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Wings of Mercy

Promote Health, Spiritual Growth, and Protect Abundant Life


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BEHAVIORAL MANAGEMENT

The staff is geared to teaching residents to recognize predictable consequences of their behaviors and administers a motivational system based upon points. Daily living expectations, including personal hygiene and participation in program components, have the potential for earning points. Points are rewarded daily and totaled weekly, yielding a percentage earned. Point sheets are individualized based on the resident's areas of needs. The point sheets are reviewed monthly at staff meetings and are adjusted according to the resident's need.

Orientation Level:

For residents just entering the home. Residents remain on orientation level for their first week (7 days) in order for them to become familiar with the staff, schedule, and the home. After one week on orientation level the resident must complete an autobiography. After completion of the biography and an average of 90% on the daily point sheet, the resident moves to Level One.

Level One:
Resident is permitted to go on passes. She must maintain 90% on points and will complete an essay addressing the changing roles and functions, as she becomes a mother. After four weeks the resident will move to Level Two.

Level Two:
Residents are encouraged to take a leadership role in the home. Residents will be able to go on passes including over night passes. Residents will remain on this level until the birth of their child.

Level Three:
After a resident has delivered her baby, she in on Orientation Level for the following week (first Sunday through Saturday) to enable her to learn basic infant care. Upon completion of the Orientation week, she will move to level three. Level three residents will be encouraged to take an active leadership role and will lead house meetings. She will assist in organizing outings and home activities. Level three residents will be eligible to earn BABY BUCKS on a weekly basis. Baby Bucks will be earned according to the percentage of points earned on each weekly point sheet. Baby Bucks may be redeemed on the last day of the month. Baby Bucks may be redeemed for infant items such as diapers, wipes, clothing, toys, etc. The value of each item will be determined by the coordinator/director. Baby Bucks will allow the girls to purchase infant items of their choice and will be a reward for positive behavior. Each resident will be responsible for keeping track of her own Baby Bucks certificates. The resident may decide not to redeem her Baby Bucks until she leaves the home in order to purchase larger items (donated) such as a stroller, baby bed, etc.

Procedure for Baby Bucks:
On the weekly tally of the point sheet, the resident on level three will receive a Baby Bucks certificate with the number of points earned. If a resident earns 90% on her point sheet, she will receive 90 Baby Bucks, 100% will earn 100 Baby bucks. The house parent will give the resident a certificate with the amount of Baby Bucks earned. On the last day of the month, if a resident wants to redeem her Baby Bucks, she may do so by verbally asking the coordinator/director. The resident will be taken to the storage area to view the items and make her selection. The Baby Bucks will be given to the coordinator/director at the time the selection is made.

Warning Level:
Residents will be placed on warning level for any serious infractions of the rules. Residents will be restricted from going on passes, limited to one phone call per day, be required to attend all activities and may be asked to view videos or read resource materials.

Zero's on Point Sheet:
If a resident receives 0's on her point sheet, she will be asked to view educational videos, read pertinent information and write a report on what she had learned. This will be done in the resource room. While in the resource room, the resident will not be allowed to have other people in the room with her except for her child. A resident may be restricted from having visitors or going on passes, this too is at the discretion of the coordinator/director.

Child Abuse:
Corporal punishment, abusive, and profane language ARE NOT allowed. Anyone who observes or suspects abuse or neglect on the part of a resident or staff person, is obligated to contact The Child Abuse Hotline (841-0800 or 1-800-522-3511). The resident may be asked to participate in the telephone call to the Hotline.

Child Care:
Residents shall assume full care of their infants and child when not in school or employment. Residents shall not provide care for another resident's infant or child without the approval of the coordinator/director. House staff will not provide babysitting for resident's children, except on an emergency basis. Residents are required to arrange for infant and/or childcare outside of the home when unable to provide care. The childcare arrangements must be approved by the house parent and resident's parent(s)/legal guardian(s). If childcare is provided by a child care agency (day care), it must be licensed by the Department of Human Services. Residents with children are required to inform the house parent when an infant or child displays any symptoms indicating illness or injury. Residents are responsible for their children at all times, including during illness.

