Canterbury House
Mission Statement
Canterbury House is a place for new beginnings. Here everyone is family. We believe in healing the whole person: Mind, Body, and Spirit. Canterbury House offers a safe and clean living environment for people struggling with alcoholism or drug addiction. The 12 Steps of Recovery will help develop the skills needed to succeed. You must make the choice to take the chance if you want anything in life to change.
Vision Statement
Canterbury House provides the fundamentals for a successful future. Wellness, Social Acceptance, Financial Responsibility, Family Values, and Accountability are the life skills we hope you walk away with. You are always one choice away from changing your life. Success is a byproduct of hardwork, sacrifice, and perseverance.
Reasonable Accommodations
The Canterbury House will consider any and all request. We are committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in dwelling, our services, programs, and activities. To request reasonable accommodations or modifications, Please contact the Owner Operator at Don@canterbury-house.org.
Financial Agreement
I Client first nameClient last name am agreeing to pay the weekly Program Fee as required. Fees are $250 per week for a double bed room, $325 per week for a single bed room.
Payment is due on Friday if paying weekly Monthly payments are due on the date you were admitted each month. These fees are the minimum and may vary based on level of service of your custom program.
If you are more than 10 days late you will be asked to leave, unless other arrangements have been made with the Program Director.
This fee includes Dinner Mon-Thurs, prepared by the community.
Your room comes with bedding, side table, lamp, wardrobe, curtains, and WiFi. You may bring your own items from home to make you comfortable.
Single Room:Initials Text field
Double Room:Initials Text field
Initial Deposit: $Text field
Scholarships:
$Text field Name: Text field
$Text field Name: Text field
Total paid: $Text field Amount Owed: $Text field
*Please note if you are asked to leave the program due to a breach in your contract any payments that have been made will not be refunded.
Resident Signature:
Text field
Date Date
Leadership Signature
Signature
Date Date
Initial Intake Information
Name: Client first nameClient middle nameClient last name
Date of Birth: Client birthdate Age: Text field Social Security #: SSN
Marital Status: Client marital status
Ethnicity: Client ethnicity Drug of Choice: Client substances of choice
Children: Radio buttons
If yes, how many: Text field
Referred by: Client Referred By
Current Address: Client AddressClient CityClient StateClient Zip
Last Address:
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Do you plan on returning to this address on completion: Radio buttons
Emergency Contact Information:
Contact
Medical Insurance:
Insurances
Are you at elevated risk of HIV?
Radio buttons
If yes, a referral to the Ryan White Foundation will be submitted.
Do you smoke cigarettes?
Radio buttons
If yes, we will assist you with a referral to a smoking cessation program.
Medical issues currently receiving treatment for:
Diganosis: Client diagnosis Health Problems: Client health problems
More information on medical issues:
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Medication(s) currently taking (including vitamins) and over the counter medication(s):
Medication
Personal Care Physician: Text field
Address: Text field Phone Number: Text field
Psychiatrist: Text field
Address: Text field Phone Number: Text field
Therapist/Counselor/LADC: Text field
Address: Text field Phone Mumber: Text field
Probation/Parole Name: Text field
County: Text field
Drug Court or LASER Case Manager: Text field
Date of Last Use: Date
Longest Period of Sobriety: Text field
How did you maintain it:
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Relapses: Radio buttons
Number of Relapses: Text field
If yes, describe in your own words why you feel you relapsed:
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List the names of detox you have been admitted to:
TreatmentCenterHistory
Psychiatric Hospitaliztions (Dates & Facility):
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Current Legal Issues/Status (pending charges, probation/parole, civil actions, family court, etc):
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Felonies:
Radio buttons
Incarcerations (Offenses/Time Served/Name of Facility):
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Are you currently having suicidal thoughts?
Radio buttons
If yes, please explain:
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Are you currently having homicidal thoughts?
Radio buttons
If yes, please explain:
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Please describe in your own words what you are looking to gain from becoming a part of the sober community at Canterbury House, Inc:
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Resident Signature
Signature
Date Date
Leadership Signature
Signature
Date Date
CODE OF RESIDENT RIGHTS
As a resident of Canterbury House, you have the right to:
Be treated with dignity and respect in an environment that supports your recovery.
Be free from verbal and physical abuse.
Participate actively in your recovery, set your own recovery goals, and rely on fellow residents for honest appraisal, encouragement, and continued support of your positive actions towards building recovery capital.
Receive information regarding cost, refund policies, rights responsibilities, rules, expectations, and policies governing resident conduct before making a financial commitment to Canterbury House.
Initiate a verbal or written complaint or grievance without retaliation and have the complaint investigated in a reasonable amount of time.
Request referral resources in the event of your dismissal.
Have any records or private information kept confidential and secure.
Retain personal property that does not jeopardize your or others’ safety or health.
