2015-Client-Application-Package

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The Salvation Army Hope Acres
Addiction & Rehabilitation Centre
998614 Mulmur Tosorontio Townline
Glencairn, ON L0M1K0
Glencairn, Ontario
Dear Friend:
L0Mat1K0
Thank you for your inquiry about our Treatment Program
Hope Acres, a long-term Treatment
facility for men with a substance abuse problem. Hope Acres is funded by the Ministry of Health &
Long-Term Care and The Salvation Army, and requires a minimum commitment of four months for
successful completion.
Telephone: (705) 466-3435/6 Ext. 251
Our Program consists of Class work, Group and Individual Counseling. Classes use a variety of
evidence based material that will assist you in understanding
needs of
Fax: the bio-psycho-social-spiritual
(705) 466-2102
recovery. The Program also has a spiritual component in which Clients are required to attend our
Sunday chapel service. Monday – Friday clients gather in the morning for a brief, client led
inspirational thought to prepare them for their day. We also offer a variety of electives in the evening
including a mandatory 12-step program each Monday. In addition to all of this, there is a work therapy
program in which the client will be assigned to specific duties in maintenance, janitorial, and kitchen
services. There are also ample recreational activities available, to enable the client to progress in a
completely healthy manner. The aim of the program is to provide each client with a healthy
environment for every aspect of his recovery. This includes providing a smoke and tobacco free
environment and the opportunity to receive no cost nicotine replacement through a partnership with
CAMH and the STOP program. Our treatment staff is all trained as smoking cessation counsellors.
New Clients will also be screened for drug/alcohol use upon entry and random screening is an ongoing
part of your stay at Hope Acres. Any positive tests for non-prescribed drugs or alcohol will result in
immediate discharge from the Program. Centre Staff will make all medical needs appointments if
required. Clients must have a valid Ontario Health Card before being admitted to the Program, and
Clients must be physically and emotionally able to perform all assignments while on Program.
Similarly, Clients must have all Legal issues resolved before entering Treatment, including Court
appearances or Parole/Probation Hearings.
Potential Clients must complete a full Intake Application Package plus the Assessment Tools
Package done by the Referral Agency in your city, including the Admission and Discharge
Summary and the Health Screen. The Admission Team will assess these and each potential
Client will be interviewed by telephone or in person before a decision is made on admittance to
the Program.
Sincerely,
Yvonne Forrest
Intake/Medical Worker
Enclosure
William & Catherine Booth
Founders
Andre Cox
General
Susan McMillan
Territorial Commander
1
The Salvation Army Hope Acres
Addiction Treatment Centre
998614 Mulmur Tosorontio Townline,
Glencairn, Ontario L0M 1K0
Phone: (705) 466-3435 ext/251
Fax:
(705) 466-2102
Intake Application Package
Please fully complete each section of this form, and fax it, along with the
Admission & Discharge Tracking Summary/Scores and Health Screen
from the Assessment Tools Package completed by the Referral Agency in your
community.
When this information has been received, a telephone interview will be arranged if it
is not feasible for the potential Client to come to Hope Acres for the interview.
Hope Acres is a long-term Addictions Treatment and Rehabilitation Centre for men,
operated by the Salvation Army, providing comprehensive assessment, treatment
and continuing care to those who are experiencing continuing difficulty
with problems related to substance abuse.
When completing your PHONE INTERVIEWS (s) which assist in determining suitability
clients must have been free from alcohol, street drugs and non-essential mood
altering medications for a minimum of 72 hours before this interview.
If accepted into the program it is expected that a client will remain substance free
starting at the time of the notification of acceptance. Clients are encouraged to seek
admission into a Withdrawal Management Centre if needed to insure that they remain
clean and sober
The Centre provides a 20 bed residential unit, located in the country near the village
of Glencairn, Ontario, 35 km west of Barrie and 30 km south of Collingwood.
