Thursday, January 25, 2018

Wits Inn Recovery Reunion Transparency Report – 10 Years After – Most Likely to Die – By Keith E Torkelson, MS – UCD Social Pathology



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Blogger Title
Wits Inn Recovery Reunion Transparency Report – 10 Years After – Most Likely to Die
By Keith E Torkelson, MS – UCD Social Pathology
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Google Plus Information
Wits Inn Recovery Reunion – Class of 1997 (WIRecovery) – Follow Up to Treatment
By Keith E Torkelson, MS - 20180126-F: Publication Deadline
Original Platform – The Torkel Saga
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Original Document
Recovery_Wits_Inn_18011901_Reunion

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L Witte Digital Presence @ Time of Publication
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Minimized Outline – Table of Contents

Only Content with Tables or Figures
All Are Table Unless Labeled a Figure

Figure - Community Partners
Acronyms
WIR Service Profile (Original Order Retained)
Figures – Reunion Pictures
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Digital Presence – Wits Inn Recovery Owner
Digital Presence – As Measured By (AMB)
Skills for Helping Those with Chemical Dependency
5-Indicators of Value
Introduction to Environments that Promote Recovery
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Alumni List (Promoting the Stigma)
Sampling for Recovery Environments
Sample Indicators for Success
Embedded Code Method (ECM) – Section Acronyms
Treatment Residential – Wits Model
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Rate A Program – Rate A Treatment Program
Program Effectiveness Sampler (PES-23 Item-Beta)
Intervention Services Intensity Value
Services Using Wits Model – Part I of II
Services Using Wits Model – Part II of II
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Embedded Code Method (ECM)
Figure - Five Major Philosophies of Education
Sample Set – Examples – MSG Approaches
FYI - Sales and Marketing
Compare Service & Supports Potency (Qualitative)
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Service Areas About Chemical Dependency
Figure - FYI – Paper Stats
Figure – A Closing Prayer :o)







