| Santa Clara Valley Health & Hospital System Department of Alcohol and Drug Services Adult System of Care POLICY AND PROCEDURE MANUAL The Policy and Procedure Manual for the Department of Alcohol and Drug Services (DADS) Adult System of Care (ASOC) is a “work-in-progress”, changing and expanding as the Managed Care System evolves. As needed, representatives from the Provider network and DADS Administration work together to create or improve System processes and develop policy. The DADS Quality Improvement (QI) Division formally records the processes in the form of policies and procedures and distributes them System-wide to be retained in this Manual. Following is a description of the organizational layout of the Manual to assist you in finding the information you need. The Manual consists of a Table of Contents, the Policies and Procedures, and the Appendices. Each Policy and Procedure is assigned a number (top right, each page) and grouped into sections marked by colored tabs numbered one through ten. At the end of the sectional tabs, the four appendices are separated and labeled “A” through “D”. Appendix “D” is subdivided into five colored tabs, “D-1” through “D-5”. Table of Contents Four pages numbered “i” through “iv”. Section 1: Policies and Procedures related to a client’s entry into DADS Adult System of Care: Gateway information, the Level of Care Assessment process, and client placement. Section 2: Policies and Procedures related to a client’s movement through the System: transferring or upgrading a client's level of care and making referrals to other services in the System. Section 3: Policies and Procedures related to clinical issues: clinical standards, special clinical issues and populations, medical issues, and chart documentation. Section 4: Policies and Procedures related to all types of communication: client confidentiality and “reporting” client and/or System information both inside and outside the System. Section 5: Still to be developed, this section will include Policies and Procedures related to a client’s exit from the System: voluntary and involuntary discharges, client rights, and grievance and appeals process. Section 6: Policies and Procedures related to quality improvement: client outcomes and Provider performance. Sections 7 - 10: Included for future expansion. Appendix A: The Performance Measures for the current Fiscal Year. Appendix B: Other resource materials for counselors, such as Best Practices Guide and The Counselor's Toolkit. Appendix C: The Transitional Housing Unit (THU) Standards. Appendix D: All the standardized forms used throughout the System. Note: any form that is referenced or discussed in the policies and procedures in the Manual will be found in Appendix D. These forms are not intended to be used as “Masters” for copying, but rather as visual aids when orienting or training new staff. Appendix D is subdivided as follows: | Tab D-1 | Forms initiated by Gateway | | Tab D-2 | Forms used primarily for client movement: entry, referrals, and transfers | | Tab D-3 | Forms used primarily during client treatment, i.e., related to clinical tasks | | Tab D-4 | Forms used primarily for “reporting” purposes, i.e., client status or System feedback | | Tab D-5 | Forms used in the client outcome measurement process | If you have questions or suggestions concerning this Manual, please contact Amy Brinkman-Viall, DADS QI Coordinator at 408-792-5668 or email Amy.Brinkman-Viall@hhs.sccgov.org ppmanintro.rev9/02.jw |