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2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 1 POLICIES, PROTOCOLS & PROCEDURES.

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2 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 1 POLICIES, PROTOCOLS & PROCEDURES

3 Keys To Recovery - Polices, Protocols & Procedures 2/29/20042 © 2004 Aegis Medical Systems, Inc. All rights reserved. Presentation Outline I. BACKGROUND II. MISSION III. GOALS IV. OBJECTIVES V. ORGANIZATIONAL OVERVIEW VI. CODE OF ETHICS VII. MEMBERSHIP QUALIFICATIONS VIII. MEMBER’S RIGHTS IX. MEMBER DUTIES & RESPONSIBILITI X. GROUNDS FOR REVOCATION OF MEMBERSHIP XI. MEMBERSHIP FEES XII. CONTRIBUTIONS & DONATION XIII. HANDLING OF FUNDS XIV. PROTOCOLS XV. FIFTEEN KEYS TO RECOVERY© XVI. FAQS XVII. APPENDIX

4 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 3 BACKGROUND Most 12-Step Recovery Programs are derivatives of the principles and traditions embodied in the concepts of the inspirational Alcoholics Anonymous (“AA”). AA’s success did not go unobserved and its principles were adopted by others seeking relief from various forms of addictive behavior (“Anonymous Groups”). Offshoots of the Anonymous Group, in turn, spawned a huge network of recovery programs. Depression, gambling, narcotic addiction, emotional dependency, and nicotine addiction are just a few of the Anonymous Groups in existence today.

5 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 4 BACKGROUND – Cont’ As a result of the tremendous growth and canonization of the 12-Steps, many believe the original 12-Steps of AA to be all-inclusive, and not to be tampered with – sacred. While there is great respect for the AA model, certain populations (i.e. recovering opiate addicts) require specialized handling to formulate the most effective recovery support system possible.

6 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 5 BACKGROUND – Cont’ Although the majority of Anonymous Groups are quite successful in assisting their members, traditional peer-based support groups often cannot meet the needs of the recovering opiate addict in Methadone maintenance and detox treatment programs. Most Anonymous Groups mandate that the member adhere to a program of total abstinence, where success is achieved solely by unfalteringly abiding to certain criteria without exceptions.

7 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 6 BACKGROUND – Cont’ Subsequently, the supportive element for improvement (short of total abstinence) in a recovering addict’s condition, whether it is a decrease in drug usage or an improvement in the ability to deal with the adversities of life, is simply not there. Therefore a non-abstinent, though “recovering” addict may easily become disheartened and be made to feel like an outcast in an intended to be “supportive” environment. The resulting alienation can nullify any anticipated therapeutic effect of such groups.

8 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 7 BACKGROUND – Cont’ Realizing the need for revision of AA’s principles, Keys To Recovery© (“KTR”) was founded to directly address the needs of recovering opiate addicts. Additionally, it is in the implementation of the concept of “Harm Reduction” that differentiates Keys To Recovery© from traditional Anonymous Groups.

9 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 8 MISSION Keys To Recovery© is an independent, non-profit organization committed to providing peer-based, self-help meetings for individuals who are recovering addicts. Keys To Recovery© endorses fifteen “keys” to recovery (hereunder detailed in paragraph XIII), and applies the “Harm Reduction” approach. The realization that traditional peer-based support groups frequently fell short of meeting the needs of recovering opiate addicts lead to the formation of KTR as a viable and effective alternative. KTR will afford recovering addicts the opportunity to receive non-judgmental peer-based support that was previously unavailable.

10 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 9 GOALS 1. Support System – To provide recovering addicts and patients with a peer established and run support system independent of any provider or other authority that specifically addresses the obstacles they face in their recovery efforts. 2. Share Experiences – To establish channels of communication among recovering addicts, allowing them to share their experiences in a supportive and protective environment without fear of repercussions.

