Welcome!

1. Welcome!

2. Agenda • History of company & company vision • Who’s who • Policies and Procedures • Benefits review • Performance reviews • Other resources • Required paperwork • Teaching Family Model Training

3. History of Youth Quest • When did Youth Quest serve it’s first client? • July 1, 1998 – two clients taken (11, 16 Males) • Company vision and charter/mission statement • MISSION STATEMENT • Youth Quest’s mission is to give at-risk youth with various behavioral and emotional problems the potential for success. This will be done by assisting them with a stable treatment home and family, an exemplary helping staff, and a broader base of life enhancing social skills to enable them to live more productive lives, and in turn provide more healthy and functional homes for the community tomorrow. • About Youth Quest’s Company products/services

4. Level III Residential Treatment • The Quest – Opened July 1998

5. Level III Residential Treatment • The Hive – Opened September 2002 Closed February 2007

6. Level II Therapeutic Foster Care • What are the goals of the TFT Program? • What are potential positions available with growth of the program? • TFT Program Clinical Manager • TFT Program Consultant

7. The Reptanical School – What the future will bring. • Reptanical School Program Director • Special Education Teachers • Classroom Aides • Licensed Therapist – music, art, family • TFM Behavior Management Specialists • Highlights: Each class will have their own curriculum and courses which pertain directly to the individual levels of the students in the class. Every class will provides a NC certified special education teacher, one teaching assistant, and one TFM Practitioner The teaching assistant will have degrees and will be certified regular education or Special Education Teachers.  TFM Practitioners will provide necessary Teaching Family Model support to the classroom teacher working throughout the day and offering student guidance. The Licensed Therapist will do individual and/or group counseling sessions daily for all students and meet with parents in individual and group family therapy sessions biweekly. In addition, monthly parent education classes will be held to re-enforce parenting skills to parents in need. A Family Therapist may provide family counseling in the evening hours at the school or during a home visit.

8. Executive Director Clinical Director Clinical Consultant Licensed Practitioners FT Practitioners TFT Providers AFT Practitioners Overnight awake/asleep Who’s WhoPositions and Responsibilities

9. Company Policies & Procedures • Distribute & Highlight most important policies and review • Review administration and home business hours Administration: Monday thru Thursday 9 AM – 5 PM Office All Appointments: Monday thru Friday 2 PM – 9 PM Clinical Consultant: non-urgent Monday thru Friday 9 AM – 5 PM * Questions about paper work * Rule questions *Policy Questions urgent 24-hours, during CC vacations contact Clinical Director * Client in extended management * Medication Errors * Client Incidents * Sub-system • AFT and OAFT Staffing Rules

10. OAFT General Staffing Rules • Written feedback/reviews required min 1x/week • Up to 15 min pre/post shift consultation required • OAFT staff may not exceed 40 hours per week without an e-mail from the Clinical Director giving prior written and approved overtime • OAFT Staff may not exceed an eight hour shift* • Typical Schedule is as follows

11. ASSOCIATE FAMILY TEACHER PRACTITIONER STAFFING RULESPurpose: Due to the implementation of new Level III Residential Treatment rules in July of 2006, Youth Quest has made efforts to manage the utilization of Family Teacher Practitioners and Associate Family Teacher Practitioners. Since funds for direct care workers comes directly from the running capacity of the home, limits are a necessity to stay within budget constraints. We understand that these hourly limits put strain on our critical direct care staff, so it is our goal to reduce unplanned discharges, increase planned discharges and admissions, and reduce hospitalizations. This is a team effort and everyone is affected in the company when utilization of beds is down. Associate Family Teacher Practitioners should estimate a 90% capacity in the home when you budget your income potential. This is due to hours which are exempt from the budget rules which include the 4-Hour Sunday Church Block, Family Teacher Scheduled Vacation Time, and 4th Week 2-Day OvernightWhile many direct care teams have well over 90% capacity, some have around 75% capacity which is why we’ve made this conservative estimate.

12. HOURS OUTSIDE BUDGET LIMIT EXCEPTIONS • 4-Hour Sunday Church Block - see below AFTPII may use 4 additional hours beyond client budget • Family Teacher Scheduled Vacation Time Off – 16 days per year All staff may have some overtime approved through human resources as needed • The forth Thursday-Friday each month 4-Client Staffing Rules Always Apply FT’s may have 2-day shifts with an overnight option (see totals below) Sample: Total = 20 day hours off + 8 overnight hours Thursday 2 PM – 10 PM = 8 hours Overnight 10-6 AM = 8 hours Friday 6 AM – 6 PM = 8 hours overnight This must occur the same week of every month and must not be on the Structured Home Practice weekend or 2-12-hour shifts (10AM-10PM) with no overnight option. Sample: Thursday 10AM-10PM and Friday 10AM-10PM Total = 24 hours Grace Period – when a client is placed or discharged during the week, the higher capacity rules will apply all week until the close of the week.

13. Associate Family Teacher Staffing Rules Associate Family Teacher I

14. Associate Family Teacher Staffing Rules Associate Family Teacher II – Part Time

15. More notes about AFT Budgets • Suggested schedules are only samples. Hour limits are mandatory, but actual hours worked are subject to change as needed by Family Teacher Practitioners. • Therapeutic leave is not counted to lower capacity as long as it’s within defined limits. • At least one client must be working in the home for an AFT to work. No clients in the home = no AFT shifts. For example, if all clients are on home visits, but the home has a running capacity of 4, the AFTII may not work a shift since no clients are present, but is still approved for up to 20 hours depending on scheduling needs by Family Teacher Practitioner. • FT’s have the option of one 12 hour shift off per week from 10AM-10PM on a weekday, or 2-12 hour shifts every other week. This is included in the budget hours • AFT’s may only make-up hours not used the previous week and may borrow hours from the next week but may not use overtime during weeks where make-up hours are utilized. AFT’s may not use hours from more than seven days before or after a week.

16. AFT General Staffing Rules • AFT are not permitted to work in the home when no clients are present • AFT staff may not exceed 40 hours per week without an e-mail from the Clinical Director giving prior written and approved overtime • Schedules are to be set up two weeks in advance and forwarded to the Clinical Director • Vacation/sick/holidays are approved by FT Practitioners • Direct care must be provided with 2 staff at all times. • When FT Practitioners are in private area, they are not to count this in the direct care practitioner ratios with the only exception being required overnight sleep supervision.

17. Performance Evaluations and Reviews • Purpose of reviews • Frequency and timing of reviews • Outline the review process • Distribute and review the forms

18. Benefits Review • Benefits Review • Health/dental options • Vacation/sick/holidays • Disability/life insurance • Retirement benefits • Training/educational opportunities • Other benefits • Detailed coverage of benefits might require a follow-up meeting

19. Required Paper Work • Client Rights Handbook • Confidentiality Agreement • NCI or IBI Training • Contact name/phone for each area

20. Required PaperworkAll work below is required prior to direct care start date! • Teaching Family Model Chapter Reading • IBI Study Questions completed and handed in • Negative TB Test • Finger Prints and Criminal Background Check • CPR & First Aid Training • MAR/Blood Borne Pathogen Training • Client Rights Handbook (read and form handed in) • Our Client Population • Policies and Procedures (understood to check manual for answers prior to asking questions)

21. Summary • Reiterate welcome!! • Break • Pre-Service Professionalism • The Teaching Family Model Introduction