Freedom from requirement to perform tasks that may cause injury or emotional trauma.
The right to request resonable accomodations at any time.
Freedom to express your personal values, belief systems, and cultural practices when these beliefs and practices will not harm others or interfere with their recovery.
Safe and clean accommodations.
Be provided an atmosphere free of sexual harassment from any source.
Be provided privacy that is consistently balanced with community goals and support of individual residents. This includes, but is not limited to privacy of person, personal belongings and communications.
To reside in a home that is alcohol and drug-free.
To expect that, in the event the resident were to return to active alcohol and/or drug use, leadership will follow the established relapse policy.
To expect fellow residents to honor their commitment to maintain a clean, orderly and safe residence for all inhabitants to share equally.
To be provided a clear, safe and accessible path for communication of concerns regarding your own well-being, the well-being of fellow residents and/or the wellness and safety of the entire household.
To expect that, should an assessment be made that you need a higher level of care, the leadership team will communicate with you regarding this assessment and make reasonableeffort to transition you to a more appropriate provider.
To receive, upon request and within a reasonable response time, copies of all documents that you signed upon admittance, receipts for all payments made directly by you and/or on your behalf by any third party, transcripts of any entries made by leadership in your file, any drug urinalysis report(s) conducted through a confirmatory laboratory specific to you.
I have been informed at entrance to Canterbury House of my rights as listed above.
Resident Signature
Signature
Date Date
Rules and Expectations
1. The use or possession of illicit drugs, alcohol, or intoxicating substances – whether legal or illegal -- is prohibited. This includes ‘non-alcoholic’ beer or wine, mouthwash with alcohol, and medications with alcohol.
2. All Resident rooms, belongings and vehicles are subject to search by Canterbury House leadership without notice.
3. If a resident is transitioning from a treatment facility, the resident agrees to follow all aftercare recommendations including but not limited to aftercare group meetings, therapy, etc.
4. If a resident is under supervision by the DOC, the resident agrees to follow all requirements of that supervision.
5. Residents are expected to notify Leadership about personal or other resident chemical use, rule violations, illegal activity, or destructive behaviors. You agree that if you know that another resident has violated any rules of the Canterbury House that you will report the behavior to leadership.
6. Cell phone use is prohibited during any required group, meeting, or activity.
7. Residents are required to work, attend school, volunteer, or engage in a combination of these activities for 40 hours a week. These activities must be established within 2 weeks of entering our home, or they may be enrolled in an educational program or a minimum of 20 hours a week of community service.
8. Residents must attend all required meetings.
9. Residents must be out of bed by 8 am and to abide by the home’s curfews. Lights out and quiet time in the residence is between 11pm and 7 am. You agree to adhere to stated curfews. 11pm weekdays; 12am weekends. Curfew for phase one residents is 10:00pm every night.
10. Residents may not enter into romantic relationships for the first 90 days. Residents in a committed romantic relationship prior to entering the home, must agree to keep recovery and the home’s community involvement the priority for the first 90 days.
11. Violence, threats of violence, emotional, verbal or physical abuse are not allowed. You agree not to use abusive language, or show aggressive or violent behavior or act in a threatening manner to any house mates or leadership.
12. Rough-housing, arguing, yelling and the like are unacceptable behaviors. Conflict between residents is unacceptable. Aggression will not be tolerated and will qualify for immediate dismissal.
13. Weapons and Drug Paraphernalia are not allowed on the property.
14. Members of the opposite gender or potential romantic partners are not allowed beyond common areas. No female visitors are permitted on the property without prior permission from leadership.
15. Visitors must remain in the common areas of the home. No visitors of any kind are permitted in bedrooms for any reason at any time. Visitors may not be under the influence of or in possession of illicit drugs or alcohol. No overnight guests are permitted and all visitors must be off the property by curfew.
16. Driving any vehicle without a valid driver’s license is not allowed.
17. Residents are required to respect other members of the home at all times and to be courteous with food, privacy, noise, use of common areas, laundry, cleanliness of bathrooms and kitchen, etc.
18. You agree to respect house rules and other residents, as a member of a recovering community, based on the principles of honesty, trust. Helping to create a safe and sober environment
19. Residents are required to complete their assigned chores in a timely fashion and with a level of pride.
20. Residents are required to make their bed each morning and to keep their rooms clean. Residents are required to practice a “leave no trace’ policy in common areas, removing food, dishware, and personal possessions when leaving a room. Residents are required to shut off lights and appliances, including televisions, when they are the last to leave a room.
21. No sleeping on the couches.
22. Stealing or “borrowing” other residents’ possessions, including food, tobacco, and toiletries, is not allowed.
23. No resident may enter another’s room without permission and only in the presence of the resident.
24. This is a smoke and tobacco free home. No cigarettes, electronic cigarettes, vapes, hookahs, chew, snuff, or vapes may be used indoors. Use cigarettes only in outdoor designated areas and dispose of them in the receptacles provided.
