GAMBLING & INTERNET/GAMING RESIDENTIAL TREATMENT: REFERRAL PACKAGE

Transcription

1 GAMBLING & INTERNET/GAMING RESIDENTIAL TREATMENT: REFERRAL PACKAGE PLEASE NOTE THAT OUR PACKAGE NOW INCLUDES 2 SCREENING TOOLS FOR INTERNET GAMING DISORDER AND INTERNET ADDICTION. PLEASE COMPLETE ALL SCREENING TOOLS FOR EACH REFERRAL AND INDICATE WHETHER YOUR CLIENT WISHES TO ATTEND AN INTERNET/GAMING CYCLE OR A GAMBLING & INTERNET/GAMING CYCLE OF THE RESIDENTIAL PROGRAM. AVAILABILITY WILL BE PROVIDED UPON RECEIPT OF THIS PACKAGE. ALSO, PLEASE NOTE THAT WE NO LONGER REQUIRE CONSENT FORMS WITH OUR REFERRALS. PLEASE ENSURE THAT ALL LISTED FORMS ARE COMPLETED FULLY! THE FOLLOWING FORMS MUST BE INCLUDED: 1. RESIDENTIAL PROGRAM REFERRAL INFORMATION FORM 2. CATALYST ADMISSION FORM 3. SOUTH OAKS GAMBLING SCREEN (SOGS) 4. DSM-5 CRITERIA FOR GAMBLING DISORDER 5. DSM-5 CRITERIA FOR INTERNET GAMING DISORDER 6. INTERNET ADDICTION TEST (IAT) 7. BASIS MEDICAL CLEARANCE FORM* to be given to client for completion by family doctor 9. RESIDENTIAL PROGRAM GUIDELINES 2016* signed by the client and counsellor 10. FAMILY PROGRAM INFORMATION* to be given to client for their information FAX COMPLETED PACKAGE TO For questions and assistance, please contact our Residential Intake Worker at

2 RESIDENTIAL PROGRAM REFERRAL INFORMATION 1. DATE: 1B. GENDER MALE ( ) FEMALE ( ) 4. ADDRESS: 5. CITY: 2. NAME: 3. PHONE: ( ) OK to call? YES ( ) NO ( ) OK to leave message? YES ( ) NO ( ) 6. DATE OF BIRTH POSTAL CODE: DAY MONTH YEAR 7. REFRRAL SOURCE: 8. REFERRAL SOURCE ADDRESS: 9. REFERRAL SOURCE TELEPHONE # 10. What is motivating your client to request treatment? 11. TYPE OF GAMBLING: 12. GAMBLING HISTORY: Date last gambled: Years gambled: 13. Reason for residential treatment? 14. PHYSICAL CONDITION: 15. ANY ALLERGIES: 15 B. ANY DIET RESTRICTIONS? 16. PREVIOUS TREATMENTS: 17. ANY MENTAL ILLNESSES? YES ( ) NO ( ) DIAGNOSIS: 18. CHARGES PENDING: YES ( ) NO ( ) LIST CHARGES: DIAGNOSED BY: CURRENTLY ON PROBATION/ PAROLE: YES ( ) NO ( ) 19. RELATIONSHIP STATUS: 20. CHILDREN: 21. PROBATION OFFICER: 22. PLACE OF EMPLOYMENT: PHONE: 23. SOURCE OF INCOME: 24. LANGUAGES SPOKEN PHONE: ( ) 25. Can client read/write English? Yes ( ) Well ( ) O.K. ( ) No ( ) 28. YES NO Does this person have suicidal ideation? Does this person have a history of arson? Does this person have a history of violence? 26. ASSESSMENT DATE: COUNSELLOR: 29. Does this person have a history of substance abuse? YES ( ) NO ( ) DRUG OF CHOICE: 27. CLIENT ETHNICITY 30. MEDICATIONS: 31. WHICH CYCLE OR DATE IS CLIENT SEEKING ADMISSION FOR??