Confidentiality:
Resident: EACH RESIDENT'S PLACEMENT IN THE HOME IS CONFIDENTIAL. If a resident chooses to tell personal friends about the home placement, the confidentiality of the other residents is to be protected. Revealing information regarding any other resident is strictly forbidden.

Staff: Due to the confidential nature of the services provided, all employees, students, and volunteers are required to sign a confidentiality statement signifying that they are required to keep all resident information in confidence.

Counseling:
All residents are required to attend counseling on a regular basis. Counseling will be on Tuesdays. Residents, their families, and the birth farther are strongly encouraged to participate.

Bible Study:
All residents are required to attend Bible study on Thursday nights.

Curfew:
No passes are granted during orientation level. After orientation has been met, curfew is based on resident's level. Sunday curfew is 4:30 p.m. regardless of resident's level. Exceptions may be made on a case by case basis by the house parents.

Discharge of Residents:
Residents may be discharged upon successfully completing the program of services, upon a parent's or legal guardian's request, upon a resident's request with parent/guardian permission, or upon determination that the resident's placement is inappropriate due to repeated infraction of house rules or on an emergency basis. Residents shall begin planning for discharge no less than two weeks in advance of leaving the home. An emergency discharge occurs when a resident poses a danger to herself or others. The resident shall be discharged to her parent/legal guardian, or as indicated, to a correctional or mental health authorities. The parent/guardian is notified of any discharge other than to the resident's home.

Dress Code:
Appropriate attire is to be worn by residents. Residents are not allowed to wear short shorts or articles of clothing with obscene or satanic language or symbols. Appropriate under garments are to be worn at all times. All residents shall wear robes over their sleepwear when outside of their room. Residents are not allowed to change into their sleepwear until 9 p.m. unless they are medically ordered bed rest. Residents are required to be dressed by the time breakfast is served. Residents are not to wear sleepwear on van runs in the mornings. Shoes or socks are to be worn at all times when outside of room.

Education:
Residents will attend school. Residents will attend; high school, middle school, technology center, alternative evening programs, or college. The resident's educational need will be reviewed to determine which program is appropriate.

Emergency Medican Plan:
If a medical emergency arises involving a resident, her infant or child, staff shall be notified immediately. Staff shall arrange for emergency medical care as quickly as possible. If an injury is severe or any questions exist, staff shall dial 911 to determine if an ambulance is necessary. The staff on duty shall call the resident's physician and inform him/her of what is occurring and the steps that have been taken. The parents/legal guardian shall also be notified as soon as possible. The coordinator/director shall be notified for any medical emergency. The resident shall be kept warm and comfortable until help arrives. This may include not moving the resident. Staff shall accompany resident to the hospital. Staff shall take the emergency medical authorization from to the hospital/treatment facility. Another staff member will be asked to fill in for the staff until her return to insure the safety of the residents. If emergency medical care is needed for an infant and the resident is not present, every attempt shall be made to contact the resident and emergency medial care shall be attained as quickly as possible. The medical release allows the coordinator/director or house parent the right to sign for medical care of a resident in an emergency situation.

Financial Arrangements:
The cost of care for each girl is the responsibility of her parent(s)/legal guardian(s) and the amount will be based on a sliding scale according to ability to pay. However, services are available to all that are eligible for placement and no one is refused due to an inability to pay. Parents are required to accept financial responsibility for their daughter's care by signing a statement of financial responsibility (included in the placement agreement) before admission. Medical assistance will be obtained for the resident and her child whenever possible. In addition to financial responsibility for services rendered, the parent(s)/legal guardian(s) are encouraged to provide the resident with a $2 to $5 per week allowance for personal use. Allowances are given to residents when funds are available. Residents will be allowed to keep their own money.

