #911 and local emergency services.   

Quality Improvement Quarterly 

• The Group Administrator conducts a Quality Improvement meeting to identify and review complaints and grievances. Meeting Participants are the Group Administrator, Scheduler, Program Clinicians, and individuals designated by the Group Administrator.  

 Research 

• KM Group LLC does not participate in research activities with program participants.   

Confidentiality of Health Records and Health Information 

• Health records stored in the facility are maintained under secure conditions.   
• The Group Administrator controls access to health records and health information.   

Right to Refuse Treatment 

• A patient, at the time of being offered a mental health evaluation or treatment, may refuse care. 
• The Group Administrator, or designee, is notified if a patient refuses treatment. 
• The patient's referring agency is notified via phone, fax, or email of treatment refusal.   
• A discharge summary is provided upon completion of treatment services or at the request of the patient.   
• Discharge summary lists the initial date of treatment and the date of discharge.   
• Discharge summary: list any upcoming treatment visits and reason for discharge (Planned or unplanned).   
• Identified needs at intake and referral source.   Referral Information with phone numbers, locations, hours, and days of services.   
• Healthy steps to maintain a healthy lifestyle and access to a personal support system.   
• Services provided and goals achieved.   
• Recommendation for continued services/supports/ and referrals. 

CONTRACT FOR PARTICIPATION

BATTERER INTERVENTION PROGRAM

1. I agree to complete an assessment and attend individual sessions before attending the group sessions.

2. I understand that I will be held accountable for all abusive and violent behavior both in and out of group sessions.

3. I agree to pay the weekly fee.

4. I agree to attend a minimum of 26 weekly individual or group sessions, and I must make up all group sessions I miss.

5. I understand that I will not be given credit for any session that I do not attend entirely, have not been assigned to, unless authorized; I disrupt and am directed to leave; I do not cooperate with the facilitators, or do not complete all assignments.

6. I understand that three (3) successive unauthorized absences may result in my termination from the program. A total of four (4) or more unauthorized absences during the 26-week intervention program shall result in an automatic termination from the program. I understand that terminations will be immediately reported to the court or other referral source.

7. I understand that I will be discharged from treatment: (1) non-compliance with treatment, (2) continued abuse, (3) failure to maintain regular class/ group attendance, (4) failure to make appropriate use of the intervention program, (5) failure to comply with other intervention conditions or provisions which are part of the participant contract, (6) failure to pay fees, (7) violation of any group rules, (8) violation of any provisions of an order of Probation and Parole, or revocation of probation/parole.

8. I agree not to attend a group session if I have used any intoxicating, mood-altering, or illegal substances. I agree to inform my facilitator(s) if I am on medication, which could alter my appearance or conduct.

9. I agree to arrive at each group session in sufficient time to pay my fee and begin the session on time. I understand that the doors may be locked once the session has started, and I will not receive credit for that group session.

10. I understand that I must complete the program with which I initially enrolled unless approval to change programs is obtained from the court or applicable referral source, the Group Administrator of the current program I am enrolled in, and the program director of the program I am transferring to.

11. I agree not to prevent BIP staff from contacting my partner/ex-partner. I agree to keep the program informed of my current address and the known address and telephone number of my partner/ex-partner.

12. I understand that the victim may be in contact with the BIP program.

13. I agree to observe confidentiality and not reveal any information about any of my fellow participants outside of the group sessions.

14. I understand that any serious threats by me to do bodily harm to the victim or any other person, or threats to commit suicide, will be reported to the appropriate authorities, and the victim, court, probation and parole, or other referral source. If there is any belief that child abuse or neglect has occurred, I understand that it will be reported under state statutes.

15. I understand that this program is under a continuing obligation to disclose any conduct I willfully choose to engage in, which poses a threat to the victim, their property, or to third persons related to the parties.

16. I agree to complete all assignments and participate in group sessions. I understand that I will be expected to describe in

group the abusive and/or violent behaviors that I have used against my partner/ex-partner, and will focus only on my behaviors.

17. I agree not to use sexist, racist, or homophobic language or other language of hatred in the group.

18. I understand that the program may video or audio record any group session for internal instruction,

education, research, or program monitoring; however, this session is not mandatory, and I may request to attend an alternate group during the same week.

19. I will develop a responsibility or safety plan that requires awareness of my abusive/violent behavior and patterns. I will work

with the program in understanding violence avoidance techniques and using them appropriately.

20. I authorize the certified program to release information to the agency that conducts my collateral treatment, if treatment is sought, and to the court, probation and parole, or other referral source.

21. I authorize the certified program to release information to my assigned probation office and treatment compliance specialist.

22. I understand that my treatment group, files, and notes will be audited for treatment compliance.

23. I understand that I may be terminated from this program if I violate any part of this agreement or if I violate any order against me. Any failure to comply with this contract will be reported to the referral source within three (3) working days.