11 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 10 GOALS – Cont’ 3. Achieve and Sustain Recovery – To provide advice and comfort to its members, helping them to gain control of and improve their lives in an effort to achieve recovery from addiction. 4. Protective Venues – To arrange for protective venues where recovering addicts can meet, and to continually expand efforts to bring KTR meetings into every community in need of recovery fellowships. 5. Educate Others – To support members in fighting stigma attached to addiction and to educate their families, friends, and community.

12 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 11 OBJECTIVES Keys To Recovery© will serve as a vital addition to individual treatment plans developed by Aegis and other addiction recovery providers. KTR will help individuals achieve and maintain sobriety, as well as: 1. Empower individuals by recognizing that the help that members can give to one another is as effective as the work done in the Clinic. 2. Assist members to rebuild their lives, return to their families, and become productive citizens once again.

13 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 12 OBJECTIVES – Cont’ 3. Enhance member self-esteem and well being through the acknowledgement that addiction is a physiological condition, which should be treated like any other illness. Additionally, although it is not necessarily solely the fault of the addict, it is accepted that no recovery can take place without a commitment from the recovering addict. 4. Help to establish relationships with other recovering addicts. These relationships are vital to recovery as they have the ability to replace social interaction with non-recovering addicts which could hinder recovery efforts.

14 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 13 OBJECTIVES – Cont’ 5. Endorse the benefits of science, Harm Reduction standards and the use of clinical intervention. It is crucial to acknowledge that people who have abused opiates cannot recover “cold turkey”. The recovery may require a sustained effort over a period of years. 6. To note that every improvement matters, and to recognize any amount of progress. Although total abstinence is the ultimate goal, it would be impractical and possibly very damaging to ignore lower levels of relative success.

15 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 14 ORGANIZATIONAL OVERVIEW Keys To Recovery© is comprised of local chapters that conduct their operation and meetings in accordance to Key To Recovery’s Policies, Procedures and Protocols (“P, P&Ps”). However, each such group is independent of one another and has full autonomy. Each chapter’s members have sole discretion in the implementation of their meetings. There is no chain of command or hierarchy, nor is one member superior over another.

16 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 15 ORGANIZATIONAL OVERVIEW – Cont’ Each chapter is expected to provide support and advice to other chapters on a voluntary basis. No chapter will take adversarial action against other KTR chapters and competition among chapters is not welcomed.

17 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 16 CODE OF ETHICS 1. KTR members must be dedicated to the Mission Statement. The member’s sole motivation is his/her desire to recover from addiction and to support other recovering addicts. Members will not have any alternative or hidden agenda and will not participate in any activities that will raise a conflict of interest. 2. KTR members must conduct themselves and treat each other with respect, dignity and humility. Divisive, cruel and violent behavior will not be tolerated.

18 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 17 CODE OF ETHICS – Cont’ 3. KTR members cannot request any clinical information about other members. All members are required to maintain strict confidentiality and should only share information with members of their group. Members cannot repeat any disclosures made within the chapter’s meetings, outside of the meeting. 4. KTR members do not gain special rights or privileges for participating within the chapter. Becoming a KTR member or chairperson does no create a position of authority.

19 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 18 CODE OF ETHICS – Cont’ 5. KTR members cannot resolve individual conflict on their own. 6. Members will endorse, agree to, and act according to the Code of Ethics. If they breach the Code of Ethics, they may be expelled from the group temporary or permanently.

20 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 19 MEMBERSHIP QUALIFICATIONS Any individual desiring to recover from any form of addiction without prejudice to their religion, faith, sex, gender, and type of addiction can become a member of a Keys To Recovery© chapter. They must abide by the procedures and protocols developed for KTR and are committed to the mission and goals established for all KTR members and any specific conditions established by each individual chapter.

21 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 20 MEMBER’S RIGHTS Members have no vested rights other than their membership and participation in the meetings. However, members will have the right to the following: 1. Participate in meetings. 2. To volunteer and become the chairperson, secretary or treasurer of a chapter.

22 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 21 MEMBER’S RIGHTS – Cont’ 3. In case of more than one volunteer, members have the right to vote for the chairperson, secretary and treasurer. Such a vote will be done by simple majority and without a quorum requirement. 4. Members may expel or revoke the rights of members upon a 75% majority vote and a quorum of at least 4 members.