Food and Nutrition:
Wings of Mercy provides three nutritious meals a day (breakfast, lunch and dinner). Snacks are available throughout the day. Each resident is expected to follow a nutritiously balanced diet in keeping with daily requirements for pregnant and post-partum teenagers. Residents receive education on nutritional needs for themselves and their children. Food or drink ARE NOT ALLOWED in any area of the house except in the kitchen and dining area. Specific menu alternations will be allowed based upon medical advice, not preference. Residents are required to eat during designated mealtimes. If a resident refuses to eat, they must sit at the table during the mealtime. A mealtime prayer will be said before each meal. Residents may choose to eat breakfast at their school. Lunches may be taken to school if the resident chooses to do so.

Grievances:
Residents shall be allowed to file grievances on other residents or staff without fear of reprisal. The review and resolution of grievances are confined to the home personnel and the coordinator/director. Grievance Procedure: At the initiative of the resident, discussion shall occur between the resident, the resident involved in the dispute, and the house parent. An effort to resolve the conflict shall be attempted. Failing resolution of any matter through procedure, the resident may make an appeal to the coordinator/director. The resident may request a written statement of the final determination at the conclusion of the grievance process. Resident to Staff: The resident is encouraged to speak with the staff or volunteers involved in the dispute. An effort to resolve the conflict will be attempted. Failing resolution, the resident will submit a grievance to the house parent. If the grievance is against the house parent, an appeal may be made to the coordinator/director. The resident may request a written statement of the final determination at the conclusion of the grievance process.

Housekeeping Responsibilities:
Housekeeping responsibilities are carried out by all residents and are listed on the Chore List. All housekeeping duties are to be completed no later than 10 p.m. Vacuuming, sweeping and mopping should be done shortly before bedtime. Each resident is responsible for keeping her sleeping area of the bedroom clean. She shares upkeep of her bathroom with her suite mates. Beds shall be made daily before school and upon rising. Bed linens shall be changed on Tuesday evening during general clean up and washed weekly. Bedrooms, closets, and bathrooms are inspected on a daily basis by the house parent or coordinator/director. The house parent will also inspect on weekends. Housekeeping chores are on a rotation schedule. If housekeeping is not allowed due to a pregnancy complication, the resident is required to present a statement from her physician or nurse to this effect. It is the resident's responsibility to arrange for someone to take over their assigned chores during an absence or illness or pass for the weekend, with staff approval.

House Meetings:
A house meeting is held each Monday evening. All residents and house parent (on duty) attend the meeting. Illness and emergencies are the only reasons for non-attendance. Purposes of this meeting is as follows: For everyone to be heard For the expression of positive feelings and encouragements For the disbursement of household duties For the scheduling of trips For the expression of concerns, feelings, and complaints To settle conflicts and deal with recurring issues To plan group and recreational outings A monthly rotating chairperson conducts each meeting. Each participant has a chance to be chairperson. Responsibilities are: Provide leadership Ensure everyone is heard Present old and new business Update on weekly events Hold discussion and make suggestion on group needs and recreation Take minutes and copy them (1 main office, 1 posted) original to be filed.

Hygiene:
Daily baths or showers are required unless medically prohibited. Baths and showers may be taken in the morning before school or at night before bedtime. Hair care and makeup application shall be performed in resident's bedroom or bathroom.

Illness:
If a resident or her infant becomes ill, the house parent is to be immediately notified. Residents who are ill shall be confined to bed rest during illness. A resident who missed work or school that day due to illness will not attend social activities. If a resident is ill and unable to attend school, it is her responsibility to notify the school of her absence. If a resident is ill and unable to attend work, it is the resident's responsibility to notify her supervisor of her absence. A doctor's excuse may be required if a resident misses more than 2 days within any given week. Every attempt shall be made by residents to avoid spreading illness, for example, disposing of Kleenex immediately, separating from the other residents as much as possible, frequent washing of hands, etc. It is understood that a resident may have to remain with her sick infant or child to provide care. If the child is ill for more than one day, a doctor's excuse may be required. In the case of severe or persistent illness of resident, infant, or child, the resident shall seek medical attention. Resident is required to arrange her own medical appointments for herself and her child. Resident shall check with house parent to arrange transportation. Appointments should be made for after school if at all possible.