Clients are responsible for their own transportation to Hope Acres or to Barrie or
Collingwood Bus Stations from where pick-up may be arranged. All Clients must be
willing to commit to a minimum four month stay at Hope Acres in order to complete
the entire Program.
2
ABOUT YOU
Date of Application:
______________________________
Name of Applicant: ______________________________
Address: __________________________________
Date of Birth:
Contact/Phone #: _______________
If an answering machine or voice mail is it okay to leave a message?
City/Town:
_______________
__________________________________
Emergency Contact: _______________________________
YES
Postal Code:
NO
_______________
Phone #:
_______________
Relationship: ________________________________________
Address:
_________________________________________
City/Town: _________________________________________ Postal Code:
_______________
Please indicate who is making this referral to Hope Acres and provide the phone
number.
Phone Number
Withdrawal Management Centre: ____________________________
_______________
Salvation Army Centre/Corps:
____________________________
_______________
Employer EAP:
____________________________
_______________
Physician/Other Professional:
____________________________
_______________
Family/Friend:
____________________________
_______________
Other:
___________________________
_______________
Please clearly and fully indicate substances used and last date used.
Date of last use
Alcohol
Yes  No  __________
Date of last use
Valium, Percocet, Tylenol
Yes  No  _________
Cocaine Yes  No  __________
Crystal Meth
Yes  No 
__________
Crack Cocaine Yes  No  __________
Ecstasy
Yes  No 
__________
Marijuana
Yes  No  ___________
Tobacco (Smoking) Yes  No 
__________
Heroin
Yes  No  ___________
Other
Yes  No 
__________
3
SMOKING AND TOBACCO USE
In order to improve your chances of life long abstinence from all addictive substances Hope Acres is a
smoke free tobacco free facility. This includes smoking while off of Hope Acres property.
Research has shown that you improve your chances at recovery by quitting smoking at the same time
of other addictions. It is also known that smoking kills more people then all addictions combined.
We would like to know more about your smoking habits
I am a smoker/tobacco use
YES
NO (if no please continue to next page)
How soon after you wake do you smoke your first cigarette? (circle one)
5 minutes
6 to 30 minutes
31 to 60 minutes
After 60 minutes
Do you find it difficult to refrain from smoking in places where it is forbidden (for example, in
church, at the library, at the movies)?
YES
NO
Which cigarette would you most hate to give up?
The first one in the morning
The afternoon break-time cigarette
The after-dinner smoke
When hanging out with friends
When I am stressed and need to relax
Other __________________
How many cigarettes per day do you typically smoke? __________________
Do you smoke more frequently during the first hours after waking than during the rest of the
day?
YES
NO
Do you smoke if you are so ill that you are in bed most of the day?
YES
NO
4
YOUR TREATMENT HISTORY
Have you ever been involved in a 12 step fellowship?
YES
NO
How many meetings have you attended in the past 90 days? _______
Date of last meeting: _______________
Have you ever had a home group?
YES
NO
Have you ever had a sponsor? (NO NAMES!)
YES
NO
Have you ever BEEN a sponsor?
YES
NO
Which steps you have EVER worked? (circle all that apply)
10 11 12
1
2
3
4
5
6
7
8
9
Other than 12 step programs and the programs listed below what have you done to try to deal with your
alcohol and/or drug use?
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Previous Programs Attended
Client must list all previous Programs he has attended in the past 10 years and indicate length of
stay, reason for leaving and length of sobriety after leaving program.
Full disclosure is required -- if necessary attach another sheet. Start with your most recent
Name of Program: ____________________________ Dates Attended: _____________________
Completed:
YES
NO
Reason for leaving program (if not completed):
___________________________________________________________________________________
___________________________________________________________________________________
Length of sobriety after leaving program: ______________
What do you believe led to you relapsing after this program?
