Main Social Justice Issue in theLocal Context Founded in Fresno in 1972, a group of concerned valley businessmen started a program to assist in removing the inebriated homeless from the streets of Fresno County, giving them the opportunity to help rebuild their lives. They established a long-term recovery program known as Comprehensive Alcohol Program, Inc. As society has changed, so have the programs and counseling styles at CAP, with the addition of a recovery program for drug abuse. For this reason, the agency is now known as Comprehensive Addiction Programs, Inc. (CAP Recovery Home)
Organizational Structure of theAgency CAP’s organizational structure is composed of a board of directors which is made up of community members, an executive director, who has an executive assistant, a program manager, a bookkeeper, and a client financial coordinator. There is a program supervisor and a support services supervisor under the program manager. The program supervisor oversees the detoxification unit, the education coordinator, the mens program, and the womens program. The support services supervisor oversees the after care program, the facilities, the night monitoring, the nutritional services, and transportation.
Community Context of the Agency Comprehensive Addiction Program is a non-profit organization supported in part by contributions from individuals and communities. The services that CAP offers are Assessment, Detoxification, Residential Care Program, Continuing Care, and Step Two Transition Services: Assessment: According to CAP, successful treatment begins with an accurate assessment of all aspects of the level and symptoms of addiction and the social issues that impact comprehensive care. Clients are given health questionnaires to identify and properly address any medical conditions that are related to drug or alcohol abuse. Thorough psychosocial and substance abuse evaluations help identify the problems that must be addressed in individualized treatment plans.
Community Context of the AgencyContinued… Detoxification: If indicated, CAP includes detoxification services as part of a minimum 30 day residential program at no additional cost to the client. Residential Care Program: The environment at CAP is based on working together to solve problems as a dependency-free community. The size and design of CAP’s community provide special opportunities to create a model of healthy peer confrontation. Under the guidance of counselors, denial is broken down, self-disclosure begins, and changes in behavior and thinking occur, instilling long term recovery skills.
Community Context of the AgencyContinued… Continuing Care: CAP’s Aftercare Program consists of a weekly group facilitated by experienced staff who would help guide clients in their recovery efforts. During aftercare, clients are guided toward meeting goals contained in their exit plans from residential treatment. They are given opportunities to succeed. In addition, clients receive feedback and support from staff and peers, helping them learn to sustain freedom from alcohol and drugs. Step Two Transition Services: According to CAP, not everyone is ready to move from structured treatment settings to community living. CAP’s sober living facility is a 10-bed unit with supportive case management to assist residents to return to sober, stable, independent community living . Peer support meetings help establish relationships that contribute to life-long sobriety.
Populations-at-Risk Whose Needsare Addressed Comprehensive Addiction Programs, Inc. (CAP) is committed to succeed and expand in the provision of services to populations who identify and/or self-identify to suffer from Chemical Dependency with Co-Occurring Disorders despite socio-economical status. CAP’s vision is to support the individuals the agency serves and their families from all socioeconomic backgrounds.
Agency’s Mission and Aims Comprehensive Addiction Programs, Inc. (CAP) is a residential treatment program "committed to providing the tools, education, and support to recover that which has been lost through addiction and to rebuild the lives of individuals, families, coworkers, and communities".
Agency’s Practices The clients at Comprehensive Addiction Program are usually referred by another agency like Westcare or California Center for Recovery, but some of the clients are self-referred or request services on their own free will. Therefore, CAP has some private pay clients and other clients are eligible applicants for some county funding. CAP believes in that clients are always first or that “we are there for the client”. However, it has its strict policies and procedures, but they are there for the wellbeing of the client. For example, CAP has a dress code policy, time management policy, weapons policy, relapse policy, which places clients on bed rest for detoxification if a client is found to have been using drugs or alcohol, no fraternizing between men and women, among other policies and procedures.
Agency’s Practices Continued… In addition, Clients are allowed to make calls, which are monitored by staff, but they have to be business related; for instance, when they need to call a social worker, schedule a doctor’s appointment, call an attorney, etc. Personal calls can be made using the pay phone, which are not monitored.
Agency’s Significance in terms of SocialJustice, Social Work Values and HumanRights In terms of social justice, social work values, and human rights, Comprehensive Addiction Program’s significance is that it is a program that sees substance abuse or chemical dependency as a disease that should be treated taking into account each person’s physical, psychological, emotional, and spiritual needs. Comprehensive Addiction Program treats its clients with equality, client favoritism or preferring one client over another is prohibited and it believes that every person or client in the program/treatment should be treated with dignity and respect. In addition, its assessment approach is very congruent with some of the values of the social work profession.
References: Comprehensive Addiction Programs, Inc. Reaching to Rebuild Lives, Families, and Communities [Brochure]. Comprehensive Addiction Programs, Inc. Retrieved October 17, 2011, from http://www.caprehab.org/ E. Montez (personal communication, October 12, 2011).