23 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 22 MEMBER DUTIES & RESPONSIBILITIES Members are required to: 1. Be committed to their recovery whether following Harm Reduction or the total abstinence approach 2. Be supportive of other members’ recovery.

24 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 23 MEMBER DUTIES & RESPONSIBILITIES – Cont’ 3. Endorse and follow the Keys To Recovery© mission statement, goals and objectives. Members must adhere to the Keys To Recovery© Policies, Procedures and Protocols. Special emphasis should be given to: a) No breach of confidentiality. b) Act in a way that is not destructive, harmful or pose a risk/threat to other members. Members acknowledge that compromise of the above mentioned points a and b could establish grounds for their expulsion from a meeting or even revocation of member’s rights and membership.

25 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 24 MEMBER DUTIES & RESPONSIBILITIES – Cont’ 4. Handle themselves as well as treat others with dignity, respect, and humility. 5. Maintain the meeting venue in good order. Members are responsible for clean-up and restoring the space to its original condition at the end of each meeting.

26 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 25 MEMBER DUTIES & RESPONSIBILITIES – Cont’ Members can voluntarily: 6. Participate in outreach and service, which are key components to recovery. Members who have considerable recovery are encouraged to share the hope and strength they experienced via their adherence to KTR’s fifteen (15) keys to recovery by voluntarily signing up to help others.

27 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 26 MEMBER DUTIES & RESPONSIBILITIES – Cont’ 7. The members can volunteer their name and contact information to be included in a “Member Only Outreach List”, which may include only: first name; first initial of middle & last name; phone number; and preferred time for communication. The list will be distributed upon the discretion of KTR members. Through the list, members will be able to contact each other in times of emotional need.

28 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 27 GROUNDS FOR REVOCATION OF MEMBERSHIP 1. Any breach of the Code of Ethics will be grounds for removed either temporarily or permanently. 2. Any member who is destructive or disruptive to the process and goals of KTR will be removed. 3. A person who, by actions or words, compromises the confidentiality and therapeutic integrity of the KTR chapter will be removed.

29 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 28 MEMBERSHIP FEES Keys To Recovery© does not have any mandated fees for membership, nor are there fees required to attend meetings.

30 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 29 CONTRIBUTIONS & DONATIONS 1. KTR and its chapters will be willing to accept donations and contributions from families, members, non-profit organizations or other entities as long as the contributing party does not request any form of consideration as a result of their contribution/donation and there are no conflicts of interests.

31 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 30 CONTRIBUTIONS & DONATIONS – Cont’ 2. Aegis Medical Systems, Inc. and its Aegis Institute, Inc. may support the KTR program through the following: a) Meeting space. b) Scheduling and distribution of information about meetings. c) Administrative work as required. d) Limited beverage and light snacks provided during meetings, i.e. coffee, water, and cookies. e) Financial assistance to enhance member’s accessibility and transportation to Keys To Recovery meetings, such aid may include: bus passes; lodging; phone cards, etc.

32 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 31 HANDLING OF FUNDS 1. Funds which were contributed or donated to the chapter will be held in trust by the treasurer in a confined and secure location, however if the amount of the funds exceed $100, the last appointed chairperson, treasurer or secretary will open a joint bank account in the name of the KTR local chapter: a) The KTR local chapter may use the phone number and address of the nearest AMS Clinic to serve as the address of the chapter using the following format: (Care of Keys To Aegis Medical Systems, Inc., Name of Clinic, Clinic Address)

33 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 32 HANDLING OF FUNDS – Cont’ b) The account will require signature authorization through joint signatures of two members of the chapter (recommended: the chairperson and treasurer or secretary) on each issued check. c) The account will not allow issuance of credit/debit cards to any of the members. 2. It is recommended that each chapter and its treasurer will not accept donations over $2000. Any donation over the amount of $50 will be announced and made public to all members promptly upon the receipt of such funds.

