Author Topic: Narconon Arrowhead gets certified, WTF?  (Read 2158 times)

Offline Proud to be an SP

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Narconon Arrowhead gets certified, WTF?
« on: October 02, 2015, 14:56 »
Narconon press release on PR Web -  http://www.prweb.com/releases/2015/10/prweb12992232.htm - how did this happen?

CANADIAN, OK (PRWEB) OCTOBER 01, 2015

Narconon Arrowhead, a drug and alcohol rehabilitation facility in Canadian, Oklahoma, is very pleased to announce its recent certification by the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS). This rigorous certification process includes detailed inspections into organizational, operational and clinical standards in place at the facility.

The ODMHSAS inspects and certifies more than 140 substance abuse recovery facilities in the State of Oklahoma. Their mission is to ensure not only the safety and trustworthiness of each center, but also to ensure the soundness and excellence of their clinical procedures.

“This certification is evidence of our commitment to excellent care for every person who trusts us with their progression to sobriety,” said Bobby Newman, Director for Public Relations at Narconon Arrowhead. “We have maintained our Certification for Non-Medical Detox with ODMHSAS certification since 2005 and this new certification adds vocational services and community re-integration activities to the Narconon drug and alcohol rehabilitation program.”

Treatment plans, progress reports, staff certifications, fire and safety, zoning compliance and facility policies and procedures are all embraced by ODMHSAS inspections. There are several hundred criteria reviewed during each substance abuse service inspection. The ODMHSAS certification issued this week defined as “Clinically Managed Low- Intensity Residential Treatment”

Narconon of Oklahoma Inc. (DBA) Narconon Arrowhead has serviced over 11,000 people over the last 25 years and is the largest of some fifty Narconon drug and alcohol rehabilitation facilities operating on six continents. The Narconon network has a fifty-year history of helping the addicted recover lasting sobriety. For more information, call 1-800-468-6933.

Offline BigBeard

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #1 on: October 02, 2015, 20:03 »
All I could find for NN Arrowhead on the ODMHSAS certification listing is:

ODMHSAS Certified to Provide
Adult Halfway; Non-Med Detox

No certification date was listed, and right now I don't have time to go digging for the certification documents.
BigBeard

Offline Mary_McConnell

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #2 on: October 03, 2015, 16:48 »
Hi, Proud to Be An SP!! Long time no see here; glad to see your posting :)

OK... to answer your question:

The HOW part is being looked into. This is not a simple task, to read all the regs and changes and determine how they applied and what they said the program is about in order to get certification... this is always the case with Narconons. They fit the program on paper to met the regs.

To complicate things, the regs are changing on Nov 1st, and all applicants and renewals will have to met the criteria, which I am working on all this, trying / attempting to read and decipher and compare to current regs while trying to juggle a bunch other pressing matters.  It took a bit to dig up the new regs, as they are not on the ODMHSAS website oyt. Just referred to  See note there which is in bold
http://www.ok.gov/odmhsas/Additional_Information/Provider_Certification/


So the HOW part is on hold for now.. at least for me.  Its clear that some people didn't know that the certification in part was approved a while back.  That they have a 2 year Non-Medical Detox and as of May 2015.  Tony Ortega wrote about the non-medical detox 2 year certification by http://tonyortega.org/2015/07/20/stacy-murphy-is-still-dead-but-oklahoma-gives-the-scientology-rehab-that-killed-her-new-life/

But what prompted them send that someone exaggerated PR release... and the resulting number of queries I have gotten on it, is the fact that they have recently been approved / certified to run an  Adult Halfway House at the same location. This was confirmed yesterday, that NN AH was approved for the Halfway house certification last Friday (9-25-2015).

The Provider Certification they recently received is different than the one Tony wrote about... it's for the half-way house, which regs I need to educate ,myself on. They are using the d=same location as the non-medical detox certification which Tony wrote about in the article.

I received a copy of the half-way house approval yesterday. Simple announcement within a list of other facility certifications of different types. This is for 1 year, retroactive to May 2-015 on through May 2016.  No details are listed other than the name, address and period of certification.

Facts: NN AH has a 2 year Non-Medical Detox Cert May 2015 through May 2017. And now they have a 1 year Adult Halfway House cert which expires May 2016. Not sure why there was a delay in approving the halfway house when it appears that both applications were sent in around the same time but approved one after the other within a few months.

