In order to successfully complete stage IV, the individual must meet all preliminary treatment plan goals within a 90-day period. These include:

1. Submit six urine samples (minimum of two a month and as requested by treatment team), only two of which, in 90 days, can be positive for substance use. A client will also be considered positive by self-report.
2. Attend all five therapeutic groups, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction – TREM), life skills and women's issues on a weekly basis with a minimum attendance rate of 90% (i.e., no more than two unexcused absences a month with a five-day-a-week attendance requirement).
3. Attend a minimum of one individual session a week and as scheduled.
   1. Complete any therapeutic exercises/homework as assigned.
   2. By the end of this stage, client will be able to identify:
      • Typical self-rationalizations (excuses/reasons) for use
      • Triggers and patterns (people, places and things)
      • Obsessive thinking
      • List of negative consequences for use (reasons not to use)
      • List of support people and means of contact
4. Meet with the program psychiatrist within the first 30 days of entering the program, attend all subsequently scheduled appointments with the psychiatrist, and take all medications as prescribed, if applicable.
5. Meet with the program case manager within the first 30 days.
6. Meet with the child development staff within the first 30 days.
7. Attend minimum of one weekend (Friday/Saturday/Sunday) AA/NA/CA meeting a week and one additional meeting a week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).
   1. Obtain temporary sponsor and identify potential permanent sponsor.
8. Achieve any other short-term goals (as agreed upon by client and treatment team) listed on preliminary treatment plan and participate in the development of the comprehensive treatment plan.

In order to successfully complete stage III, the individual must have successfully completed stage IV and within a 90-day period must:

1. Submit six urine samples (minimum of two a month and as requested by treatment team), only one of which, in 90 days, can be positive for substance use. A refusal, as well as a self-report, is considered a positive.
2. Attend all therapeutic groups as required by current comprehensive treatment plan, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction – TREM), life skills and women's issues on a weekly basis, with a minimum attendance rate of 90% (i.e., no more than two unexcused absences a month with a five-day-a-week attendance requirement).
3. Attend a minimum of one individual session a week and as scheduled.
   1. Complete any therapeutic exercises/homework as assigned.
   2. By the end of this stage, client will be able to identify:
      • Alternatives to using
      • Losses associated with past use
      • Ongoing mental health issues/symptoms that may be present
      • Spiritual needs (if applicable)
4. Attend all scheduled appointments with the psychiatrist (if applicable) and take all medications as prescribed (if applicable).
5. Attend minimum of one weekend (Friday/Saturday/Sunday) AA/NA/CA meeting a week and one additional meeting a week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).
   1. Obtain permanent sponsor.
6. Make an honest, positive contribution (as determined by treatment team and peers) in group sessions at least once a week.
7. Complete initial short-term therapeutic goals from comprehensive treatment plan.
8. Meet as needed with the program case manager re: assistance with housing, employment, referrals for medical treatment for self and children (if applicable).

In order to successfully complete stage II, the individual must have successfully completed stage III and within a 90-day period must:

1. Submit a minimum of six urine samples (minimum of two a month and as requested by treatment team) for 90 consecutive days, none (0) of which are positive for substance use. A refusal, as well as a self-report, is considered a positive.
2. Attend all therapeutic groups as required by current comprehensive treatment plan, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction – TREM), life skills and women's issues on a weekly basis with a minimum attendance rate of 90% (i.e., no more than two unexcused absences a month with a five-day-a-week attendance requirement).
3. Attend minimum of one individual session a week and as scheduled.
   1. Complete any therapeutic exercises/homework as assigned.
   2. By the end of this stage, client will be able to:
      • Identify and implement successful anger management/reduction strategies.
      • Identify and implement successful coping strategies for depression, emptiness and anxiety.
      • Successfully integrate/use all of the 12 steps in daily life.
4. Attend all scheduled appointments with the psychiatrist (if applicable) and take all medications as prescribed (if applicable).
5. Attend minimum of one weekend (Friday/Saturday/Sunday) AA/NA/CA meeting a week and one additional meeting a week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).
   1. Maintain regular contact with permanent sponsor.
6. Make an honest, positive contribution (as determined by treatment team and peers) in group sessions at least once a week and provide truthful accounting of any relapses and plans for relapse prevention in future.
7. Complete subsequent short-term therapeutic goals from comprehensive treatment plan, especially as they relate to obtaining needed services for children (if applicable).

In order to successfully complete stage I, the individual must have successfully completed stage II and within a 90-day period must:

1. Submit a minimum of six urine samples (minimum of two a month and as requested by treatment team) for 90 days, none (0) of which are positive for substance use. A refusal, as well as a self-report, is considered a positive.
2. Attend all therapeutic groups as required by current comprehensive treatment plan, which will include but not be limited to topics such as parenting skills/issues, addiction issues, dual diagnosis issues (including the role of past trauma in current addiction – TREM), life skills, and women's issues on a weekly basis with a minimum attendance rate of 90% (i.e., no more than two unexcused absences a month with a five-day-a-week attendance requirement).
3. Attend a minimum of one individual session a week and as scheduled.
   1. Collaborate with treatment team regarding aftercare planning and preparation, which includes:
      • Identifying therapeutic support group for maintenance.
      • Identifying plans for adequate food, shelter, income, and employment training (if needed).
      • Identifying provider for psychiatric and medication monitoring (if applicable) and making first appointment.
      • Identifying provider for continuing outpatient mental health therapy (if applicable).
      • Identifying emergency/crisis plan in case of significant change in biological, psychological or social status or potential relapse.
      • Identify social support network of persons that will promote recovery.
      • Identify transportation resources to all needed aftercare services.
   2. Complete any therapeutic exercises/homework as assigned.
4. Attend all scheduled appointments with the psychiatrist (if applicable) and take all medications as prescribed (if applicable).
5. Attend a minimum of one weekend (Friday/Saturday/Sunday) AA/NA/CA meeting a week and one additional meeting a week (client will be required to submit regular meeting confirmation slips signed by AA/NA/CA meeting leader).
   1. Maintain regular contact with permanent sponsor.
6. Make an honest, positive contribution (as determined by treatment team and peers) in group sessions at least once a week, provide truthful accounting of any relapses and plans for relapse prevention in future, and begin to take on a mentoring role with early stage group members if approved by counselor.
7. Complete long-term goals from comprehensive treatment plan.