3 PROBLEM GAMBLING SERVICES CATALYST ADMISSION INFORMATION OSAB KEY# (Office Use Only) (Initials, DOB (yyyy/mm/dd) male 1, female 2) ADMISSION INFORMATION CLIENT NAME: PRIMARY COUNSELLOR: Admission Date: dd mm yyyy Client Type: Gambler Family Member/Friend LEGAL STATUS Treatment Mandated/ Required by: None Choice between treatment or jail Condition of Probation/Parole Child Welfare Authority Condition of employment Condition of school Condition of family Other Unknown Legal Status No Problem Awaiting trial/sentencing Probation Parole Incarcerated Other Young Offender? No Unknown Not Applicable Probation: Start date: dd mm yyyy End date: dd mm yyyy RELATIONSHIP STATUS Married/Partnered/Common Law Single (Never Married) Widow/Widower Separated/Divorced EMPLOYMENT STATUS Employed/Full Time, includes self employed Employed Part-time Unemployed (Looking for Work) Student/Retraining Disabled (Not Working) Not in Working Force (e.g. Homemaker) Retired Unknown Employer: OK to Call: YES NO EDUCATION No Formal Schooling Some Primary School Primary School Some Secondary School Completed Secondary School Some Community College Completed College Some University University Completed Unknown INCOME SOURCE Disability Insurance Employment Employment Insc. (UI). Family Support. None ODSP (Ont. Disability) Ontario Works (Welfare) Other Other Insurance (excluding Emp. Insc) Retirement Income Unknown

4 PRESENTING ISSUES AT ADMISSION Gambling Gambling by other Addiction/Substance Abuse by Others Physical Abuse Mental/Emotional Abuse Sexual Abuse Financial Financial/Bankruptcy Legal Other Disorders: PRESENTING PROBLEM SUBSTANCES (leave blank if none) (Frequency of use in last 30 days) 1 st did not use 1 3 times/mthly 1 2 times/week 3 6 times/week Daily Binge 2 nd did not use 1 3 times/mthly 1 2 times/week 3 6 times/week Daily Binge 3 rd did not use 1 3 times/mthly 1 2 times/week 3 6 times/week Daily Binge SUBSTANCES USED IN LAST 12 MONTHS (leave blank if none) None Benzodiazepines Glue/Inhalant Script. opiates Unknown Cannabis Hallucinogens Tobacco Alcohol Cocaine Heroin/Opium Other Amphetamines Crack Over the counter codeine Barbiturates Ecstasy Other/Psycho Active GAMBLING Treatment Plan: Treated within this agency Declined treatment Treatment Plan not established Declined treatment Referred to a designated gambling agency Gambling Activities Engaged in Past 12 months: Bingo Slot machines Gaming machines (other than slots) Casino -Card/table games Non-Casino Card/Table Games Horse races Sports betting Lottery tickets Instant win/ scratch tickets Internet gambling Gambling with stock market/real estate Betting on games of skill Betting on outcome of events Other None Unknown / Data unavailable

5 OSAB Required Gambling Data Form 1. Are you seeking help for: Your own difficulties related to a family member/significant other s gambling. STOP HERE Your own gambling problem. PLEASE CONTINUE Both: PLEASE CONTINUE 2. Looking back now, for how many years has your gambling affected your life in negative ways? Years Months 3. Please indicate how long it has been since you last gambled: (Record the number of years, months, weeks, or days) Years Months Weeks Days 4. Please indicate whether: You came to this agency specifically for gambling treatment Your gambling problem surfaced in the course of other treatment 5(a) Please indicate how often you engaged in each of the following gambling activities in the past 12 months: Did not gamble in the past 12 months: Did not gamble Less than once per month 1 3 times a month 1 2 times weekly 3 6 times weekly Daily Unknown 1. Played cards 2. Played Mahjong 3. Played live KENO 4. Played Roulette 5. Bets on horses, dogs, or other animals 6. Bets on sports (e.g. Sports Select, bookie) 7. Bets on dice games (e.g. craps) 8. Bought lottery tickets (Pick 3, 6/49) 9. Bought scratch tickets 10. Bought tear-open tickets (Nevada) 11. Played Bingo 12. Played stock options/commodities market 13. Played VLT s 14. Played slots or other non-vlt machines 15. Internet Gambling 16. Played pool/golf/or other game of skill 17. Sports pools 18. Betting on random events/informal bets 19. Other 5 (b) Please indicate the top three types of gambling problems, using the activity numbers in Major 1 St other 2 nd other