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Acronym (AcroCode) Legend – Follow Up – A to H
Not All AcroCodes are Used in This Report
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AcroCodes
Meaning
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ABT
A Better Tomorrow
AHE
Agent-Host-Environment
AI#
Action Item Number
AIB
As Indicated By
ALH
Anaheim Lighthouse
AMB
As Measured By
AMB
As Measured By
ASTS
Assume Still The Same
AWOL
Away With Out Leave
BND
Brand New Day
CAADE
California Association for Alcohol/Drug Educators
CAC
Certified Addiction Counselor
CCR
Containing the Cost of Recovery
CNOW
Conditions Needing Ongoing Work
COD
Co-Occurring Disorders
COTS
Commercial-Off-The-Shelf
CYS
Casa Youth Shelter
DIP
Died In Program
DTY
Died Too Young
ESF
Experience – Strength - Faith
FSP
Full Service Partnership
GBDP
Graduate By Death Program
GTO
Graduated To Ownership
HBTS
Hope By The Sea
HGA
High Grade Assessment
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Table – Acronyms: A - H – Wits Inn Recovery Report: Last Update: 20180119-F:
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Acronym (AcroCode) Legend – Follow Up – I to M
Not All AcroCodes are Used in This Report
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AcroCodes
Meaning
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I#
Item Number
IVPH
In Very Poor Health
JKOK
Just Know OK
KIA
Killed In Action
LA
Living Arranger – Living Arrangements
LiveX
MSG Product
MHS
Miracle Huge Success
MHSA
Mental Health Services Act
MIA
Missing In Action
MSG
Mentalation Solutions Group
NAADAC
The National Association For Addiction Professionals
NAATP
National Association of Addiction Treatment Providers
NCDAI
National Clearinghouse for Drug Abuse Information
NEFO
No Evidence Found Online
NETF
Not Easy To Find
NIDA
National Institute on Drug Abuse
NNAT
Not Needed At Time
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Table – Acronyms: I - N – Wits Inn Recovery Report: Last Update: 20180119-F:
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Acronym (AcroCode) Legend – Follow Up – O to Z
Not All AcroCodes are Used in This Report
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AcroCodes
Meaning
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OC
Orange County
OCHCA
Orange County Health Care Agency
OCHCA
Health Care Agency of Orange County
OK
Opportunity Knocks (Adult-FSP)
OUFM
Objective Up Front Method
PCP
Primary Care Provider
POR
Prisoner Of Recovery
POW
Prisoner Of War
PQS
Provider Quick Score
PTSD
Post Traumatic Stress Disorder
RAS
Registered Addiction Specialist
RPE
Recovery Promoting Environment
SAMHSA
Substance Abuse and Mental Health Services Administration
SN
Special Needs
SNME
Success Not Mentioned Elsewhere
SNP
Special Needs Plan
SoCAL
Southern California
SOS
Secure Our Shelters
SPMI
Serous and Persistent Mentally Ill
SSPS
Service and Support Potency Score
TB
Tuberculosis
WIR
Wits Inn Recovery
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WIRM
Wits Inn Recovery Model
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Table – Acronyms: O-Z – Wits Inn Recovery Report - Last Update: 20180119-F:
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Origin: Updated: 20161029-SAT
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Motivation
This started as a project to honor the 1997 Cohort of Wits Inn Recovery (WIR) located about South Orange County.  Then a few events occurred: Loriann, a WIR owner: Sent us here at MSG an email (October 26, 2016) saying she could help us out; in 2017 we tracked down a WIR Alumni and friend Amanda S.; Denise C. publishes a gig about Devin P one who Died Too Young (DTY); we never filled out a Satisfaction Survey for our tenure with WIR and finally; both Wit’s associates Mark B. and Charles A. went missing in action (MIA).  In this report we here at MSG chronicle a bit of our Lived Experience (LE) with and about the Recovery Business.  Last we want to come up with a good SUD Recovery Assessment Tool (SUD-RAT).  We focus on Recovery Promoting Environments (RPEs).  If we here at MSG get around to it we will follow this report with another that addresses External Quality Review (EQR).
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We are here to help! (Witte, 2016)
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Most Likely to Die
In 1997 a consensus was that we were most likely to die.  We attended a weekly Men’s Only Group.  The constituents we some of the biggest delinquents we ever associated with.  On the smoke break one evening we were labeled as Most Likely to Die (ML2D).  Our twenty (20) some odd management of Co-occurring challenges has been very challenging.  At this moment we have a group of men suffering Chronic Obstructive Pulmonary Disease (COPD) symptoms.  We smoke and would like to benefit from no smoking.  On last note Early Intervention before any tragic loss or losses is desirable.
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Chad C. V Loriann W. – Disclosure – Testimonial – My Story
At some point online Loriann shares “Her Story”.  We here at MSG have several associates about the business of Recovery.  Our friend Chad C. is associated with a Wit’s competitor.  He and his family call their business Hope By The Sea (HTBS).  Years ago we accessed the HBTS website and found Chad’s Testimonial.  It is Friday the 19th of January.  We just surfed a bit around WIR and HTBS.  Not only has Chad’s “Story” been pulled we cannot find reference to him about HTBS Ownership and Operation.  Thus, as of this moment Chad like so many others is Missing In Action (MIA)
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Inspiration – Eugene & DeWitt & Amanda
Overall our inspiration is to celebrate the lives of those our friends that Died Too Young (DTY).  For this report we pick to honor Eugene F., DeWitt C, and Amanda S.
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Solicitation Dilemma
20180123-TU: Updated Solicitation Dilemma
For Wits Reunion Report
We here at MSG have been writing reports about the psychosocial aspect in Health & Human Services since 2009.  We find that if an Agency does not solicit our findings they lack the resources to consider them in depth.  Our current unsolicited report addresses Wits Inn Recovery (WIT) a treatment program located in South Orange County California.  One of the reasons we here at MSG continue to publish unsolicited reports is that they help appreciate where we are and how far we have come.
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Wits Inn Recovery (WIR) Website
Located in San Juan Capistrano (Orange County), CA we offer broad-scope drug & alcohol addiction rehab, medical detox and more for men and women.
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WIR Service Profile (Original Order Retained)
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Service (SUD/COD)
1997
2017
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Intervention
Yes
No
Medical Detox
No
No
Residential & Inpatient Treatment
Yes
No
Customized Recovery Programs
No
MSG
Holistic, 12-Step & Non 12-Step Options
Yes
MSG
Multi-Tiered Intensive Outpatient Treatment Options
No
No
Pet-Friendly & Executive Treatment Options
No
No
PPO Health Insurance Plans Accepted
No
No
Industry-Leading Addiction Treatment Professionals
Major Issue
Major Issue
Family Support & Therapy Services
So-So
No
Customized Aftercare Support Services
Major Issue
No
Total Case Management & Life-Success Coaching
No
MSG
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Table – SUD & COD Service Needs For Buster D Right (BDR-History) – List Pirated 20180119-F from WIR Website
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Why Choose Wits Inn Recovery
“Our co-principle here at Mentalation Solution Group (MSG) is Buster (AVEY, 2018)” You might ask could or would we choose WIR for our Service Needs.  After we work through a few checklist and assessments we will decide.
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Needed and Delivered
In 1997 we needed to solve a specific issue about addiction or Substance Use Disorder (SUD).  This we call our Presenting Problem.  Our work with WIR as of 2017 has solved our Presenting Problem.  We also needed a Program for less than $1000.00 per month.  In 1997 WIR delivered on that also.  Last, WIR helped us re-socialize.
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Gallery In The Middle Method – Wits Alumni
Below are some odd thirty (30) photos Tork Reconstruction Company (TRC) took to chronicle our experiences with Recovery about Wits Inn Recovery (WIR).  More photos will are embedded throughout the remainder of this report – Wits Reunion.
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May Label Better at a Later Time [20180817-F Updates]
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DeWitt C - No He Is Not Dead - Yet

