The program provides a safe and nurturing environment for women who have been trafficked or sexually exploited. Each participant will have individual treatment plans; therefore the activities may vary for each person. Overall, the program offers drug and alcohol treatment, individual and group counseling, individual case management, and life skill trainings. Services highlighted in red are provided by outside partners or by Salvation Army efforts outside of the Hanbury House staff.
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Alcohol and Drug treatment
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20 hours per week (partially based on Matrix Model) – See Appendix D: Group Schedules
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Assessment and Individualized Treatment Planning (2 hours per week)
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Maryhaven in Delaware
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Recovery and Prevention Resource Drug and Alcohol Counseling
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Seeking Safety Group (2 hours per week)
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The model used for the group sessions is called Seeking Safety. This particular model was chosen because it is the first treatment created to address both post-traumatic stress disorder and substance abuse, both of which are linked to trauma, abuse and exploitation. Seeking Safety is based on five central ideas: (1) Safety as the priority of treatment; (2) Integrated treatment; (3) A focus on ideal; (4) Four content areas: cognitive, behavioral, interpersonal, and case management; (5) Attention to clinician processes. Other features include simple language and themes (accessible language that avoids jargon); treatment methods based on educational strategies to increase learning; a focus on potential; emphasis on practical solutions; and an urgent approach to time.
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Educational programming (1 hour per week)
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Physical effects of drug and alcohol consumption
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Psychological and sociological consequences of alcohol and drugs
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Legal issues surrounding drug misuses
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Stages of dependency
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Process of addiction and recovery
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Stress management
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Denial and defense mechanisms
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Healthy relationships
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Individual counseling (1 hour per week)
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Maryhaven in Delaware
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Recovery and Prevention Resource Drug and Alcohol Counseling
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These sessions are critical to the development of the crucial relationship between the patient and the therapist. The content of the individual sessions is primarily concerned with setting and checking on the progress of the patient’s individual goals. These sessions can be combined with conjoint sessions, including significant others in the treatment planning. Extra sessions are sometimes necessary during times of crisis to change the treatment plan. These individual sessions are the glue that ensures the continuity of the primary treatment dyad and, thereby, retention of the patient in the treatment process.
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Early Recovery Skills Groups (1 hour per week)
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Maryhaven in Delaware
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Recovery and Prevention Resource Drug and Alcohol Counseling
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The eight Early Recovery Skills Groups are designed for patients in the first month of treatment or those who need extra tutoring in how to stop using drugs and alcohol. The purpose of the group is to teach patients: 1) how to use cognitive tools to reduce craving, 2) the nature of classically-conditioned cravings, 3) how to schedule their time, 4) about the need to discontinue use of secondary substances and 5) to connect patients with community support services necessary for a successful recovery. The reduced size of the groups allows the therapist to spend more individual time with each patient of these critical early skills and tasks. Patients who destabilize during treatment are often encouraged to return to the Early Recovery group until they re-stabilize.
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Process Groups (1 hour per week)
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Maryhaven in Delaware
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The purpose among individuals who join a process group is in their wanting to find out more about who they are and what it is perhaps that they would like to see change with-in their personal lives and in their relationships with others. In essence, a process group is expected to increase emotional awareness and relational understanding between self and others. The work of putting emotional experiences into words can give an individual the cognitive and emotional tools that lend to self-learning, insight and the potential to function with an increased sense of freedom, and with increased sophistication. The process group is not a confrontation group.
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Relapse Prevention Groups (1 hour per week)
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Maryhaven in Delaware
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Recovery and Prevention Resource Drug and Alcohol Counseling
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The Relapse Prevention groups occur at the beginning and end of each week from the beginning of treatment through Week 16. They are the central component of the Matrix Model treatment package. They are open groups run with a very specific format for a very specific purpose. Most patients who have attempted recovery will agree that stopping using is not that difficult; it is staying stopped that makes the difference. These groups are the means by which patients are taught how to stay in sobriety. The purpose of the Relapse Prevention groups is to provide a setting where information about relapse can be learned and shared. The 32 relapse prevention topics are focused on behavior change, changing the patient’s cognitive/affective orientation, and connecting patients with 12-14 step support systems. Each group is structured with a consistent format during which: 1) Patients are introduced if there are new members, 2) Patients give an up to the moment report on their progress in recovery, 3) Patients read the topic of the day and relate it to their own experience, 4) Patients share their schedules, plans, and commitment to recovery from the end of group until the group meets again. Input and encouragement from other group members is solicited but the group leader does not relinquish control of the group or promote directionless cross talk about how each member feels about what the others have said. The therapist maintains control and keeps the groups topic centered and positive with a strong educational element. Care is taken not to allow group members to share graphic stories of their drug and alcohol use. Therapists specifically avoid allowing the groups to become confrontational or extremely emotional. Whenever possible the use of a co-leader who has at least 6 months of recovery is employed. The co-leader serves as a peer support person who can share his or her own recovery experiences.