6 6 (a) Please indicate how often you gambled in each of the following locations in the last 12 months. Did not gamble Less than once a month 1 3 times a month 1 2 times weekly 3 6 times weekly Daily Unknown 1. In a commercial Casino 2. In a charity gaming club 3. In a bingo hall 4. At the race track 5. At an off-track betting location 6. On the Internet 7. On the television (bingo at home) 8. On the telephone (e.g. stocks, sports, betting) 9. Lottery kiosk/outlet 10. In family/friends setting 11. In a social club 12. In a restaurant/bar 13. In a school setting 14. In a work setting 15. In a senior s center/home 16. In a custody/correctional facility 17. Somewhere else in the community 6 (b) Please indicate the top three locations for gambling, using the numbers in 6 (a) Major 1 st other 2nd other 7. Thinking about the times you gambled in the past 12 months, what percent were: (Numbers should add up to 100%; leading zeros not necessary) (a) in Ontario % (b) in another province % (c) Outside of Canada %

7 HEALTH STATUS Visual Impairment: Hearing Impairment: Mobility/Physically Impairment: Pregnant: YES NO YES NO YES NO YES NO Unknown Unknown Unknown Non-Medical Intravenous Drug Use: Never injected Injected prior to one year Injected in past 12 months Unknown Number of Overnight Hospitalizations in last 12 months for physical problems: Reason for most recent Hospitalization: Diagnosed with a Mental Health problem by a qualified Mental Health Professional: Within the last 12 months: YES NO Unknown Within Lifetime: YES NO Unknown Most Recent Diagnosis #1: Most Recent Diagnosis #2: Hospitalized for a Mental Health problem? Within the last 12 months: YES NO Unknown Within lifetime: YES NO Unknown Received Treatment for a Mental Health, Emotional, Behavioural or Psychological problem from a Community Mental Health Program or Professional: Currently: YES NO Unknown Within lifetime: YES NO Unknown Within last 12 months: YES NO Unknown Prescribed Medication for a Mental Health Problem: Currently: YES NO Unknown Within last 12 months: YES NO Unknown Within lifetime: YES NO Unknown Health Conditions/Problems: (circle applicable): Allergies, Blood Pressure, Cancer, Chronic Pain, Diabetes, Eating Disorder, HIV/AIDS, Heart Disease, Lice/Scabies, Liver Disease, Menstrual/Menopausal/ Pancreatitis, Respiratory, STD, Stomach, Thyroid, Tuberculosis Provider of Primary Health Care: Prescribed Drugs: Methadone: YES NO Unknown Drugs Currently Prescribed: CATALYST ADMISSION INFORMATION revised for HDGH October 1, 2013

8 FORM B-1: SOUTH OAKS GAMBLING SCREEN (SOGS) FOR OFFICE USE ONLY: FAX: Shade circles like this: Not like this: DATIS KEY: DART: 1. In the past 12 months, what was the largest amount of money you have gambled with on any one day? 2. Check which of the following people in your life has (or had) a gambling problem: (mark all that apply) Father Grandparent My child(ren) Mother My spouse/partner Another relative Brother/Sister A Friend or someone important in my life 3. Over the past 12 months when you have gambled, how often did you go back another day to win back money you have lost? Never Some of the time (less than half of time I lost) Most of the time Every time that I lose 4. In the past 12 months, have you ever claimed to be winning money gambling but weren t really? In fact, you lost. Never (or never gamble) Yes, less than half of time I lost Yes, most of the time 5. In the past 12 months, do you feel you have ever has a problem with gambling? No Yes, some months ago Yes $.00 (TO THE NEAREST DOLLAR WITHOUT A DECIMAL PLACE, WITHOUT LEADING ZEROS) 6. In the past 12 months, did you ever gamble more than you intended to? Yes No 7. In the past 12 months, have people criticized your gambling? Yes No 1986 South Oaks Foundation, Inc.

9 FORM B-2: (SOGS con t) FOR OFFICE USE ONLY: FAX: Shade circles like this: Not like this: DATIS KEY: DART: 8. In the past 12 months, have you ever felt guilty about the way you gamble, or what happens when you gamble? 9. In the past 12 months, have you ever felt like you would like to stop gambling but didn t think you could? Yes Yes No No Yes No 10. In the past 12 months, have you ever hidden betting slips, lottery tickets, gambling money, IOUs, or other signs of betting or gambling from your spouse, children or other important people in your life? 11. In the past 12 months, have you ever argued with people you live with over how you handle money? 12. (If you answered "yes" to question #11) Have money arguments ever centered on your gambling? Yes Yes No No 13. In the past 12 months, have you ever borrowed from someone and not paid them back as a result of your gambling? 14. In the past 12 months, have you ever lost time from work (or school) due to gambling? Yes Yes No No 15. If you borrowed money to gamble or pay gambling debts, in the past 12 months, who or where did you borrow from? (check yes or no for each) Yes No a) from house hold money South Oaks Foundation, Inc.