___________________________________________________________________________________
___________________________________________________________________________________
5
Name of Program: ____________________________ Dates Attended_______________________
Completed:
YES
NO
Reason for leaving program (if not completed):
___________________________________________________________________________________
___________________________________________________________________________________
Length of sobriety after leaving program: ______________
What do you believe led to you relapsing after this program?
___________________________________________________________________________________
___________________________________________________________________________________
Name of Program: ____________________________ Dates Attended: ____________________
Completed:
YES
NO
Reason for leaving program (if not completed):
___________________________________________________________________________________
___________________________________________________________________________________
Length of sobriety after leaving program: ______________
What do you believe led to you relapsing after this program?
___________________________________________________________________________________
___________________________________________________________________________________
Name of Program: ____________________________ Dates Attended: ___________________
Completed:
YES
NO
Reason for leaving program (if not completed):
___________________________________________________________________________________
___________________________________________________________________________________
__________________________
Length of sobriety after leaving program: ______________
What do you believe led to you relapsing after this program?
___________________________________________________________________________________
___________________________________________________________________________________
6
YOUR PHYSICAL HEALTH
Clients must also have a valid Ontario Health Card before being admitted to the
Program, or means to obtain required prescription medicine.
Hope Acres will not be responsible to obtain/and or pay for prescribed medicine
for Clients once he arrives at the Centre.
Please indicate Health Card number below and attach photocopy of card/ Ministry
of Health letter
Health Card # ______________________________________________
Two Letter Version Code: ____
Expiry Date: __________
I have a history of:
Yes  No 
Epilepsy:
Hepatitis:
A-
Yes  No 
Diabetes:
Yes  No 
B
Yes  No 
C Yes  No 
Cirrhosis:
Yes  No 
HIV Positive:
Yes  No 
STD:
Yes  No 
Emphysema/Lung Disease:
Yes  No 
Cardiac:
Yes  No 
Back Problems:
Yes  No 
Ulcers:
Yes  No 
Allergies:
Yes  No 
Vision Problems:
Yes  No 
Do you require Glasses?
Yes  No 
Dental Problems:
Yes  No 
Last Visit to the Dentist: ____________________
All dental concerns MUST be dealt with prior to admission to Hope Acres.
Last visit to Doctor: ______________
Emergency Clinic: __________________________
Walk-in Clinic: __________________
Other:
___________________________________________________________________________________
__________________________________________________________________________________
7
Current Prescriptions and Dosages
Clients must bring two months supply of prescribed medicine to Treatment. This
medication must be reported and turned over to the Intake/Medical Worker upon arrival at
the Centre
Prescription Name
Dosage/Start Date
_____________________________________________
___________________
_____________________________________________
___________________
___________________________________________________________________
_____________________________
_________________________________________________________________
_____________________________
_____________________________________________________
________________________
______________________________________________________
________________________-
______________________________________________________
________________________
Non-prescription medication I have taken in the last 30 days (including prescription
medication not prescribed to me)
Medication Name
Reason taken
_____________________________________________
___________________
_____________________________________________
___________________
___________________________________________________________________
_____________________________
___________________________________________________________________
_____________________________
Clients at Hope Acres are required to participate in our Work Therapy Program and will be
given an assignment in one of three areas; Janitorial Services, Kitchen or Maintenance.
Assignments to Work Therapy are made according to Program needs by the Treatment
Team and every effort is made to place the Client in an area where he will have some
competence and from which he will gain the greatest benefit in his Program. Clients will
not generally have a choice in this matter.
Are you aware of any medical reason that would prohibit you from fully participating in any of
the work therapy areas?
YES
NO
If YES please describe the area and why you believe you would not be able to participate:
___________________________________________________________________________________
___________________________________________________________________________________
8
YOUR MENTAL/EMOTIONAL HEALTH
Psychiatric Diagnosis:
___________________________________________________________________________________
___________________________________________________________________________________
Are you currently under the care of a mental health professional
(Psychiatrist/Psychologist/Mental Health worker etc.)?
YES
NO
If so, please provide contact information for those we are allowed to contact.
