Admission to St. Joseph's is voluntary. St. Joseph's shall seek to provide comprehensive treatment
services, to persons diagnosed with Alcohol Dependence, Alcohol Abuse, or Chemical Dependency without
discrimination or regard for age, sex, sexual orientation, national origin, source of referral or
ability to pay. Referrals may be made by individual, family, clergy, physicians, employers, community
agencies and courts.
Prerequisites
Applicant must:
1. be "dry" and withdrawn from mood altering drugs for at least
7 days prior to admitance to St. Joseph's.
2. be 18 years of age or older;
3. be free of serious communicable disease;
4. have no medical or surgical condition or mental disability requiring acute care in a hospital; and
5. have no psychiatric condition that would interfere with addiction treatment.
Documentation
Properly completed "CONSENT FOR THE RELEASE OF INFORMATION" forms must be returned immediately upon
receipt.
Basic Medical Examination performed no more than 6 months prior to admission. (This
includes all required lab work. Note: Must attach a copy of the CBC, ALT,
Complete UA, RPR, and TB test result within last year.)
Psychosocial History and Evaluation The assessment must be
conducted and dated no more than 6 months prior to admission. If the applicant was treated by you
within the past six (6) months you may submit your Clinical Summary and Discharge Summary but you must include an update.
Assessment must support a diagnosis of Alcohol Dependence. Alcohol Abuse. or Chemical
Dependency per the DSM-IV (or its successors) and include diagnosis on Axes I through V.
Copies of Discharge Summaries from previous treatment facilities only if they are within the
last year. Please do no send any that are more than 12 months old.
Medication
If applicant has prescribed medication, the referral agent MUST assure the applicant a sufficient amount of the
medication to last a minimum of 7 days.
Financial
St. Joseph's "Consent of Release of Financial Information" form must
be completed and signed to allow St. Joseph's to verify funding.
A copy of at least 2 of the following forms of identification must be attached
to the form the applicant's.
A. Birth Certificate, B. Social Security Card, C. Insurance Card, D. Medicaid Card/Public Assistance Card, or E. Picture I.D. or Driver's License
All requested documentation must be received and approved clinically, medically and financially
by St. Joseph's prior to confirming an admission date.
Financial Determination
Upon receipt and verification of funding information, a determination will be made for each applicant.
NOTE: Funding Verification from all 3rd party payors (medicaid, insurance, etc.) must be
complete prior to an applicant's admission to St. Joseph's. The applicant must be willing to
actively participate in the program. Treatment length of stay is dependent on client need.
Aftercare
During treatment, St. Joseph's staff work with each resident to determine plans and goals for
continuing recovery. Applicants MUST be open to aftercare planning, which
may include a stay of up to three (3) months in a Guest House, Halfway House
or other alcohol and drug free residence upon
successful completion of St. Joseph's inpatient program.
Placement Assistance
Individuals and agencies (referral source) who refer the applicant to St. Joseph's are encouraged to participate in the
Aftercare Planning for applicants participating in our program. Applicants receiving an Administrative Discharge or a Discharge Against
Therapeutic Advice are usually referred back to the referral source.
Family Cooperation
Each applicant MUST encourage their family and significant others to attend
St. Joseph's Family Services. Family Services allows families the opportunity
to become familiar with the disease of alcoholism/chemical dependency and with
the continuing
rehabilitation and recovery process of the resident upon discharge from St. Joseph's.
NOTE: Children must be at least ten (10) years of
age to attend Family Services.
Articles to Bring to Treatment
Applicant must be given St. Joseph's "Personal Item Listing for Applicants"
and instructed to adhere to the guidelines related to Required Items, Appropriate Items and Inappropriate Items to bring to St. Joseph's.
Any questions?? Call 518-891-4135, 518-891-4179 or 1-877-813-8647
St. Joseph's Rehabilitation Center, Inc.
159 Glenwood Drive P.O. Box 470, Saranac Lake, NY 12983 Phone: (518) 891-3950 · Fax (518) 891-3986 http://www.sjrcrehab.org ·
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