Labor and Delivery:
Staff shall be responsible to implement established procedures related to resident's labor and delivery. A resident shall complete an emergency medical care at the time of admission. The information on this care will be used when the resident goes into labor. A list of people to be contacted will be on the card. The labor coach's name and telephone number shall be listed. Every attempt will be made to contact the people on the list. A resident may request that a staff person be her labor coach.

Length of Stay:
Each resident may stay up to three months after the birth of her baby in order to receive follow-up services. MAIL: Residents' mail is delivered unopened. Residents open their own mail. If staff suspect the mail may contain contraband or drugs, the mail will be opened by the resident in the presence of a staff member. The office or staff will not accept C.O.D. mail for residents. Each resident is responsible for providing adequate postage (stamps) for personal mail. Stamps may be purchased from the house parent. Resident's mail is delivered to 16999 S. E. 23RD, Choctaw, Ok 73020. Mail is not delivered to the physical address.

Medications:
All Medications (including aspirin and vitamins, etc.) are to be given by the staff at the time of intake. All medications, including over the counter drugs, must be authorized by a doctor and must be accompanied by a current prescription/verification. Dispensing of Medications: Staff will provide a resident access to her medication as needed and authorized by a physician. Residents are responsible for dispensing their own medications. Each resident fills out a medication form each time medication is taken, including name, dosage, and time. No medications are to be given to a resident's infant unless the infant's physician has authorized it.

On Call Supervision:
Staff provides 24 hour on-site supervision. At least one staff person is available for on call supervision if needed. The coordinator/director of the home can be paged 24 hours per day.

Personal Property:
Residents and parent(s)/legal guardian(s) are expected to accept financial responsibility for any property damage caused while in residence. Residents are responsible for personal property. Wings of Mercy is not responsible for theft, loss, or damage to that property. Residents are advised to lock up valuables in the office. Any personal property left in the living room area after bedtime is placed in a box located in the garage. Stealing is strictly forbidden. Borrowing or lending of money, clothes, make up, or brushes is not allowed. Residents are responsible for all allowance and/or extra money of their own. A locked file cabinet is provided in the office if needed. Wings of Mercy is not responsible for money in the locked cabinet. Allowances will be given to residents if funds are available. Residents are required to submit a list of all their possessions that they bring to the home. This shall occur during the arrival process and the list will remain in the resident's file. New possessions shall be added to the list as they are acquired.

Post Partum:
Following the birth of her baby, the resident is not required to attend school, resume household chores, or employment for one week following delivery.

Pre-natal Care:
Pre-natal care is mandatory for residents. This care includes regular exercise, regular doctor visits, participation in the Children's First Program, proper nutrition, proper rest and attendance at childbirth classes. Exceptions will be made upon a doctor's written recommendation.

Privacy:
Bedrooms are private areas. Residents are to respect the privacy of other residents and staff. Residents may not knock on staff's office door, if it is closed, for a counseling session or during shift change. Residents are asked to knock on bedroom doors before entering. Residents may not enter the office without permission or interrupt, if staff is talking on the phone or to another person. Resident may ask permission from staff to lock their bedroom door if the resident is going on pass. Residents may lock their door at night, but are asked to open the door upon request by staff. RADIO, STEREOS, AND TELEVISION: Loud music IS NOT allowed. Music that contains obscene language is not permitted to be played in the home. If a resident refuses to turn her music down, she will lose the privilege of playing her radio. Personal televisions are not allowed. Television may be turned on with the house parent's approval. The staff monitors television viewing and the channel may be changed if programming is deemed inappropriate by the staff. Majority rules for program selections.

Resident Handbook:
Each resident will receive a copy of the resident handbook.