ODMHSAS Certified Providers listing shows all of both halfway house and non-medical detox and address in a bit more details at the state's new provider listings site found here under Alcohol and Drug  Treatment section on the left, which expands and lists all of th 2145 programs in OK in this category when you click the category
https://www.google.com/maps/d/u/0/viewer?mid=z9t8hk8v6Mec.kP1vOudom5s4

Arrowhead detox and half-way house are listed  once together under  Alcohol & Drug Treatment (A/D), showing the same location for both certifications but very little in details like  how many patients or residents for each license. 

I will locate that information when I have time to look more closely and contact the state..   Given that the new rules ( see attached copy below) are going into effect Nov 1, I am going to read them over and see what the current and future ones are related to all this and the impact it may have on Arrowhead in the future.

Narconon Arrowhead has many beds there... and I have never heard of a half-way house having more than 24 patients max. Nor a detox center at the same location. So I want to see each application and find out what they applied for in # number of patients for each certification. This way we know the maximum # people possible on a given day who will be being indoctrinated there.

I still have to read the revision doc to understand what changes are happening Nov 1st with the Administrative regs in OK  but  hopefully I can find out how they got around the rules, as well as what the new rules when they reapply next April for the Half-way house renewal.

Lots to do. I suggest not sharing the PR article and or link on the internet for now because it just gives them an opportunity to gloat about their big 'win' in certification when we all thought they weren't qualified any more due to law changes.  Every click to view it is an "up statistic" for them.

At this time, the updated regs are not even posted up on the ODMHSAS website, only referred to, and all the application and related info there are based upon current regs which expires at the end of the month.

I am hoping that the new regs will help us shut them down there but I cannot comment on that until I digest what the mandated changes are. These changes and amendments are stated in the Secretary of State official Register here https://www.sos.ok.gov/oar/online/viewRegisterspdf.aspx   
in the Register - Volume 32 Issue 24.
You have to keyword search "Title 450" to easily locate the section it's located in.  I was not able to copy/paste the content for you all to read, so it's best to just open the pdf and search and read it. 74 + pages or so of changes.

I will try to update here as I come across more information.

Hope to hear from you on the forum more often, Your input is important!

Mary



I am a volunteer advocate for victims of the Narconon scam. I am a former scientologist. I post anonymously. Mary McConnell is my long time nom de plume. Feel free to contact me for assistance in righting the wrongs.

Offline AnonLover

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #3 on: October 23, 2015, 10:51 »
Narconon Arrowhead has new license, criticism remains

The controversial drug-rehab facility is reorganizing in southeastern Oklahoma
By William W. Savage III, Editor in Chief - October 23, 2015

http://nondoc.com/2015/10/23/narconon-arrowhead-has-new-license-criticism-remains/

Ugg.

Offline ethercat

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #4 on: October 23, 2015, 12:20 »
Quote
Now, Newman said the space within the Arrowhead lodge is being adjusted to suit Narconon’s program capacity better.

“With our plans, we’ve scaled back quite a bit over the last few years. Now we’re going back up,” he said.

Was that their doing, or ours?   ;)
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Offline SocialTransparency

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #5 on: October 23, 2015, 22:20 »
Narconon Arrowhead has new license, criticism remains

The controversial drug-rehab facility is reorganizing in southeastern Oklahoma
By William W. Savage III, Editor in Chief - October 23, 2015

http://nondoc.com/2015/10/23/narconon-arrowhead-has-new-license-criticism-remains/

Ugg.
Arrowheads cred is now as a halfway house that meets the states BARE minimum for accreditation. Lame.

Offline BigBeard

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #6 on: October 24, 2015, 00:50 »
I wonder how long it will take before the "halfway house" is operating in full blown narCONon mode?
BigBeard

Offline ethercat

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #7 on: October 24, 2015, 09:50 »
Probably from Day 1, BB.  They will spin the TRs into something that meets the bolded red part below, like Per Wickstrom does with his programs.

From: http://www.ok.gov/odmhsas/Additional_Information/Provider_Certification/ODMHSAS_Administrative_Rules/Administrative_Rules_That_Are_Currently_In_Effect.html

Chapter 18. Standards and Criteria for Alcohol and Drug Treatment Programs

"Halfway house" means low intensity substance use disorder treatment in a supportive living environment to facilitate the individual's reintegration into the community, most often following completion of primary treatment. Corresponding ASAM Treatment Level: Level III.1, Clinically managed Low Intensity Residential Services.

