POLICY – DISCHARGE FROM TREATMENT BEFORE COMPLETION – January 2018
INTRODUCTION – The purpose and rationale for this policy is to set out Serenity Health guidelines when having to discharge a client due to a misdemeanour or breach of Client Contract/Charter. It has been written in accordance with Quads code of practice and has been designed to enable all Serenity Health retreat staff to deal with discharge safely and effectively, for all concerned.
PURPOSE – The purpose of this policy is to ensure a safe and fair discharge procedure for clients. Serenity Health believe that all clients deserve the right to treatment, however in certain breaches of agreement are unable to work with a client due to the nature of the offence. We understand that at times clients may feel the need to express their anger and frustrations; however we encourage this in healthy positive way. At Serenity Health we do not tolerate any form of violence or abuse towards other clients or staff members in our treatment centre. In all cases the safety of the retreat and other clients and staff is paramount.
SCOPE – this policy applies to all Serenity Health staff involved with the therapeutic care and treatment of the client whether permanent, temporary or contracted members of the team.
RELATED POLICIES – Admission policy, assessment policy, Client charter, Abstinence policy, Bullying and harassment, Client conduct.
If any of the articles outlined in the client charter have been broken. This must be recorded by the staff member and brought to the first team meeting.
In the event of it being a misdemeanour which requires an immediate discharge a discussion within the Therapy team with the therapy Manager present must happen as soon as possible. If this is not possible i.e. during weekends and out of office hours the on-call Manager must be called immediately.
All circumstances leading up to the event and any evidence provided need to be taken into account.
These are the following articles that could lead to immediate discharge if breached:
• You will not take any form of mood altering substance, including solvents, alcohol, etc., or any medication not prescribed or agreed by staff. Nor will you abuse medication by giving it to others, taking from others, or by abusing my medication times and doses. The dealing of drugs may constitute police involvement.
• You will not take part in any violence (physical, verbal or implied) towards peers, staff and public alike.
• You will not take part in any form of illegal activity, e.g.: shop lifting, credit card fraud, benefit fraud, or stealing from my peers. This may constitute Police involvement.
• You will not commit any form of self-harm or self-mutilation.
• You will not refuse to give supervised alcohol or drugs tests at any given time when requested. Refusal for such will constitute a positive result.
If a client has used any mood altering chemical and we have clear evidence of this through drug or alcohol testing, the client must be isolated from the rest of the community for the safety of all concerned. A manager must be informed immediately. If this is out of therapy hours an on-line manager must be called on the emergency number – 0333 444 0422.
A final decision to discharge the client must be made by the clinic’s CEO and Managing Director.
We may take a client back into treatment after a period of 4 weeks have passed and the client has shown commitment to make the necessary changes to their behaviour and motivation.
All attempts must be made to ensure that the client has a place of safety to return to.
The client must be informed immediately of the procedure to be followed at the treatment clinic.
Title: Discharge Policy
Prepared by: The Management Team
Issue/review date: January 2018
Review date: January 2019
Status: Approved – Care Home Manager