Resident's Rights:
Personal Finances: Each resident shall be given the opportunity to have and handle money for personal use in accordance with the resident's service plan. Allowances will be given only if funds are available. Money given to the residents by her parent(s)/legal guardian(s) will be kept by the resident and may be used by the resident. Personal Possessions: Each resident shall be allowed to bring personal possessions to the home and to acquire personal belongings, as permitted by home policy. Personal Care and Hygiene: Each resident shall be supplied with facilities and supplies for personal care, hygiene, and grooming, if needed. Clothing: Each resident shall possess personal clothing and have a safe place to keep it. Community Activities: Each resident, according to her ability, shall have the right to normal community contacts and opportunities for participation in the local community. Mail and Telephone Contacts: Each resident may send and receive uncensored communications, both by mail and by telephone. Staff has the right to ask the resident to open her mail in the presence of the staff if drugs or contraband is suspected. Any restrictions placed on communications (telephone calls) shall be explained to the resident, clearly documented and reviewed in staff meeting. The residents have a separate telephone, located in the hallway. The residents answer this phone. Long distant calls may not be placed on this phone. Collect calls are restricted on this phone. Residents may use long distant calling cards on this phone. Residents are not allowed to use the staff phone without the permission of the staff. Residents may use the staff phone ONLY for business calls to workers, doctors, or lawyers. Publicity: 1. Residents may not be caused embarrassment by any publicity or promotional materials. Residents shall not be forced to acknowledge their dependence on the facility or their gratitude to it. Written consent shall be obtained by the facility from the resident and her parent(s)/legal guardian prior to the use of any publicity about or related to the resident.

Respect of Self and Others:
We support the dignity and respect of each resident and staff member of Wings of Mercy. Therefore, each resident and staff will be addressed in a respectful manner by one another.

Room Assignments:
Staff will make room assignments based on resident's input, residents due date, and staff judgement.

Runaways:
Staff will notify police and parent(s)/legal guardian(s) when a resident is absent from the home without permission.

Safety:
Physical violence against staff or other residents is not tolerated. Police are called in severe cases. Child abuse is always reported to the Child Abuse Hotline as required by state law. Weapons or explosives of any kind are strictly prohibited. Tornado emergency plans are established and practiced on a regular basis. House parent has access to flashlights. Any accident or injury shall be reported to staff immediately. Fire Prevention Plan: Smoke detectors are provided. Portable fire extinguishers are provided throughout the home. These extinguishers are inspected annually. Current residents and staff shall be aware of the procedures established for fire escape routes, their locations, and alternate routes for each area of the home. Fire drills are held monthly, at various times and shifts to simulate the actual emergency. Staff shall provide educational sessions for the residents several times a year to discuss fire prevention. All electric hair appliances must be unplugged immediately after use. Extension cords are not allowed. First Aid Emergency Precautions: A first aid kit is available to staff at all times. Residents are required to keep possessions in their appropriate place. It is prohibited to leave boxes or belongings in the halls or doorways.

Schedules:
Residents are expected to attend work or school related programs during the required times. Residents shall be out of bed early enough on school days to be in the van by specified time. Parenting residents are required to be up early enough, so they may have time to ready their child for the day (i.e. bathing, dressing, and feeding). Residents who do not attend school in the morning must be up and ready for school runs at specified times. Doctor and social service appointments should be scheduled outside of school hours whenever possible. Residents are to inform house parents of appointments, so that they may write it on the scheduling calendar. Residents must keep track of their own appointments.

Service Planning:
The coordinator/director of the home with the participation of the resident, the resident's parent(s)/legal guardian(s), and the DHS worker will develop a service plan if the child is in the custody of DHS. The service plan shall include the following information:

  1. Child's needs (e.g., food, shelter, clothing, routine care and supervision, counseling, education, recreation, physical health).
  2. Strategies for fulfilling needs and the staff responsible.
  3. Estimated length of stay for the resident at the home.
  4. Plans for evaluation of discharge placement (e.g., return to home, to be placed in foster home, to move to own apartment, etc.)
  5. Names, date, and signature of those participating in the development of the service plan.

