PROGRAMS &
SERVICES
YSCC does not charge
fees to the public for any service. Donations are always welcome.
YSCC is formed to carry on exclusively the charitable
programs of Emergency Shelter, counseling, education and treatment
of persons experiencing problems in society. The terms “charitable”
and “education” shall be understood to have the meaning
in a board civic and social welfare sense as defined in the Regulations
issued by the Internal Revenue Service pursuant to Section 501 (c)
(3) of the Internal Revenue Code and/or any successor to that section.
YSCC is non-profit, non-sectarian, and non-political in all its policies
and activities.
Intake & Assessment
Initial Intake Form
The information to be obtained on all applicants
for referrals for admission include the nature of the presenting problem,
client demographics, and referral sources to be recorded on the initial
contact form.
Referral Procedures for
Clients
An appointment will be made with the referred
client and or legal guardian.
On appearance for services, an intake
will be completed on the client which includes the legal consent of
the parent or legal guardian.
An authorization “Consent to
Release” will be obtained if any transfer of client information
is involved.
The referred client will be accepted
for services if all criteria are met and regular appointments will
be scheduled.
During the intake process ask the child
if they have been abused. If abuse is suspected the DHS State Office,
Office of Client Advocacy and the OJA Office of Advocate General are
to be notified.
Client Records
Client records will include but not limit to the following:
1) Intake form
2) Client status form
3) Daily contact sheet
4) Treatment plan
5) Resident contract
6) Shelter referral sheet (if
applicable)
7) Release form (If applicable)
8) Consent for admission or participation
9) Daily service log
10) Assessment form
11) Review of treatment plan
12) copies of any correspondence
pertaining to client.
13) Consent form signed by parents
or legal guardian
14) Client’s rights form
signed by client.
15) Discharge summary to be completed
within fifteen (15) days of case closing
Client Data to be Recorded During the
Intake Process
The following is only a guideline:
First section
The Intake form needs to be as complete as possible. Make every effort
to get all the information requested on the intake sheet.
Second section
Confirmation of contact of parents
or legal guardian is to be included in file. This is included on the
parent consent form and on the admitting form used in the Shelter.
Person requesting placement.
Other agency contact person and
home telephone numbers if applicable.
The parent and/or legal guardian
or admitting party are to sign the admission
responsibility form.
If a judge issues a verbal detaining
order, the employee of YSCC is to write down this information, including
the date and time of day.
Third Section (Shelter only)
All medical background information
will be obtained from the parent or legal guardian to ensure YSCC
has all pertinent information for the child’s safety.
The parent or legal guardian
are to sign the medical responsibility form.
The parent or legal guardian
must sign a medical consent form for YSCC to administer any medications,
prescriptions or over the counter drugs.
Fourth Section (Shelter only)
The employee of YSCC doing the
intake must obtain a list from the admitting party as to who will
be permitted to be on the telephone list and visitation list. Also
if the client is to be permitted to participate in activities sponsored
by YSCC.
A complete inventory is to be
made on the belongings of the child, including but not limited to;
clothing, personal items, money, etc.
Information will be obtained
regarding school arrangements: who is responsible to get the child
enrolled in school, transportation etc.
Fifth Section (Shelter only)
Documentation is to be made of
all telephone calls made and received.
No long distance telephone calls
are to be made by the child and charged to YSCC.
Telephone calls made to the child
by people not on the approved list will not be accepted.
Sixth Section (Shelter only)
If the child has the ability
to read, let them read the rules.
If the child is unable to read,
have the rules read to them.
After the rules have been read,
the employee of YSCC and the child are to sign the rules form and
have the understanding these rules are to be followed.
Seventh Section
copy of the rules and regulations
for residents of YSCC will be posted in the Shelter. Also, the discipline
plan will be posted.
Eighth Section
The employee of YSCC will have
the child and/or the parent or legal guardian read the Grievance Procedures.
If the child and/or parent or
legal guardian are unable to read, the employee of YSCC will read
the Grievance Procedure to the child and parent or legal guardian.
The grievance form is to be signed
and dated by the child and the employee of YSCC.
SERVICE
The following guidelines are to be observed in an
effort to protect the confidentiality of all people either applying
for, or receiving services from YSCC.
Communications regarding clients
or client activities are not permitted outside the agency. Individual
clients are never to be discussed by name outside the agency.
Clients and/or client-related
issues are not to be discussed in reception areas or where others
are present to overhear the conversation.
Do not leave information (letters,
appointment books, or notes) which contain client names where it could
be read by anyone. At the end of the working day, all information
containing a client name should be locked up.
If you meet a client away from
the agency, wait for the client to speak first. This method of protecting
the privacy of the client is to be explained to the client at the
time of application.
If you know a client personally
outside the agency, do not initiate remarks regarding services being
rendered at the agency. Discourage discussion about the individual’s
services at YSCC when the client initiates the topic.
Every effort must be made to
protect the privacy of a client. A breach of confidentiality is grounds
for dismissal from employment at YSCC. If a breach in confidentiality
occurs by a non-staff member which results in legal action against
themselves, they will indemnify and hold harmless YSCC.
EVERYTHING IS CONFIDENTIAL
Treatment & Follow-Up
Follow-up shall
be conducted on all clients as required by funding agencies annually
after discharge from the services provided by YSCC.
Information from client follow-up
shall be incorporated as a part of the program evaluation.
Referrals
YSCC shall refer clients to other licensed or certified
facilities or resources when the individual has treatment or service
needs that the agency cannot meet. In addition, the program shall
provide information and referral services to non-client individuals
who request these services.
Program staff and clients shall discuss the purpose
and nature of the proposed referral before implementing the referral.
Family and significant other(s) will be involved when appropriate.
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