PART 19. HALFWAY HOUSE SERVICES

450:18-13-181. Halfway house services

(a) Halfway house services shall provide low intensity treatment in a supportive living environment to facilitate reintegration into the community. Major emphasis shall be on continuing substance use disorder care and follow-up, and community ancillary services in an environment supporting continued abstinence. Consumers shall participate in a minimum of six (6) hours of structured substance use disorder treatment per week.

(b) Each facility shall maintain written programmatic descriptions and operational methods addressing the following:

(1) Environment: The facility shall be a freestanding facility or portion of a related healthcare facility having at least one (1) each of toilet, lavatory, and bathing facilities for each eight (8) residents. The facility shall provide a safe, welcoming, and culturally/age appropriate environment.

(2) Support system:
(A) A licensed physician shall be available, by telephone twenty-four (24) hours a day, seven (7) days a week;
(B) The facility shall have a written plan for emergency procedures, approved by a licensed physician;
(C) The facility shall have supplies, as designated by the written emergency procedures plan, which shall be accessible to staff at all times; and
(D) Specialized professional consultation or professional supervision shall be available.

(3) Staff:
(A) Service providers shall be knowledgeable regarding biopsychsocial dimensions of substance use disorders, evidenced based practices, co-occurring disorder issues gender, cultural, and age-specific issues;
(B) Staff shall be knowledgeable regarding facility-required education, training, and policies;
(C) Staff shall be knowledgeable about emergency procedures as specified in the emergency procedures plan;
(D) The facility shall have staff members on site twenty-four (24) hours per day, seven (7) days per week; (E) Staff shall be at least eighteen (18) years of age; and
(F) The facility shall document in personnel records all education, training, and experience stated above prior to the provision of direct care services.

(4) Treatment services. The facility shall have scheduled rehabilitation services to assess and address the individual needs of each consumer. Such services shall include, but not limited to:

(A) Therapy. Therapy must be provided by a Licensed Behavioral Health Professional (LBHP) or Licensure Candidate who must use and document a clinical approach generally accepted as reliable in the relevant community, such as cognitive behavioral treatment, narrative therapy, solution focused brief therapy or another widely accepted theoretical framework for treatment. The therapy must be goal directed utilizing techniques appropriate to the individual consumer's service plan and the consumer's developmental and cognitive abilities. This service does not include social skill development or daily living skill activities. For adults, group therapy is limited to a total of eight adult individuals. For all children under the age of eighteen, the total group size is limited to six.

(B) Rehabilitation Services. Rehabilitation services must be provided by a LBHP, Licensure Candidate, Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II). This service includes educational and supportive services regarding independent living, self-care, social skills regarding development, lifestyle changes and recovery principles and practices (including relapse prevention). Services provided typically take the form of curriculum based education and skills practice, and should be goal specific in accordance with an individualized service plan. The maximum staffing ratio for group rehabilitation services is fourteen members for each qualified provider for adults and eight to one for children under the age of eighteen.

(C) Educational Groups. Education groups must be conducted by a LBHP, Licensure Candidate, CADC, CM II or Peer Recovery Support Specialist (PRSS).

(D) Case Management. Case management must be provided by a LBHP, Licensure Candidate, CADC, CM II or CM I as clinically indicated.

(E) Crisis Intervention. Crisis intervention services must be provided by a LBHP or Licensure Candidate. Crisis intervention services are provided as needed for the purpose of responding to acute behavioral or emotional dysfunction as evidenced by psychotic, suicidal, homicidal severe psychiatric distress, and/or imminent danger of substance relapse. The crisis situation including the symptoms exhibited and the resulting intervention or recommendations must be clearly documented in the consumer's record.

(F) Vocational services. Any level of provider can provide vocational services (Employment consultants, or other staff who have completed some form of job coach training, are preferred). Vocational services include the process of developing or creating appropriate employment situations for individuals who desire employment to include, but not be limited to: the identification of employment positions, conducting job analysis, matching individuals to specific jobs, facilitating job expansion or advancement and communicating with employers about training needs.

(5) Treatment documentation:
(A) Consumer records shall contain progress notes which outline any issues related to treatment and services provided. Progress notes shall document treatment services in a weekly summary to include the following:
(i) Date;
(ii) Specific problem(s), goals, and objectives addressed;
(iii) Summary of progress made toward goals and objectives, or lack of;
(iv) Consumer response to overall treatment services;
(v) Total number of treatment hours and types of services attended for the week;
(vi) Any new problems, goals, or objectives identified during the week;
(vii) List of all service provider providing treatment hours;
(viii) Signature and credentials of the service provider completing the documentation; and
(ix) Consumer's name.

