Admission Criteria

Phoenix House complies with all clinical requirements of the Alabama Department of Mental Health (ADMH), which includes the utilization of an approved standardized screening instruments (UNCOPE and/or MINI) and assessment based on ASAM PPC IIR criteria. Prior to admission, all clients must have been determined to need a Level III.01 Transitional Residential Treatment Program or a Level III.1 Clinically Managed Low Intensity Residential Treatment as the appropriate level of care, or the recommended level of care until the appropriate level of care is available.
 
Procedure:
Phoenix House clients must have a completed ADMH screening and ASAM placement assessment completed prior to admission. Only assessments completed by individuals as outlined in the AL Administrative Code will be considered for admission. The recommended level of care must indicate that a Level III.01 Transitional Residential Treatment Program or Level III.1 Clinically Managed Low Intensity Residential Treatment is the appropriate level of care, or is being used until the appropriate level of care is available.
 
In most instances, clients referred to Phoenix House have been screened and/or assessed by a previous provider and the documentation has been submitted for approval of admission. In cases where the individuals referred to Phoenix House do not have a completed ADMH ASAM placement assessment, a placement assessment is completed or the individual is linked to a local provider or professional, qualified to conduct assessments, for completion. All individuals seeking admission to the Phoenix House are informed of the requirement of the ADMH, the process for admission to Phoenix House and a copy of the Program Description.
 
Unique characteristics and admission criteria of the program’s target population include:
  • Individuals with a substance use disorder based on DSM-IV criteria, whose level of assessed care warrants a Level III.01 Transitional Residential Treatment Program or Level III.1 Clinically Managed Low Intensity Residential Treatment.
  • Individuals that have a need for a twenty-four (24) hour drug free environment in order to reintegrate into the community following treatment in a more intensive level of care.
  • Individuals, who acknowledge the existence of a substance use and/or co-occurring mental health disorder, express and demonstrate a desire to make the necessary changes to support recovery.
  • Individuals whose history indicates a high risk of relapse in a less structured level of care or needs regimented support to maintain engagement in a recovery oriented system of care focused on community reintegration.
  • Individuals whose resources and skills are insufficient to maintain a recovery oriented lifestyle outside of a twenty-four (24) hour structured supportive environment.
  • Individuals who are reasonably stable, experiencing no signs of alcohol and/or drug withdrawal. Those with co-occurring disorders shall be stable, self-manageable and addressing his/her mental disorder concurrently through appropriate psychiatric services. In addition biomedical issues must be stable, without requiring continuous medical or nurse monitoring. Clients must be able to self-administer over the counter and prescribed medications.
                       
Information gathered through the ADMH ASAM placement assessment will be used to identify the recovery resources needed to establish a solid foundation in recovery and/or referrals necessary to address other issues not provided by the Phoenix House. This information will be discussed with the client during the development of his/her individual service plan. Clients are afforded the opportunity to specify significant others they want to be actively involved in their treatment. QSAPs and Certified Peer Support Specialists coordinate follow up to insure that clients are linked to the appropriate resources.
 
No eligible client will be denied admission to the Phoenix House based on their sex, race, color, creed or age in accordance with Title VI of the Civil Rights Act of 1964 as amended42 USC 2000d, Title XI of the Education Amendments of 1972, 20 USC 1681-1686 and s.504 of the Rehabilitation Act of 1973, as amended 29 USC 794, and the American with Disabilities Act of 1990, as amended, 42 USC 12101-122213. Nor will clients be denied admission solely due to their educational achievement, literacy, household composition, ethnicity, income and/or ability to pay, need for medication assisted therapies within program guidelines, pregnancy status, existence of a stable co-occurring disorder, HIV status, disability, referral source, relapse, prior withdrawal from treatment against clinical advice or involvement with the criminal justice system.
 
For individuals with co-occurring disorders Phoenix House staff will include documentation of:
  1. A chronological history of past mental symptoms, diagnosis, treatment, and impairment, particularly listing that period of time before the onset of substance abuse and during extended periods of abstinence.
  2. A description of current strengths, supports, limitations, skill deficits, and cultural barriers as they affect (impede or enhance) the individual’s ability to follow treatment recommendations due to their illness, disorder or problem.
  3. Identification and determination of disability and/or functional impairment.
 
Priority populations for admission are consistent with those outlined in the AL Administrative Code and include:
  1. Individuals who are pregnant and have intravenous substance use disorders.
  2. Individuals who are pregnant and have substance use disorders.
  3. Individuals who have intravenous substance use disorders.
  4. Women with dependent children.
  5. Individuals who are HIV positive.
  6. All others with substance use disorders.
 
When an individual identified as a priority population, as outlined above, presents for admission, the Program Coordinator will be notified and the individual will be admitted in the next available opening. Each individual who requests and is in need of treatment for IV drug use is admitted not later than: 14 days after making the request for admission or 120 days after the date of the request for admission if no such program has the capacity to admit at the time of the initial request, and interim services are provided not later than 48 hours after the initial request of admission. If multiple individuals meet the criteria for a priority population the Program Coordinator will discuss the situation with the Executive Director. In this situation the order of admission will be determined by the other risk factors identified in the placement assessment. Individuals with the greatest risk will be admitted first.  When the State determines no treatment facility has the capacity to admit a pregnant woman, the program makes available interim services within forty-eight hours of the woman’s request for care. Staff of the Phoenix House will contact other agencies to make an appropriate referral when they are unable to provide services.
 
Readmissions are handled in the same manner as original admissions. An updated ASAM PPCIIR placement assessment must be submitted for approval. In the event an individual is determined to be ineligible for admission, Phoenix House staff will provide assistance referring and linking the individual to another service provider with the appropriate level of care, target population and service structure. Any individual who feels they have been inappropriately denied admission to Phoenix House may express their concern through the normal appeal process to the Executive Director. Phoenix House is unable to accept individuals who are classified as a sex offender due to the proximity of the program to a school. 

Completed assessment should be faxed to (205) 391-0032. To schedule an assesment appointment please call (205) 758-3867.