CLINICAL OPERATIONS AND SERVICES

Non-Residential Clinical Operations

Medical
Psychological evaluation
1st 2nd Document
Drug Test evaluation and
interview interview reports ations
examinatio
n

1. 1st Interview

Patient, relative, or referring person must be interviewed immediately regarding its general

data, presenting problem, referral information, and drug inventory.

2. Drug Test

Physician will conduct drug dependency examination immediately on the patient.

3. 2nd interview

Interview and history taking done by a social worker in preparation for a social case study

report.

4. Psychological evaluation reports

Must be done within two (2) weeks from admission.

5. Medical evaluation and examination

Must be seen and examined within three (3) days after the initial intake.

6. Documentations

 Findings and evaluation must be documented and properly filed in the individual

patient case file.

  Appropriate information referral notes shall be accomplished when referring

patients to other agencies. It must at least include the following: general data,

reasons for referral, actions already taken in the Center.

 All therapeutics intervention must be properly documented to include among

others list of medicines, dosage/frequency of intake.

 Progress notes must be properly documented.

 Diagnostic procedures that includes: psychological evaluation, all test results e.g.

chest x-ray, laboratory examinations; drug screening test must be properly filed in

the patient case file.

 Individual case file folder for each patient, which contains court orders,

communications and other documents, which may be pertinent to the patients.

 Family/group sessions including sessions with the community shall be properly

documented and filed in a separate folder.

Residential Clinical Operations

Diagnostic
Interview Referrals Documentations
Procedures

1. interview

Intake interview will be done immediately upon contact with patient, relative of patient or

referring person regarding its general data, presenting problem, referral information, and

drug inventory.
2. All referrals for medical, surgical, psychiatric problems must be seen by the physician

within twenty-four (24) hours.

3. diagnostic procedures

Such as chest x-ray, sputum examination, urinalysis ECG for patient 45 years old and

above, must be requested within 24 hours after admissions.

4. Documentations

 All medical findings must be documented and properly filed in the individual patient

case folder. Likewise, all medical orders for procedures, medications and other

intervention shall be properly documented and filed.

 Psychological reports and social case studies must be done within two weeks from

admission. This must be properly filed in the individual patient case folder.

 All treatment plan/intervention shall be properly documented to include

medications – dose, frequency and duration.

 Progress notes shall be done for all cases at least once a month.

 Discharge plan shall also be documented.

 Accidents, incident reports, escape reports shall be accomplished within eight (8)

hours of the event and should include details on the following: who, what, where,

when, actions taken and disposition.

 All pertinent documents related to patients such as communications, court orders

shall be properly filed in each patient’s case folder.

 All medical reports and other documents submitted to court shall be properly filed

in the patient’s case folder.

 Treatment modalities, counselling program, recreational program, family program

and other services shall be properly documented.

Residential facility services

medical
service
Educational Psychiatric
opportunities service

Volunteer Psychological
service service

Drug
Rehabilitation
Placement
service Residential Social service
Facility
Services
Aftercare and Spiritual and
follow-up religious
services services

Residential/ho
Referral
use care
Sports and service
service
recreation
services

1. Medical service

Provides comprehensive health care services ranging from routine physical examination

and screening procedure for diagnosis, treatment and follow-up of illnesses and other

medical problems.

2. Psychiatric service

Provides therapy to drug abusers with behavioral and psychiatric disorders through,

among others, individual and group psychotherapy, family therapy and occupational
 therapy conducted by a psychiatric team. A psychiatric team shall include a psychiatrist,

psychologist and social worker.

3. Psychological service

Assists the team in the assessment, diagnosis and management of drugs dependents

through psychological testing and evaluation as well as in conducting therapy/counselling

to patients and their families.

4. Social service

Assists the drug dependents help themselves cope their problems, facilitate and/or

promote their interpersonal relationship and adjustment to the demands of a treatment

program with the end view of helping the drug dependents’ physical, social, moral and

spiritual development.

5. Spiritual and religious services

Strengthening the spiritual foundation would involve, among others, reorientation of moral

values, spiritual renewal, bible study and other charismatic sessions. It aims to bring them

closer to God and better relate to their fellowmen.

6. Referral service

Involves the process of identifying accurately the problems of the patient and sending him

to the agency that can provide the appropriate services.

7. Sports and recreation services

The opportunity to engage in constructive activities and to establish peer relationship as

an alternative to drug abuse. The emphasis in all activities should be on developing the

discipline necessary to improve skills and on gaining respect for good physical health.

8. Residential/house care service

Includes provision of basic foods, clothing and shelter.

9. Aftercare and follow-up services

 Aftercare activities can be viewed as the first line of defense against relapse. The activities

include attending self-help programs like Narcotics Anonymous (NA)/ Alcoholic

Anonymous (AA) meetings, regular follow-up at treatment Center, individual and group

counselling sponsor meetings, alumni association meetings, etc. This is for a period not

exceeding eighteen (18) months and undertaken by the appropriate Center personnel.

10. Placement service

Provides assistance to drug dependents in obtaining work opportunities through sheltered

employment.

11. Volunteer service

Assists the organic staff of the Center to perform rehabilitation treatment services and/or

administrative functions but do not receive compensation

12. Educational opportunities

Shall be made available to patients while in the Center for the purpose of improving their

skills, interests and capabilities on a particular vocational field of their choice. This aims to

increase their self-esteem and their chance for employment. This may improve their work

habits and thus make possible a more satisfactory and rewarding way of life.