25. Residents must not enter liquor stores, adult entertainment establishments, or casinos. Concert attendance is allowed only with prior approval from Leadership.
26. Pornography of any kind – including internet pornography -- is not allowed.
27. Pets are not allowed.
28. No candles, incense ,space heaters or open flames of any kind are allowed. Unless leadership have been notified and approved.
29. Residents must not be disrespectful, argumentative, or abusive to the Leadership. Issues or disputes must be expressed a mature and productive manner.
30. Respect the neighbors: Shouting, loud noise, profanity in the house or yard or parking area, loud music, tossed cigarettes, or disruptive activity are not acceptable or neighborly behavior.
31. If Leadership determines that any resident needs medical care and transport, the resident is expected to be cooperative.
32. Sales or transactions between residents is not allowed. This includes monetary loans of any kind.
33. Residents and leadership must respect and protect privacy, confidentiality, and anonymity. Residents must not share another resident’s personal information – either verbally, in writing, or on social media platforms.
34. Residents are not allowed in the leads room.
35. Sexual activity with another person is not allowed on the property. This also meansvehicles on the property.
36. Keep toiletries in a personal container and do not help yourself to others’ items. Never share or borrow toothbrushes or razors.
37. NO hazardous material, explosive devices, or fireworks are allowed in or around the building or neighborhood. Fireworks are only allowed in leadership presence with permission on special occasion.
38. Overnights away from Canterbury House may be taken after phase one is complete and requested in advance. No overnights are allowed without advanced notice.
39. Never, ever, under any circumstances let anyone who arrives unannounced into any of the buildings. This includes extended family members, ex-boyfriends or girlfriends, neighbors, or Boscawen officials. If the person at the door claims to be there in an “official” capacity, refer them to Management and then contact the house leader immediately. The one exception to this rule is the fire department if someone from within the home has called 911.
40. NHPRR and NHCORR certified homes are single or multi-family private homes for persons in recovery that operate according to Social Model philosophy. Please do not represent Canterbury House to anyone as a facility, sober house, halfway house, boarding house, rooming house, or treatment program.
41. In all situation and circumstances, put the safety, privacy, and well-being of yourself and your housemates first
42. In cases of both emergency and non-emergency dishcarges, Residents and House leadership must complete the full discharge packet under clients profile in the One Step database.
43. Residents who have been asked to leave due to their OWN breach of rules will not be permitted back on the property without written consent from the house owner. Non-emergency discharges will be given notice of discharge and will be discharged during the weekday business hours.
44. Residents must attend a mandatory House Meeting/Accountability every Monday.
45. Residents that are present on the property shall be required to attend morning goal/daily reflection meeting.
46. Daily and weekly chores must be checked daily and completed as needed. Some chores do not require daily completion, but upon your check if you determine it needs completion please do so. If you are unable to complete your chore please ask someone in the house to cover it for you and let leadership know who will be covering for you.
47. We encourage community cooking, meal planning and sharing dinner time together as this assists in developing a family like structure.
48. Residents consent to security camera surveilance outside of building and in common areas.
I, Client first nameClient last name, understand these rules and expectations and I’m excited about following them because they will help me not die. I agree to abide by these rules and expectations. I was fully informed about these rules and expectations before I entered into a formal agreement with Canterbury House.
Signature
Date
Canterbury House Recovery Based Phases
At the Canterbury House, your success in the 12-step program is of the up tmost importance to your recovery. Getting actively involved in the recovery community is crucial for your success. The Recovery Based Phases outlined below are designed to help you along in your journey, and adherence to these phases is a requirement of residency. Before transitioning to the next phase, a conversation with the House Leader is required to request being transitioned to the next phase.
Changing phases is NOT automatic.
Phase 1 (First Month of Residency at the Canterbury House)
Attend all morning meetings unless at work. BE PUNCTUAL.
MINIMUM 5 AA or equivalent meetings must be attended per week. (One meeting per day on FIVE SEPARATE days. If you plan to go to a non-12-step based meeting, approval from the House Leader must be obtained BEFOREHAND). Just like AA, we strongly suggest 90 meetings
in your first 90 days.
Must attend at least one Step meeting each week. (12&12 or Big Book meeting).
Meetings MUST be documented properly in onestep in order to receive credit for your attendance. If you are experiencing technical difficulties, it is YOUR RESPONSIBILITY to alert the House Leader immediately, and you must send a text to the House Leader informing him what meeting you are attending while you are there. Credit will not be issued if the above expectations are not met.
Attendance at our weekly Accountability meeting.
Get a Sponsor and actively work the AA or NA program. You CANNOT phase up to phase two until you have a sponsor. If your sponsor is not known by leadership, you must coordinate a meeting with your sponsor and the House Leader before you can phase up to phase two. Either you or your sponsor must have means of transportation to ensure weekly meetings together. If you do not have a license and transportation, your sponsor must.