If the parent/legal guardian is not present for development of service plan, staff will record attempts to contact and include parent, and shall provide a copy of the service plan to the parent for review. The service plan and resident's progress shall be reviewed at least every 30 days with the outcome of each staffing documented in the resident's chart. The staffing/case review shall be conducted either through staff meetings or by individual staff. A service plan review shall be conducted six months after admission and at least every six months thereafter. The service plan review shall include staff, parent(s)/legal guardian(s) and resident. In the event the parent does not participate, the parent shall be provided a copy of the review for response. The service plan review shall include:

    1. An evaluation of progress toward identified needs and goals.
    2. Any new needs identified since the plan was developed or at least reviewed and the strategy to meet those needs including staff responsibilities.
    3. An update of estimated length of stay and discharge plans if changed
    4. An assessment of continued need for this placement
    5. The name, date, and signature of persons participating in the review.

Substance Abuse:
Refraining from smoking and all forms of substance abuse is one of the most important gifts a mother can give her unborn child. Alcohol, non-prescribed drugs and marijuana are prohibited. If staff suspects that these substances are on the premises, a through search of the premises, which include personal belongings, will be conducted. A resident will be present, if personal belongings are being searched. The owner of such substances will be turned into the proper authorities as applicable. Consequences will include privilege restrictions and/or extra chores. More than one infraction may result in dismissal from the home. In accordance with Oklahoma law, ALL TOBACCO USE IS PROHIBITED. Staff may not smoke on the premises. Residents who return to the home under the influence of alcohol or drugs will be put on immediate restrictions, which will include research, writing, and presenting a paper on the affects of substance abuse on an unborn child and your own body and health. More than one infraction may result in dismissal from the home. Parent(s)/legal guardian(s) are immediately notified.

Telephone:
Only staff members are allowed to answer the business phone. Residents are allowed to answer the resident's phone. No long distance phone calls are allowed without special permission from the house parent. No collect calls will be accepted at any time. Telephone calls are limited to 20 minutes and are dependent on the resident's behavior. There must be 30 minutes between each resident's phone calls. The office phone is for business purposes only. Residents must not receive or make phone calls during meal times or after 10 p.m. on school nights, or after 11 p.m. on weekends and holidays.

Thermostat Controls:
Staff controls the heating and cooling thermostats. Staff controls the security and fire alarms.

Transportation:
Residents may use public mass transportation to and from daytime appointments. Residents must inform the house parent or coordinator/director of any transportation needs.

Universal Health Precautions:
Universal health precautions are utilized by all staff, residents, and volunteers of the home to prevent the transmission of communicable diseases. Staff is trained in the use of this precaution. Staff is required to use disposable gloves when changing any infant's diaper.

Vehicles:
Residents are not allowed possession or use of personal vehicles while residing at the home. Exceptions may be made on a case by case basis by the coordinator/director. Residents who have personal vehicles at the home are not permitted to transport residents. One vehicle is available for the home transportation. Only staff may drive the vehicle.

Visitors:
Residents may have visitors based on their age, behavior, and parent(s)/legal guardian approval, and level. Visitors are required to pre-arrange visits through staff. Visitors are not allowed before 10 a.m. or during meal times or scheduled activities and are subject to house parent approval and are based on resident's behavior. Visitors may be invited to dinner with permission of staff. Visitor curfew will be determined according to the resident's age and behavior. Visitation takes place only in the living area at pre-arranged times. Visits in private areas of the home are permitted with the house parents permission. These private areas are the resource room and counseling office. Parent(s)/legal guardian(s) are required to submit a list of approved visitors for residents. Only visitors on the resident's approved list will be allowed to visit. Visitors not on the list will be asked to leave. Resident's shall not be denied visits, telephone calls from DHS caseworker/ staff, or the resident's attorney.

Volunteers:
Approved volunteers will be utilized throughout the home program.

Weekend and Overnight Passes:
Residents may have weekend and overnight passes based on their behavior, ages, parental approval, and the appropriateness of request. The passes require the approval of the house parent and the parent(s)/legal guardian(s) at least 24 hours in advance. Weekend and overnight or home passes must be completely filled out, including the phone number of the destination, and signed by a house parent. It is the resident's responsibility to obtain the house parent's signature on her pass. For any trip or overnight pass during the last four- (4) weeks of the pregnancy, a doctor's consultation, and written permission will be required.


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