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Core Intake Package

Core Intake Package

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Published by jirehcounseling
Program Orientation for Core Services
Program Orientation for Core Services

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Published by: jirehcounseling on Nov 06, 2008
Copyright:Attribution Non-commercial


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Name: Date Of Birth:
BH 103-Program Orientation Signature Checklist Est. Mar 08
 Please initial the topics your care provider reviewed with you.
I am participating in the
(check one)
Intensive Family Intervention (IFI) Program CORE ServicesI was informed of Jirehs’ and the treatment teams’ qualifications to provide the services.The purpose and process of the services were fully explained to me.My family understands our treatment planMy family and I received a copy of the treatment plan.I received a program Consumer Orientation Brochure on my initial visit which includes mission statement,Hours of Operations, After Hours access, policy on abuse, complaints and grievance procedures, outcomesmanagement system and satisfaction, reporting, medication, open door policy, restraints/seclusions,smoking policy, weapons, illegal/legal drugs, Treatment Team, Service Coordination, Costs of Services,Safety and Advanced DirectivesInformation was presented to me in a manner that was clear and understandable.My care program, treatment team visits and treatment responsibility were fully explained to me.My family has a safety plan and I know what to do in case of a crisis.I know who the members of my team are and how to contact them.I have received a copy of the transportation consent form.I understand that crisis services will be used for emergencies only.The criteria for transition or discharge of my families’ service were explained to me.
Costs of Services
I know how my services are being paid for.I understand it is my responsibility to immediately inform my care manager in the event of any changes inmy insurance.No individual will be denied MRO service because of verified inability to pay, you may be referred to otherresources.Jireh Counseling and Consulting Service does reserve the right to refuse services to any individual who isdetermined to be able to pay but is unwilling to pay according to policy.
Follow Up
I feel that my visit was informative and respectful my confidentiality was respected.I know who is responsible for my service coordination.
Signature of Consumer/Representative*
Date Signed
Signature of Care Provider
Relationship*Parent/legal guardian’s signature in the case of a minor or custodian’s signature in the case of an adult in custodialcare.
CORE Family Preservation
Family Preservation is a family-focused, and community-basedservices designed to help families cope with significant stresses orproblems that interfere with their ability to nurture their children.The goal of Family Preservation is to maintain children with theirfamilies, or to reunify them, whenever it can be done safely.Family Preservation grew out of the recognition that children needa safe and stable family and that separating children from theirfamilies is traumatic for them, often leaving lasting negativeeffects. These services build upon the conviction that manychildren can be safely protected and treated within their ownhomes when parents are provided with services and support andempowered to change the child’s and their lives.Family Preservation may be provided to different types offamilies—birth or biological families, kinship families, fosterfamilies, and adoptive families—to help them address majorchallenges, stabilize the family, and enhance family functioning
Team Approach
IFI services are delivered utilizing a team approach and areprovided primarily to youth in their living arrangement and withinthe family system. Your team will consist of:1.
Licensed Therapist 
 —to provide professional counselingand therapy.2.
Family Intervention Specialist (FIS) 
 —to help your familylearn critical skills to improve family functioning.3.
Consumer Support Specialist (CSS) 
 —to help you & yourfamily connect to community resources.Team members will visit you individually through the week. One of the team members will be assigned asyour Case Manager. Your case manager will have a small caseload allowing them to focus more time onyour family and ensuring that your family moves through the service toward recovery. Many of theservices your family will receive will be in your home or in another environment familiar to the family.
Our CORE Program offers the following services:
Diagnostic Evaluations andAssessments
Individual Therapy
Family and Group Therapy
Comprehensive Child and FamilyAssessments(CCFA)
Early Intervention
Brief Stabilization
Psychiatric Assessments(Child/Adolescent)
Nursing Assessments(Child/Adolescent)
Medication Management(Child/Adolescent)
Psychoeducational Groups
Parent Training Classes
Substance Abuse Evaluations
Substance Abuse Treatment
Crisis Intervention
Treatment Planning
Discharge PlanningRemember your team of professionals & all of the Jireh Staff wants to help you and your family, please donot hesitate to let us know what you nee
CORE Program Description Jireh Counseling and Consulting Service, Inc. EstAUG08
IFI Program Description Jireh Counseling and Consulting Service, Inc. EstAUG08
Jireh Counseling & Consulting Services
Jireh has been conducting business in the local area for many years. We have worked hard to gain therespect of the surrounding communities and other agencies. This recognition is due to our respect for ourconsumers and fellow colleagues. It is our sincerest hope that your experience with us will further thisreputation of personalized service and consumer satisfaction.Our company is comprised of people who live in the surrounding communities and have knowledge ofeach neighborhood, the schools, and community resources to meet our consumer’s needs.We are a private counseling agency that serves individuals, families, and communities through education,training, and therapeutic counseling. Our staff is well trained and educated on providing counseling andtraining services.
Felicia Jenkins,LPC CEO &ProgramDirectorNureavaDardenConsumerRights OfficerByron Kellam,LPCIFI TeamLeaderAdrienneJohnson, LMSWCORE ServicesSupervisor
Mission Statement
Our mission is to create and deliver high quality in-home, community-based, school-based, and out-patient mental health and substance abuse services that improve the health and well being of children,adolescents, and their family.
Jireh Services
The staff at JCCS are dedicated to providing our consumers will unsurpassed, high-quality services. Weare committed to the following principles:
Service Delivery
 —We commit to providing excellence which guides all operating decisions at Jireh Counseling& Consulting Services, Inc. Simply put, it is the way we do business. We will provide timely, professional,effective, and efficient service to all of our consumers.
Ethical and Fair Treatment for All
 —We are committed to forming relationships of fairness and trust with ourconsumers and our employees. We will conduct our business according to the highest ethical standards.
 —We will never lose sight of the fact that we provide care and comfort to people in need. Theindividuals and families that rely upon us are fellow human beings, and receive respectful and dignified treatmentfrom all of our staff at all times.
For more information please chwww.jirehcounseling.comeck us out online at—or contact us @:(offic720e) 404 761- 0980—(fax) 404 761-0provider@jirehcounseling.com

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