Leaving the property while on phase one is permitted ONLY under the following circumstances:
-You may leave with a phase two or higher resident.
-You may leave the property with a leadership approved sponsor.
-You may leave the property with an immediate family member.
YOU MUST INFORM AND OBTAIN APPROVAL FROM THE HOUSE LEADER IF YOU WANT TO LEAVE THE PROPERTY WHILE ON PHASE ONE.
Curfew is 10:00pm every night.
We want you to feel at home here and we encourage visitors. You may have visitors between the hours of 9:30am and 10:00pm. NO VISITORS ARE ALLOWED IN ROOMS, but visitors are allowed in any common area such as the kitchen, living room, grass, and meeting area.
Phase 2 (Months Two, Three, and Four)
A conversation with the house leader is REQUIRED in order to transition to phase 2. PHASE TRANSITIONS ARE NOT AUTOMATIC. It is YOUR responsibility to initiate this conversation.
Attend all morning meetings unless you are already gone for work when the meeting begins.
Must continue actively working with your sponsor. If for any reason you no longer have a sponsor or feel you need to change sponsors, you must notify the House Leader immediately for support.
MINIMUM 4 AA or equivalent meetings must be attended per week. (One meeting per day on FOUR SEPARATE days). Just like AA, we strongly suggest 90 meetings in your first 90 days
Meetings must be documented in Onestep. (See phase 1 description for Onestep requirements).
Attendance at our weekly accountability meeting.
ONE overnight pass is permitted weekly and is to be taken on Friday or Saturday night. Approval from the house Leader is required for ANY AND ALL overnights. The following outlines the overnight request process:
-----You must speak to the House Leader to verbally request an overnight. If the House leader is not present, you must obtain verbal approval over the telephone.
-----After verbal approval is obtained, you must fill out and submit the Overnight Request Form found in your Onestep app under shared resources. The overnight request form must be filled out ENTIRELY. If it is found that the form is not filled out correctly, or if it is found that you are not where you said you would be, suspension of overnight privileges will result.
You may leave the property alone and may attend meetings alone.
Must attend a weekly step meeting (12&12, Big Book)
Curfew is extended to 11:00pm Sunday-Thursday, and Midnight on Friday and Saturday.
Phase 3 (Month 5 Until Completion of Stepwork)
Completion of Stepwork means actively working step 9, and working steps 10,11,&12 on a daily basis. A conversation with the House Leader is REQUIRED in order to transition to phase three. TRANSITIONING PHASES IS NOT AUTOMATIC. It is YOUR responsibility to intiate this conversation.
Must attend morning meeting if not working.
Must continue actively working with your sponsor. By this point it is expected that you are well into the writing phase of the AA or NA program. If you no longer have a sponsor for any reason or if you feel you need to change sponsors, you must notify the House Leader immediately for support.
MINIMUM 4 AA or equivalent meetings per week. (One meeting per day on FOUR SEPARATE days).
Meetings must be documented in Onestep. (See phase 1 for onestep requirements).
You may request two overnights per week. You may take both nights during the weekend, or you may request one overnight on the weekend and one during the week if you wish.
Curfew 11:00pm Sunday-Thursday, and Midnight Friday and Saturday.
Phase 4 (After Completion of Stepwork)
Completion of Stepwork means actively working step 9, and working steps 10,11,&12 on a daily basis. A conversation with the House Leader is REQUIRED in order to transition to phase 4. TRANSITIONING PHASES IS NOT AUTOMATIC. It is YOUR responsibility to intiate this conversation.
Must continue working with your sponsor.
MINIMUM 3 AA or equivalent meetings per week. (One meeting per day on THREE SEPARATE days)
You may request three overnights per week. (One Friday night, one Saturday night, and one during the week).
Curfew Midnight.
Resident signature
Signature
Date Date
One Step Requirement
I, Text field, hereby agree to download the One Step Mobile App and have my location settings set to "Always On". If I change the location settings for the App to "Only When Using" or "Never" without explicit leadership permission, I will face disciplinary action or possible discharge from the facility. If I experience issues with the app, specifically pertaining to the check-ins and location tracking, I must alert the house leader immediately so they can resolve any glitches to continue monitoring my location and meeting attendance.
Resident Signature
Signature
Date Date
Canterbury House, Inc.