(B) Documentation shall reflect that the consumer works or attempts to find work while receiving halfway house services.
(c) Compliance with 450:18-13-181 may be determined by a review of the following:
(1) Licenses;
(2) Policies and procedures;
(3) Treatment protocols;
(4) Personnel records, documentation of professional licensure, certification or licensure as an alcohol and drug counselor, documentation of professional work experience, ongoing in-service trainings;
(5) Treatment records;
(6) Interviews with staff and consumers; and
(7) Other facility records.

450:18-13-182. Halfway house services, admission criteria
(a) Admission to halfway house services shall be determined according to 450:18-7- 21. These criteria shall be a part of the program's written policies and procedures.

(b) Compliance with 450:18-13-182 may be determined by a review of the following:
(1) Policies and procedures;
(2) Admission protocols;
(3) Consumer records;
(4) Posted public information;
(5) Interviews with staff and consumers; and
(6) Other facility information.

450:18-13-183. Halfway house services, discharge criteria
(a) Programmatic discharge from halfway house services shall be determined according to 450:18-7-121. These criteria shall be a part of the program's written policy and procedures.

(b) Compliance with 450:18-13-183 may be determined by a review of the following:
(1) Policies and procedures;
(2) Discharge assessment instruments;
(3) Discharge summaries;
(4) Continuing care plans;
(5) Consumer records;
(6) Progress notes;
(7) Interviews with staff and consumers; and
(8) Other facility documentation.
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Offline SocialTransparency

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Re: Narconon Arrowhead gets certified, WTF?
« Reply #8 on: October 24, 2015, 11:58 »
Probably from Day 1, BB.  They will spin the TRs into something that meets the bolded red part below, like Per Wickstrom does with his programs.

From: http://www.ok.gov/odmhsas/Additional_Information/Provider_Certification/ODMHSAS_Administrative_Rules/Administrative_Rules_That_Are_Currently_In_Effect.html

Chapter 18. Standards and Criteria for Alcohol and Drug Treatment Programs

"Halfway house" means low intensity substance use disorder treatment in a supportive living environment to facilitate the individual's reintegration into the community, most often following completion of primary treatment. Corresponding ASAM Treatment Level: Level III.1, Clinically managed Low Intensity Residential Services.

PART 19. HALFWAY HOUSE SERVICES

450:18-13-181. Halfway house services

(a) Halfway house services shall provide low intensity treatment in a supportive living environment to facilitate reintegration into the community. Major emphasis shall be on continuing substance use disorder care and follow-up, and community ancillary services in an environment supporting continued abstinence. Consumers shall participate in a minimum of six (6) hours of structured substance use disorder treatment per week.

(b) Each facility shall maintain written programmatic descriptions and operational methods addressing the following:

(1) Environment: The facility shall be a freestanding facility or portion of a related healthcare facility having at least one (1) each of toilet, lavatory, and bathing facilities for each eight (8) residents. The facility shall provide a safe, welcoming, and culturally/age appropriate environment.

(2) Support system:
(A) A licensed physician shall be available, by telephone twenty-four (24) hours a day, seven (7) days a week;
(B) The facility shall have a written plan for emergency procedures, approved by a licensed physician;
(C) The facility shall have supplies, as designated by the written emergency procedures plan, which shall be accessible to staff at all times; and
(D) Specialized professional consultation or professional supervision shall be available.

(3) Staff:
(A) Service providers shall be knowledgeable regarding biopsychsocial dimensions of substance use disorders, evidenced based practices, co-occurring disorder issues gender, cultural, and age-specific issues;
(B) Staff shall be knowledgeable regarding facility-required education, training, and policies;
(C) Staff shall be knowledgeable about emergency procedures as specified in the emergency procedures plan;
(D) The facility shall have staff members on site twenty-four (24) hours per day, seven (7) days per week; (E) Staff shall be at least eighteen (18) years of age; and
(F) The facility shall document in personnel records all education, training, and experience stated above prior to the provision of direct care services.