10 b) from your spouse/partner... c) from other relatives or in-laws..... d) from banks, loan companies, or credit unions e) from credit cards..... f) from loan sharks g) you cashed in stocks, bonds, or other securities. h) you sold personal or family..... i) you borrowed on your chequing account (passed bad cheques) j) you have (had) a line of credit with a bookie. k) you have (had) a credit line with a casino South Oaks Foundation, Inc.

11 DSM-5 Criteria: Gambling Disorder Persistent and recurrent problematic gambling behavior leading to clinically significant impairment or distress, as indicated by the individual exhibiting four (or more) of the following in a 12-month period: PART A Circle answer 1 Needs to gamble with increasing amounts of money in order to achieve the desired excitement. YES NO 2 Is restless or irritable when attempting to cut down or stop gambling. YES NO 3 Has made repeated unsuccessful efforts to control, cut back, or stop gambling. YES NO 4 Is often preoccupied with gambling (e.g. having persistent thoughts of reliving past gambling experiences, handicapping or planning the next venture, thinking of ways to get money with which to gamble). YES NO 5 Often gambles when feeling distressed (e.g. helpless, guilty, anxious, depressed). YES NO 6 After losing money gambling, often returns another day to get even ( chasing one s losses). YES NO 7 Lies to conceal the extent of involvement with gambling. YES NO 8 Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of gambling. YES NO 9 Relies on others to provide money to relieve desperate financial situations caused by gambling. YES NO TOTAL SCORE

12 PART B 1 The gambling behavior is not better explained by a manic episode. YES NO Specify current severity: Mild: 4 5 criteria met. Moderate: 6 7 criteria met. Severe: 8 9 criteria met. Specify if: Episodic: Meeting diagnostic criteria at more than one time point, with symptoms subsiding between periods of gambling disorder for at least several months. Persistent: Experiencing continuous symptoms, to meet diagnostic criteria for multiple years. Specify if: In early remission: After full criteria for gambling disorder were previously met, none of the criteria for gambling disorder have been met for at least 3 months but for less than 12 months. In sustained remission: After full criteria for gambling disorder were previously met, none of the criteria for gambling disorder have been met during a period of 12 months or longer. From the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (section ).

13 DSM-5 Criteria: Internet Gaming Disorder Persistent and recurrent Internet Gaming behavior leading to clinically significant impairment or distress as indicated by five (or more) of the following in a 12-month period: PART A Circle answer 1 Preoccupation with Internet gaming. YES NO 2 Withdrawal symptoms when Internet gaming is taken away (these symptoms are typically described as irritability, anxiety, sadness, but no physical signs of pharmacological withdrawal). YES NO 3 Tolerance: The need to spend increasing amounts of time engaged in Internet gaming. YES NO 4 Unsuccessful attempts to control Internet gaming. YES NO 5 Continued excessive Internet gaming despite knowledge of negative psychosocial problems. YES NO 6 Loss of interests, previous hobbies, and entertainment as a result of, and with the exception of, Internet gaming. YES NO 7 Use of Internet gaming to escape or relieve a dysphoric mood. YES NO 8 Has deceived family members, therapists, or others regarding the amount of Internet gaming. YES NO 9 Has jeopardized or lost a significant relationship, job, or educational or career opportunity because of Internet gaming. YES NO TOTAL SCORE From the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition - Section III