Name: ____________________________ Phone Number: ____________________
Name: ____________________________ Phone Number: ____________________
Name: ____________________________ Phone Number: ____________________
If Hope Acres needs to contact your mental health professional to assess your suitability
for our program please print yes or no in the contact o.k. box above and sign below
I, _______________________ grant permission for Hope Acres staff to contact those
indicated above named to help assess my suitability for admission to The Salvation Army
Hope Acres.
Signed: ________________________________
Dated:_________________________________
9
SPIRITUAL HEALTH
At this time when it comes to matters of faith I would describe myself as:
___
Atheist
I don’t believe in God.
___
Agnostic
I believe we can’t really know about the existence of God
___
Unsure
I don’t know what to believe about God.
___
Spiritual
I believe in God, but I am not religious
___
Religious
I believe in God and practice a religion
Yes 
Are you familiar with The Salvation Army?
No 
Hope Acres has an active Spiritual (Christian faith based) component to its Program, and all Clients
are required to attend in the client led morning inspirational thought and Sunday chapel.
Do you understand this requirement?
Yes 
No 
Do you have objections to this?
Yes 
No 
Legal Concerns
.
Does Client presently have outstanding charges against him?
Yes
No
Current Charges:
________________________________________________________________________________________
________________________________________________________________________________________
Does Client have pending Court date(s)?
Yes
No
Dates: _________________________________
Can these Court dates be remanded during treatment? (attach lawyer letter confirming)
Yes
No
If Client has pending Court dates, we will require a letter from the lawyer indicating that the case(s) has
been remanded or that the lawyer can attend court proceedings while Client is at Hope Acres.
Yes
Is Client currently on Probation/Parole or bail?
No
If Client is on Probation, Parole or Bail we will require a copy of the Order as part of the
Intake package
If you weren’t required by probation/parole/bail would you still be seeking treatment?
Yes
Does Client have any outstanding fines?
Yes
Amount: _________________________________
10
No
No
Your Work History
Your regular occupation:
_______________________________________________________
Date last worked regularly:
_______________________________________________________
Do you have a job to go back to when you finish the program? _______________________________
Is completing program a condition of you returning to or regaining your job? ______________________
Income Source (s)
Salary/Wages:
Yes  No 
Pension:
E.I. Regular Benefits:
Yes  No 
Sick Benefits: Yes  No 
Ontario Works (Must have receipt)
Yes  No 
O.D.S.P.
Yes  No 
C.P.P.
Yes  No 
WSIB
Yes  No 
CPP Disability
Yes  No 
Family:
Yes  No 
Other:
Yes  No 
None:
Yes  No 
11
Yes  No 
UNIVERSITY OF RHODE ISLAND CHANGE ASSESSMENT SCALE (URICA)
Each statement below describes how a person might feel when starting therapy or approaching
problems in his life. Please indicate the extent to which you tend to agree or disagree with each
statement. In each case, make your choice in terms of how you feel right now, not what you have
felt in the past or would like to feel. For all the statements that refer to your "problem," answer in
terms of problems related to your drinking (illegal drug use). The words "here" and "this place" refer
to your treatment center.
There are five possible responses to each of the items in the questionnaire:
1 = Strongly Disagree
2 = Disagree
3 = Undecided
4 = Agree
5 = Strongly Agree
Circle the number that best describes how much you agree or disagree with each statement.
1
2
3
4
As far as I’m
concerned, I don’t
have any problems
that need changing
I think I might be
ready for some
self-improvement.
I am doing
something about
the problems that
had been
bothering me.
It might be
worthwhile to
work on my
problem.
STRONGLY
DISAGREE
1
DISAGREE
2
UNDECIDED
3
AGREE
4
STRONGLY
AGREE
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
12
5
6
7
8
9
10
11
12
I'm not the
problem one. It
doesn't make
much sense for me
to consider
changing.
It worries me that I
might slip back on
a problem I have
already changed,
so I am looking for
help.