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Family Education Groups (Attend 2 “Loved Ones” meetings (1 hour each) per month)
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Maryhaven in Delaware
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The 12-week series is presented to patients and their families in a group setting using slide presentations, videotapes, panels, and group discussions. The educational component includes such program topics as: (a) the biology of addiction, describing concepts such as neurotransmitters, brain structure and function and drug tolerance; (b) conditioning and addiction, including concepts such as conditioned cues, extinction, and conditioned abstinence; (c) medical effects of drugs and alcohol on the heart, lungs, reproductive system, and brain; and (d) addiction and the family, describing how relationships are affected during addiction and recovery. Successfully engaging families in this component of treatment can significantly improve the probability of retaining the primary patient in treatment for the entire 16 weeks.
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Trauma Sensitive 12-Step Meetings (Attend 3 AA/NA meetings (1 hour each) per week; for a total of 3 hours per week)
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The optimal arrangement is to have a 12-Step meeting on site at the treatment center one night each week. This is preferred because all TSA staff will be trained in the trauma sensitive 12 step model that will empower the survivor at each step of the process through appropriate use of language. This meeting does not have to be an official meeting. Rather, the patients presently in treatment and graduated members can conduct an "Introduction to 12-Step Meeting" using the same format as an outside meeting with the purpose of orienting patients unfamiliar to the meetings in a safe setting with people they already know. Attending these meetings often makes going to an outside meeting for the first time much easier and less anxiety provoking. These meetings, along with outside 12-step meetings chosen by patients and the Social Support Group provide strong continuing support for graduated group members.
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Wellness (30 minutes per day; 2.5 hours per week)
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Compassionate Care International
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Meditation
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Yoga
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Acupuncture
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Exercise
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Urine/Breath Tests (one per month)
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LabCorps
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American Court Services
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Urine testing is done randomly on a weekly basis. Positive urine tests revealing previously undisclosed drug use serve as points of discussion rather than incrimination. Patients struggling with secondary drug or alcohol use should also be tested for those substances.
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Relapse Analysis (optional)
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Maryhaven
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A specific exercise is used when a patient relapses unexpectedly or repeatedly and does not seem to understand the causes of the relapses. The optional exercise and forms are designed to help the therapist and the patient understand the issues and events that occurred preceding the relapse(s) in order to help prevent future relapses. This exercise is typically conducted during an individual session with the patient and, possibly, a significant other.
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Social Support (ongoing).
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Program Staff
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Salvation Army Corps
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Designed to help patients establish new nondrug-related friends and activities, these groups are less structured and topic-focused than the Relapse Prevention Groups. Patients begin the groups during the last month in treatment at the end of the family education series, in order to ensure that they feel connected before they graduate from the Relapse Prevention Groups. The content of the groups is determined by the needs of those members attending. If patients have relapsed, relapse prevention work may be in order, unstable patients are given direction to help stabilize them and patients moving successfully through the stages of recovery are aided and encouraged to continue with the lifestyle changes that they are making.
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Aftercare (monthly for 6 months post program)
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Provided beyond the length of treatment because of the importance of a continuum of aftercare services to address survivors’ changing needs as they move from initial freedom to recovery and independence.
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Hours per week will be based on risk assessment score (Appendix C)
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Activities will be based on individualized service plans
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Mid-Ohio Psychological Services
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Central Ohio Mental Health Center
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SOQIC
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Trauma Symptom Checklist
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Beck Depression Inventory
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Suicide Assessment, as needed
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Linkage to Community Mental Health Providers, as needed
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Trauma Groups (one hour per week)
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Sexual Assault
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Childhood Abuse/Neglect
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Psycho-Education Group (one hour per week)
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Stress management
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Denial and defense mechanisms
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Healthy relationships
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Anger Management
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Coping Skills
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Trauma Recovery Empowerment Model group (2 hours per week)
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The trauma recovery model includes education, reframing, problem-solving, healthy coping mechanisms, boundary maintenance, communication, misconceptions, healthy support/community, validation and empowerment.
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Support Group (1 hour per week)
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Survivor led support groups, with a counselor present, to focus on issues ranging from trauma, substance abuse, relationship building, and problem-solving.
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Individual Counseling (1 hour per week)
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During these regular sessions, the individual takes part in one-on-one private therapy with a counselor.