Resident Consents
Policy
Section I: Sobriety and Drug Use
You are giving consent to random drug screens per leadership discretion. This is a sober environment any suspicion of drug/alcohol use will be cause for screening. POLICY- If a resident is found to be under the influence they will have 30 minutes to pack their belongings and must leave the residence immediately. Resident must remain with leadership during this time. Treatment will be offered, and leadership will assist in setting up or transport to safe station. If resident refuses treatment he must remain with leadership. Emergency contact will be notified, resident will be monitored until transportation is available. Resident may return to Canterbury House after treatment is completed. If drug or alcohol use is suspected, leadership may call a special house meeting. If a majority vote confirms suspected use, leadership may agree to a discharge. The resident is expected to make immediate plans to vacate the property. Leadership will assist in finding treatment or transport to safe station. If resident refuses treatment, emergency contact will be notified and resident will remain with a member of leadership until transportation arrangements are made. Any disorderly response will lead to the police being called. Please note that you may reapply after completing treatment program, bed must be paid for during that time to keep it open. You will forfeit payment that has been made and be held responsible for any and all money owed. You will not be allowed back on to the property without permission from the owner. You give consent to a weekly and random room searches and inspection of personal belongings. Weapons or knives of any kind are not permitted on the property. Residents are expected to keep rooms clean and have laundry stowed appropriately. Residents are requested to commit to a minimum four month stay and are suggested to attend an AA or NA meeting for their first 90 days of residing at Canterbury House and then 5 meetings a week thereafter, one of which is a step meeting or big book meeting. Residents are also encouraged to find a service position/job within a group.
Residents must obtain and maintain a sponsor within 30 days of admit while living at Canterbury House. Residents are required to work the 12 step program as suggested. Sponsors should be a person of the same gender who has completed the steps and maintains sobriety. Residents shall be required to attend morning goal/daily reflection meeting at 8:30 am, House Meeting / Accountability Monday at 6pm as well as AA Friday 6:30pm.
Section II Medication Policy
Any resident who is on prescribed medications must immediately inform the house leader and must secure those medications in a designated area on property.This will be individual locked bags that only you have access to. Controlled prescribed medications such as Buprenorphine will need to be locked in individual secure containers, counted daily and documented by you and self administered under leadership supervision. All medications must be taken as prescribed. You agree that Canterbury House cannot be held responsible if you abuse your medications, this can lead to serious health problems and even death. It is your responsibility to consult with your doctor about all issues and side effects related to your medications.
Section III : Community Living
You agree to adhere to stated curfews and “overnight outs” terms: .... 10pm for phase one residents, then 11pm weekdays, and 12am weekends. Overnights must be requested in advance. No overnight releases for phase 1 residents. Residents must sleep at the house each night unless prior arrangements have been made with leadership. No overnight guests are permitted and all visitors to the property must be approved by leadership and be off the property by curfew. No female visitors are permitted on the property without prior permission from leadership. There are no female visitors allowed in bedroom areas. No sexual activity is permitted on the property. Daily and weekly chores must be completed or there may be disciplinary action. We encourage community cooking, meal planning and sharing dinner time together as this assists in developing a family like structure. It is acknowledged that Canterbury House has a security monitoring system in effect 24/7. Residents are not allowed in other resident rooms after curfew. Because this is a Sober Living environment and we are to be working as a family unit, senior house members will be a part of the intake for all new residents. Additionally, various issues and violations committed by existing residents will also be brought to the senior house members, who, in conjunction with leadership will determine suitability for continued residence at Canterbury House. Residents who have been asked to leave due to their OWN breach of rules will not be permitted back on the property without consent from the house leader or owner. Smoking is to be done in designated areas. Please dispose of cigarettes appropriately. Please be conservative with the use of water and electricity. Bill increases will result in program fee increases.
Section IV : Behavior and Personal Policies
You agree not to use abusive language, or show aggressive or violent behavior or act in a threatening manner to any house mates or visitors, or leadership. Any grievances should be brought to leadership attention. Rough-housing, arguing, yelling and the like are unacceptable behaviors. Aggression will not be tolerated and will qualify for immediate dismissal from the house. You agree to respect house rules and other residents, as a member of a recovering community, based on the principles of honesty, trust, and serenity. Helping to create a safe and sober environment.
Residents are to have gainful employment within 2 weeks of entering our home, be enrolled in an educational program or a minimum of 20 hours a week of community service. Laundry is a personal responsibility. There are laundry facilities on-site. Soap is not provided. Residents may have 1 vehicle on site with approval. All cars must be registered and inspected and all drivers insured and licensed. Auto repair may be done on property with approval.