(4) Treatment services. The facility shall have scheduled rehabilitation services to assess and address the individual needs of each consumer. Such services shall include, but not limited to:

(A) Therapy. Therapy must be provided by a Licensed Behavioral Health Professional (LBHP) or Licensure Candidate who must use and document a clinical approach generally accepted as reliable in the relevant community, such as cognitive behavioral treatment, narrative therapy, solution focused brief therapy or another widely accepted theoretical framework for treatment. The therapy must be goal directed utilizing techniques appropriate to the individual consumer's service plan and the consumer's developmental and cognitive abilities. This service does not include social skill development or daily living skill activities. For adults, group therapy is limited to a total of eight adult individuals. For all children under the age of eighteen, the total group size is limited to six.

(B) Rehabilitation Services. Rehabilitation services must be provided by a LBHP, Licensure Candidate, Certified Alcohol and Drug Counselor (CADC) or Certified Behavioral Health Case Manager II (CM II). This service includes educational and supportive services regarding independent living, self-care, social skills regarding development, lifestyle changes and recovery principles and practices (including relapse prevention). Services provided typically take the form of curriculum based education and skills practice, and should be goal specific in accordance with an individualized service plan. The maximum staffing ratio for group rehabilitation services is fourteen members for each qualified provider for adults and eight to one for children under the age of eighteen.

(C) Educational Groups. Education groups must be conducted by a LBHP, Licensure Candidate, CADC, CM II or Peer Recovery Support Specialist (PRSS).

(D) Case Management. Case management must be provided by a LBHP, Licensure Candidate, CADC, CM II or CM I as clinically indicated.

(E) Crisis Intervention. Crisis intervention services must be provided by a LBHP or Licensure Candidate. Crisis intervention services are provided as needed for the purpose of responding to acute behavioral or emotional dysfunction as evidenced by psychotic, suicidal, homicidal severe psychiatric distress, and/or imminent danger of substance relapse. The crisis situation including the symptoms exhibited and the resulting intervention or recommendations must be clearly documented in the consumer's record.

(F) Vocational services. Any level of provider can provide vocational services (Employment consultants, or other staff who have completed some form of job coach training, are preferred). Vocational services include the process of developing or creating appropriate employment situations for individuals who desire employment to include, but not be limited to: the identification of employment positions, conducting job analysis, matching individuals to specific jobs, facilitating job expansion or advancement and communicating with employers about training needs.

(5) Treatment documentation:
(A) Consumer records shall contain progress notes which outline any issues related to treatment and services provided. Progress notes shall document treatment services in a weekly summary to include the following:
(i) Date;
(ii) Specific problem(s), goals, and objectives addressed;
(iii) Summary of progress made toward goals and objectives, or lack of;
(iv) Consumer response to overall treatment services;
(v) Total number of treatment hours and types of services attended for the week;
(vi) Any new problems, goals, or objectives identified during the week;
(vii) List of all service provider providing treatment hours;
(viii) Signature and credentials of the service provider completing the documentation; and
(ix) Consumer's name.

(B) Documentation shall reflect that the consumer works or attempts to find work while receiving halfway house services.
(c) Compliance with 450:18-13-181 may be determined by a review of the following:
(1) Licenses;
(2) Policies and procedures;
(3) Treatment protocols;
(4) Personnel records, documentation of professional licensure, certification or licensure as an alcohol and drug counselor, documentation of professional work experience, ongoing in-service trainings;
(5) Treatment records;
(6) Interviews with staff and consumers; and
(7) Other facility records.

450:18-13-182. Halfway house services, admission criteria
(a) Admission to halfway house services shall be determined according to 450:18-7- 21. These criteria shall be a part of the program's written policies and procedures.

(b) Compliance with 450:18-13-182 may be determined by a review of the following:
(1) Policies and procedures;
(2) Admission protocols;
(3) Consumer records;
(4) Posted public information;
(5) Interviews with staff and consumers; and
(6) Other facility information.

450:18-13-183. Halfway house services, discharge criteria
(a) Programmatic discharge from halfway house services shall be determined according to 450:18-7-121. These criteria shall be a part of the program's written policy and procedures.

(b) Compliance with 450:18-13-183 may be determined by a review of the following:
(1) Policies and procedures;
(2) Discharge assessment instruments;
(3) Discharge summaries;
(4) Continuing care plans;
(5) Consumer records;
(6) Progress notes;
(7) Interviews with staff and consumers; and
(8) Other facility documentation.


http://discovertreatment.com/

It appears this "Halfway house model" is being used by many in the rehab industry. If I am correct, narCONon used the services of one Darrell Hall and his rented apartments as a place to house and transport its clientele. Now that Darrell Hall's narCONon of Georgia cash cow has been shut down,he has taken his business model in a different direction.