14 Page 1 of 2 The Internet Addiction Test (IAT) CLIENT NO LAST NAME DATE FORM COMPLETED FIRST NAME Internet Addiction Test (IAT) is a reliable and valid measure of addictive use of Internet, developed by Dr. Kimberly Young. It consists of 20 items that measures mild, moderate and severe level of Internet Addiction. Instructions to Respondent: Below is a list of problems and areas of life functioning in which some people experience difficulties. Using the scale below, fill in the box with the answer that best describes how much difficulty you have been having in each area. Please do not leave any questions blank. If there is an area that you consider to be inapplicable, indicate that it is 0 = Does Not Apply. 0 Does Not Apply 1 Rarely 2 Occasionally 3 Frequently 4 Often 5 Always Item # Question Does Not Apply Rarely Occasionally Frequently Often Always How often do you find that you stay on-line longer than you intended? How often do you neglect household chores to spend more time on-line? How often do you prefer the excitement of the Internet to intimacy with your partner? How often do you form new relationships with fellow on-line users? How often do others in your life complain to you about the amount of time you spend on-line? How often do your grades or school work suffer because of the amount of time you spend on-line? How often do you check your before something else that you need to do? Reprinted for use by permission of Dr. Kimberly Young, Psychologist Dr. Kimberly Young, The Center for Internet Addiction, and Netaddiction.com

15 Page 2 of How often does your job performance or productivity suffer because of the Internet? How often do you become defensive or secretive when anyone asks you what you do on-line? How often do you block out disturbing thoughts about your life with soothing thoughts of the Internet? How often do you find yourself anticipating when you will go on-line again? How often do you fear that life without the Internet would be boring, empty, and joyless? How often do you snap, yell, or act annoyed if someone bothers you while you are on-line? 14. How often do you lose sleep due to late-night log-ins? How often do you feel preoccupied with the Internet when offline, or fantasize about being on-line? How often do you find yourself saying just a few more minutes when on-line? How often do you try to cut down the amount of time you spend on-line and fail? 18. How often do you try to hide how long you ve been on-line? How often do you choose to spend more time on-line over going out with others? How often do you feel depressed, moody, or nervous when you are off-line, which goes away once you are back on-line? Totals Overall Score Clinical Instructions: Tally the responses of the client and share the following criteria. Normal Range: Mild: Moderate: Severe: 0-30 points points points points Reprinted for use by permission of Dr. Kimberly Young, Psychologist Dr. Kimberly Young, The Center for Internet Addiction, and Netaddiction.com

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18 Client: D.O.B.: (mm/dd/yyyy) RESIDENTIAL PROGRAM MEDICAL CLEARANCE FORM PROBLEM GAMBLING SERVICES Date: Patient Name: (mm/dd/yyyy) Is patient free from serious communicable disease? If not, please specify: Is patient on any medication(s)? If yes, please specify: Health Card: Yes No Yes No Medication Dosage Duration Does patient have any allergies? If yes, please specify: Yes No Does this patient have any other pre-existing medical conditions that may inhibit their participation in this program? Please list all below. Is this patient able to: Sit in a chair for up to 2 hours? Participate in moderate exercise classes 2 times per week? Is patient medically fit to attend the 21-Day Residential Program at HDGH Problem Gambling Services? Psychiatry Consult Yes No Yes No Yes No Yes No If patient is not cleared for participation in program, please give reason: Physician Signature Physician Address Date (mm/dd/yyyy) Physician Phone Number Please fax this form to Problem Gambling Services PGS C28 10/2016 Page 1 of 1

19 Problem Gambling Services PROGRAM INFORMATION GUIDELINES 1. Prescriptions need to come in their original bottle or blister packages from the pharmacy. Homemade Dosett or pill organizers will not be permitted. Any medication not provided in this form will not be allowed to be self administered. Please ensure that you bring a three (3) week supply of your medications. 2. Over the counter (OTC) medications are not allowed for use in the program without a prescription from your doctor. We do not carry or provide any stock medication on site. Medications will not be shared. 3. Clients must ensure that all medical and dental needs have been taken care of before attending treatment. 4. Cell phones are not permitted to be used during the 3 week program. Cell phones will be turned into the staff upon intake and returned to the client at discharge. Clients are asked to bring calling cards to be utilized during phone time. Clients are permitted half-hour phone time per day. Clients are not permitted to use payphones in lobby or elsewhere. No incoming calls allowed. 5. Food, laundry service and linens are provided. Bring your own toiletries such as shampoo, soap, deodorant, toothbrush and toothpaste etc. You are allowed to bring snacks in a limited amount. 6. You will be sleeping in a private bedroom with an attached bathroom. A cabinet with a lock and a closet is provided for your personal belongings. Clients are required to share one of two, private shower stalls. Shower shoes are also required, and a bath robe is recommended. 7. You will be required to attend fitness sessions twice per week with a personal trainer. Bring suitable work out clothing and running shoes. Fitness will be modified to ensure safety. Please let intake worker and fitness instructor know about any physical limitations. 8. No gambling, gaming and internet paraphernalia is allowed, including and not limited to cards, lottery, scratch, or Proline tickets. Any of these items will be confiscated and disposed of if brought to the program. Luggage, bags, purses, etc. will be inspected by staff upon arrival. 9. Television, newspapers, radio, videogames, internet access, MP3 players and all electronic devices are all prohibited during your stay here. 10. A mandatory appointment with our consulting Psychiatrist will be required while in the program. 11. Clients will be in program for approximately 85% of their time here, often from 8:00 a.m. to 8:00 p.m. This is mainly group work; however, a primary counsellor will be assigned to you for individual counselling sessions. All staff are here to assist you during your treatment here. 12. The first week of program is closed and residents are not allowed to leave the property. Please bring enough supplies to cover the entire three week period of your stay (such 1

