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.
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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.
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 life skills training, treatment, health services. It is our goal to provide related services directed toward: the acquisition of the behaviors necessary for the client to function with as much self-determination and independence as possible; the prevention of regression or loss of current optimal functional status.
Any medication used for any behavioral management 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 the physician’s/psychiatrist’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 the treatment plan. Clients’ status is assessed; strengths and weaknesses will be identified in order to determine client’s progression in the program. Clients’ needs and requests will be prioritized and objectives developed resulting in a comprehensive Needs and Service Plan. Any member of the 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.
Intake Process
The Intake Coordinator will review all referrals for incoming clients that are requesting short/long-term placements. This will entail reviewing psychiatric history, medical history, previous placement progress notes/treatment plans, as well as any other historical information regarding the client.
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 reinforcers, as well as weekly incentives depending on the client’s skill 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.
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’s in order to facilitate the reunification process.
The Outcome Goals for Clients of G.L.O.M.
To provide individuals who exhibit disruptive, dangerous, and/or excessive behaviors with opportunities for greater community access. Our goal is to enable our clients to participate in each aspect of community entry to their maximum potential.
To provide instructional strategies and motivational systems that assist the individual in acquiring new skills needed to function more independently. Our goal is to assist the client in decreasing inappropriate behaviors which could interfere with their further growth.
To increase clients’ self-help, communication and independent living skills to enable them to function more independently.
To assist the individual to acquire necessary skills to move to a less restrictive setting.
The outcomes will be systematically measured on a monthly and quarterly basis and reported to the agency caseworker that is responsible for placement.
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.
- Movies, Bowling, Amusement Parks, Local Community Parks, Lakes, Beaches, Board/Card Games and Video Games.
- Sports such as Basketball, Baseball, Volleyball and Leisure time.
Possible community-based activities
- Educational activities such as Theater Arts, Museums and Community Programs.
- 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.