Organizational Chart:

Non-Residential Services:

Physician

Nurse Social Office Clerk

Worker/
Psychologist
Residential Services:

Program
director

Secretary

Administrative Health Counselling

services services services

Records Social
Physician
management worker

Fiscal Nurse
Psychologist
management /midwife

Security Dentist

Personnel
management

Utility &
maintenance
management

Dietary
management
Educational Program:

Skills &
Training Center
Director

Workshop & Sports &

Education Supporting
training recreation
supervisors services
supervisors supervisor

Librarian

Multi-purpose
hall Gen.
Manager

agriculture
supervisor
Building Requirements

A. Non-Residential Facility

Necessary spaces for out-patient treatment program

 Reception Area- receiving of patient

 Treatment Room- Drug Abuse assessment and management emergency

assistance for drug withdrawal and psychiatric illness

 Business Area-performance of personnel, accounting, records, supply and

housekeeping

 Restroom- managing of personal hygiene

 Counselling Room- counselling area of patients

B. Residential Facility

B.1 Administrative Facility

 Receiving Area- receiving of client and visitors; follow-up and aftercare

program

*Front desk- information counter

*Restroom (male & female) – managing of personal hygiene

 General Head Office- oversees entire rehabilitation program

 Administrative staff office- performance of personnel, accounting, records,

supply, and housekeeping

 Record/file room- storage of necessary informations

 Storage room- storage of materials and other staffs

 Lounge- common room/eating/relaxing area of staffs

  Cashier window- handling cash transaction of organization

B.2 Counselling Facility

 Psychologist office- assist physician in treatment process, provides

counselling to patients

 Social worker’s office- conducts social case studies and assess social

status of patient

 Counselling room- assessment & management of patient through

counselling

 Record/File room- storage of necessary file

 Storage room- storage of materials and other stuffs

 Lounge- common room/ eating/ relaxing area of the staffs

B.3 Clinical Facility

 waiting area- receiving of patient

 treatment room- drug assessment and management; emergency

assistance

 restroom- managing of personal hygiene

 recovery room- continuous patient observation

 mini-dispensary room- medicine and clinical need storage

 dental clinic- dental care facility

 nurses’ locker room (male & female)- storage of personal belongings,

managing of personal hygiene and lounge

 nurse’s station- nurses’ working area

B.4 Accommodation Facility

  communal area- in-patient’s lounge

 Orientation bedroom (male & female) - bedroom of new patient because

they are the ones who will need intensive observation.

 Bedroom (male & female)- sleeping area of patient

B.5 Food and Commercial Services

 Dining hall- eating area and food service

 Kitchen- food preparing area

 Restroom- managing of personal hygiene

 Hand wash area- managing of personal hygiene

 Commissary- commercial area where they can purchase random items

B.6 Sub-Facilities

 Muslim prayer room- prayer room for Muslims

 Catholic chapel- prayer room for catholic

 Protestants prayer room- prayer room for protestants and other religion

 Visiting area- lounge for visitors

 Baggage checking counter- registration, checking visitor’s item for security

purposes

 Operation control center- where the facility’s security can be monitored

privately

 Laundry and service area- where clothes are washed

 Linen storage- storage facility’s bed sheets and pillowcase

 Non-professional locker room (male & female)- lounge and storage of

belongings of staffs
 B.7 Education Facility

 Lecture room- for alternative learning system (ALS)

 Computer room- computer technology training and electronic visiting

 Activity room- skills development training area

 Mini-library- books for reading/ research

 Restroom (male & female)- accessible restroom during activities

 Director’s office- raise standards of patient’s attainment and achievement

within the whole curriculum area

 Faculty office- office of supervisors

 Faculty lounge- common room/eating/ relaxing area of the staffs

 Multipurpose hall- for large assembly purposes

Site requirements

A. Guard house

B. Parking

C. Healing garden

D. Open outdoor assembly area

E. Flag pole

F. Basketball/volleyball court

G. Agriculture area

H. Security post
Weekly Schedule

Time Mon Tue-Thu Fri Sat Sun

5:45- Wake-up Wake-up Wake-up Wake-up Wake-up

6:00 am call call call call call
6:00- Morning Morning Morning Morning Morning
6:45am exercise/ exercise/ exercise/ exercise/ exercise/
prayer/ prayer/ prayer/ prayer/ prayer/
attendance/ attendance attendance attendance/ attendance/
flag raising flag raising flag raising
6:45- Morning Morning Morning Morning Morning
8:00am routine/ bath routine/ bath routine/ bath routine/ bath routine/ bath
8:00- breakfast breakfast breakfast breakfast breakfast
9:00am
9:00- ALS/ ALS/ ALS/ Visiting Visiting
12:00 counselling/ counselling/ counselling/ hours hours/
training training training catholic
program/ program/ program/ Sunday
other other other mass/
activities activities activities protestants
worship
service
12:00- lunch lunch lunch Visiting Visiting
1:30pm hours hours
1:30- Visiting Visiting Visiting Visiting Visiting
5:00 pm hours hours hours / Flag hours hours
lowering
6:45- dinner dinner dinner dinner dinner
8:00pm
8:00 Medications/ Medications/ Medications/ Medications/ Medications/
onwards attendance/ attendance/ attendance/ attendance/ attendance/
prayer prayer prayer prayer prayer
meetings/ meetings/ meetings/ meetings/ meetings/
sleep sleep sleep sleep sleep
4.2.2 Design Analysis

4.2.2.1 Design Theory