20 as toiletries, cigarettes, and medications etc.). Clients are permitted to sign out for 15 minute intervals for cigarette breaks, walk around the perimeter of the building, gift shop or cafeteria. 13. No drug or alcohol use is permitted while in program. 14. Dress is to be appropriate, clean, and free of any sports teams or gambling/gaming/internet logos/advertisements. Modest and good taste will guide the choice of clothing at all times. Clothing that works well for the beach, yard work, dance clubs, and sports contests may not be appropriate for our residential program. Clothing that reveals too much cleavage, your back, your chest, your feet, your stomach or your underwear is not appropriate. All clothing will be placed in a dryer on high heat upon arrival. Please do not bring any clothing that you would not like to be placed in a dryer. 15. Casual shoes are appropriate for the daily program. Footwear is required at all times during program except in your individual room. No bedroom slippers are to be worn during the program sessions. Flip flops are for shower use only. 16. It is strongly advised that you do not bring large amounts of cash, jewelry, or other valuable items. If you choose to bring some spending money, we advise that you limit it to $100 or less. (A filing cabinet with a lock is provided in each bedroom for you to lock up any personal items). No borrowing or lending money. 17. Permission to leave the property takes place after the first week only, and then will be done with consent from the primary counsellor. Residents are not allowed to leave the property alone at any time. 18. As per a scent-free policy within Hotel-Dieu Grace Healthcare, the use of perfumes, colognes, body sprays, etc. are prohibited. 19. Bring your valid Ontario Health Insurance Plan (OHIP) Card. 20. If you get lost or require any assistance upon your arrival, please call Extension to reach staff in the Residential Treatment Program. Clients will be discharged from the program at 12:30 p.m. on the last Friday of the 3-week program. 21. Please be aware that as of January 1, 2016 HDGH is a SMOKE FREE ENVIRONMENT. Smoking on the premises is prohibited. 22. Clients are encouraged to arrive between 2:00 pm and 7:00 pm. Those who arrive later than 11:00 p.m. will not be admitted to program. Referral Agent Signature Client Signature Date Date 2

21 PROBLEM GAMBLING SERIVCES 1453 Prince Road Emara Building Windsor, Ontario N9C 3Z4 Phone #: ext Fax: FAMILY AND FRIEND PROGRAM Hôtel-Dieu Grace Healthcare- Problem Gambling Services (PGS) believes that disordered gambling is an illness that affects not only the problem gambler, but also those who are involved in a significant relationship with them. Since we know that living or being involved with a problem gambler creates stress, mistrust and emotional pain, it can be helpful to family members and friends if they can receive some education about gambling disorders and meet others who are experiencing similar difficulties. Problem Gambling Services (PGS) offers a program for family members and/or friends of those enrolled in our residential program. This one day workshop offers information regarding gambling disorders and their effects on family members and friends. The workshop is offered the second Saturday of every three-week residential program cycle. It runs from 9:30 a.m. until 4:30 p.m. and lunch is provided. We strongly recommend that you invite your family and/or friends to attend this program. When you arrive for your residential program, you will have a few days to provide our staff with names and addresses or mailing addresses so we can send out invitations on your behalf. Adolescents between the ages of 13 and 17 are welcome to attend when accompanied by an adult. Children under the age of 13 are not permitted to attend.