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Job/Education Skills (3 times per week for 1 hour; total of 3 hours per week)
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The Salvation Army Career Enhancement Program
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Alvis House
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Life Skills (household, budget, etc)
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3 times per week for 1 hour; total of 3 hours per week
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Household Management (meal planning, grocery shopping, cleaning)
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Financial Management
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Healthy Relationships
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Business Skills (marketing, typing, computer skills, finances, etc)
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Anger Management
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Parenting
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Family Reunification
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Salvation Army Corps and Staff
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Visitation hours will be determined by individualized services plans, minimum of one visit per week
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Parenting Classes
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Legal Advocacy
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Family Engagement
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Assessment and Case Planning
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Preventing Reentry
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Free Time (all activities are optional)
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Salvation Army Corps/Staff
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Garden time
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Church/Bible Study
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Cooking
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Recreational Time (billiards, hiking, swimming, bonfire, movies, etc)
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Corps Programming (all activities are optional)
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Sunday Services
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Bible Study
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Women’s Ministries
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Youth activities (for children of survivors, part of family reunification)
Other Potential Program Activities
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Art therapy
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Gardening
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Weekend Field Trips
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Cooking
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Journal Time
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Relaxation/Self-Care Plan for Weekend
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Commitments for Weekend
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Meditation/Yoga
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Animal Therapy
Staffing -
All Female Staff
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Program Manager
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MSW, LSW required, LISW-S preferred
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LCDC required, LICDC preferred
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Training in de-escalation, crisis intervention, and trauma required.
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The program manager will manage all the operations of the house, develop and oversee the program, and the implementation of program policies. The program manager will also be responsible for all admissions and the hiring and overseeing of the house staff (in-house case managers and resident assistants and interns/volunteers). Some responsibilities include, schedule maintenance, record keeping, file maintenance, supply inventory, etc. The position will also involve maintaining audit standards for licensure and grant requirements.
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The program manager will also assist in therapeutic settings, such as co-facilitation of some groups and individual counseling.
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A minimum of two years of experience working with trafficked persons/persons with prolonged trauma or other related fields.
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Case Manager
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LSW required. The Case Manager is responsible for working with the residents and the Hanbury House team to build and implement a plan for independent living in the community after exit from program.
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Chemical Dependency Counselor
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LCDC required, LICDC preferred
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LSW required, MSW preferred
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The Chemical Dependency Counselor is responsible for managing and assisting in those aspects of client care including intakes, assessment, evaluation, education, individual, group and family counseling, treatment planning, referral, and behavioral health services for individuals who require services due to addiction and behavioral health problems. This position also prepares patient progress reports and completion notices, maintains accurate records to ensure compliance with all Federal and State regulations, serves as an information resource for mental health issues, provides education for different circumstances, executes therapeutic interventions and skill building.
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A minimum of two years of experience working with trafficked persons or persons with prolonged trauma or other related fields.
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Residential Managers
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LSW required, MSW preferred
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CDCA required, LCDC preferred
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Training in de-escalation, crisis intervention, and trauma required.
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The residential managers will be responsible for house operations during their shift. Some responsibilities include, schedule maintenance, record keeping, file maintenance, supply inventory, etc.
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The resident manager will also assist in therapeutic settings, such as co-facilitation of some groups and individual counseling.
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Resident Assistants
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BSSW or high school diploma with two years experience in trauma/crisis interventions/or related field.
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Training in de-escalation, crisis intervention, and trauma required.
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The resident assistants will help maintain the operations of the house and report to the licensed staff. This position will work various shifts during the day as well as provide awake supervision of the house during the night time hours when participants are asleep.
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Unpaid, Direct Staff (Interns, Volunteers)
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Interns responsibilities vary based on education level (BSSW, MSWI, and MSWII) and program discipline (administrative, clinical). Some responsibilities may include: provide daily support through various interpersonal counseling and group sessions in conjunction with paid staff. Carry out treatment recommendations from trauma treatment professionals and other professional recommendations as indicated by the individual treatment plan. Interns are supervised by the appropriately degreed and credentialed professional.
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Training in de-escalation, crisis intervention, and trauma required.
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Volunteers will provide support, mentoring to clients placed at Hanbury House.
Staffing Pattern
Security
Given the nature of human trafficking, security is a critical consideration for this program. The most critical security measure is a 24 hour, awake, trained and credentialed staffing pattern. The staff team will be trained on critical incident response. Each program participant will complete a personal safety plan with staff. In addition, the program will utilize cameras outside of the building and inside the common areas and an alarm system on windows and doors. Through a contract with a security company, a security guard will be on the premises overnight every night of the year. Access to the program will be controlled through a gated entrance. The program will foster the Anti-Trafficking Program’s existing, very positive relationships with local law enforcement as an additional precaution.
Length of Program
Participants will be in the program between 9-12 months. The program length will vary depending on the individual needs of each client. Program participants will be evaluated on a monthly basis and time will be adjusted as needed.
Program Completion -
Completion of individualized service plan.
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Completion of substance abuse treatment and aftercare treatment has been coordinated.
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Development of skills to deal with trauma, such as reframing, problem-solving, healthy coping mechanisms, boundary maintenance, communication, misconceptions, healthy support/community, validation and empowerment.
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Secured housing.
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Stabilization as evidenced by engagement in the community while nearing self-sufficiency.
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Financial stability (education/job attained, disability, etc).
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Recommendation from therapist.
Post Program Placement
Once participants have completed the Hanbury House program, individuals will move into independent housing based on level of care needed upon discharge.
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