Section IV : Other Guidelines
Program fee is due each Friday if paying weekly. If paying monthly, program fee is due on the day that they moved in, each month. This includes all heat, hot water, electricity, wifi, and cable. Residents should give 1 week notice of moving out or the last week of fees will be forfeited. Rlapse, will not constitute a refund of fees collected on your behalf. A credit may be applied based on managements decision. Upon departure (voluntary or not) any item broken or damaged by a resident (or their visitor) must be replaced or repaired at the expense of the resident. Any repair work must be done by an approved licensed vendor. You agree that if you know that another resident has violated any rules of Canterbury House that you will report the behavior to leadership. All new residents will be subject to a one week trial period. If the new resident is considered to be unsuitable to live at Canterbury House, all deposits will not be refunded (including exit due to relapse, no refund applies). You recognize and admit that as far as our ability to request that you leave the house for any reason we deem necessary to maintain the house atmosphere as one conducive to sobriety, that YOU ARE NOT A TENANT INSOFAR AS TRADITIONAL LANDLORD/TENANT RELATIONSHIPS GO
Canterbury Daily Schedule
7:30 – 8:30 Breakfast
*8:30 Morning Meeting
Daily Reading Discussion
Goals and Accountability
9:30 – 11:30 Chores and ADL
1:00 – 4:30 Meeting with sponsors
Step work, reading and writing, etc.
Prepping for Dinner 5:00 – 6:30 Dinner M-TH
6:15 - 6:30 be ready to leave for AA meeting
Sat. Free time Recovery and Relaxation
Sun. Morning AA meeting, Relax and Prepare for
the week
*Mandatory Meetings
Mon. 6 pm House meeting and Accountability, UAs
Tues. 6pm Mens Meeting
Fri. AA meeting 6:30 – 7:00
By signing below you signify you have reviewed these House Rules with the House Leader, a Senior Resident, or the Program Owner, have been given an ample opportunity to ask questions and you understand and agree with the rules herein, as well as any other rules set by leadership at any time. Also understanding that any breach of the rules may result in immediate discharge at anytime.
I Text field understand and agree to follow the guidelines of Canterbury House
Resident Signature
Signature
Date: Date
WHAT TO DO IN CASE OF AN EMERGENCY
Call 911 in case of:
1. Fire (EVACUATE)
2. Violence or a threat of violence
3. Suspicious persons hanging around premises
4. Burglary
5. A life-threatening medical situation
6. Chest pain
7. Shortness of breath
8. Suicide attempt
9. Unconscious individual
10. Injury in which there is a broken bone or bleedings that cannot be stopped
11. Serious fall
12. Unable to wake someone
13. Ingestion of toxic chemicals or substances
14. Individual out of control
15. Individual experiencing hallucinations or psychosis
16. Individual having an extreme allergic reaction
17. Extreme paranoid behavior
18. Altered state of consciousness. extreme confusion
19. Dangerous carbon monoxide levels
After you call 911, call the House Leader and call Management to inform them of the situation.
Move to a safe place to wait the arrival of emergency assistance.
DO NOT try to move an injured person, Give First Aid, or perform CPR unless you are qualified.
Call the house leader/manager in case of:
1. Any of the above
2. Drugs, alcohol. weapons on the premises
3. Suspicion or knowledge of someone using/having used drugs/alcohol
4. Plumbing problems or serious maintenance issues in the house
5. Power out for more than a half an hour
6. Individual who is having behavioral issues or not following house rules
7. Curfew violations or no show’s
8. Belligerent, intoxicated, or unwelcome guest/former resident
9. Flooding
10. Resident exposure to or evidence of contagious illness
11. Bed bugs
• If your clothes catch on fire: Stop what you're doing. Drop to the ground and cover your face if you can. Roll over and over or back and forth until the flames go out. Running will only make the fire burn faster.
Resident Signature
Signature
Date Date
RESIDENT MEDICATION RESPONSIBILITY AGREEMENT
• I understand I will need to provide a copy of all prescriptions and non-prescription medications to be kept in my resident record.
• I understand that I am totally responsible for taking medications that are prescribed to me. Canterbury House leadership will have all controlled substance medication(s) in a locked bags and will observe distribution of it, but it is up to me to remember to take for my medication at the scheduled times. Prescription medication will be in an individual locked bag that only you will have access to and will be counted and logged daily.
• I agree to take all medications as prescribed, and will not deviate from prescriptions unless advised by the prescribing physician.
• In the event that medication(s) are changed in any way (discontinued, increased or decreased), it is my responsibility to notify Canterbury House Leadership of this fact.
• It is up to me to notify Leadership if I have any allergies to such medications.
Signing below indicates that I understand the policy concerning medication. Failure to adhere to these policies may result in immediate dismissal from the Canterbury House Sober Living Community.
Signature
Resident Signature
Date Date
Recovery Community Conduct an Outreach Attitude Policy
The expectations for appropriate, recovery-focused behavior applies whether residents are on or off property. But additional expectations for appropriate behavior apply whenever residents are out in public. Appropriate conduct and outreach attitude is expected at all times while attending recovery community activities, events, and Twelve Step meetings.
Appropriate conduct and outreach attitude means:
• Behave as ambassadors for Canterbury House and recovery in general.
• Residents hold each other accountable and watch out for each other’s safety.
• Be mindful of language and volume.
• Respect and abide by the policies of your host (e.g., the recovery center, church, or hall), especially those involving parking, smoking, trash, chairs, doors, and lights.