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Clockwise
Eugene - Ian - Greg - Keith
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Amanda S
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Chad C & Dona
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Chad as Roommate
Avalon Laguna Niguel
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Chad C
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Amanda 2017 - Compartment Syndrome
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Amanda S
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Amanda's Leg Healing
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Casebook - Amanda (2nd for the Left)
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Family Matters (Amanda's Family)
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Amanda with Husband
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Amanda's Leg
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Amanda and Friend - Photo by Keith
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DeWitt At Baby Beach
Dana Point
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Mark B
Photos by Keith
Lake Elsinore
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Eugine "Geno" F
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Geno - Died Too Young
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Eva @ Aliso Creek
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Chad C.
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Chad C
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Ian L - Most Likely to Succeed
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I'm not Wasted - I'm In Love with Elaine D
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Elaine D
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Elaine D - Balboa Brunch Cruise
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L to R
Greg A - Wendy W - Keith T
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CHS A & Can't Remember
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The Tombstone Picture
Greg - Gary - Wendy - Eugene - Keith - DeWitt
Near Stonehill
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Greg - Wendy - "Geno"
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What a Challenge
Jodi R and I getting destroyed by the Coasters @
Magic Mountain
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Jodi R is going on the down-train to see her dad
She is mad with him
She is mad a me also
Capistrano Train Station
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Wendy W - Laguna Beach
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Wendy W Doppelganger
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Family Matters - Victor Vartanian @ LAW1
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Should I be jealous Elaine?
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But see I get to kiss her
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Wits Still Going Strong
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Digital Presence
Wits Inn Recovery Owner - Loriann Witte (20180119-F)
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Digital Survivability - Measures of Digital Presence
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-ImagesTextPublicationsRefereed PublicationsVideosSound Bites
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Digital Survivability
Digital Presence – As Measured By (AMB) – Google Images – Hit Record Count




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Associate
5 Element
Array Count
Current
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AVEY
0
MSG
Buster D Right
0
BND
Chad Carlsen
1-2
HBTS
Charles Anderson
0
ABT
Josie Gann
1
WIR – ABT - ABD
Keith E Torkelson, MS
>8
WIR - ALH
Loriann Witte
>4
WIR

20180119-F: Google Image Hit Record Results – ABD=A Better Day
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AVEY’s Avatar for the Week





AVEY's Avatar for the Week (Saura)

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Skills for Helping Those with Chemical Dependency
Community Partner & Competition
Josie Mini-Bios
Josie Gann, CADC II - Professional Profile - LinkedIn
Temecula, California - ‎Owner and Director - ‎A Better Day - Clean and Sober Living.
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Skills (Original Order Retained – Josie G Model)
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Skill
(Modalities & Procedures)
Josie G
E & E
Found Online
MSG Assessment Indications
Found Online
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Organizational Leadership
Implied
1
Counseling
0
Human Development
Implied
2
Psychotherapy
0
Addiction Recovery
2
Group Therapy
1
Family Therapy
2
Behavioral Health
>10
Mental Health
[SAME AS BH]
Interventions
Implied
2
Treatment
5
Motivational Interviewing
1
Self-esteem
Implied
1
Adolescents
2
Crisis Intervention…
Implied
[SAME AS INTERVENTION]
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Table – Evaluating Skills about Engagements for Servicing Those with SUD Issues – The Josie G Model- Last Reviewed: 20180124-W:
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Evidence for Effectiveness
This information on Josie’s Skills must be all the methods her organization A Better Day (ABD) provides.  When information Josie or others present online they must be very careful to make the associations clear.  We here at MSG take no money for helping people about these procedures and modalities.  Actually all we really do is assess about these areas.  We have published dozens of papers where we apply and demonstrate our mastery with assessment tools.
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FYI - Josie G – A Successful Small Business Owner
A Better Day - Clean and Sober Living
Community Partner or Competition
“Nestled in the picturesque, rolling hills of Temecula, California, A Better Day offers a stable environment for clean and sober living with love, care and compassion.  Looking out on acres of open country, our facility provides a tranquil setting for the recovering addict or alcoholic to build a foundation of recovery with structured living, comfortable rooms, a private pool, and nearby access to thriving recovery communities.” (Author Not Disclosed)
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5-Indicators of Value
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Value Indicator
Note
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10-Year Window
School Ten Promises 3 in 10 will Succeed
Effective Recovery
Proven with Numerical Results
Long Term Success
Discovery with Follow Up Assessments
Protective Factors
Consciously Identify, Seek and Acquire
Risk Management
Manage V Surrender
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Table – Four (4) Indicators for Investment Value- Last Updated: 20180123-TU:
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Agent – Environment – Host (AEH)
In order to make Good Orderly Progress about Substance Use – Chemical Dependency issues it is advised we meet consumer needs within the Epidemiologic Triad.  This Triad contains three inter-related elements: Agent(s), Environment, and Host.  The fourth dimension is TimeSpent.  Here we address Environment in particular Housing after Program graduation.  If the graduate cannot secure housing that promotes clean time they may not be able to work their program.  One of our purposes with this paper is to contribute to solving the housing problem for consumers in Orange County, California.  For now we are moving forward with the features of Wits Inn Recovery (WIR) that provide for a health-promoting environment or Recovery Promoting Environment (RPE).
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Introducing Immersion Revisited
We will address Immersion with our Business Report.  Basically, it appears to be a Protective Factor for an ex-chemical abuse to go into the Recovery Trade. 
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Finding Assessments
We will address the report we wrote below in our External Quality Review Report.  For now we offer it as a “Head Start”
ProSumer – Link Up Front – OCHCA Assessment Selector
OCHCA Technology Driven Assessment Inventory for Health & Human Service by Keith Torkelson 20180107-SUN Page Views = 1 Date Chartered = 1/7/18