34 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 33 PROTOCOLS 1. Venues and Locations – Chapters will conduct their meetings in a safe and protective meeting location accessible to all and in compliance with the ADA. The venue may be a public or private facility such as a school, church, hospital, community room, government building, medical clinic or a member’s home as long as it does not compromise confidentiality of attendees.

35 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 34 PROTOCOLS – Cont’ 2. Schedule of Meetings – Each chapter will determine their schedule. It is recommended that a meeting be held on a weekly basis with each meeting lasting 60 to 120 minutes upon the discretion of the group. The meeting schedule is to be resolved by each chapter upon commencement of operation. However, it is important to note that the meetings start on time. Each chapter that would like to establish itself will need to make a resolution about the meeting conduct including location, frequency and duration.

36 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 35 PROTOCOLS – Cont’ 3. Quorum Requirements – There are no quorum requirements. Any two members or more will satisfy the quorum requirement. 4. Types of Meetings – Each KTR chapter could hold one of the following type of meetings: a) Closed Meeting – only members (children 12 and under allowed (unless otherwise stated in the meeting schedule), but not encouraged). b) Open Session – besides members, the chairperson can invite any interested parties, including reporters, officials, clinicians, etc. c) Keys Meeting – closed meeting dedicated to the 15 keys to recovery (herein after paragraph XIV).

37 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 36 PROTOCOLS – Cont’ 5. Meeting Agenda – Any member is allowed to propose items for discussion for the group meeting. Final decisions will be vested by the chair. However, no foreign, outside topic of irrelevant issues will be included in the agenda. 6. Resolutions – The only resolutions are in regards to day-to-day operations (i.e. the agenda and meeting conduct). No resolution, opinion or statement letter will be issued to outside individuals or entities.

38 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 37 PROTOCOLS – Cont’ 7. Appearance and Attire – Cleanliness and hygiene are mandatory, those individuals infected with diseases that carry the possibility of having adverse effects on others, are not allowed. However, special accommodation will be made for individuals who are homeless, ill or handicapped. 8. Attendance Sheets – The participant in each group will sign an attendance sheet at the beginning of each meeting. Enclosed is the attendance sheet form for use by all chapters (see Appendix Section I: Forms).

39 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 38 PROTOCOLS – Cont’ 9. Proof of Participation – Despite provisions in the Code of Ethics, Keys To Recovery© accepts the provision of the Proof Of Participation for its members who may be required to show proof. A chairperson or any other member of the group may sign and stamp the Proof Of Participation form. The authorization form is enclosed (see Appendix Section I: Forms). There will be one standard form authorized or acceptable for all chapters.

40 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 39 PROTOCOLS – Cont’ 10. Conduct of Meetings – All meetings will be conducted as scheduled and will commence within fifteen minutes of the announced time and be completed within fifteen minutes of the scheduled time. a) It is recommended that the meeting begins or ends with a moment of silence and inspirations petition. b) Everyone must raise his/her hand. c) Members may not speak for more than 5 minutes at a time. d) All members must comply with the dress code in each meeting. e) Animals/pets may not be brought to the meeting, with the exception of a seeing-eye dog.

41 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 40 PROTOCOLS – Cont’ f) No smoking is allowed g) No taunts or foul language is allowed h) No racial and/or derogatory language is allowed i) No physical violence is allowed j) One faith will not be favored over any other k) Children (12 and under) are allowed, but not encouraged l) The group will leave the venue clean and in good order following each meeting.

42 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 41 PROTOCOLS – Cont’ 11. Recommended Schedule and Meeting Format: a) Arrival to meeting venue fifteen minutes prior to the start of the meeting, setting up the room, help others with beverages and light snacks b) Signing of the attendance sheet c) Making a decision on, or electing a chairperson, secretary and treasurer for the meeting d) Issuance and stamping (authorized stamp only) of receipts for contributions / donations (if any) will be completed by the chairperson and treasurer. All funds will be held by the treasurer.

43 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 42 PROTOCOLS – Cont’ e) The chairperson delivers an opening statement using the following text: OPENING STATEMENT “Welcome to our Keys To Recovery meeting. This meeting is open to all KTR members and other individuals who would like to join our organization. My name is _____________ and I am in Keys To Recovery. I would like to welcome the new members (each new member will take this time to introduce themselves by name). Now, please join me for a moment of silence on behalf of the recovering addict population.