• Arrive at least five minutes before scheduled events.
• Find ways to be helpful.
• Use the restroom before a meeting begins to avoid disrupting the meeting.
• Do not arrange for old friends, family, or romantic interests to meet you at recovery events or meetings.
• Pay attention. Do not distract yourself with phone, reading material, or side conversations during a meeting.
• Thank the speaker (s) at the end of a speaker meeting.
• Clean up after yourself and others.
• Do not badmouth other recovery homes, treatment centers, or recovery pathways.
» Be friendly and welcoming to the newcomer.
Resident Signature
Signature
Date Date
Grievance Policy
WE ENCOURAGE RESIDENTS TO FIRST SEEK RESOLUTION OF ANY DISP UTES WITHIN THE CANTERBURY HOUSE RECOVERY COMMUNITY — either with the house leader, senior resident, or with management.
1) IF YOUR DISPUTE IS WITH ANOTHER RESIDENT: Make a written complaint to the house leader, senior resident, Lisa or Donald Sorrentino, or equivalent responsible person.
2) IF YOUR DISPUTE IS WITH THE HOUSE LEADER OR SENIOR RESIDENT Make a written complaint to Lisa or Donald Sorrentino or a representative.
3) IF YOUR DISPUTE IS WITH MANAGEMENT, OR IF YOU FEEL YOUR PRIOR COMPLAINT HAS BEEN IGNORED AT THE RESIDENCE LEVEL, YOU MAY FILE A CONCERN WITH:
4)There shall be no retaliation against an individual for reporting a violation of their rights or a denial of a reasonable accommodation through either the NARR, NHPRR and NHCORR, or DHHS
• The New Hampshire Coalition of Recovery Residences; go to the Concerns tab at www.nhcorr.org for the reporting procedure
• The New Hampshire Recovery Housing Registry . go to http://nhrecoveryhub.org/images/ NH-Recovery-Housing-Complaint-Form.pdf
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Bodily Fluids And Infection Control Policy
It is not unusual for people with a history of active addiction to carry the Hepatitis B, Hepatitis C, or HIV virus in their blood.
It is not unusual for people, even those without a history of active addiction, to carry bacteria or viruses in their respiratory system, their digestive system, or in open wounds.
Some of us — and this is gross — even carry bugs like lice, scabies, or bedbugs.
We can keep the home safe and healthy if we simply assume that everyone and anyone in the home is a carrier of something contagious, no matter how clean they look. Even if you do not think that blood/body fluid is infected with bloodborne pathogens, treat it as if it is.
There are steps we can all take to limit infection in the home.
1. Make sure your immunizations are up-to-date, including the latest flu shot.
2. Get tested for Hep B and Hep C and HIV. If you test positive. seek treatment.
3. Do not share hats or combs or brushes to limit any spread of lice.
4. Do not bring bedding from any unknown source into the home to limit any spread of bedbugs. (They also hide in the spines of used books.)
5. Never share toothbrushes or razors or any other tool that might have been contaminated with even a tiny amount of blood.
6. Do not share vapes. The mist that is exhaled from a vape contains microscopic particles of whatever is happening in the vaper’s lungs. Sharing a vape is the equivalent of sharing a French kiss with your housemate. Just don’t.
7. Practice proper food handling and storage. Do not leave leftovers unrefrigerated. Do not leave meat out on the countertop to defrost. Designate one cutting board for meat only.
8. Sneeze or cough into the crook of your arm to prevent the spread of airborne infection.
9. Throw away used tissues.
10. Wash your hands before and after preparing food, before and after eating, before and after cleaning a wound, after using the bathroom, after contact with blood or body fluids/waste, frequently when you are ill.
Decontamination of Bodily Fluids in the Home
The Hepatitis B virus is very durable, and it can survive in dried blood for up to seven days. The symptoms of HBV are very much like a mild "flu” but after exposure it can take 1-9 months before symptoms become noticeable. The HIV virus is very fragile and will not survive very long outside of the human body. It is primarily of concern to housemates in a situation involving fresh blood or other potentially infectious materials. Anytime there is blood-to-blood contact with infected blood or body fluids, there is a slight potential for transmission. Treat urine, stool, vomitus, blood, and body fluids as potentially infectious.
Transmission of bloodborne pathogens is most likely to occur because of accidental puncture from contaminated needles, broken glass, or other sharps; contact between broken or damaged skin and infected body fluids; or contact between mucous membranes and infected body fluids. Unbroken skin forms an impervious barrier against bloodborne pathogens. However, infected blood can enter your system through open sores, cuts, abrasions, acne, blisters or through the mucous membranes of the eyes, nose, or mouth (which is why you should avoid splashing blood during cleanup.)