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“Keep it simple”
Below in this report we address the Wits Inn Recovery Model (WIRM) for services and supports about delivering consumer health improvements.  The owner of Wits Inn is Loriann Witte.  We here at MSG consider her our friend.  At the very end of this report we share Loriann’s disclosures pertaining to her Lived Experience history with Substance Use Disorder (SUD).  We will retain our story regarding MSG’s SUD history due to Stigma.  It is now considered a general rule about Behavioral Health (BH) including those suffering SUD issues that Early Detection is favorable.  As time goes on more and more domains of functioning become impaired.  We believe that all services and supports are not Globally Appropriate (Intensity). 
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COPD
The reasons were here at MSG our retracing our “Steps” is for tackling our problems with Cigarette Smoking.  Many of our peers are in their sixties.  We even have a relative that is smoking cigarettes at ninety-two (92) years of age.  More and more of our peers are falling prey to Chronic Obstructive Pulmonary Disease (COPD).  We know our Quality Of Life and MSG Operations will partially improve if we quit smoking.  For us GOD is Good Orderly Direction.  With this report we begin a three (3) month endeavor to put things in “Order”.
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Framework for Quality Assurance
We offered this report pro-bono to Wits Inn Recovery (WIR) and others for helping them create, practice and upgrade their program Quality Assurance Policies and Procedures (PNP). 
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Spelling Errors
We took some material directly from other authors.  Rather than correct spelling errors we left them in.  Our marker for a spelling error is [sp].
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Email Stimulus - Situational Awareness - Revisited
Find below one of MSGs motivators to publish this paper.  It began in early 2017 when we discovered two of our Wits Friends, Mark and Amanda, were not doing very well.  As is prior works we advocate for our friends that “Died Too Young”.  When Loriann Witte contacted us in 2016 via email we hoped that she was sending us one or more follow up assessments.  Rather we were given an invitation such as we needed more help.  Since our 1997 tenure with Loriann we have followed a few of our friends, Chad, Josie, and Charles, about the business of recovery.  We here at MSG have substantial time committed to recovery.  We share a sample of our Recovery Scores below.  We actively engage about others and ours recovery about half time.
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20161029-SAT: Update 
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Subject:  Hello Friends Of WiRecovery.com 
From:  Loriann Witte - loriann@wirecovery.com

Date:  Wednesday, October 26, 2016 10:39 AM 
Hello Friends!
“We began over 25 years ago as an addiction recovery organization tailored predominantly around services like intervention and private addiction therapy. Now is the time that others get to experience the same loving magic that was provided to me so many years ago while in my own struggles.” (Witte, 2016)
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We are here to help! (Witte, 2016)
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Loriann Witte CAC, RAS, NCDAI
(949) 413-4109 Text Only > (949) 292-2000) Office

RAS-Recovery Addiction Specialist
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Objective Up Front (OUF)
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Treatment Information
https://wirecovery.com/effective-affordable-drug-rehab/


Outcome and Performance Measures


The following is a statement taken from the Wits Inn collateral: It promises:


“…we have continued to set new standards in quality care, affordable treatment options and leading drug rehab protocols. (Wits, 2017)
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Rate Your Program - Wits Inn Recovery
Wits Inn Recovery - 17 Photos - Addiction Medicine

20180105-F: Rating: 5 - ‎3 Reviews (This is a good start)
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Proprietary
Obviously the methods that deliver on the promises are proprietary.  Yet, accounting for and sharing numerical results delivered from practice is fair game and a reportable feature.  Eventually, a Rehab Results Databases are best maintained at the state level.  As an example (control) with what and how to report follows next.  We selected the Casa Youth Shelter for this example.
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[INSERT CASA STATS PAGE]
Sorry that this Page is hard to Read
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Promoting Satisfaction
We here at MSG have visited online materials associated with Wits Inn Recovery (WIR).  WIR maintains a website.  We were hoping to go online to submit our Satisfaction findings about their program and our life after graduation.  In short we were Satisfied with how they help us resolve our presenting problem. What follows is a re-cap or “Step” through our WIR mediated Recovery Experience.  If the Wits Process is actually cutting edge we recommend they begin measuring for proving their concept.
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Photos Early On Method
When we began this report back in 2011 all we wished was to share our finding about the friends we made at the Wits Inn back in winter of 1997.  In 1997 our “Bed” at Wits cost us around $800.00 per month.  We purchased and cooked our own food.  In 2011 we particularly wished to celebrate the efforts of our friends that Died Too Young (DTY).  In this section we include most of our photographic evidence of good times we had Recovering with our Wits Network.  So now let us celebrate the recovery experience.


