The G.L.O.M. Process

Hours of Operation:

G.L.O.M. operates 24 hours a day, 7 days a week, providing personal and therapeutic care, habitation, developmental and supportive health services to adults with various environmental and behavioral challenges. Care and treatment is provided to those persons considered ambulatory. Treatment services will be provided to each client in the most normalized manner available, allowing each person to progress to the most independent level of functioning. Individualized treatment is developed by the team and systematically implemented throughout the clients’ waking hours. Clients will receive those services identified as being essential to developmental needs in accordance with their Needs and Service Plan.

Initial Assessment:

G.L.O.M. ensures that each client receives an ongoing treatment program, which includes aggressive, consistent implementation of a program of specialized and generic training, treatment, health services and related services directed toward: a) the acquisition of the behaviors necessary for the client to function with as much self-determination and independence as possible; and b) the prevention of regression or loss of current optimal functional status. Any medication used for behavioral control shall be part of a client’s Needs and Service Plan, which employs least restrictive interventions first in an effort to manage behaviors. Since medications may be viewed as chemical restraint, their use will be carefully reviewed. The treatment plan shall also include the gradual reduction of such medications as ordered by the physician. These medications will be carefully monitored by staff and regulated by physician’s orders.

Within 30 days following admission, the Clinical Director, the clinical team, social work staff, direct care staff and the placing agency case worker shall meet, review and update pre-admission reports. Clients’ status is assessed, strengths and weaknesses considered. Clients’ needs and requests will be prioritized, and objectives developed resulting in the Needs and Service Plan. A written evaluation will be provided by the facility. Hence forth, the treatment team will meet quarterly to review and update the progress of the client. Any member of the interdisciplinary team may call a special conference to discuss and reconsider changes to the program developed.

The service outcomes for clients of G.L.O.M. are as follows:

  1. To provide individuals with disruptive, dangerous, and/or excessive behaviors with opportunities for greater community access, enabling each to participate in each aspect of community entry to their maximum potential.
  2. To provide instructional strategies and motivational systems that assists the individual in acquiring new skills needed to function more independently and to decrease inappropriate behaviors, which could interfere with their further growth.
  3. To increase clients’ self-help, communication, and independent living skills to enable them to function more independently.
  4. To assist the individual to acquire necessary skills to move to a less restrictive setting.

The outcomes will be systematically measured on a quarterly basis and reported to the agency caseworker responsible for placement.

Intake Process:

The Intake Coordinator will interview all incoming clients that are long term beds. This will entail a history detailing the client’s offense and any treatment services that have been provided thus far. G.L.O.M. treatment team will review the material and develop a Needs and Service plan for each resident. This plan will include deficits and excesses requiring most urgent attention for successful community placement. Baseline data will be recorded on these and other behaviors, which may be exhibited. The Placement Agency will be encouraged to review data and provide suggestions or assist in developing the client’s overall plan. Program staff will observe and record clients’ behavior according to the data collection systems established in the facility program plan. Objective measurement of client performance will permit evaluation of the effectiveness of teaching or treatment procedures. The client’s program can then be revised or redesigned to maximize achievement of treatment goals.

Residential Home Stay:

This program is based on positive reinforcement, depending on the client’s skills level and preferences. Types of reinforcement may range from primary reinforcers to contracts with weekly incentives based on a level system of systematic independence. A record will be kept on the progress of each client. With the cooperation and assistance of school program providers, this system can be extremely effective at promoting greater independence. A positive program outlined between all service providers will be implemented. These programs will be based on the individual in terms of identifying specific needs and reinforcers. The ultimate goal for clients at G.L.O.M. is to be mainstreamed into the community or when appropriate reunited with their family. Family therapy will be strongly encouraged by G.L.O.M. clinician in order to facilitate the reunification process.

G.L.O.M. Activities

Planned Activities:

The program’s planned social and recreational activities will include functional, reinforcing, age-appropriate, and peer group interaction activities organized to stimulate acceptable social behavior in the residence and in the community.

Home-based activities include:

Board, card, and video games; Sports such as Basketball, Baseball, or Volleyball; and Leisure time.

Possible community-based activities include:

Educational activities such as Theater Arts and school sports;

  • Community activities to promote community access and other skills identified on the Needs and Service Plan.
  • Opportunities for learning experiences outside of the home will be provided in order to teach the skills necessary to participate in larger communities.