44 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 43 PROTOCOLS – Cont’ f) Following the moment of silence the members will join the chairman in the recital of the serenity prayer: SERENITY PRAYER “God grant me the serenity To accept the things I cannot change, The courage to change the things I can, And the wisdom to know the difference.”

45 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 44 PROTOCOLS – Cont’ g) Upon the completion of the Serenity Prayer the chairperson will propose, to participating members who are interested in making a pledge to Keys To Recovery, the recital of the following: THE KEYS TO RECOVERY PLEDGE “My name is ______________ and I am a recovering addict. I admit to myself, and others, that I am unable to overcome my addiction without support from others. I have come to believe that progress, and not perfection is a central key to my recovery and that the help we can give one another is invaluable. I resolve to continuously develop my relationship with other recovering addicts so that we may all experience true recovery.”

46 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 45 PROTOCOLS – Cont’ It is recommended that members will make the above pledge at least once within their first 90 days of participation in Keys To Recovery. No sanctions will be placed on any members who choose to abstain from reciting the KTR Pledge.

47 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 46 PROTOCOLS – Cont’ h) The chairperson will propose a meeting type that is accepted or denied by the members. Members need to reach a consensus, demonstrating maturity, unselfishness and a willingness to compromise. i) The chairperson will propose an agenda for the meeting, other members will propose additional topics (if any). j) Meeting begins, with a recommended length of 60 to 120 minutes.

48 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 47 PROTOCOLS – Cont’ k) The Chairperson closes the meeting within the expected scheduled time, he/she will also consider extension of the meeting upon consensus. l) Issuance and stamping of Proof Of Participation Form will be completed by both the chairperson and secretary. m) All paperwork (including the attendance sheet, receipt books, proof of attendance book, stamp) and other materials will be collected by the secretary and kept in his trust in a secure location.

49 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 48 PROTOCOLS – Cont’ n) All donated and contributed funds will be held in trust by the treasurer in a secure location and/or deposited into a bank account under the name of Keys To Recovery. In the case the chapter does not have a secure place to store funds or materials, they are allowed to make a request to the Aegis Clinic manager to hold their materials in trust for them. o) The members will clean the room and return it to its original condition to end the meeting.

50 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 49 FIFTEEN KEYS TO RECOVERY© 1. Recognize our difficulty to conquer and/or manage our addictions and admitted our lives had become perilously out of control. 2. Acknowledge the value of spirituality in recovery and allow each member to follow his belief, including seeking the assistance of God or other higher power. 3. Came to believe, that although we are ultimately responsible for our decisions and choices, seeking direction from either spirituality, science and others in recovery is a sign of strength and that such interaction is essential to our recovery.

51 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 50 FIFTEEN KEYS TO RECOVERY© - Cont’ 4. We understand the importance of science, including clinical interventions and drug therapy, as an avenue to recovery and accepted that the use of prescribed, maintenance drugs is not a roadblock to successful living. 5. Humbly made a probing, honest and thorough moral inventory of ourselves. 6. Forthrightly acknowledged the specifics of our past destruction to ourselves and to another human being. 7. Willingly and humbly purge our character defects and our shortcomings.

52 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 51 FIFTEEN KEYS TO RECOVERY© - Cont’ 8. Compiled a list of persons we harmed and become willing to make amends to each of them. 9. Directly recompensed the people we had wronged in a manner devised to redress the offense, except when doing so would harm them or others. 10. Persisted in our self-examinations, taking full responsibility for our own actions, and when we were wrong, promptly admitted it. 11. Came to believe that progress, not perfection, in all of our affairs was an important key to our over-all stability.

53 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 52 FIFTEEN KEYS TO RECOVERY© - Cont’ 12. Understood that occasional straying from these Keys To Recovery© was not a cause for alarm, shame, or self- judgment, and that getting back on the road to recovery as soon as we recognized our mistake was our number one goal. 13. Resolved to continuously improve our conscious contact with ourselves and/or with a Higher Power, while expressing gratitude to any guidance and the opportunity to finally be joyous, happy and free.