Alumni List (Promoting the Stigma) – Cast Anonymized [SPELLED]
Confidentiality & Disclosure – Circa 1997 Wits Cohort
Accountability & Transparency
[FULL LIST RETAINED]
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##
AA ID
Fate If Known
Why Does It Matter
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Amanda S
IVPH (201711)
Serious issues with pain management
01
Brian
DIP
Chad C
GTO - MHS
Relapsed as my roommate
Charles A
MIA
Puzzling
Debbie V
Unknown
05
DeWitt C
DTY
Elaine D
MIA
Girlfriend
Gary
MIA
Tried a new drug while manager
Geno F
DTY
Chose to immerse
Greg A
MIA
10
Ian L
Online photo looks promising
Jason
MIA
Relapsed as my roommate
Jodi R
MIA
Girlfriend
Josie G
GTO - MHS
Loriann W
MHS
Owner
15
Mark B
Puzzling
Pat W
MIA
Owner – possibly passed away
Reece
DIP
Sharm
May have been a pure-provider
Steve G
MIA
20
Tom
MIA
Wendy W
MIA
22
“M”
Unknown
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Table – Circa 1997 Wits Inn Recovery (WIR) Cohort (n=22): Last Addressed: 20180105-F:
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Peer Status
All are classified as peer status.  Some are peer providers such as Loriann.  We define peer as having personal chemical dependency issues.
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What It Is All About?
If someone hacks our publications more information about our Cohort can be discovered.  What it is all about is friends helping friends.  Friends: People who are well off sharing with those disadvantaged.  All on the quest to share kindness and honesty on the road to re-building trust.  As Josie G stated on many an occasion: “We have the desire to live clean – it is easier when you are not using.”
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Business Excerpts
“They say it’s your birthday”
Loriann W. - An Owner of A Recovery Business
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Let’s Yelp About It!
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Wits Inn Recovery
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Category: Health and Medical Counseling & Mental Health Counseling & Mental Health [Edit]
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30942 Paseo Mar Azul - San Juan Capistrano, CA 92675
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(949) 292-2000 Alcohol & Drug Rehab Services
“Wondering if you or your loved one's drinking/using is really serious enough to need substance abuse Rehab?  Call now for a free assessmen [sp]”
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Specialties
“Wits Inn Recovery is a referral source for all levels of addiction treatment, comfortable detox, Rehab, sober living, and Interventions 949-292-2000.”

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Loriann W. - An Owner of A Recovery Business
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History [and Bio-ses] - Established in 1989
“Pat and Loriann Witte are the founders and operators of the Wits Inn Recovery programs.  The business was started because they had lived lives of multi-decades of active addiction themselves, then they were able to get clean & sober, become productive members of society, and find peace of mind and a sence [sp] of well being in recovery.  This is a simple, yet powerful message. The lie is dead, addicts do recover.” (Witte)
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Drug Of Choice (DOC) - Disclosure
“Hi my name is Loriann Witte and I am a recovering alcoholic and addict.  I used drugs and out of control alcohol for 16 years.  I passed through many phases of my addiction.  Alcohol was all ways my defuat [sp] setting, but I did not believe myself to be alcoholic. Drug addict was my claim.  I drank every chance I got since childhood.  My progession [sp] was Pot, acid, pills, speed, cocaine, herion [sp], methadone and back to alcohol.” (Witte)
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Needs Fleshing & Clarification
“My life brought one disappointment after the other.  I was very sad but the life of the party. I got sent to county some, and almost died.” (Witte)


Wits Promise

We lead in “effective treatment services”
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We here at MSG caution Providers about making promises.  In order to prove a concept you need numerical (quantified) evidence.  It is better to prove your promises using quantitative evidence about a few treatment methods rather than water about too many.
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Epidemiologic Element - Environment
Service Sector - Housing (Services)
When you self-admit or are forced to admit into a residential treatment facility the place you live might be described in various ways.  This is a partial list of names used to describe residential treatment environments:
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Sampling for Recovery Environments
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Environment
Note
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Board & Care
Community Based Treatment
Crisis Residential
Health Care Agency Treatment
Incarceration (OCHCA-BHS)
Jail is Treatment & Diversion
Institute for Mental Disease (IMD)
Living With Family
Non-Profit Treatment
Private Addiction Therapy
Psychiatric Ward
State Mental Hospital
State or Private Prison
Treatment Residential
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Table – Introduction Environmental Factors in Recovery – Last Update: 20180124-W:
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Jails, Institutions, Death
In recovery terms to solve your issues you may meet up with some or all: Jails, Institutes, and Death.  We define Residential Treatment as purchasing or being assigned a bed for the purpose of solving intense health issues including “Chemical Dependency”.


Summary – Product Quality
Across some ten (10) programs including Wits Inn Recovery we searched for some numerical and statistical evidence.  In particular we searched for Online Statistics, Proven Good Practices, and indicators about Effective Treatment Services.  We found so few we could not even make a good table.
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A Geographical
In the 1990’s there was conflict as to whether moving away from one’s chemical misuse environment was beneficial.  It is for us.  By moving from North Orange County to South Orange County (Wits Inn) it helped us solve quite a few problems.
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FYI - A Better Day - Clean and Sober Living


“We look forward to speaking with you. Contact us by Email. info@abetterdaynow.com. Contact us by Phone. Josie Gann - Owner. 951-551-3414. Wherever you are, and wherever this day's journey in life may take you, we hope with all our hearts that today is A Better Day! Copyright ©2012 A Better Day. All rights reserved.”
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FYI - Gallery (18 Photos) – A Better Tomorrow
Community Partner or Competition

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How is it that some succeed and other Die Too Young?
While living at Wits we shared a room for four.  Reece and Brian died before graduating the Wit’s Program.  Dewitt died within a year of graduation.  The numbers here indicate a twenty-five (25) percent (%) success rate.
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Don’t Want What We’ve Got
Over and over while carrying the message to others we discovered that very few if any wanted what we’ve got.  This probably hold true to this day.
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FYI - Phoenix House – Community Partner or Competition
20180123-TU: Progress - What are your success rates? - Phoenix House