I am finally doing
some work on my
problem.
I've been thinking
that I might want
to change
something about
myself.
I have been
successful in
working on my
problem, but I'm
not sure I can keep
up the effort on my
own.
At times my
problem is difficult,
but I'm working on
it.
Trying to change is
pretty much a
waste of time for
me because the
problem doesn't
have to do with
me.
I'm hoping that I
will be able to
understand myself
better.
STRONGLY
DISAGREE
1
DISAGREE
2
UNDECIDED
3
AGREE
4
STRONGLY
AGREE
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
13
13
14
15
16
17
18
19
20
21
I guess I have faults,
but there's nothing
that I really need to
change.
I am really working
hard to change.
I have a problem, and
I really think I should
work on it.
I'm not following
through with what I
had already changed
as well as I had
hoped, and I want to
prevent a relapse of
the problem.
Even though I'm not
always successful in
changing, I am at
least working on my
problem.
I thought once I had
resolved the problem
I would be free of it,
but sometimes I still
find myself struggling
with it.
I wish I had more
ideas on how to solve
my problem.
I have started
working on my
problem, but I would
like help.
Maybe someone or
something will be
able to help me.
STRONGLY
DISAGREE
1
DISAGREE
2
UNDECIDED
3
AGREE
4
STRONGLY
AGREE
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
14
22
23
24
25
26
27
28
29
30
31
I may need a boost
right now to help me
maintain the changes
I've already made.
I may be part of the
problem, but I don't
really think I am.
I hope that someone
will have some good
advice for me.
Anyone can talk
about changing; I'm
actually doing
something about it.
All this talk about
psychology is boring.
Why can't people just
forget about their
problems?
I'm struggling to
prevent myself from
having a relapse of
my problem.
It is frustrating, but I
feel I might be having
a recurrence of a
problem I thought I
had resolved.
I have worries, but so
does the next guy.
Why spend time
thinking about them?
I am actively working
on my problem
I would rather cope
with my faults than
try to change them
STRONGLY
DISAGREE
1
DISAGREE
2
UNDECIDED
3
AGREE
4
STRONGLY
AGREE
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
© COPYRIGHT McLean Hospital Department of Mental Health Services Evaluation (B32.0108)
15
Acceptance Criteria
(Each question must be answered)
1.
Is Client free from any medical condition that would hinder or prevent treatment?
Yes 
2.
No 
Is the Client physically capable, and mobile and able to fully participate in Program
and required activities?
Yes 
No 
Yes 
No 
(a). If so, are these documented?
Yes 
No 
(b). Is Client fully stable and functional?
Yes 
No 
3. Does Client have any psychiatric issues?
3. Has the Client had any recent or current thoughts, plans or ideas of suicide?
Yes 
No 
5. Does the Client experience problems with community living, such as anti-social behavior?
or violent episodes (whether sober or under the influence)?
Yes 
No 
6. Does the Client have outstanding/immediate issues that must be resolved, such as
family difficulties, living arrangements, work issues, financial, legal, health or relationship
matters?
Yes 
No 
Yes 
7. Is the Client currently on a Methadone Program?
No 
If so, it will be necessary for us to arrange a transfer to another Treatment Program, as we
do not have the ability to support mechanisms to treat Clients on Methadone.
8. Does the Client have a valid Ontario Health card?
Yes 
No 
Clients without other vaild forms of I.D. are strongly encouraged to apply for Ontario Photo I.D
card PRIOR to admission to Hope Acres
9. Is the client willing to accept the Regulations and Policies of Hope Acres and to abide
by them during his stay?
