CONSUMER
RESPONSIBILITIES
PROGRAM
SCHEDULE
OUTINGS
& VISITATION
EMERGENCY
PROCEDURES
RANDOM
100

It is expected that residents attend house meetings and "g____". This fosters a more therapeutic environment and assists with the recovery process.

What is GROUP or GROUP ACTIVITIES?

100

Quiet Time is from 3:30PM-4:30PM and "____PM-____AM". Television is turned off during these times and residents are expected to remain in their rooms except for going to the restroom, medication, water, and staff assistance.

What is 10PM-6AM? All electronics must be turned in at this time.

100

If you would like to go to the store or any kind of outing for personal wants/needs, you must contact your ____ ______ for assistance.

What is CASE MANAGER?

100

In the event of an evacuation, everyone is expected to remain calm, gather together at the "____ ____", and wait to exit altogether. Move at least one block away from the building to the designated meeting area and do not attempt to re-enter the building until cleared to go.

What is the FRONT DOOR?

100

After eating meals or snacks, clients are required to "____ ____ ____ ____".

What is WIPE DOWN THE AREA?

200

No eating is allowed in the bedrooms, and all are responsible for washing the dishes you use. All snacks must be able to fit one plastic container provided by SICM otherwise it will be thrown away. For snack time, only "_" serving of either personal snacks or house snacks is allowed in addition to healthy options.

What is 1?

200

Two-Part Answer: SICM provides a snack every afternoon at "____-____" and every evening at "____-____".

What is 2PM-2:30PM & 8PM-8:30PM?

200

Clients can only leave SICM with staff, case manager, treatment team, and/or supportive member given prior approval 72 hours before appointed date. All visitors must "____" in and "____" out on the log by the front door.

What is SIGN?

200

If you are experiencing a medical emergency, you have the option to be transported to the "_____ _____".

What is the EMERGENCY ROOM or HOSPITAL?

200

You are responsible for your personal belongings. However, valuables such as money, watches, jewelry, or any other item can be locked up for safe keeping. All your personal belongings will be searched by staff when admitted to SICM and when returning from a "____".

What is PASS or OUTING?

300

AM Chores must be completed in the morning which includes "_________, _________, and _________."

What is MAKE YOUR BED, DISPOSE OF ANY RUBBISH ESPECIALLY WATER BOTTLES, & SWEEP/MOP YOUR AREA?

300

Three-Part Answer: Breakfast is scheduled at "___AM -___PM", Lunch is "___PM -___PM", and Dinner is "___PM -___PM".

What is 7AM-8AM, 12PM-1PM, & 6PM-7PM.

300

Clients are expected to attend all scheduled appointments with providers and case managers. If unable to attend, client must notify them as soon as possible or at least ___hours before appointments.

What is 24?

300

During a utility failure or power outage, clients must gather in the "_____ _____" unless instructed otherwise.

What is the DINING ROOM or DAY ROOM?

300

Caffeinated beverages are only allowed with a "_____ _____". If allowed, you are not allowed to share with others.

What is DOCTOR'S ORDERS or DOCTOR'S NOTE?
400

Two-Part Answer: We ask that PM Chores are completed before dinnertime. Assigned tasks can be found in the "____ ____" and it changes every "______".

What is DINING ROOM/DAY ROOM & MONDAY?

400

Three-Part Answer: All residents are expected to attend to their personal hygiene on a daily basis meaning brushing teeth at least ____ per day, doing ____ to avoid wearing dirty clothes, and _______ entire body with soap.

What is TWICE, LAUNDRY, SHOWERING?

400

On-site visiting hours are "___AM -___PM" for no more than an hour daily. To maintain the safety of all, children and pets are not permitted.

What is 11AM-5PM?

400

Name 2 out of 5: Earthquakes come without warning and generally for a short duration. Earthquake hazards can include "_____, _____, _____, _____, and _____".

What is FALLING OBJECTS, COLLAPSING STRUCTURES, LANDSLIDES, TSUNAMIS, & LAND FAILURE?

400

Mail should be sent to this address and not directly to SICM - Kupa'a Hale.

What is 1345 S Beretania St. Suite 301, Honolulu, HI 96814?

500

While self-administering prescribed medications, clients are expected to state the "____, ____, and ____" before signing documentation. If refills are needed, staff must be notified.

What is the NAME, DOSAGE, & PURPOSE?

500

Smoke breaks are not guaranteed. They will be taken away if residents constantly ask for smoke breaks, disregard SICM rules, or refuse to fulfill consumer responsibilities. There are "_" scheduled smoke breaks every day (8AM-8:30AM, 11AM-12PM, 2PM-2:30PM, 5PM-6PM, and 8PM-8:30PM).

What is 5?

500

Three-Part Answer: When on outings, clients are expected to stay with the ____, notify ____ for any personal needs such as the bathroom, and avoid picking up objects/animals as well as interactions with ____ outside of SICM.

What is GROUP, STAFF, & PEOPLE?

500

Name 3 out of 5: In the event of a tsunami, flood, or hurricane/tropical storms, preparation can look like "____, ____, ____, ____, ____, and ____".

What is LISTENING TO LOCAL NEWS, CHARGING CELL PHONES, STAY INDOORS IN A STURDY STRUCTURE AWAY FROM WINDOWS, TURN OFF ELECTRICITY/GAS/WATER, & AVOID DOWNED WIRES?

500

It is expected that all staff and residents are treated with "_____" and "_____". SICM will not tolerate any destruction to property or harm to others. In order to maintain safety and therapeutic environment, staff may initiate a behavior contract with any client as appropriate and approved by the team leader.

What is RESPECT & DIGNITY?