“Phoenix House has been serving families for many years and our success rates have been above the national average due to our emphasis on providing individualized treatment and embracing the most current Evidence-Based Practices (EBPs). Our approach also builds family awareness and increases family engagement in their loved one’s recovery. It is important to note that successful recovery from substance use disorders, or co-occurring substance use and mental health disorders, requires professional treatment and careful adherence to an appropriate aftercare plan. That said, our completion rate of 62.5 percent is ten percent above the national average.”
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Sharing Sample Indicators for Success
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Indicator
Sample
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1-Performance Earned Value
Still a MSG concept
Careful Adherence
Successes with Aftercare/Graduates
Completion Rate
Graduates/Intakes
62.5 Percent considered very good
County Jail Diversion
Died In Program
An A&T Measure
Died Too Young
Down Time Evaluation
Trend decrease Self-care time
Evidenced-Based Practices
Results/100 Applications
Family Engagement
Follow Up Assessments
Us – We should have received one by now (i.e. over 20 years)
Odds Report
Clean-Sober 1, 3, 5, 10 Years
Role of Luck
Self-Care Intensity
Success Rates
Graduates/Intakes
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Table – Sample Indicators for Success – Last Reviewed 20180124-W:
-
Mantra V Situational Awareness

“We are here to help”

If Lorian-n were away of our situation some twenty (20) years after she would know we didn’t need an offering of “Help” we really wished some follow up in the form of a Satisfaction Survey.
-
Best Practices
“Orange County and Southern California’s best provider of addiction treatment” 
Briefly with a group of one-hundred (100) practices most of not proven successful.  Let us say ninety (90) of the hundred are not proven.  Of the remaining ten (10) practices some nine (9) can be proven as good or promising.  That leaves one as Best.  It takes quantitative data to support a true Best Practice in the context of a particular delivery system.
-


Embedded Code Method (ECM) – Section Acronyms
AcroCode
Meaning
ASTS
Assume Still The Same
CSP
Consumer Satisfaction Program
DOM#
Domain Number
NEFO
No Evidence Found Online
NETF
Not Easy To Find
NNAT
Not Needed At Time
PM#
Program Number
QAs
Quality Assurances

Table – Section Acronyms

Treatment Residential – Wits Model (WIR, 1995, 1997, 2017)

-
DOM
##
Assessment (Domain)
1995
1997
2017
-
02
Secure Property
Pass
Pass
NEFO
02
Clothes
Own
Pass
NEFO
03
Cost
Pass
Pass
NEFO
04
Psycho-social
Pass
Pass
NEFO
06
Education (SUD)
Pass
Pass
NEFO
06
Work Ability
Pass
Pass
NEFO
07
Find a Babe
Pass
Jodi
Pass
Elaine
NEFO
08
Legal Aide
Pass
Pass
NEFO
08
Legal – Landlord Tenant
Pass
Pass
NEFO
10
Brain-Mind-Behavior
Pass
Pass
NEFO
11
Rest-Exercise-Nutrition
Pass
Pass
NEFO
11
Quiet Time - Privacy
Pass
Pass
NEFO
11
Food
Own
Own
NEFO
11
PCP Care (e.g. TB)
Pass
Pass
NEFO
12
Transportation
Pass
Pass
NEFO
13
Computer
NNAT
Personal
NEFO
14
Special Projects
Pass
Pass
NEFO
15
Product
Days Clean/Sober (Fraction)
SoSo
Pass
NEFO
15
Product
Pass
Pass
NEFO
-
-
-

Drafted: 20171225-M (Christmas) Services and Supports by Psychosocial Domain – Last Reviewed: 20180124-W:


Accountability
“The obligation of an individual or organization to account for its activities, accept responsibility for them, and to disclose the results in a transparent manner. It also includes the responsibility for money or other entrusted property”
-
MSG-Accountability
Accurately collecting and sharing the numbers that are available in Agency related materials.  Our model Agency is the Health Care Agency of Orange County (OCHCA).


Rate A Program – Rate A Treatment Program – Inter-program Comparison
Compare Programs – Program Quick Score Method (QSM) – Residential - Satisfaction
-
PM#
Program
Satisfaction
With Program
QUANT
QSM
-
Wits – SUD/COD
Yes
4.5
-
01
A Better Tomorrow
So-So
2.0
02
Anaheim Lighthouse
Yes
4.5
03
Brand New Day
So-So
3.0
04
Casa Youth Shelter
Outcomes Reporting
Yes
5.0
05
GBDP – SUD Management
No
2.0
06
Generalized FSP Full Services
So-So
3.0
07
Hope By The Sea
So-So
3.0
08
MSG Eclectic (MSG-E)
Proven Over Five (5) Years
Yes
4.5
09
OK FSP
No
1.5
10
School Ten
So-So
2.5
11
Straight Talk (Gerry House)
So-So
3.0
-
Integrated Satisfaction Level (ISL) =
34/55
61.8%
-

Table – Rate A Program – Satisfaction: Last Reviewed: 20180125-W: Stars Method (5.0 Stars is Superior)
-
ISL-Integrated Satisfaction Level – Define
We prefer that a program in question provides us with their version of assessments.  You will see in the External Quality Review (EQR) report that we get to create assessments to fill the gaps.