Yes 
No 
10. Has the Client received Ontario Works payments this year?
Yes 
No 
11. Clients accepted into the Program will be tested on admission.
12. Only those Clients who have received O.W. will be eligible to receive P.N.A
16
PLEASE READ THE FOLLOWING GUIDELINES CAREFULLY:
1. Clients should bring only those personal belongings that he will require for his stay at Hope Acres,
including adequate clothing, footwear, grooming and toiletries, but only what is absolutely
necessary. Please read labels of all toiletries (including toothpaste, deodorant etc (to insure they do
not contain alcohol) Storage space is limited and laundry facilities are available. Two medium size
bags or suitcases will be satisfactory.
2. Bodybuilding drinks/powders, vitamins or herbal supplements are not allowed.
3. Muscle shirts or cut-off shirts and shorts, shirts with beer or drug logos, or bearing violent, obscene
or racist slogans or wording will not be permitted.
4. Clock radios or small radios are permitted. However, portable record/CD players and entire
stereo systems. TV’s, cameras, cell phones and other valuable equipment and jewelry must not be
brought to the Centre. Do not bring bicycles.
5. Clients should not bring large amounts of cash to the Centre
6. Clients will be screened for Alcohol/Drug use on arrival, and will be subject to regular and
random screening during their stay at Hope Acres.
There is a zero tolerance policy and any positive test will result in discharge from the Program.
7. Clients cannot have visitors during the first two weeks at Hope Acres. After that, visitors are
permitted as per the Policy Manual. Clients cannot leave the grounds during the first two weeks at
Hope Acres. Following the two week period, clients may go for walks off grounds as per Policy
Manual. After one full calendar month Clients may be eligible to apply for a day pass, and after
two full calendar months, Clients may be eligible to apply for an overnight pass as per Policy
Manual. PASSES ARE AT THE SOLE DISCRETION OF YOUR HOPE ACRES COUNSELLOR.
8. Clients receiving Government Assistance (O.D.S.P or Ontario Works.) should talk with their Worker
before coming to Hope Acres to insure that their Benefits will continue during Treatment. If a Client
is planning to apply for Ontario Works, he must do this before he comes to Hope Acres, as he
cannot apply for and receive Assistance while actually in Treatment. Please have Welfare receipt
available.
Centre Staff cannot arrange Benefit Coverage for a Client once he comes to Hope Acres.
9. Upon arrival at Hope Acres, Clients will go through a four week Orientation and Assessment
process with the Staff. The Client’s status will be examined by the Client Assessment Review Board
during that Period, and if the Client is deemed in any way inappropriate for the Hope Acres
Program, he will be discharged.
10. Clients must pay a one-time, non-refundable fee of $50.00 at time of admission to cover the cost
of books and study materials.
11 Hope Acres is a smoke and tobacco free facility. Clients are not permitted to smoke or be in
possession of cigarettes or other tobacco related products including lighters, matches etc.
17
PLEASE ENSURE THAT YOU HAVE FULLY COMPLETED EACH SECTION OF THIS FORM.
AND FAX IT BACK TO 1-705-466-2102
When this information has been received, a telephone interview will be arranged if it is not feasible
for the potential Client to come to Hope Acres for the interview.
As a prospective Client in the Hope Acres Addictions Treatment Program,
I have read this Application Package and agree to the conditions as outlined.
Signed: __________________________________
Client
Date: _____________________
Signed: __________________________________
Counselor/Worker/Witness
Date: _____________________
MAKE SURE YOU HAVE INCLUDED:
Hope Acres Application Package
(including URICA -University of Rhode Island Change Assessment Scale)
□
Tracking Summary, Health Screen & Adverse Consequences and Drug History Questionaiire
from ADAT Tools package
( PLEASE DO NOT SEND ENTIRE ADAT PACKAGE. SEND ONLY THE TOOLS INDICATED
□
Parole/Probation/Court/Bail Order
□
Photocopy of Ontario health card
□
Ontario Works Receipt
□
REFERRING AGENCY: _____________________________
WORKERS NAME(print) : _________________________ Signature: _________________________
.
18
The following two pages should be removed from the application package and kept where you can find
them. They contain some important information for you and your family and friends in the event that you
are accepted as a client at Hope Acres.
