Admissions
Gould Farm is a private, not
for profit corporation under IRS Code 501 (c) (3) receiving no
government funding or insurance payments. We serve without
regard to race, creed or national origin:
Admission Criteria
- adults 18 and older
- with major mental illness:
depression, bipolar disorder, schizoaffective disorder,
schizophrenia and related disorders at a sub-acute level
- with co-occurring disorders
at a non acute level or fully in remission.
- who are voluntarily in
treatment and are medication compliant
- who can contract for safety and
acceptable behavior within an open, normative
residential setting with a 30 hour/wk structure of work,
community life, and non-intensive clinical supports
- and who are supported
financially and logistically by a private family
partnership.
Gould Farm cannot serve those with: a history of arson,
sexual offense, characterological or sociopathic disorders,
violence, unresolved legal entanglements, mental retardation, severe
developmental disorders, active substance disorders, a refractory
constellation of disorders, complications including but not limited
to pregnancy, or those wholly dependent upon state-supported
services.
Requirements for
admission:
- A referral from a
treating psychiatrist (see attached referral form) with
current, signed medication orders and a two-week supply
of medication in hand
- Copies of recent hospital and
treatment records
- A signed Private Partnership
Agreement for appropriate payment of fees and plan for
living accommodations and appropriate continuation of
care if applicant chooses not to remain in program or is
requested to leave the program.
- An in-person or phone interview with
applicant
- A two-week evaluation visit with the
expectation of full acceptance into program at the end
of this evaluation period. Gould Farm reserves the right
to deny acceptance, if, for any reason, we do not see
our services to be an appropriate match for a given
individual at a given time.
- Gould Farm requests, when possible, a
biographical narrative from both the family and the
applicant, and completion of a General Health
Assessment.
- Applicant s may
be required to submit evidence of abstinence from drugs
and alcohol for a specific period of time.
On intake and during the
two-week evaluation period applicants will be required to sign Gould
Farm’s
Residency Agreement, Communication
Agreement, Budgeting Treatment Plan, Consent for Prescription of
Medication, Consent for Routine and Preventative Care, and the
Admissions Data Form.
All applicants will be given access to a Notice of Privacy Practices
and sign acknowledgement of such.
All applicants will be oriented to and sign acceptance of all
provisions of the Guest Agreement and general community guidelines
as outlined in the Guest Handbook.
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