Contamination of bodily fluids and blood should be cleaned up with 10% (minimum) solution of chlorine bleach or Lysol or other EPA-registered disinfectants. Wear gloves.
All contaminated surfaces, tools, objects, etc. should be sterilized immediately or as soon as feasible after any spill of blood or other potentially infectious materials. Cover any spill of bloodwith paper towels and pour the bleach solution directly onto the paper towels. The bleach solution or disinfectant must be left in contact with contaminated surfaces, tools, objects, or potentially infectious materials for at least 10 minutes.
After 10 minutes, wipe up as much of the visible material as possible with disposable paper towels and carefully place the soiled paper towels and other soiled disposable material in a leak- proof, plastic bag that has been securely tied or sealed.
Broken glassware or other contaminated material with the potential to break the skin should be swept into a dustpan rather than picked up directly with the hands. Discard the material immediately or as soon as feasible in containers that are closeable, puncture-resistant, and leak- proof on sides and bottom.
If the spill of blood or bodily fluids happened on carpeting, blot with paper towels to remove body fluids from the fabric as quickly as possible. Then spot clean the area with a detergent- disinfectant rather than with a bleach solution. Additional cleaning by shampooing or steam cleaning the contaminated surface may be necessary. Use a wet/dry vacuum, if such equipment is available.
Pest Control Procedure:
1. Identification:
Properly identify the pest:
This involves understanding the pest's life cycle, habits, and potential damage.
Look for signs of infestation:
This could include droppings, damage to plants or structures, or pest sightings.
2. Monitoring:
Regularly inspect for pest activity:
This can be done visually or through the use of traps or monitoring devices.
Keep detailed records:
Documenting pest sightings, damage, and treatment efforts helps track progress and identify potential problems.
3. Action Thresholds:
Determine when intervention is necessary:
This involves establishing thresholds based on economic, health, or aesthetic factors.
Consider the pest's potential impact:
For example, a higher threshold might be appropriate for a pest that causes significant economic damage than for a pest that's primarily an aesthetic issue.
4. Treatment Options:
Explore a range of control methods: This can include physical removal, traps, baits, biological controls, and, in some cases, chemical pesticides.
Follow pesticide label directions carefully: Use the correct dosage, application method, and safety precautions.
Consider non-chemical options first: Prioritize methods like sanitation, exclusion, and traps to minimize pesticide use.
5. Evaluation:
Assess the effectiveness of treatment: Monitor pest activity after treatment and adjust strategies as needed.
Document the results: Keep records of treatment effectiveness to track progress and improve future pest management efforts.
6. Safety Procedures:
Wear appropriate protective gear: This includes gloves, eyewear, and respirators when handling pesticides.
Follow safe handling and storage practices: Keep pesticides in their original containers, store them securely, and dispose of them properly.
Be aware of potential hazards: Recognize the risks associated with pesticides and take appropriate precautions to minimize exposure.
7. Prevention:
Prevent pest access: Seal cracks and crevices, remove clutter, and maintain a clean environment.
Eliminate food, water, and shelter sources: Keep food stored properly, manage water sources, and remove potential shelter for pests.
Practice good sanitation: Regularly clean and sanitize areas prone to pest infestations.
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DRUG SCREENING POLICY
Canterbury House requires that all residents and leadership agree to in-home drug and alcohol screenings.
Generally, screens occur under seven circumstances:
1. When a new resident joins our home.
2. Randomly.
3. When cause or suspicion have been raised.
4. When a resident returns from an overnight leave.
5. When one or more other residents have tested positive on a screen or have clearly relapsed.
6. When a resident has entered into a specific contract with leadership.
7. Whenever and for any reason or no reason at all.
Refusal or manipulative delay of a drug or alcohol screen, for any reason, will be considered a positive result for drugs or alcohol.
Any attempt to alter the screen in any way (e.g., diluting urine) will be considered a positive result for drugs or alcohol.
If an in-home drug or alcohol screen produces ambiguous results or claims of false positive results, the sample will be submitted to a lab for further testing. In cases where the resident claims ambiguous or false positive results, further testing will be at the resident’s expense.
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Resident Separation and Personal Property Removal Policy
When a resident leaves Canterbury House, regardless of circumstance, all house keys must be returned immediately.
When a resident departure occurs because of inability to pay program fees or to abide by Canterbury House rules, departure must occur within 24 hours (zero tolerance terminations are immediate).
After 7 days, all personal property left behind by the departed resident will become the property of Canterbury House and will be distributed to local charities. Exceptions must be noted below at time of departure.
Any prescription medication left behind will be disposed of.
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Agreement and Acknowledgement
I, Text field, hereby acknowledge that I have received, read, understand, and agree to all of the above documents, policies, and procedures. I understand what is expected of me, and I understand that breach of any of the above policies will result in disciplinary action up to and including dismissal from Canterbury House Sober Living Community.
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Leadership Signature
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