The first page is for YOU. It outlines what you should bring and what you should leave at home.
The first page is for you and outlines what you should bring and what you should leave at home.
The second page provides your family and friends with some information that they should know about
Hope Acres.
What to bring
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
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

Toiletries (toothpaste, razors, shampoo etc.) PLEASE READ ALL LABELS TO MAKE SURE
THEY DO NOT INCLUDE ALCOHOL (Common in many hair care products, toothpaste and
deodorants)
Appropriate clothing
Pen, paper etc.
Shoes, slippers
A good attitude and willingness to learn
An alarm clock
A watch
Small radios or “boom boxes” are permitted but must be used with headphones
Phone cards for long distance calls
$50.00 for program material
What not to bring

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








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Hair clippers
Personal TV’s, computers (including laptops/netbooks/tablets), cellular phone (even if they are nonfunctioning), pagers, weight/exercise equipment
Body building supplements, herbal supplements, vitamins, etc.
Over the counter medication
Clothing with liquor, beer or gambling logos or advertisements
Clothing with sexist, racist, abusive, offensive or obscene language
Mouthwash
Cologne, aftershave or any other product that may contain alcohol (please carefully check all labels
for ingredients. Common products include hand sanitizers, deodorants, hair care products etc.)
A personal vehicle
Expensive jewellery, watches etc. SHOULD BE LEFT AT HOME
Music with content warnings
Fishing poles, bicycles, or other sport equipment
Reading or listening material that is not conducive to your recovery
Cigarettes, tobacco or any smoking related items (lighters, rolling papers, matches etc.)
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This page is for YOUR FAMILY AND Friends. Please detach and give it to them as it
contains important information that they should know about your stay at Hope Acres
Someone important to you has started a journey of change and discovery that we pray will be life-changing.
As someone important to this person we want you to be aware of the following:

Clients are not allowed visitors for the first two weeks of their stay at Hope Acres
Clients can be reached on the client pay phone at 705-466-9915. This is a common phone for all clients.
Calls should be limited to one 15 minute call per day as we have 20 men who share the use of this phone.
Staff reserve the right to limit the amount of calls a client may make or receive – if it is believed that this
contact is causing them to either be distracted from their treatment or is causing other problems.

In case of an emergency (such as illness or death in the family). A message can be left for the client by
calling the main office line at 705-466-3435.

It is important that you understand that due to client confidentiality, staff will not confirm that
someone is here. We can merely offer to take a message and pass if on if the person is here.

Visits should be planned in advance so that you can make appropriate arrangements to visit. Clients
are not allowed off grounds in a vehicle unless it has been pre-approved by their counselor or the
treatment team. Clients will not be allowed off grounds for unexpected visitors. If for some reason
you need your visit to be a surprise, please contact your client’s counselor prior to Thursday at 8:00
A.M.
If you are picking a client up for passes please be aware that they cannot leave before the start time
of their pass. For weekend passes start on Friday at 1:00. Saturday day passes start at 8:00 and
Sunday day passes start at 1:00

The mailing address is:
Client’s Name
C/o Hope Acres
998614 Mulmur Tosorontio Townline
Glencairn, Ontario L0M 1K0
Client personal mail is not opened by staff. Clients are asked to open any packages in the presence of a staff
member. Clients may receive a maximum of two (2) packages per month.
Phone calls are limited to one 15 minute call per day. Please remember to keep your phone calls with your
loved one to within this time frame.
Visiting hours:
Saturday
Sunday
Friday
5:00 p.m. – 9:00 p.m.
1:00 p.m. – 4:00 p.m. & 5:30 p.m. – 9:00 p.m.
10:00 a.m. – 4:00 p.m. & 5:30 p.m. – 9:00 p.m.
This letter is part of our pre-admission package and SHOULD NOT be seen as
confirmation that the client has been accepted to The Salvation Army Hope Acres.
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