54 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 53 FIFTEEN KEYS TO RECOVERY© - Cont’ 14. Thankful for our spiritual awakening, we resolved to actively develop and nurture relationships with other recovering addicts, so they too may experience true recovery. 15. Resolved to live in the present, a key at a time, a day at a time.

55 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 54 FAQS 1. What is a support group? a) A group of people, sometimes led by a therapist, who provide each other moral support, information, and advice on problems relating to some shared characteristic or experience: a support group for opiate addicted persons.

56 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 55 FAQS – Cont’ 2. What is Keys To Recovery©? a) Keys To Recovery© (KTR) is an independent, non- profit organization committed to providing peer- based, self-help meetings for individuals who are recovering addicts. b) Keys To Recovery© endorses Fifteen “keys” to recovery (as detailed in paragraph XIII), and applies the Harm Reduction approach. The realization that traditional peer-based support groups frequently fell short of meeting the needs of recovering opiate addicts lead to the formation of KTR as a viable and effective alternative.

57 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 56 FAQS – Cont’ c) KTR will afford recovering addicts the opportunity to receive non-judgmental peer-based support that was previously unavailable. b) Although each chapter of Keys To Recovery© is a part of an organization with a statewide structure, each local chapter is independent in its day-to-day operations.

58 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 57 FAQS – Cont’ 3. Who is eligible to join Keys To Recovery©? a) Meetings are open to all recovering addicts regardless of race, sex, religion, etc., as long as a member: i. Is not in breach of the Code of Ethics. ii. Does not violate the confidentiality policy. iii. Is not destructive to other members in the group.

59 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 58 FAQS – Cont’ 4. How much does membership cost? a) Keys To Recover does not have any mandated fees for membership, nor are there fees required to attend meetings.

60 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 59 FAQS – Cont’ 5. What are the rights of a member of Keys To Recovery©? a) Members have no vested rights other than their membership and participation in the meetings. However, members will have the right to the following: i. Participate in meetings. ii. To volunteer and become the chairperson of a chapter. iii. In case of more than one volunteer, members have the right to vote for the chairperson. Such a vote will be done by simple majority and without a quorum requirement. iv. Members may expel or revoke the rights of members upon an 75% majority vote and a quorum of at least 4 members.

61 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 60 FAQS – Cont’ 6. What are the responsibilities of a member of Keys To Recovery©? a) Confidentiality: All members are required to maintain strict confidentiality. All information spoken or heard during the meetings are not to be disclosed to third parties or other than the group and chapter members. Third party may include any medical staff, parole and probation offices and judges. Meetings should be considered a safe haven for members. b) From the organization’s point-of-view, all members attend on a voluntary basis.

62 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 61 FAQS – Cont’ 7. Where are KTR meetings held? a) Meetings are to be held on a regular weekly basis, with each session lasting at least 60 to 120 minutes long. The facility for the meeting can be either a community or a medical facility, and should be accessible to all members (i.e.: transportation, ADA accessible, churches, schools, clinics and medical facilities after hours). The facility should be accessible and sage. b) Also, the group session does not have to meet a quorum requirement and can be as small as two members. If the meeting does not take place in a particular week, members do not have to reschedule for later that week. The meeting will resume the following week as scheduled.

63 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 62 APPENDIX 1. Forms: a) Attendance Sheet b) Receipt for Donation c) Proof of Participation d) Letterhead

64 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 63 APPENDIX – Cont’ 2. Other suggested Procedure: a) The Opening Statement b) The Serenity Prayer c) The Pledge

65 Keys To Recovery - Polices, Protocols & Procedures 2/29/2004 © 2004 Aegis Medical Systems, Inc. All rights reserved. 64 APPENDIX – Cont’ 3. List of Key Accessories: a) Recovery Keys b) Posters c) Brochures d) Letterhead e) Stamps (for use only with donation/proof of attendance forms)


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