Labor Force - Those Wishing To Serve
It appears that immersion in the substance use solutions industry is protective for ex-substance abusers.  In an attempt to get the lay of the land from academia we enrolled (Circa 2011) in two Health & Human Services (HHS) courses at Cypress College, Cypress California.  We “aced” them both.  We had the same instructor for both courses.  Our instructors name was Gary Zager.  The experience was worthwhile.  At one point while addressing Labor he indicated that certificates are inferior to degrees.  Mr. Zager indicated an exception.  When it comes to the Substance Use field certificates such as an Registered Addiction Specialist (RAS) may help you up it the pay grade or scale.  In addition, a certificate might help you get hired over a non-certificated competitor.
-
What’s In An Acronym
In this paper you see many acronyms such as: NCDAI – CAC – RAS.  We find the field of Social Sciences loves its’ acronyms.  While taking Physiological Chemistry, a life science, at UC Davis we were permitted to use acronyms on exams because terms such as Deoxyribonucleic Acid (DNA) are just a bit too long to spell out each time.  20180122-M: Yesterday we attended the OCHCA MHSA SCM.  They speak what we here at MSG call the SPL.  Enough said.  If you are not already, we suggest you orient yourselves about acronyms.


What Makes an Effective Program? (Brief-Sampling – 23 Item)
Program Effectiveness Sampler (PES-23 Item-Beta)
-
I#
Element
Note
-
1-Long Term Effectiveness (AMB)
Assessment Driven
-
01
Benefits Outweigh Costs
Very Hard to Determine
02
Completion Rates
03
Custom Sack Lunches - Adherence
Described Below
04
Deliver on Promises
05
Died Sober (Clean)/All Engaged
-
06
Digital Transparency
Conflict with Confidentiality
07
Evidenced Based with Proof
08
Expungement [SPELLED]
Helpful when Re-entering
09
Engaging the Family
10
Fewer Health Risks
Comprehensive and Integrated Care
-
11
High COD Conversion Value
12
Large Follow-up Database
13
Low Staff Relapse Rate
14
Oversight & Accountability
Medicare & HEDIS
15
Post Program Earning Power
-
16
Preventive Value
17
Reduced Sentence(s)
18
Return to Community Setting
19
Satisfaction Rates
20
Standardization & Sharing
-
21
Success Rates (SNME)
Success Not Mentioned Elsewhere
22
Tracking Recovery Quantitatively
23
Treatment Success Rates
-

Table – Introduction to Program Effectiveness – Program Effectiveness Sampler (PES-23 Item-Beta) - Last Reviewed: 20180124-W:
-
Lived Experience (LE) – MSG LiveX (1997-2018) – Combined Data
-
Wits
1997
MSG-E
2012-2017
GBDP
2012-2017
-
Part I (ISIV-I)
4/10
9/10
2/10
Part II (ISIV-II)
2/8
6/8
0/8
-
Intervention Services Intensity Value (ISIV) =
33.3%
83.3%
11.1%
5.0 Scoring System
1.7
4.2
0.6
-

Table – Results about consumer Keith Torkelson – Service Intensity - Comparative Valuation Focusing about Wits Inn Recovery (WIR) Intervention Intensity – Last Reviewed: 2018025-W:
-
Intervention Services Intensity Value (ISIV)
We here at MSG were working to arithmetically define Services Intensity Values.  We brainstormed definitions and then checked the World Wide Web.  With what we found online we know it is best to reserve our Services Intensity work.
-
FYI - [PDF] - Early Childhood Service Intensity Instrument (ECSII) Training
(25 Pages of PowerPoint – A Four Star Presentation)

This presentation is a good introducing to service intensity in Health & Social Services.
-
Interpretation
Intensity has little to do with quality.  While attending Wits in 1997 our service needs were narrower than they are now.  The GBDP just doesn’t’ offer a very wide service array.
-

Services Using Wits Model – Part I of II
LE-Lived Experience (2017 LiveX)

Intervention Services - [Alphabetized]
-
##
Service Description
Wits
1997
MSG
2012-2017
GBDP
2012-
2017
-
01
"Mindful Eating" Series and promoting a broad sense of health
LE
LE
02
12-Step Program
(Daily Meetings sponsor, step work)
LE
LE
LE
03
A treatment regimen based on Jungian, Cognitive and 12-Step Principles
LE
04
Acupuncture (Stress, Detox Healing)
LE
05
Advanced "Therapeutic Mind & Body Program"
LE
-
06
Comfortable medical detox in a private home
07
Coordinate access to additional treatment services
LE
LE
LE
08
Equestrian Therapy Series
LE
09
Group and individual counseling
LE
LE
10
Holistic detox methods along with cutting edge medicines
LE
-
Intervention Services Intensity Value
(ISIV-I) =
4/10
9/10
2/10
-
Table – Part-I of II: Determining Service Intensity - Services Using Wits Model – Last Reviewed: 20180105-F: Originally Scored: 20161029-SAT
-

Services Using Wits Model – Part II of II
LE-Lived Experience (2017 LiveX)

Intervention Services - [Alphabetized]
-
##
Service Description
Wits
1997
MSG
2012-2017
GBDP
2012-
2017
-
11
In-depth case management by highly trained staff
LE
12
Managers provide a full range of services in the field of addiction and behavioral health
LE
13
Massage
(Detox, Circulatory, Deep Muscle, Shiatsu, Chinese, Korean)
LE
14
Psychiatric evaluations in relation to addiction treatment
LE
15
Serve as advocate/liaison for court appearances
LE
16
Sober Coaching & Companion Travel services
LE
17
Supervise client throughout their treatment course
LE
18
We develop and implement a comprehensive treatment plan
LE
-
Intervention Services Intensity Value (ISIV-II) =
2/8
6/8
0/8
-
Table – Part-II of II: Determining Service Intensity - Services Using Wits Model Framework – Last Reviewed: 20180105-F: Originally Scored: 20161029-SAT
-
LE-Lived Experience (LiveX, 2018)
We rely heavily on Lived Experience to flesh about in our reports.
-

Items Of Interest (IOIs) – Performance Measurement
Two of the items or promises from Wits may hold a place for formative and summative measurement.  These are items:
-
[STELLAR MANAGEMENT AND PLANNING ARE ASSESSMENT DRIVEN]
-
11)       In-depth case management by highly trained staff
18)       We develop and implement a comprehensive treatment plan
-
Quantitative Outcomes Driven (QOD)
One of the very important instructions in the Steinberg Programming Language (SPL) is for tracking cases and plans using assessment tools that yield Quantitative Formative and Summative Outcomes Values.  In a manner about Outcome Measurement we can ferret out and prove Promising Practices.
-
Selecting Best Fit Assessments
During 2016 & 2017 MSG engaged in projects for the OCHCA that involved assessments.  Please find a listing of some of our findings in the link below.  It describes some of the Commercial-Off-The-Shelf (COTS) assessments that the county uses across various programs including those dealing with Substance Issues, SUD or COD.  We will address assessment further in our Wits External Quality Review (EQR) Report.
-
Metadata: 13_TAC_E-H-R_Assessments 2015 V2018
-
Charter Separate [FULLY EXECUTED]
Sunday, January 7, 2018   
OCHCA Technology Driven Assessment Inventory for Health & Human Service by Keith Torkelson

-
Embedded Code Method (ECM)
-
AcroCode
Meaning
Note
-
AI#
Action Item Number
ALH
Anaheim Lighthouse
Agreed to Experimentation
CNOW
Conditions Needing Ongoing Work
EQR
External Quality Review
ETA
Eclectic Treatment Arsenal
GBDP
Graduate By Death Program
Specific Concept to General Concept
ISIV
Intervention Services Intensity Value
LiveX
Lived Experience
Social Pathology
MSG-E
MSG-Eclectic
PPB
Personal Pricing Bias
Addressed with Business Report
PRN
As Needed
SSPS
Service and Support Potency Score
WIR
Wits Inn Recovery
Solved our Presenting Problem (1997)
-
Table – Acronyms with Notations
-
MSG-E: MSG Eclectic
A while back (Circa 2000) we were preparing our application for the Secondary Teacher Education Program at California State University @ Fullerton.  One of the pre-requisite courses was Teaching Experience.  In that class we addressed our philosophy of teaching.  We were new to the Internet and therefore relied heavy on the course text: Those Who Can Teach - Originally published: 1972 - Authors: James M Cooper, Kevin Ryan.  After analyzing the five major philosophies of education/teaching we determined we preferred to select the best from each.  Thus, we are form the most part globally an eclectic. 
-
[INSERT FIGURE]
-


-
We Quote Our Own Paper
CSUF Teaching Portfolio Pending Publication
-
“I am an eclectic.  I believe “...truth can be found anywhere and therefore people should select from the various doctrine systems and sources (Ryan and Cooper, 2000).”  In our class I was asked “if I had to choose, which of the four philosophies (in the text) would I select (Clements, 2000).”  I said progressivism because I believe in the concepts that nature is “in flux, ... ever changing (Ryan and Cooper, 2000), and the mind is a problem solver.  (Torkelson, 2000 - EDSC 310 - Teaching Experience
Due: October 5, 2000).”

-
MSG-E Eclectic
“As its name indicates, eclectic therapy is a therapeutic approach that incorporates a variety of therapeutic principles and philosophies in order to create the Ideal Treatment Program (ITP) to meet the specific needs of the patient or client.”
-

[CLIENT CENTERED & CLIENT DRIVEN]

-

Sample Set – Examples – MSG Approaches


Below is a listing of some of the approaches we here at MSG are familiar with:
-
Approach
Sample Application
-
Applied Measurement
OCHCA Technological Needs
BND Network Quality Control
Any As Needed (PRN)
Cognitive Behavioral Therapy (CBT)
Anxiety Management
Crisis Intervention Management (CIM)
Housing Interventions
Family Engagement
Project for Rimal B Bera MD
Motivational Interview
Still Practicing
Peer-to-peer (P2P)
OCHCA
Consumer Paraprofessionals
Project Management As Direct Service
Spirit Management
Reframe
Developing Accountability
& Responsibility
STR (Proprietary)
Family Reconciliations
Talk Therapy
Closing Life
Resolve with A Familial Matriarch
Teach to the Test (Proprietary)
Presentations &
Quality Assurance
External Quality Review (EQR)
-
Table – Sampling from Mentalation Solutions Group (MSG) Eclectic Treatment Arsenal (ETA) – Last Reviewed: 20180105-F:

-
20180125-TH @ 2pm - Report Cut Short

This report had to be truncated due to issues with Blogger.  Remainder will be split between our WIR-Business and WIR-External Quality Review Reports.
-
Figure - FYI – Paper Stats

[INSERT 20180125-TH PAPER STATS]
-



[INSERT FIGURE - Figure – A Closing Prayer]
















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